2012-009 (KBC Design) TOWN OF QUEENSBURY
742 Bay Road,Queeeebwy,NY 12604.5902 (518)7614201
Community Development-Building&Codes (Bill)761406
BUILDING PERMIT
Permit Number: P20120009 Applicadon Number. A20120009
Tax Map No: 523400-296-013-0001-022-000-0000
Pem:isaion is hereby grunted to: KBC DESIGN,LLC
For property bated at: 989 STATE ROUTE 9
in the Town of Queenabuty,to construct or place
at the above location in accordance with application together with plot plane and other infomution hereto filed
and approved and in conq)knt:e with the NYS Uniform Building Codes and the Queembury Zoning
Ordinance. 3b=of Construction YjIM
Owner Address: 697 UPPER GLEN STREET, LLC Sip
697 GLEN St ToW value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plana&Specifications
2012-009
17.28 sq S freestanding sign to read"KBC DESIGN"
PERMIT FEE PAID-THIS PERMIT EXPIRES:
Oqu period Is required,as application for an eased=must be made to the rode Enforcement Officer
of the Town of Quemsbury before de exorsdon date.)
Dated at the Town of e�@�¢u�ry{_rn Wu , scary 17,2012
SIGNED BY ` �l//1 Gw7" -for the Town of Queenebury.
v Na
Director of Building&Code Enforcement
Q p a m,E
......................................l!'I �1 OFFICE tree ONLY ........... ............
/y�V� Q r
10 TAX MAP NO IT NOti ,L VIRMIT FEE � �r " � f of 10
APPROVALS: DEPOS JAN 13 012;
,
.....................................I......................----- ............
SIGN PERMITAPPLICATTON:
A permit mud be obtdrod before InetsEetlon of your premrnnt sigm All applicants'spaon an MIDIUJ "ODES
be own~and�t•�w�►an the a. ", - n form.
OWNER: 67 J li M 4(r L6v ST. L LC_ mNm rmis euLoen -S� G/U le r-7-
ADDRESS. 597 S'T. R 7- AODREBB:
PHONE NOB,_ -7 9 l- � PHONE NW � Q
I OCATM OF PROPOSED INBTMIATIOI:(LEGAL AOOREBB)
IWSIESSOOMPLIMIPLLATA1 MALL NAME: 9,dC LO (r
w w w NAME: V,�C D£SSGA/ L
CONTACT PERSON FOR Sw CODE aoMPLm=.S. 3 .'J R c r-d3(4.'i: PHONE:
TYPE OF Swan PROPOSED: �L_I N ,GPaAet,_wes _.mow _I>,a
IF SIGN E TO BE L UM MTED.PLEASE Blox.ATL: _Memel _ wandwoas _j on Cmh
Ma
00 SIGNS CURRENTLY EKW �
ON THE PROPERM _tlo
IF YE8.LIST ALL EXWM SIGNAGE: r 3:
The a----Mbn F - a ?, M Lp New
In Sn halow kv amdaBrmg ants _Chrlge in mwdw of dgrr from to
aormdNlar(M In a appNoibts Change M s ft*for sign ham to
sp�} ChwW In do of Op from 10
ChwP In hsW of Sin from b
�Wwd a WoMNmoroopyotm�oraw,dooPr Kao:!-
Q of
Sign of e: LenOh j}�x .?6 er,Total ft Sign F WoM(fngtendkV sign):
Color end Meterlsi to be used C.
Provide 2 oopl a of a ea&r Mmg or rxveyad plot flan w hh the foibwkV YdonnaUM:
o Looatiorm aloe ign(awaam.stm a mar g e ft ade
o FIN�ItafrNatandingd n talEaT10IM11 CALLTM�fMGRBYAI
o Dspth a proiaolMmg aw
o DNhnas from front and"pmWty IIrmN. VOT Gut WMI9n FOR YORE rtFGIwATION
PrGYlda 2 drawkW or ph000s of sign dodo.
PmvW*Appliard and Owner's dgrwWre(panmisslon
for plaorra t of sign on ft property or bmdldkmg).
2111milpp: To the bed of my W owArgs.Bu wdemmsnte oonYkud In to apptall m.W00W wMh the plw rW
ubTAIK are ppvh on a 7,amft aOrd wro adw Wn pprats I to on all �prooposeed work to be�dauan Ow dswftW bee Corr �and tlmd
spa W or noted.and Met exh work li ow .w.
APPLICANT SIGNATURE: DATE I—I�--1 L
I hereby alNmortae tlme b on my property a W ft.
(INNER 8I0W1TURE: DATE:
Town of Quansbury•Corm ify DeoeiopRrent O,�ae• 742 Bay Road, Quanabury, NY12804