2004-627 Nextel TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040627 Application Number: A20040627
Tax Map No: 523400-302-006-0001-055-000-0000
Permission is hereby granted to: NF,XTF,I,
For property located at: 724 GLEN St
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: MARY JANE CANALS _
28 FOX HOLLOW Ln - Sign
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
i -
Plans&Specifications
2004-627 NEXTEL
CHANGE OF COPY FOR FREE STANDING SIGN AND 2 WINDOW VINYL APP.
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,August 24, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To of eens e a ,August 24, 2004
D BY for the Town of Queensbury.
SIGNS Q ry
Director of Building&Code Enforcement
R�A_
_ r -Fee Paid:
TOWN OF QGEENSBURY
742 Bay Road, Queensbary, NY 12804 Approved By: —
- (SI S) 761-8256 Permit #: 6
SIGN PERMIT APPLICATION
EO
THE FOLLOWING-INFORMATION IS REQUIRED:
I. Detailed drawing or photo of sign. 2004
2. Plot plan of location of sign. TOWN OF
3, Written consent of the owner of the building or land. QUND CODE
. BUILDING AND CODE
OWNER OF PROPERTY
ADDRESS — TEL. ��1 g (p C>r,>o
NAME OF APPLICANT �_ � r • �►
ADDRESS \S
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
_✓
Temporary , Nan-conforming Existing
Free-Standing r/ Wall _ New —
Location: Tax Map Number k
Address
Proposed Setbacks from Property Line (front) — (side) _
If sign is to be illuminated," please check appropriate box: ,
Internal ('�, External ( ), Incadescent ( ), Neon ( );,Other ( )
. Size of Sign: Width ft. Length _ ft.
Total Square Footage: ;i ; /
Sign Copy: �,� _ J Cks - -
fNQ
Color and Material To B Use
e
Signature:
Circ a One: p Nc nt, Qwner, contractor r agent.
I HEREBY AUTHORIZE A PLICANT TO PUKE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Omer:
ORIGINAL-Office Copy COPY-Applicant
I
Location: 374 Sign No. 01
Fw
r
�,. `3.4 t
r°n Nexttyell
Pylon,Sign
>. a�. a5®,tCgte_reeeattrg ( 36'/z" 84" 12"
iif i UDlf X .f t»�a L
'��• 16 3'" 1 5"
�]�o Alurninurat Single Pole
I Flat Plex
- �s L 9 Retainer 1.3/4"
- -
_�_,.-,._ N/A N/A
u'L 33" 80'/Z"
NIA NIA
_may, Yes�}'�^ Yes�q
ro-1 .,� ...3y .» �S. �$� y(�f�1J .iJ`�`.Y'"R ter" ,7 .'1` "�� - E3Tm �[7R iL'f� L'�Iti'l'✓473LA�S.YS'
41
4 rt F c kv
CUSTOM
2 ► 1 AUG 2004` cusToM
;.
DESCRIPTION
F.REPLACEMENT PANEL-CITY(2)
m B. (VINYL DECORATE ACRYLIC)
36'h" 84" N/A
- MAX.SO.FT. MIN.SO.
1 ... _ N/A N/A
ILLUMINATION
N/A T.B.D.
F 'Name Drawn By
He
• - n_ -- - 374.cdr SA
R
D. - Revised D. -
' 06/28/04 00/00/04
•
• 1418Gmkurs!Rd.
icon . Elk(,nxe Yrllage
Illinois 60007
m.mny sawron.
Location: 374 Sign No. 04
.p"
� F
Nex�al
/lowe n
N/A.
o,m; s• e- • B
6" 6'
� �@�ii�A �el • ��
Olie� @ N/A
F@at Vinyl
411A 6QWA
-
_ MIN
.�•a&r Glass
I es
' � r
1 i V
B® B
No.
1 1_011 CUSTOM
•
CUSTOM
DESCRIPTION
M WINDOW VINYL-OTY(2)
B
31/2" 12" N/A
�_ • •
N
0.3 N/A
ILLUMINAT •
N WALL REPAIR
N/A T.B.D.
File Nam
_ Drawn
374.cdr SAR
Date Revised Date
06/28/04 00/00/04
•
icon)
1418 FJmkars!Rd.H:/k Grove Village
/llinois60007
S
Location: 374 -� Site Plan
N
00`
19' --►I
Nextel.
47'-6"
03
L ff
F
7. .
00,
02
L
01
40'SB(NTS)
� E f- Glen Street
3.
4,
ACTION R=REPLACE
CODES X=REMOVE
C=CUSTOM INDICATES INDICATES
L=LEAVE SIGN PHOTOS
N=NEW icon .
TBD=TO BE
DETERMINED Identity sowuons
r�
Location: 374 ZONING & PERMIT DATA FORM
Street Address: 724 Glen St
City,State Zip., Queensbury,HY,12804
Lease Number if Applicable;:
Contact Name:_ Mau
Contact:-Title..:
Company
Streets
,city. ST Zip
Phpne:. 518-376-.6000
Fax:
� Email;
Are there>any lease restnctsons for signage?
i
Atltlitio.... mments ............. ............................................................. .................................................... ...,..... . ........................................,
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