2005-711 TOWN OF QUEENSBURY
•
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FON
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050711 Application Number: A20050711
Tax Map No: 523400-296-005-0001-014-000-0000
Permission is hereby granted to: PASSARET,T,T,T_ GTJTDO
For property located at: 7 BIRDSALL 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: GUIDO PASSARELLI
gn
465 LAKE Ave Total Value
LAKE LUZERNE, NY 12846-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans& Specifications
2005-711
12 SQ FT FREESTANDING SIGN
$24.00 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 the of Que bu ; ` dnesday, November 23, 2005
SIGNED BY / / for the Town of Queensbury.
Director of Building&Code Enforcement
nt:nL i T uan r ex: 5l ii-lti-:i. i Sep b 'LUUS is 41 m P. UZ
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tidin &Codes Office-Department of Community Development-Town of Queensbury PERMI-Nt1MBEaO 5—
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2 Bay Rood,Queensbury,NY 12804 FEE PAID
sve Hotin,Director cocieseaueensburv.net
Inc: (518)761 8256 FAX (518)745.4437 y` 4: .
—7.6-(7-4j
;ibn Permit Application C�ccle
gplication &Mans are subiect to review before issuance of a valid,permit for placement of a sign.
structions; A permit must be obtained before installation of your permanent sign. AD applicants' spaces on this
pplication must be completed and must appear on the application form. TefrC
C Owner: �
applicant/Businessf��
4ddress: e,3 y Address 1
Home Phone: --I�4ct-7O7 Home Phone: _
Email Address: Email Address:
Cell Phone: a-3�-I Cell Phone:FAX Phone: - FAX Phone: . -
erson responsible for supervision of work with respect to Sign Code compliance:
Name: • nt
C
Address: L .x a Phone ��-,1 FS- -
Email Address: _ _ te G,�Q` K •
.ocation of proposed installation: Legal Address:CO rY � C Suite No.
3usiness Complex/Plaza/Mall Name: -
3usiness Name: 1-- -'*--e-- t•' % ^
Tax Map Number: ,a1AD.S ) i l
Type of sign proposed: ✓freestanding wall awning SEP 0
Ajecting
If sign is to be illuminated, please indicate: _Internal External Incandescent _Neon _,_Other
Do signs currently exist on the property? _Yes V..- No If YES, list all existing signCfge:
The applicatio reates a change in the following existing site conditions: fill in all applicable spaces
ew
Change in number of signs from to _
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 fro , .. to
Sign Wording/Copy:��'e-4 J.-S - . r /
Sign size: Length 11 x Width . W Total Sq.ft. ! Sign Height (free tanding sign) 6
Color and Material to be used: u700c1 / l.(-11 tk Crik-g-P1 13/
Provide 2 copies of a scaled drawing or surveyed plot plan h the following information:
location of sign (walls signs: drawing of the facade the sign will be located on,indicate sign on facade)
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).
pecigratlon: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the application, together with 'he plans and
specifications submitted, are a true and complete statement of all proposed work to be cone 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 hether specified or noted, and that such work is authorized by the owner.
APPLICANT SIGNATu' - �.�"1111' . I • �•— _ DATE. q
Ias-
i hereby author - the op-''cant}o plaid..a WI on my r ro. - or building,
OWNER GNATURE: •• r DATE: -
L:\Sue Herm _way\BuildingSennit.FORMS\Sign Permit Application.doe
V: 1/6/2005 4
XL LiY US! Fax:bl8—/98-3287 Sep 6 2005 9:42 P. O�
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REVISION TABLE SPECIAL DISTRICTS LEGEND
z� `DATE CHANGES OR ADDITIONS FIRE GIST. FIRE PROTECTION PROPERLY UNE GREAT LOT UNE -----•— PARCEL NUMBER 9 288.20 289.17 289.18
SCHOOL DIST. OUEENSBURY UNION FREE SCHOOL DISTRICT 7AX MAP PARCEL NUMBER!lOAO-1-5
RIGHT OF WAY LINE ORIGINAL LOT UNE COORDINATE LOCATOR r
LAKE GEORGE CENTRAL SCHOOL DISTRICT MATCH UNE GREAT LOT NUMBER g • CALCUt C ED ACREAGE 8.5 A(S) 295 08 k�M1: ti"'296.06
WATER DIST, OUEENSBURY WATER DISTRICT BLOCK OMIT ��
VILLAGE UNE DEED ACREAGE 9.5 A
SEWER DIST. COUNTY SEWER DISTRICT 1 MUNICIPALtt LINE SPECIAL DISTRICT LINE— — SUBLOT NUMBER g
ORIGNAL BLOCK NUMBER �) SCALED DIMENSION 150(S) 295.SH 296.09 296.10
LIGHTING DIST. OUEENSBURY LIGHTING DISTRICT _ /'^•._ \ DENOTES COMMON OWNER �J TAX MAP BLOCK NUMBER o DEED DIMENSION 150
SHEET INDEX