2012-353 TOWN OF QUEENSBURY
. 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120353 Application Number: a20120353
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
220 PONTE VEDRA PARK Dr Suite 1 Sign
PONTE VEDRA BEACH, FL 32082- Total Value
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
2012-353
Applebees Restaurant
1 awning 6'x 8'
$144.00 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 o ue bury; ti. , )11 ,2012
SIGNED BY rk for the Town of Queensbury.
Director of Building&Code Enforcement
-
' rr-- rr��OFFI�FICE USE ONLY
TAX MAP NO l21 -l-5'ERMIT NO, I ea-3 5 ERMIT FE' / / Y y
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. V ,
OWNER: L�k,VJA�11\\1t'w �!`�LG:j';h; INSTALLER/BUILDER: i.CA'rD r1.1! i tr.//71
f
ADDRESS: a V`.I�i\
( .,i V.2('170: `;1C,�.ii14ir1;,.i,2 Ar ADDRESS: -,7,';75-Oki, !���. G,�6'l, h lif,G-1: /I(�� / �U";
PHONE NOS. I.a.N b's-1 1 ) CI PHONE NOS.(,,ZI-J� 17 c.20
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS) )-(k(,t k•e)�' �/2/,;,�� ;ie,ri r l%/;?vf.� .kik;
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME: 0;J�11-ti��'tit}�'7
CONTACT PERSON FOR SIGN CODE COMPLIANCE: JoNk i7;; '-1^:,''1 17:::* PHONE: (•.51:'} I2(.21Z—
IJ
TYPE OF SIGN PROPOSED: J freestanding y y wall J`awning projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: V Internal _External _Incandescent _Neon lOther ;
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes _No
aPeM.,21.,---/;"4-.
IF YES,LIST ALL EXISTING SIGNAGE: '�ti `/'l),('/%/in rr'i (,7CIZZ i,:1��i- iri ril,'l ii/'="
The application creates a change New
//h.q.-A;V/;4 61, �
�zu
/15
in the following existing site Change in number of signs from (u)&i. ;J/tills .!(to / •l;r;".;?SfIg' L,
conditions(fill in all applicable Change in setback for sign from ` to it 6:/
spaces): ti/ Change in size of sign from(,),;•‘..:,:r; !7,;<; -'-4p,, L's, - -G,
Change in height of sign from r'ko �j , ° l="�i�irG1yl
*� .'
Change of wording/copy from: o to: , v
Sign Wording/Copy: ;4Ix=' l•r:h0.14; r -41.311/36- CZr ,le r " 1' Ot
Sign size: Length O./x Width p =Total Sq.ft. 5Sign Height(freestanding sign): !�1i i,'?���%LAS
rU
Color and Material to be used:
alikealike >
✓ 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 façade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes@queensbury.net
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.queensbury.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 b the.owner.
APPLICANT SIGNATURE: J r "!.% DATE: ;/ '• J /`ri
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I hereby authorize the appli ant tvo place a sign on my property or building.
OWNER SIGNATURE: 7L.; G [1""",1.'�i (� 1 DATE:
• Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
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