2005-170 Shindigs TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050170 Application Number: A20050170
Tax Map No: 523400-295-008-0001-002-000-0000
Permission is hereby granted to: SHINDIGS
For property located at: 1161 STATE ROUTE 9
in the Town of Queensbury,to constrict 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. Tie of Construction Value
Owner Address: MITCHELL A COHEN
PO BOX 21 Sign
Total Value
LAKE GEORGE, NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-170 SHINGDIGS 1159 STATE ROUTE 9
96 SQ FT WALL SIGN (Shindig's Pizza Special)
$192.00 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 of Q ens ury; riday, April 29, 2005
SIGNED BY for the Town of Queensbury.
Director of Bui ding& ode Enforcement
Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER VO / ! 0
742 Bay Road,Queensbury,NY 12804 ) . OL
Dave Hatin,Director codes@aueensburv.net FEE PAID
Phone: (518)761-8256 FAX: (518)745-4437
Sign Permit Application
Application & plans are subiect to review before issuance of a valid permit for placement of a sign.
Instructions: 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.
Applicant/Business /�� �OTAG�'y� �Js 17,d Owner: r t-t ,L�U
Address: d $ ZZ Address:
Home Phone: Sro • Home Phone: '7 -6�2o
Email Address: Q,lit�Anew ,0WW0.cr-11.✓' . 41r7- Email Address:
Cell Phone: Cell Phone: 71vq-
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: 46V6 ikF—A- G *
Address: SCE E Phone
Email Address:
Location of proposed installation: Legal Address: /i5� ' Suite No.
Business Complex/Plaza/Mall Name: Rec'E'We
Business Name:
41AP ;w
Tax Map Number:
BUIt p EFN
Type of sign proposed: freestanding ✓ wall awning
If sign is to be illuminated, please indicate: _Internal V External _Incandescent _Neon _Other
Do signs currently exist on the property? ✓Yes / _No If YES, list all existing signage: � /ice �� Zz
The application creates a change in the following existing site conditions: fill in all applicable spaces
✓ New 1� S
Change in number of signs from to Ab t)t,
Change in setback for sign from to
Change in size of sign from to
Change in height of sign from to
✓Change of wording/copy from iL`(lr ry &-Ae 13�fkr to S�+•�d,'c,s /�rZzc T
Sign Wording/Copy:
Sign size: Length /a' x Width $ =Total Sq. ft. q6 S� / Sign Height (freestanding sign)
Color and Material to be used:
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (walls signs: drawing of the facade the sign will be located on, indicate sign on fa(;ade)
height of freestanding sign
depth of projecting sign
distances from front and side property lines.
Provide 2 drawings or photos of sign design.
Provide Applicant and Owner's signature (permission for placement of sign on the property or building).
Declaration: Please sign below after you have carefully read the statement:
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 r oted, and that such work is authorized by the owner.
r
APPLICANT SIGNATURE: I DATE: 3� 6
i
I hereby authorize the a plicant lace a sign on my property or building.
OW
NER SIGNATURE: DATE: ��\
L:\Sue Hemingway\Building.Permit.FORMS\Sign Permit Application.doc
V: 1/6/2005
SHINDIGS LTD. SIGN LOCATIONS
A
1159 & 1161 Rt 9 7n
ROUTE 8
§ SIDEWALK SIDEWALK Existing Well E)dw sting Freestanding
b
ProPerty Une
Existing §
Freestanding
d
New Well
1159 RT 9
# i9 Resta�t�r�l�t
4
1181 RT 9
27-0•• Shindigs
Ice Cream Stand
c®�
O
E 3 d
NE mopas €
Ship Dlmenslon�.mt
_
971t.B.OIn.
x w m Stall Wdth 833tc o $ ry
SIA Length Eol6.*.�a
fi o d` Sw Angle 9(&lep. 't Q`
SW Wtdth sort. N.Steue 4
Stets Length &OR,
C—Red-
0 0 0 0
S Property Une a
Spen 4.SBde9. B�y � � IV
dP j' ceP
Shindigs LTD
1159Rt9
Wall Existing
Copy Change
12'-0"
co
i r a
c r 1 °p"�iti6k t
o '
co
D I ry
e ive
A6=
i
eD � :: 7f0
9, y -- 1
Go
c�
1918
l J�/
s
i
zN`v�