SIGN 2006-072 Country Inn & Suites TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060072 Application Number: A20060072
Tax i\fap No: 523400-295-008-0001-009-000-0000
Permission is hereby granted to: COUNTRY INN& SUITES
1,'or property located at: 1130 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: WAKITA PROPERTIES, LLC
1130 STATE ROUTE 9 Sign
Total Value
LAKE GEORGE, NY 12845-0000
Contractor or Builders Name / Address Electrical Inspection Agency
Plans&Specifications
2006-072 Country Inn & Suites
2 wall signs 60.2 sq. ft. each
$120.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o eens n y, March 06, 2006
SIGNED BY W for the Town of Queensbury.
Director of Building&Code Enforcement
v
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OFFICE USE ONLY
TAX MAP NO. PERMIT NO.
-PERMIT FEE. '==-l_`=-_ ' PPROVAL
FEB 2
' JRY
- -ems Ut L Ut L l 9 �
CODE
SIGN PERMIT APPLICATION: gi�>LQ!NG ,l—`-—-------_
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be comp``et�ted and must appear on the application form.
OWNER:.1-�>A V L . / /�� —/L INSTALLER/BUILDER: / ra D
ADDRESS: /8j) /21 �! ADDRESS:
PHONE NOSS[61`792'O3 Z PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) ��3 t? /Z% /�' Cj��y ,(J `� Z$p L/
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME: CC)U&vT2y -L tiv L
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE: S Z ' 032 C
TYPE OF SIGN PROPOSED: freestanding Z wall _awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: n emal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? _Yes 4No
IF YES,LIST ALL EXISTING SIGNAGE:
The application creates a change ?C New
in the following existing site Change in number of signs from to
conditions(fill in all applicable Change in setback for sign from to
spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy: 1F 4Tr- C - ,
Sign size: Length Width =Total Sq.ft. ��Z Sign Height(fre sign):
Color and Material to be used: `� Sl �} Se ���
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the facade the sign will be located on,indicate sign on facade)
o Height of freestanding sign
o Depth of projecting sign C:QUESTIONS CALL 761-8256 O�EMAIL
o Distances from front and side property lines. codesC�gueensburv.
OUR WESSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.gueensbury.net
✓ Provide Applicant and Owner's signature(permission for placement of sign on the property or building).
Declaration: To the best of my knowledge,the statements contained in the application,together with the plans and
specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that
all provisions of the Zoning Ordinance,and all other laws pertaining to the proposed work shall be complied with,whether
specified or noted,and th uch work is authorized by the owner.
APPLICANT SIGNATUR C DATE: _
I hereby authorize the appiic to place a sir arty or building. / f
OWNER SIGNATURE: DATE: 7?141 U
Town of Queensbury • Community Development Office • 742 Bat/Road, Queensbio-i/, NY 12804