2001-681 Adirondack Regional Insurance 0' TOWN OF QUEENSBURY
coyo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010681 Application Number: A20010681
Tax Map No: 523400-296-007-0001-010-000-0000
Permission is hereby granted to: ADIRONDACK REGIONAL INSURANCE
For property located at: 625 BAY 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 Value
Owner Address: JEFFREY&BETH HOWARD
245 RIDGE St Sign
GLENS FALLS,NY 12801 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-681 ADIRONDACK REGIONAL INSURANCE
18 SQ FT FREE STANDING SIGN AS PER APPLICATION
$36.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, September 26,2002
(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 Town of Queensbury; Wednesday, September 26,2001
SIGNED BY( / for the Town of Queensbury.
erector of ..rt�: \ode Enforcement
CO
0 Fee Paid: 3(, -
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761 8256 Permit #:�� r--6g/
SIGN PERMIT APPLICATION
ECEIvED
THE FOLLOWING INFORMATION IS REQUIRE SEP 1 1 2001
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign. °F QUEENSBUR
DE
3. Written consent of the owner of the building or 1a LPIM% °N o
OWNER OF PROPERTY I? -y ,/ p
ADDRESS 4 Z 5 y Rs , /i�`)/ TEL. 7i.2 - %1-
NAME OF APPLICANT N < y/jz.-
ADDRESS TEL.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing _ Permanent _Y Projecting Sign __
Temporary No -conforming Existing __
Free-Standing Wall __ New __
Location: Tax Map Number a96 0'2 - 1 - /0
Address ___k_gc '/ / /i iLeD
Proposed Setbacks from Property Line (front) r S (side) AS
--
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (iii, Incadescent ( ) , Neon ( ) , Other ( )
Size of S, ign: Width ft. Length ft.
Total Square Footage: — / 8
Sign Copy: 55 . CA(rola--
Color and Material To Be Used: t L04-11 d 6/2 -e4 — 13/C/ itAg6 jet-gtAxi 'oe
Signature:
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: ' yid
ORIGINAL-Offi e Copy COPY-Applicant
_/ k ENERGY CODE COMPLIANCE APPLICATION
=“fj TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
)>r n .s 111 e- 3 s "c ., kc)- 1A,ea.-7-t",
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - Q60 square feet
2 . Type of Heat - Electric P// Oil Gas Other
3 . Is building mechanically cooled? Yes V No
4 . Percentage of area of windows and doors Over 17% p/ Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R C3
b. Exterior walls R ►� I
c. Glazed areas R f, '�
d. Exterior doors R 910
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building) R tL Ke
g. Basement/cellar walls (above grade) R
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App icant' s Signature Date Phone Number
INSPECTOR' S REMARKS:
.?0461 - 6)0P.I
1—
i
ii9clitor) da_c /12-te:9"• e)71 c2—e
gyr 3
6, 2C- 661-1 CO_
•