2012-352 0.* TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
1111M
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120352 Application Number: A20120352
Tax Map No: 523400-296-020-0001-050-002-0000
Permission is hereby granted to: APPLEBEE'S
For property located at: 255 QUAKER 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: TLC CENTRAL LLC NO. 22 Sign
220 PONTE VEDRA PARK Dr Suite . Total Value
PONTE VEDRA BEACH, FL 32082-
Contractor or Builder's Name/Address Electrical Inspection Agency
PRIDE SIGNS
JEFF BARRON
519-622-4040 EXT 252
255 PINEBUSH Dr
CAMBRIDGE. ONTARIO NIT 1B9
Plans&Specifications
2012-352
Applebees Restaurant
2 awning signs 4 x 2
$48.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 27,2013
(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 o(Queett r ury; ri y, ,2012
SIGNED BY �� for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
/� c� I -1 g Utz � '
TAX MAP NO. aqCe,dD /4E NO. 'J . --3 c. ERMIT FEE ,
I
APPROVALS: DEPOSIT '
SIGN PERMIT APPLICATION:
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. _„
OWNER: 1.or!��A\Th e,- ' L �;r `J�il;17)
lL•�, Pry •L a;.�f �. G INSTALLER/BUILDER: �/ i•� it D‘rt) J
ADDRESS: .),Z-��, (7ir`.I�r l r1)i'(1,0 i:�::k1(.1/iiii 11;t,;,: {V.1 ADDRESS: (; i/ if
a QSt r i -L'/2 , G.3f►,!.`;T %'.//li 1 I")0''i,?
J
PHONE NOS. a,Co ) U VI — 1 7 Li!i PHONE NOS.(..Z/5) '%?�,Z`t 27-
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) cam.�
. . .j'l,{,(\ l .N ,; :.,,; ; V.,i r-/ `7: r l { , /,- i/ ;,
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME: 1")rp),4T)i31),`7
,..) „,
'�I'ti(;;'11, (CONTACT PERSON FOR SIGN CODE COMPLIANCE: = 1--Fk 1,,,tj-ti".' J `•
I ue PHONE: (...5-7,--:,) ?v���r 7(i %(�G/,
1 / .114,1 S.:i
TYPE OF SIGN PROPOSED: J freestanding 1 �[ wall 1` awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: V Internal _External _Incandescent _Neon LOther '///I, ry)t:t a4 /11..j
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes _No Y l
� ne-1-';2);.t.61/.7:- /
/
IF YES,LIST ALL EXISTING SIGNAGE: ` li t `)111,('/�J/' ;A I".%1.,;/: ft-'vf' i.!i l.'I/ 5(x'7
The application creates a change New /,4%M-•it-Ai'�' I, �f all 51p1 S
in the following existing site ;,/ Change in number of signs from (u i,f1-z t 6I/i24to % :7Fd;?,il/i 6/ 1 . .'<t ' z:;:V t''I,
conditions(fill in all applicable Change in setback for sign from to (: + 't;,:; 3?
spaces): 4 Change in size of sign from i);,, •n c/: ;i,Y, ito .: 1,v..i_ ,,,; -141,• fir, ) !`2�=-tai7
Change in height of sign from r''to -<<�;y.L
Change of wording/copy from: to: .-7' °?9,4,K'
Sign Wording/Copy: 11f;,^pI•r / ee;6,
lllei\b gAize: Length'Y ''4/xi Width ,, ' =Total Sq.ft. �• Sign Height(freestanding sign): !;;i r,' e- it
l .-'7-6. 1,�t��t,
Ot Loc,! 17--
Color
^Color and Material to be used:
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the façade
the sign will be located on,indicate sign on facade)
QUESTIONS? CALL 761-8256 OR EMAIL
o Height of freestanding sign codes@queensburvnet
o Depth of projecting sign
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.queensburv.net
✓ Provide Applicant and Owner's signature (permission
for placement of sign on the property or building).
Declaration: 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 or noted,and that such work is authorized bathe.(owner.
k ' iN:61,e 4;1,'i'd-� / ._� , `7/7
APPLICANT SIGNATURE: _,r::'„r,"l'%i:'1 l;"?n :'.%� DATE: 1i;j1', r' i?) , r
I �•,v /
I hereby authorize the apple ant to place a sign on my property or building.
OWNER SIGNATURE: '7t;;;' (T '/,',/,,Ii (Tt DATE:
1.-40,:l i--Cin'{L',, i4--.11 . 4rvil
Town of Queensbury • Community Development Office - 742 Bay Road, Queensbury, NY 12804
Mar. 26. 2012 12:09PM No. 1933 P. 2
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