2012-010 (Fitness Fuzion/Zumba) TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-59M (518)7614201
Community Development-Building&Coda (SVQ 7614M
BUILDING PERMIT
Permit Number: P20120010 Application Number. A20120010
Tax Map No: 523400-296-013-0001-022-000-0000
Pemtission is hereby granted to: FITNESS FUZION/ZUMBA
For property located an 989 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plum and other infomation hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Tree of Cnnsaygdap yylM
Owner Address: 697 UPPER GLEN STREET,LLC Sign
697 GLEN St Toni value
QUEENSBURY,NY 12804-M
Contractor or Builder's Now/Address Electrical Inspection Agency
Plum do Specifications
2012-010 Fitness Fuzion/Zumba
6.67 sq ft panel sign(placed on existing freestanding sign)
S20.01 PERMIT PEE PAID-THIS PERMIT EXPIRESs
(If a longer peebd is tsgvk4 an apparition for as mama"mwt be nwA@ to the cods Bahnsraeat OMM
of the Town of Qunasbury'-fore the agAtadon date.)
Dated at the Town of jlvute
w17t201Z
SIGNED BY _Jar the Town of Queensbury.
Director of Building dr Code Enforcement
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29� l3-/- I�ICEu■EON:r Sao, � � � a e � ,
TAX MAP NO RMIT NO RMTT FEE
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APPROVALS: ....................r .. J..
13 2012
SIGN PERMITAPPLICATION. e
A pmdt mud be abhkud Edon Inabldlon d yow permmed sign. All Mpp w1w'
be oonrpldnd and ePPna on I *epp p Torn. D
amen: (.37 lJ?rs G-�FiJs& CLc e18TAU.EWE1xLDlA:�� /e/f-I C7
AODRESB:.! ' ! S?-I f'4 AODREea:
PHONE Noe. SI ? PHONENDE � a
LOOATWN OF PROPOSED INSTALLATION:(LEGAL ADDRESS)
BU EAMCOMPLEXIPLAZAIMALLNAME: a L10a-
EL NAME F-T'rA1ESS r,AT-dfj
CONTADr PERSON FOR s*N CODE COMPLIANCE: S. D• 374CW K T FHrorrH: S(p^74 L l?"-r
7YPEOF910NPROPOBED: CLII..maredr4QaheL _wM _wMho — i 8
FEW IE TO/E I LLUNATED,PLEASE WI ATE: &%AmW _Edu d _ md=w —Am CMMr
DO SMA CI VtONTLY EXIST ON THE PROPERTY?P—ti —No_IFY■E,LIETALLwwTw=NAOE SEE SST T Lrt/+'/
The oppe edw aedo e dnorgn Nnw
h the blowdrg eddrnp MIM purge In number d NEn ftn b
oaxNda (fM In sl eppl ohM Chege In u bockbr so km b
op000x ClurnpM In dw d sign kom b
purge In hlW d sign ftm b
_Chong*of wardngroopy t w: b
Sign WordkgfCopl.. S S 'atn 2—µrv,ijlow
0�
Sign Size: Lenplh�Lx Wktlh 1.LG:ToW Sq. MNplk%wession"Mpnx!EZt bAAOi:
CaW and McWW b be used:
✓ PmvMe 2 copse of e saW drewkg or exwyed plot plat wlh the folowkp kdomnelon:
o " , dorldsigntwwpa sir wMwdeutYpede
e»*n w■be bo"ar,kdaft den on aped ) T cALL Telalee oR■MAt
o NNpld of ft Wa WN sign
o Doo of praJeamrp Ngn gadmallosohmauld
o Dkdenoes hom ft nt and We property Ines. VIW OUR Mt■■erT■PON MDR■ePORMATWN
✓ Provide 2 drawings or phobs of sign deNgn.
✓ AvAde Applant and Owners ftwWre(pemdolon
for pleom ant of sign on the property or bl NOVk
To#w bot d my knowledp%#w detnrrrnnb oa Wned In the epplmwq ft 9 wlh the pau end
nF Alp MR subndIK see a trw ad mmplde In!eruM d d pnpmnnd wak b a dais on■w doalbmd Frm I end OW
d pr NWM d Iu Zadrg Ord WoM ed d other hwn petekdrg b thn WoMW wak dud be i, F l d wkk wtud m
Mpnollnd or nchK and Mist Much woef b alhgrind by tlu wmw. r
APPLICANT SIGNATURE, 3tYlDATE 1 ' L I L
1 hereby&Awbw du an my propel,or hAdng. L _
OWNERSIGNATURE DA r
Town of Quwn*ury•Comm nity Derxlopment OJJiot• 7442 Bay Roam Queensbury, NY 12804