2012-355 TOWN OF QUEENSBURY
'A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120355 Application Number: a20120355
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 1 Total Value
PONTE VEDRA BEACH, FL 32082-
Contractor or Builder's Name/Address Electrical Inspection Agency
PRIDE SIGNS I
JEFF BARRON
519-622-4040 EXT 252
255 PINEBUSH Dr
CAMBRIDGE, ONTARIO NIT 1B9
Plans&Specifications
2012-355
Applebees Restaurant
4 awning signs @ 8'8" x 8'=70 sq ft each
$1,680.00 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; Irid• J,ly 27,2012
SIGNED BY ` �� for the Town of Queensbury.
Director of Building&Code Enforcement
++ OFFICE(� USE ONLY
TAX MAP NO. 9(.0 "1 PERMIT NO. 1 3 5:5-PERMIT FEE �j 16 '
i lSl r� '
APPROVALS: DEPOSIT '
L '
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:
OWNER: 0,:` H� 1t'i(i ��-a L':i',t IDv-1i i yC
� � - � �.�„�; INSTALLER/BUILDER: V��;'�i/4 �, r 1
ADDRESS: rZ a=� C-'or-a11.J rt;,4 i e, -i1(,,ir,;(,v.t,, NT ADDRESS: S`I/' O[( /�-k/.7 L6zit 1-!"i, Y,�/Vi� / 3o-7.'
PHONE NOS. (.:)..01) y 109 - I ?'l cl PHONE NOS.(3/0 '/ c-�.-02,-2/2
LOCATION OF PROPOSED INSTALLATION:
{(LEGAL ADDRESS) ./_`)J V'I/ .‘ .',;;::.''� i�//e c,ref `"• i;ter . .. .'l/V� ,--')L,),.:;/
BUSINESS COMPLEX/PLAZA/MALL NAME:
I
BUSINESS NAME: 't7'n�. t��ii�,:`,
!�'!' i3„ 1:7'?-1 i��t; PHONE: .9,1
'J' k. l,w�,�— U: (�,Gi .l % 7
ij.�(�',j�,-�'1 CONTACT PERSON FOR SIGN CODE COMPLIANCE: •�.1 / � r�-;'JJ.,/ (� �_-�j
1 I TYPE OF SIGN PROPOSED: 'I freestanding y wall .1/2/`awning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: Internal _External _Incandescent _Neon Other ;o`/1rl.-,,;//liW Ll,/7/r"►.
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes _No ^��f fin' / ,
lZ1 E• i !6r'L I/,'
IF YES,LIST ALL EXISTING SIGNAGE: :'-<" `:P/I,II,;'� iII (,t ; hY-tet' ai,,.. di,>'r�,�'2
I; t,;tS w�i 11 s,' , (....clijiz,'' J.
The application creates a change New /[6'' _
in the following existing site ;,/ Change in number of signs from (17 j,L21f til?'l to / 2 :�.),,'"f.) &i..9- '2 ic;r1'•;`�'1'''��
conditions (fill in all applicable Change in setback for sign from J to L� " 0614o?
spaces): ./ Change in size of sign from+,?;,�..:r; i:1Z, wr.fjto ;.7y../r:;.'P-4---.4:41/ C `` �t11 r
Change in height of sign from r'Ito /`l%=lV�� y�
Change of wording/copy from: to: . 7, � f• �'; �t�
� .3( c 4 /�
Sign Wording/Copy: ;t✓()� ;11 eL'h 741-3P//J6 'f S. o?• ' �cj�-it-{ .t7X/:,xCre<c4
r r 3,&l/. - fi r' s-4.8,-�x g
Sign size: Length'b. ix Width =Total Sq.ft. O t .S sign Height(freestanding sian): !;Si r,'?C C`-;`. (51 t pi,:
Color and Material to be used: • , ` 6 ' LJ
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the facade
the sign will be located on,indicate sign on façade)
QUESTIONS? CALL 761-8256 OR EMAIL
o Height of freestanding sign codes@queensburv.net
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.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 bythe.owner.
,
APPLICANT SIGNATURE: �,;,,;; C'/,'(.'11.7'77CisDATE: 1 /�4. 2,'; i lir) •-71,7-':%/:.2._
it
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: �7-e i; C-rl-C,/J'Lt;(:v DATE:
L.-‘i la ?_'c vi//,it''1 .Po i'11
Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804
Mar. 26. 2012 12: 09PM No, 1933 P. 2
.. .
.1.,ANDta1d)4/..r.rgirgrancilif o
PV1air€ ,0 Sk eV CO ,ASTNE
OWNER PRoP.ERTI.;:OR .
grAING.2;MCER. Q-411tior1zErp.To Bitin TgE.c91417AN3
toupAity.:.
-a0:Ces
. •
ous._
CM/PROVINCE: EiNl 1Se . 1?0MU.CODE: 0-41zZA, =11 f
FOR VIET:EN/WI • ;:r :e_f\-/ttrA
• . .. . . . ..
THE.FRopERTY Ur-Alp:AT .-• s .
‘4.Ktf4 RzRERy:
4-- • k
GAANT MOE IsEitivaSION APED(FOR Ant•6BTAIN NcussARY slat Pawn A2sID
vAmANC.ES AND 011TAWsiTE Kgis ANITIGEL y 4Tio-RDRAwixqai-iwm fl 1gla canrES IF MIMED.
(if) AVM=ZE:NUDE r5IGNS'LIMITED TO ERI SIONtS).AT WE AFORENIFI4TrCiNED LOCATION AND WY,.AT
TriE.rg OFTigN,XLECT TO:SUB-CONTRACT THE MSTALLATIoN..
5.111C•ERELYVI I 0
• • •
SIGNP,TITRE
4.,grekA)41, 4„
PRINT NAME •
TULE
ea,C)05 69 - 467 Li
PRONE NIINIFER .F.U.N.11.1y1I4E13.
DATE.
Vpdated;Jantuul:010
}!\/ . ))t}
: z0*000 *000 s3 00 j
. . . .�. . . . . . : ; . . . . � ]
�
� - -
, ,f _
:a \
/ . . . .. .
% ;
s«
to ^
zo
: }
§] , )) � \
bo
- + \
�
q }
\ \ k
° �1 ( }
f=a ;
r • ~' }&/ } �/ {
) ° ® ; \/\ \ \ t
\}}\ \ a\\
0$ `
g ( (
CD
CL
$
§ �
� m @
so
LLI
LLI
IF.
§
.
SHE
° <
LU K
� »
. S ;
j §
�
k j
aE §
. ( k « ) ;
\ //� \ ��
r &a/ _ \ \)
m= � :
! �±& CL
EE/ <
/§k 5 2 (�
/ $4420 p E\
� m =zz z E J
Lu ±®(DEu) gal ]
§ 2 z@G/5 o ! j
Q 2c=o= !
f Mxxd0 n
_<<x= »
\ �
W
ol
o
o
\ zo2 02
•\• \'.\ to tL
\, \ E.,
LdF m o 0?
rb
dZ M
•\••• \\• O U\ H
0—
\. cn
w m to R a 6
`.
mM c O
no Mr v M Z,Z o v. OI>.>.W z
Q�MI NOAH m Jc 3Oa-408
d at `a .1 — •� w 90'98 L . . z^ a oz X
as '
ON
9 /
I n
ODM �
g f I Z m
m m
z
IVa 1 etc #♦syl I l � OBJ z
� n
:r drl .rssl I (I /
g 3
i a
� � I
Q y
d 91
a
E
�ePNOl
MT 100 .t['88 o o.I i z a s w uOi M
f FLOOfp F?
130 R� ; all a OW OW U0,
l Id �¢aa
Z�ww
• ��
Z o�mm
6;ystC
W d Z
�1 �� � / � �` .s�•F�i-._ �loo I�I� I
42-0N
d Ig / �• Z .Rt /
�0