SIGN-000731-2016 i
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-00073 1-20 1 6
Tax Map No: 308.15-1-34
Permission is hereby granted to: Thomas Barber
For property located at: 462 CORINTH 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.
Type of Construction
Owner Name: Thomas Barber Sign-Freestanding $0.00
Owner Address: 8 Lockhart Mountain RD Total Value $0.00
Lake George,NY 12845
Contractor or Builder's Name/ Address Electrical Inspection Agency
Ray Sign Inc
28 Colonial AVE
Schenectady,NY 12304
Plans&Specifications
Freestanding Sign: 36 sq.ft.
Sign Copy: Corinth Rd U Store It
$108.00 PERMIT FEE PAID
Dated at the Town of Queensbury; . Friday,October 21,2016
a�
SIGNED BY: ( ... h Y. for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Building & Codes Received:
SIGN PERMIT APPLICATION Tax Map ID:
Permit No.: s7t 6 !—
Permit Fee: $
Date /G�2c>/�� Applicant C42,�,J, )&,W, ��31i-j. :r%, t-/-c
Tax Map ID 30? K I 3 Address z/LL re,2,,A /Icy
Zoning 5 ba'zV f /NV /2-PY
Property Owner /7I2� Contractor/Agent: iZ4
Address 4vad 6> VT L1-c- Address XA/IF 5_c4vt-
y�Z , G�w4sw�b��ti . ivy) 12joy /23by
Phone (Slbr) 309- N,3$ Phone 54-321 1321
Contact Person for Sign Code Compliance: 31'?'2'bs✓4 Day Phone:
Building Street Address: 416E Cora,/YA /E4_ �•,s�✓.�hc,2 y , A;'7 /2S��
Site Plan,Variance,or Subdivision Approvals Yi5
Location of proposed installation 416E
Business Complex/Plaza/Mall name
Business name ,y,�
Type of Sign proposed i
If sign is to be illuminated, indicate internal _external _Incandescent _neon _other
Do signs currently exist on property? _Yes A No(if yes, list all existing signage)
Change of word/copy From to
Sign Wording/Copy Cc12%Ni1�;
Sign Size Length x Width =Total sq.ft. '3v 1zx1/1, t 'S_eX'3
Sign Height(freestanding) S
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
APPLICANT-SIGNATURE: Date:
Declaration: I hereby authorize the applicant to place a sign own my property or building:
OWNER-PRINT NAME: :M
OWNER-SIGNATURE: Date: //,/I,)/G
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256