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2012-356 Olkohami TOWN OF QUEENSBURY WI 4 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 IA Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120356 Application Number: a20120356 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 gf 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 JEFF BARRON 519-622-4040 EXT 252 255 PINEBUSH Dr CAMBRIDGE, ONTARIO NIT 1 B9 Plans&Specifications 2012-356 Applebees Restaurant 2 awnings 8'8" x 8'=70 sq ft each $840.00 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 expirationdate.) Dated at the Town o nsbury Fri , ly 27,2012 4 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement . , 1 OFFICE USE ONLY n Cn 1 TAX MAP NOa—/��/-eMIT NO.Ia"3 �� PERMIT FEE o�Q , APPROVALS: DEPOSIT 1 ' SIGN PERMIT APPLICATION: A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must be completedret' and must appear on the application form. OWNER: �(Y,••'�11\11e'iti 4C1..;/:i!; �f \ ! 11', �)16. f 1...L.C INSTALLER/BUILDER: V c-:-CD r �� �}. !� ADDRESS: a s.a. (iV`9t,,,,j (t i;& ,-.i•1G i•iil;t;iy;,1.,i V i ADDRESS: i/7 r2:c"' R-a !.? Cavi 1, ` Lit•o i ? lFf /3 Ui,� PHONE NOS. Cr2,N ) VI — i :_l•_I PHONE NOS.(LZ1 r) ;--1(:),:-2.-a w:2%J LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS) (.2.57.15--\: IC i ' ' 2 '/7 :;,,i• 0i,i Zc l `�i`ter` /1 ' / 1 / "‘"9(:),;./ BUSINESS COMPLEX/PLAZA/MALL NAME: BUSINESS NAME: l"I ;1'(}`,��t.,0i�,`D ,,h• I 1.. ,, i� - — `TG:r �•� i 7 41(;;, It/CONTACT PERSON FOR SIGN CODE COMPLIANCE: Jv�'r' f,,,.,, 1 „ ; t PHONE: (� r . c.v A. (�G,�,�_�j TYPE OF SIGN PROPOSED: V freestanding 1 V wall V yawning projecting IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: V Internal _External _Incandescent _Neon Othert s'/IVIA—,`GIi A.k,,i7i;d( DO SIGNS CURRENTLY EXIST ON THE PROPERTY? . Yes _No i . n /r..,.. t1 / 5 IF YES,LIST ALL EXISTING SIGNAGE: .i ` ..jy),'/-�i (/i fid�:/tv,�t at 4,1,pi,7 r''_') ti �.. The application creates a change New I.r/`C.?'I�"!<�r Geed` 5 �/f 5 (ci-Jiv.'t ,. in the following existing site 4 Change in number of signs from (ii)/,(,,h/(51 .14"1 to 12(7.i :,.), ' yl<<r'2,� 1Zei''1"`"''13i v: conditions(fill in all applicable Change in setback for sign from 'i to '" Ar :tt+,(;�)1G spaces): 4 Change in size of sign from l,,,,, .r, l:;"7 '`• 7`:•!`�to .;i7,:,/, /-1,;s,04--Ay�i�j 4/'1;,,i„'1,2a>,Y.L Change in height of sign from r' to :S6(,,rzs; Change of wording/copy from: to: ;fie•-,c,.t Sign Wording/Copy: ;4104,,1-)(_,,,i;5 d- At3pl J-3& gz5,3S g,3I. 4c1,-)61-412 .£1"----�L��Cc1-- - • ( 10. / -- / j if Sign size: Len t��!!i 2lr�C"Width 14.=Total Sq.ft. `70,�Sy' Sign Height (freestanding sign): 4 ifr,y (4..`: :y 5, ,--.e 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) o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL o Depth of projecting sign codes@queensburv.net 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 by the.owner. APPLICANT SIGNATURE: ,; ''/ ice' '1.1.•—,)/., — Ki'�,Li,e.5/..c f,% DATE: 1tvy t r/ '7j -)/) �Z (I I hereby authorize the applicant to place a sign on my property or building. OWNER SIGNATURE: -7t;7 l"rt"LLG;htu.,1 J 1 • "1--�'f DATE: �vir1rr !.;;n%j livii' )'" Vb'1 1 Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 Mar. 26. 2012 12: 09PM No, 1933 P. 2 •• • ." 'LANDLORD THl1ORI L alrE.° SkN'ka) ASINE )i( OWNER•OFTIkE PROP.ERTY4:OR pvlwi'S.A:11TH01Z)3D 51-9.NINGO,EFICER (4.11-PartED.I0 BIND T4E-CQWW13 • • . • Ap-D.RESs:. crrygRorticE: psto .FOR TUE TENANT • A, . . . THEPROPERTY tar-• , tj. thk:AAL124--• Nt6". Pkr; TIERERY: GitAtiT PAD.E.SIGN:S:JAMMED FE.RMIS.SION Tiff APPLY FOR AND.•CISTAIN NEWSSARY STGN PERMITS.AND VAIPANCES P.L.ND ORTAS.N.SITE MANS AN DIG ELWATICIN;DRAWINga.FROM TREARCaLVESIF mann. Gi) Atprile.FuzE:PRIDE-51.GNS•LilitITED.13 ERECT.5.1.CKS)AT THE AFCIR:ENIE.NTIONED LOCATION AND MAY,.AT prrigN,.Z.L.ECT TO:StiONTRAcr THE MSTALLimog. S.triCEREGY; . . .. . 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