2005-770 A Wireless Solution TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050770 Application Number: A20050770
Tax Map No: 523400-302-006-0001-043-000-0000
Permission is hereby granted to: A WIRELESS SOLUTION
For property located at: 797 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: NORTHGATE ENTERPRISES INC Sign
PO BOX 4514 Total Value
QUEENSBURY; NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-770 A WIRELESS SOLUTION
90 SQ FT WALL SIGN
$180.00 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 Queenshury before the expiration date.)
Dated at the T o ueens ry; die ay, September 27, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
0 !-77C)
Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT B R
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@aueensburv.net FEE PA,D
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.
Applicant/Businessi,,�D�t '_` °�k�tcY Owner: tllnFhc-tomr+ rn�ns�5 r j�
Address: Address:
Home Phone: c l Home Phone: 1Y" `192- LAf5oa
Email Address: A),Cellf9'> 4�-ICA C Kf, -xf^ Email Address:
Cell Phone: 1� 1 y ,� � Cell Phone:
FAX Phone: c r7 X-1�i S C, FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance: °v
Name: ; etiJ t' itJ
Address: s 4 ? =?mac, ;' Ale t- .4 'Z0 S Phone 5-1:
Email Address:
c
Location of proposed installation: Legal Address: t Suite No._^
Business Complex/Plaza/Mall Name: a L r C-aN ls`�f
Business Name:
Tax Map Number: Qo1• l 1 S
Type of sign proposed: freestanding wail awning projecting 64 vL{fk'
�4
If sign is to be illuminated, please indicate: _ Internal _External _Incandescent _.Neon Other
Do signs currently exist on the property? Yes / _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 a 4 i d.. l to ir11 real ' ? lu r G'()
Sign Wording/Copy: III- i,y'1)�e CA) {(
Sign size: Lengthx Width = Total Sq. ft._60 SR,5 / Sign Height (freestanding sign)
Color and Material to be used: Ft I c-l-- - uJ t,
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (wails 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, whether specified or noted, and that such work is authorized by the owner.
APPLICANT SIGNATURE:-��
^I'*-L.t/+rl DATE:_ o .`>
I hereby authorize the applicant to place a si non my property or building,
OWNER SIGNATUI : DATE: ' 2 s
L:\Sue Hemingway\Buiiding.Permit.FORMS\Sign Permit Application.doc
V: 1/6/2005
DEC-26-2005 17:11 FROM:A WIRELESS SOLUTION 7438261 TO::9�7454413yn7 P.4
LC0I1 G�CL1'1�. b YJ LU 41`4-+etsl 11/ZZ/05 JiK� P.PJO1
Dean Electric Electrical Contractors, Inc
P.O.Box 4 Phone/Fax 518.792.4781
Glens Falls, New York 12801 Email deanekxt@adelphia.net
November 22.2005
Brian Green
Veriron Wircl ms
797 Upper Glen Street
Glens Falls,New York 12904
Re; Sign lights.
Estimated cod to in%tull the following:
16 feel-Fluorescent Sign lights mounted above the Verizan sigm facing down
-Ballast or ballasts to light 2-8 foot fixtures
-All necessary materials and labor to anmpiete the above list
For the sum of$2985.00.
1 thank You,
Richard F.Dean Pres.
DMan ElLaric F.ledriral-Contmetors Inc.
DEC-26-2005 17:11 FROM:A WIRELESS SOLUTION 7438261 TO:97454437 P.2
Binding 6 Codes OfBoe-Depoftwnt of CorrmuMly oeyeiopmenr-Town of Queensbury P~NUMOER
742 Soy Rood.Otwembusy.NY 12OU
Dave Holm,O WOr C0d8Sftua1M1burVMJ fff PAID
Phony(513)761-93SE PAX:(Sig)74S.4L)7
Sign Permit Application
Aaaiictktion&plaur are subieet to review before issuance of it valid nergal for nizeement of s sign.
Insbueflons: A permit must be obtained before Installation of your permanent sign. Ali applicants'spaces on this
application must be completed and must appear on the appication form.
Applicant/Business A W: S4 'r r -n Owner
Address Address:
Home Phone: Home Phone:
Email Address: Email Address:
Cell Phone'. < Cell Phone:
FAX Phone: ';;-r& 4ey9 3a FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name:
Address: Phone 1$4.{ziCCGg
EmalAddress: 1A,Z1e IStM 0yCQ�cc . corn
Location of proposed installation: legal Address: Cc`,.cae,=b 7 Sulte.No.
Business Complex/Plom/Mal Name: UcC Cn �� G n e
Business Name:
Tax Map Number:
Type of sign proposed: _freestanding wall owning `projecting
If sign is to be illuminoted,pkKm tndicare. _,Internal ) -_Extemal _Incandescent _Neon —Other
Do signs currently exist on the propertyll)LYes / _No It YES,list all existing signage: 9n
The-application creates a clransle-'nn the following existing site conditiorwr fill in Olt applicable Spaces- - "' •�`
—New
_Change in number of signs from to
Change in setback for sign from to
—Change In sae of sign from to
`Change In height of sign from to
_Change of wording/copy from to
Sign wording/Copy:
Sign size: Length as x Width 3-Total Sq.tt.(_ / Sign Height(freestonding sign)
Color and Material to be used: �
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign iwalls signs: drawing of the facade the sign will be located on,indicate sign on farradei
height of freestanding sign
depth of projecting sign
diistarsces from front and side property fines.
Provide 2 drawings or photos of sign design,
Provide Applicant and Owner's signature(permhslon for plocement of sign on the properly or building).
DetlarttNon: Please sign below offer 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 taws pertaining to the proposed work shall
be complied with,whether specified or noted.and that such work is authorized by the owner.
APPLICANT SIGNATU DATE:
1 hweby wftdm the oppGCanl to pier noon or building.
OwNE'R SIGNATURE!/ �t/� DATE,
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