SIGN 2006-756 Nextel Authorized Rep TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060756 Application Number. A20060756
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: RAYMOND HIPPELE
For property located at: 959 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.
n
Owner Address: RAYMOND HIPPELE Type of Constructio Value
50 ACORN Dr Sign
DIAMOND POINT,NY 12824-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-756
12 SQ FT BANNER TO BE USED AS A PERMANENT SIGN TO READ "NEXTEL AUTHORIZED
REPRESENTATIVE" TEMPORARY SIGN WAS PAID FOR 36 DAYS BUT NEVER HUNG AND THIS
BANNER CAN BE USED AS A PERMANENT WALL SIGN THEREFORE CHANGE OF COPY
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,November 16, 2007
(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 of�—Q7-61NVnsbu T ysd y,November 16, 2006
SIGNED BY for the Town of Queensbury.
Director of Building& de E rcement
//-/ -)---OFFICE USE ONLY�.......................� -.-. .
TAX MAP NO. ' PERMIT NO. ( 11
RMIT FEE 01 11
APPROVALS : '
' DEPOSIT FEE 1 0 ,1
........................................... , , 0C,
SIGN PERMIT APPLICATION. .........................
A permit must be obtained before installation of your permanent sign. All applicants'
spaces on this application must be completed and must appear on the application form.
OWNER: <SU ` INSTALLER/BUILDER:
ADDRESS: g SC� �+• .Q q
ADDRESS:
PHONE N 51 - to
PHONE NOS.
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS)
BUSINESS COMPLEX/PLAZA/MALL NAME: j�c LC 011-
BUSINESS NAME: (k)'"P o A/J
CONTACT PERSON FOR SIGN CODE COMPLIANCE:
PHONE:
TYPE OF SIGN PROPOSED: freestanding wall
awning projecting
IF SIGN IS TO BE ILLUMINATED,
PLEASE INDICATE: _Internal External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? N Yes Ao
IF YES, LIST ALL EXISTING SIGNAGE:
The application creates a JO New
change in the following Change in number of signs from to
existing site conditions(fill in Change in setback for sign from to
all applicable spaces): Change in size of sign from to
to:
Change in height of sign from to
Change of wording/copy from:
Sign Wording/Copy: �L�X Tc; /4 Gt'r wo(Z: L C t Q t)k E. C--A A-r t I C
Sign size: Length I t
g g x Width a = Total Sq. ft. IZ- Sign Height(freestanding sign):
Color and Material to be used: _ aw �QQ,
✓ Provide 2 Copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the fagade the sign will be located on, indicate
sign on fagade)
o Height of freestanding sign
o Depth of projecting sign QUESTIONS? CALL 761.8256 OR EMAIL
o Distances from front and side property lines. codesCc�pueensbury net
VISIT OUR WEBSITE FOR MORE INFORMATIO
✓ Provide 2 drawings or photos of sign design. www.aueensbury 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 that such work is
authorized by the owner
APPLICANT SIGNATURE: 1 vim- DATE: (U , i t ^ d
I hereby authorize the applicant to place a sign on my property or building:
OWNER SIGNATURE: DATE:
S-z-2 . Q.l-�ea�
B 6-LGL l 1-05
Toznn of Queensbury • Community Development Office • 742 Bay Road, Queensbun, NY 12804