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2005-800 Susanne & Company TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050800 Application Number: A20050800 Tax Map No: 523400-301-008-0001-017-000-0000 Permission is hereby granted to: SUSANNE & COMPANY For property located at: 340 AVIATION Rd 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: DONALD &LUCYNA SOKOL Sign 340 AVIATION Rd Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-800 SUSANNE & COMPANY 25 SQ FT WALL SIGN $50.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: (If a longer period is required,an application for an extension must he made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at th wn of Qu nsbury; Wednesday, October 12, 2005 SIGNED B for the Town of Queensbury. Director of Buil mg& de Enforcement Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBERS",51 742 Bay Road,Queensbury,NY 12804 Dave Hatin,Director codes@aueensburv.net FEE PAID EO ) Phone: (518)761-8256 FAX: (518)745-4437 Sign Permit Application Application & plans are subiect to review before issuance of a valid permit for placement of a sign. Instructions: A permit must be obtained before installation of your permanent sign. All applicants' spaces on this application must be completed and must appear on the application form. Applicant/Business Owner: u s G o m C,/(�n mczc, Address: 3 yU v+; f i o" W Address: 4�v l'MY Home Phone: Home Phone: Email Address: rf, c-c: \ Email Address: Cell Phone: Cell Phone: FAX Phone: FAX Phone: Person responsible for supervision ofwork with respect to Sign Code compliance: Name: CO�Adacic Z" r,Qv$ Address: a ©I J Phone Email Address: psoLocation of proposed installation: Legal Address: 5 -/0 AuGt 0,11 QveeusLrx-1J1Suite No. Business Complex/Plaza/Mall Name: �r�r r`e2�ti I ZOO Business Name: Sk­;.So\vtwf Tax Map Number: Type of sign proposed: freestanding wall awning projecting If sign is to be illuminated, please indicate: —Internal _External _incandescent _Neon _Other Do signs currently exist on the property? 4Yes / ._No If YES, list all existing signage: The application creates a change in the following existing site conditions: fill in all applicable spaces )i New A Change in number of signs from o[� *c1a 5i ' to lne L,) '. S;y;x 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: �n. 1 aVli':' r� Sign size: Length �p x Width 2QL=Total Sq. ft. Z / Sign Height (freestanding 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 (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 o ted, 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. 7 OWNER SIGNATURE: DATE: L:\Sue Hemingway\Building.Permit.FORMS\Sign Permit Application.doc V: 1/6/2005 AN ILL. VIDSO -zR0kcle �RPosQ17 C5 00 p y v1 ��-i �� �� �' s } a i� Jw M: NP } t r; e Susanne Company 340 Aviation Rd . Queensbury, NY 12804 (51 8) 792-3876 -- Sign Location Sign Dimentions are: 40" H. x 90" W. Sign is 25 sq. ft. Sign is Approx. 10 Ft off the ground. Sign will be mounted by screwing through the sign face into existing Facia.