2005-565 Ninety Nine Restaurant TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050565 Application Number: A20050565
Tax Map No: 523400-302-005-0001-092-011-0000
Permission is hereby granted to: NINETY NINE RESTAURANT
For property located at: 578 AVIATION Rd HI 41
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: PYRAMID MALL OF GF NEW CO,
4 CLINTON Sq HI #1 Sign
Total Value
SYRACUSE, NY 13202-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-565 NINETY NINE RESTAURANT& PUB
72.55 SQ FT WALL SIGN Space C104
$145.10 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at th own Que `u ; dnesday, July 27, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
' WC'D J U L 2 5 2005
F
aueaing&Cedes Office-Ceportmont of Community Development-Town of Glueensbvry PERMI7 NUMBER
742 Bay Rood.O,ueensbiry.NY 12804
Dove hctin,Director Codes@aueensbUry.ng t FEE PAID
I.- (SIS;,tiI-$z;b FAX; (5)8)745-4437 J
Sign Permit Application
Application&plans are subject 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
opplicetion must be completed and must appear on the application form. �p
,n'1 6
Applicant/business {a �i to IIJ ner l
address: -_3 Address:
Home Phone: t �v Home Phone:
Email Address: .tJ rN (T As,I+- -§7441nnail Address:
Cell Phone: `-t L^'a/I Cell Phone: u -Wg0AtK.
`_AX Phone: '?? - ?v u FAX Phone: y $-� 4-P i 3 20 Z`7 Person responsible for supervision of,"ork with respect to Sign Code compliance: S i%� �w Q9
Name:{ S\C,rt
Address: �`t?, C 0 o ti A �. �r Phone_ __7`I_—q-3.T
Ema'l Address: Rt�y S R{�,i 4 c � - C`-e-a (( c
_ocation of proposed insta)lation: Legal Address: y9 Suite No.
Business Complex/Plaza/Moll Name:
Business Name: tv 1 Nr�.TT t 1 C k�� �r�u y2 AN Vj
Tax Map Number:
Type at sign proposed: _freestanding �wall _ awning ^projecting
s gn is+o be illuminated,ulPose indicate. Intemal-External _Incandescent `Neon _Other
Do signs currently exist on the property? .Yes / _lie o If YES,list all existing signoge: _
The oppilceti 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 to
Sign wording/Cops: `, ge-4
1-�m4Cti e
Sign size: Length____x Width_____=Total Sq.ft. ' � Sign Height(freestanding sign)
Color ono.&Aoterial to be used: 9,E a -14e LUQ 1 t s \0 jA ���e-1_j-�S -ANTE f_NJ•�t
tje0;,3 Lt 1,, :kV bknj:, _ o� 6x71+ a ' �{ 1�
Proviije 2 copies of tAcaled Jawing or surveyed plot pion with the following irstormation:
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.
Prp Aae F.opiicani and Owner's signature(permission for placement of sign on the property or building),
Deciaratlon: Please sign,below after you have carefully read the statement:
Te'he best of my knp e,the sto'ements contained in,the application,together with the plans and
s^ecificn,ions sub I ted,or true and complete statement of all proposed work to be done on the described
premises end ih all provisio of the Zoning Or finance,and all other laws pertaining to the proposed work shall
be complied witY,whether s ecified or note ,a d that such work is authorized by the owner.
�o
A°f�LhP.NT';IGNATURE� � c -DA�:
lereoy crhorize the applicant ro place d sign on my properly or building.
DATE: a
l 'Sde b[erninguro;;Duilc; Pormit.FORAMS;gr,PermitApplicati AOC -
%Uii.i.it1)l YF3 Oc:60 IIH.L B00Z11LZ11 TO
09:32 FROM-Barlo Signs
�- 1603882i680 T-575 P 02/0;' F-481
_x
r REC'D J U L 2 5 2005
Attenfion Town/City oaf_ _ Q `�(!2 � � Date: ,Tune 21, 2005
Qty/5WT.er/-ip:.- -
.. ...............-,- - --- -- ••-- -- •-------•---.....,...,.---._...,....................................................I--..........................Landlord Authorization Form -
FORM MUST BE SIGNED BY OWNER OF PROPERTY
As owner of _570 Avis#ian Rd. c ee,Mbury NY I 28 4
k1-M er[y AQOMe Sl
{ hereby authorize Jen it+o "oho d I Kris LoHijbito t Carol Bu 4 gpavl Hseh ns.
or an authorized rsrpresentative of arl 5iGns of NudsQn, NH: A►f RL Y ' N
for this site. q`1 s 18A)
Owner's Signature: John, M- Barrera
}
owner's Printed Name: pYr ama.c3Representative Mall Of Gl enS Falls wc,?.�. L �. A
owner's Address: mho -1 gtnv F.Xs:bgnr-c�..--.�...A�
4 C11"ton Square
Y lqz .�+w}Mwr• .g r --ILIA
sy—raz
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As QWner of &vlation Rd., Q eeng4uEX NY 9289A _ �,_
tpraparty A&ko )
i hereby authorize Jenn RnbiMagj or Authorizag SeREggiseliWt� of BarlS Signs of
Hudson. NH, to APPEAR E3EF0 THE PLANNiNg BOW andfor SIGN- R,EYL W
BOARD 2n1l0r thQ ZBA for this site.
Ownees Signature: John M. Barrera
tev-wj Repxesen a Tva
Owner's Printed Name' P�lramid Mall of G1gris a 1 &egQQ- x4.. . �i .,. PEA.A
•.Ilr1f■.Y� A��`M��. lhia E-jiijt�n ��{C�Sa11w s• wr. �.e+�.�rw..r
r
a cll-nran
SYA„racu2g.,, New YRTLC . ..
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Reference JOB NAMF'„99 Wit Cannot apply for permits air hearings until we mcolvs your
Re authorization, PLEASE. (1) FAX BACK to Vdx if 603-S82.7660.
Ann: Kathy SOW"
Fteference Jod Ito: f�19flSAA
amp(a)MAIL OMOINAL-TO:
5ario Signs, 1x6 Greeley Street, Hudson, NI-i 03451-
lP you navy 7ny questions, plfvasa call me at 1-800-227-56.74 ext-�!39
THANK YOUI
t
Cho
Gl�. REC® J u L 2 5 M5
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Your Full Service UL A0
�pproVed Sign ny ! �?
518-377-1371 Fax 377-2704
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