2005-403 Family Footwear TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050403 Application Number: A20050403
Tax Map No: 523400-288-012-0001-015-000-0000
Permission is hereby granted to: FAMILY FOOTWEAR CENTER
For property located at: 1500 STATE ROUTE 9 - DUNHAM SHOES
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: LAKE GEORGE ASSOCIATES
C/O GORDON MANAGEMENT CO Sign
Total Value
384 BROADWAY 2ND FLOOR
ALBANY, NY 12207-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
HANLEY SIGN CO. INC
26 SICKER Rd
LATHAM, NY 12110-0000
Plans&Specifications
2005-403 FAMILY FOOTWEAR
12 SQ FT FREESTANDING SIGN AT STATE ROUTE 149
$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 Tow of Qu nsb T s y, June 09, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building`8,Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER
742 Bay Road,Queensbury,NY 12804 `
Dave Hatin,Director codes@aueensbury.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 An.
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 A �e � Owner: `.rr4r/ t reot lr1
Address: c Address: isvo 124,L4--f
L I 10 et
Home Phone: 79 3-`r es .' ZSS Home Phone:
Email Address: 12 ton Ay Q 9.4*1 le h segib . ta&* Email Address:
Cell Phone: J&q r2.092 Cell Phone: oZ"
FAX Phone: 29-S — 0/2 --R FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: 14 ,e
Address: �G �� 2// Phone
Email Address: t
Location of proposed installation: Legal Address: Suite No.
Business Complex/Plaza/Mall Name: I VE D
Business Name:t 1A I
(� 1 ,j lj l�
Tax Map Number: aV�l �� ` �� TOWN OF QUEENSBURY
BUILDING AND CODE
Type of sign proposed: freestanding wall awning projecting
If sign is to be illuminated, please indicate: 4internal _External _Incandescent Neon _Other
Do signs currently exist on the property? Yes / _No If YES, list all existing signage:
The application creates a change irythe following existing site conditions: fill in atrapplicatble spaces -
New
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 from Uu n tl- �- � to
Sign Wording/Copy:
Sign size: Length r x Width Z=Total Sq. ft. 12rr �/ Sign Height (freestanding sign) Z—
Color and Material to be used:w
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 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).
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,w er specified or noted, and that such work is authorized by the owner.
/
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: / A�t DATE:
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V: 1/6/2005
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