2005-464 Designers Warehouse TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050464 Application Number: A20050464
Tax Map No: 523400-288-000-0001-059-000-0000
Permission is hereby granted to: DF,STGNFRS WARFHO1 TSF
For property located at: 1477 STATE ROUTE 9
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: DANIEL LOMBARD
7 STONE PINE Ln Sign
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-464 DESIGNER WAREHOUSE
Sign Copy: Kazuma
54 SQ FT FREESTANDING SIGN(CHANGE OF COPY)
$0.00 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 f
Town f Q e�nst ry; sday, July 27, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
tftiLE
Building&Cgdes OfQe-Department of Community Development-Town of Que�rlfk E 1 'i! E D PERMIT NUMBER"v _
742 Bay Road,Queensbury, NY 12804
D Director
e
one: (518)7661 8256 FX: (5118)745 4b FEE PAID
7ry net JUN 2 9 2005
Sign Permit Application TOWN OF AND CODE QUEENSIBURY
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 Owner: \�L LtlIMi�"t -�
Address: Address: P IkT-
)�N &n1 1 o�
Home Phone: 406 57n I . Home Phone: -lq3- k13`►
Email Address: v\ vLNg, (p*Mail Address:
Cell Phone: ��'"`` Cell Phone:
FAX Phone: -SF FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: 14,
Address: L Phone 1
Email Address: ve- v�.�`S ` _ cov-,
Locatio 4of proposed installation: Legal Address:A-ll 7 1 SE�1--?A Suite No.
Business;:.omplex/Plaza/Mall Name:
Business Name: D AG IV`1e-lC q WAV-k 40 U S
Tax Map Number:
Type of sign proposed: 0 freestanding wall awning projecting
1 g
If sign is to be illuminated, please indicate: p(- Internal _External _Incandescent _Neon _Other
Do signs currently exist on the property? kYes / _No If YES, list all existing signage:
The application creates a change in the following existing site conditions: fill in all applicable 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 Dc5k6 Al wft4-j�U iF to _�tiU'k-,L F4
Sign Wording/Copy: -1 1L L14 - A U IS- D\QV Q1ye� C•6` 4 O'd t0-fm
Sign size: Length' x Width = Total Sq. ft. 5— / Sign Height (freestanding sign) I ILA 1 1't
Color and Material to be used: 9\,"e _ g( Cam_- D o ii WIIry 1- c
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (walls signs: drawing of the fagade 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 or noted, and that such work is authorized by the owner.
APPLICANT SIGNATURE: c DATE: -�. 7-0 05
I hereby authorize the app nt to place a sign on my property or building.
OWNER SIGNATURE: DATE: V
L:\Sue Hemingway ng.Perma FORMS\Sign Permit Application.doc ^ C J
V: 1/6/2005 c/�J
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EUILDI AND CODE
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Daniel Lombard,7 Stone Pine Lane,Queensbury,NY 12M
(518)7934131
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