2002-036 American Cancer Society TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020036 Application Number: A20020036
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: AMERICAN CANCER SOCIETY
For property located at: 959 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: GUIDO PASSARELLLI. Sign
465 LAKE Ave Total Value
LAKE LUZERNE,NY 12846
s
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-036 AMERICAN CANCER SOCIETY
22 SQ FT WALL SIGN AS PER APPLICATION
$44.00 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 the Town:, eensb Frid ,J nuary 25,2002
'SIGNED BY for the Town of Queensbury.
Director of Building& ode orcement
TOWN OF QUEENSBURY Fee Paid:
c)
742 Bay Road, Queensbury, NY 12804 Approved By
Permit #:
(518) 761-8256
SIGN PER141T APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: RECEIVED
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign. JAN 16 2002
3. Written consent of the owner of the building or land.
TOWN OF QUEEN BURY
OWNER OF PROPERTY R��hVaj BUILDING AND CODE
ADDRESS Id-9b TEL.
NAME OF APPLICANT
ADDRESS a � P �p it ff 74A tl T E L I&�r) -6-3 77
BUSINESS NAME IF DIFFERENT: �y
TYPE AND LOCATION
Check What Applies: Existing —_ Permanent Projecting Sign
Temporary Non-conforming Existing
K New Free-Standing Wall �
Location: Tax Map Number
,014(
Address 1-1-e- T "511,1-
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 6.4 ft. LengthrVk' . D'3 ft.
Total Square Footage:
Sign Copy: errCea-ke-er 60e_1'e4
Fi ev 'Q'_-,6)
Color and Material To Be Used:
Signature: JC9
'Cirtle One: <apej�canl, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: &0 4;4ezk'
IV
ORIGINAL-Office Copy COPY-Applicant
Plan View
Sign Type: Ext Logo
811
73'1 Description:
ron iew Single Faced wall mounted internally
illuminated Panaflex sign with
"bleed fiameextruded aluminum
cabinet
American
44
Cancer
Oro
Societ
y Panaflex
3630-157 Sultan Blue
Panaflex
Typestyle: Helvetica
3630-83 Regal Red
Mounting:
ProjectAmerican Cancer Society
Queensbury NY
Spo#:
MMM Sales Rep:Debra Vennes
I
MMO
MMM Project Mgr:Eddie Willis
MM
Date: CK 12/20/01
A
Scale:3/4'=1'-0'merican
Revision:
Cancer
Revision:
Revision:
Society Revision:
17 itectural
I "MMMMMMMMMM MMM III
Scale:3/811 1 1 .0 3044 Adriatic Court
Norcross,GA 30071
Phone 770.448.2026
Fax 770,446,6295