SIGN-000700-2016 Floormaster Carpet One ' TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Zoning Department (518)761-8256
SIGN PERMIT
Permit Number: SIGN-000700-2016
Tax Map No: 302.7-1-13
Permission is hereby granted to: OMall Family Limited Partnership
For property located at: 102 QUAKER RD
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.
Tvne of Construction
Owner Name: OMall Family Limited Partnership Sign-Wall $0.00
Owner Address: 35 Orchard DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Signworks Sign Corp.
27 CAREY RD
Queensbury,NY 12804
Plans&Specifications
Building Sign(Wall)facing Quaker Road
58.7 sq.ft.
Sign Copy: Floormaster,Carpet One Floor&Home
Cross Ref.Sign Variance PZ-0177-2016
Fee Paid: $132 invoice no. 1141
Fee Paid: $44.10 invoice no. 1167
$44.10 PERMIT FEE PAID
Dated at the Town of Queensb \
SIGNED BY: ^ for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Building & Codes Received:
Tax Map ID:
SIGN PERMIT APPLICATION Permit No.: /J 70G'�4l�0
Permit Fee: $
Date Applicant
Tax Map ID A 02. 7// Address
Zoning r� p
Property Owner ��i Contractor/Agent:
���,c / Address 'T
Address
- df
Phone — 3 Phone
Contact Person for Sign Code Compliance: Day Phone:
Building Street Address:
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name
Business name
Type of Sign proposed
If sign is to be illuminated, indicate _internal _external _Incandescent _neon _other
Do signs currently exist on property? —Yes _No(if yes, list all existing signage)
Change of word/copy From to
Sign Wording/Copy
Sign Size Length x Width =Total sq.ft. -1
Sign Height(freestanding)
Color&Material to be used
This application creates a change in the New ,
following existing site conditions(fill in all Change in number of signs from to
applicable spaces) Change in setback for sign from to
Change in size from to
Change in height of sign from to
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-PRINT NAME �D C
APPLICANT-SIGNATURE: Date:
Declaration: I hereby autho45 the applicant to pl a -mq property or building:
OWNER-PRINT NAME:
OWNER-SIGNATURE:
/ Date:
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256