2005-525 Delia's TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050525 Application Number: A20050525
Tax Map No: 523400-288-000-0001-055-000-0000
Permission is hereby granted to: DELINS
For property located at: 1439 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: L. & M. ASSOCIATES L.L.C.
1439 STATE RT. 9 SUITE 16 Sign
Total Value
LAKE GEORGE, NY 12845
Contractor or Builders Name /Address Electrical Inspection Agency
K.D. WHEELER CUSTOM SIGNS
16 RICHARDSON STREET
QUEENSBURY, NY
Plans&Specifications
2005-525 DELINS
45 SQ FT WALL SIGN
$90.00 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 ns ury; ednesday, July 27, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
7:7
Building&Cddes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER .7
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codesQgueensbury.net FE 5JAID G�
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.
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Applicant/Business lJoko w1pEc-�-YZ- - Lb, WNEEi-(---YZ- Owner: t-h M 10Vr=,5 Mew i Assoc
Address: ilo Address: 1439 S-Aa R--r 9 d /&
UEEtJS iA2y OY 1 a80q {- AKc GE0g-aiF, AJ 1,; $&q
Home Phone: '79 3-�4,aO Home Phone: /1M 3
Email Address: kd lJ-�baPlieV- r7 Adpku;� , Kd Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone: /7 3 %
Person responsible for supervision of work with respect to Sign Code compliance:
Name: - K, !J. GJ,1eC61&-e___ CuS,(-6,c4 \'/CAS
Address: i� ''R i C"AP-C)S b rJ y�-r 0a cZAiS/3 u(e, Phone
Email Address: k d Le!lt-e,-It✓
Location of proposed installation: Legal Address: 14,31 J-j- -I-C R7- 9 Suite No. A&
Business Complex/Plaza/Mall Name: r-kQJCH ti►7-A1AJ 1V61 \S rgJ4.RtT e-&-A-)Z7,?--
Business Name:
Tax Map Number: 3; - ! - { I _ � � Cj �U� 7 2005
To vvpv
Type of sign proposed: freestanding X wail awning BJIITI'v7&("D
_1..+,, '
If sign is to be illuminated,please indicate: —Internal X Extemal _Incandescent _Neon ,._Other
Do signs currently exist on the property? ZCYes / _No If YES,list all existing signage: gw il V-I e-�
The application creates a change in the following existing site conditions: fill in all applicable spaces
X 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 to
Sign Wording/Copy: -De I-I A 'S
Sign size: Length,1-a�x Width 3' =Total Sq. ft. 4S I Sign Height (freestanding sign)
Color and Material to be used: I J AV II r -u E I-4 bi
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 fagade)
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.
Z1:.1�C.e LAOE-
APPLICANT
SIGNATUR DATE: �" �� -
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: .-C.0 — ATE:
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To Whom It Mav Concern:
I hereby Atitherize K.D. Wheeler Custom Sln., s, to place: a sign on my property,
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