2012-585 TOWN OF QUEENSBURY
7.12 BaY Rmd,Q 218
-41C(Alsbury,NY 104-5902 (518)761-8-101
Cornintinitv Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Nunibei-: P20120585 Application Number: A20120585
Tax Nlap No: 52�)400-303-015-0001-026-000-0000
I)crinissiotilslierebygrutted to: COMM UN FFY WORKSHOP INC
For property located at: 765 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
mid approved and in compliance with the NYS Unifomi Building Codesand the Queensbury Zoning
Ordinance. 'I'V12c of Constirtiction Value
Owner Address: COMMUNITY WORKSHOP INC sigti
PO BOX 771
GI,.,ENSFALLS,NY 12801-0000 Total Value
Contractor or Btrilder's Nitric / Address Electrical Inspection Agency
WEST SIGNS
1100 DIX Ave
HUDSON FALLS. NY 12839-0000
plans &Specifications
2012-585 CWI Community, Work & Independence, Inc.
Wall Sign 2' 11" x 4'4"
5238.50 PERMIT FEE PAID -THIS PERMIT EXPIRES:
(If a longer period is required,auu application for an extension must be made to the code Enforcement Officer
attic,rowin of Qoeensbory before the expiration date.)
Dated at the Town of Queensbtiry; Monday, )an nary 07, 2013
SIGNFID BY for¢he'l'own of Qucenshllr).
Director Of Building&Code E'n force n rent
OFFICE USE ONLY sq> 644f-i/cm.
TAX MAP NO303,J 5- a(�PERMIT NO.! —5 06 PERMIT FEE 3 •
r
APPROVALS: DEPOSIT ",
SIGN PERMIT APPLICATION: DEC 2. 0 2012
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. C
OWNER:
CW INSTALLER/BUILDER: Pqc-5* Sibs
ADDRESS: 8g Oro' -S )' 6-1-. ADDRESS: i 10 J ,T)l l)4 tJv'C__
PHONE NOS. 5- • De 4, PHONE NOS.`'�� (1— 52diryw *�/
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 7, (2✓`,L ' - - OS. 1 S-(-0L(
BUSINESS COMPLEX/PLAZA/MALL NAME: LI I. a avail! Mrd='..•'S —'I s
BUSINESS NAME: C 14
CONTACT PERSON FOR SIGN CODE COMPLIANCE: 6Jb,k hi° PHONE: -7(-(7-7- .5Z(eS
TYPE OF SIGN PROPOSED: freestanding 22Cwall _awning projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: Internal _External _Incandescent _Neon _Other P--
DO SIGNS CURRENTLY EXIST ON THE PRRO��PERTY? Kes No �� Ly��` RA._
IF YES,LIST ALL EXISTING SIGNAGE: C4.7-tt'C4.7-311- Darkr/gLii lai%A (�`�C;
The application creates a change
New
in the following existing site Change in number of signs from to
conditions(fill in all applicable Change in setback for sign from to
spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy:
Sign size: Length IV9k Width ( =Total Sq. ft. /7•/i1 Sign Height(freestanding sign):
Color and Material to be used: 6/A-- )ic -ro r,.- ejt (0,-(e5
e,
✓ 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 facade) QUESTIONS 7 CALL 761-8256 OR EMAIL
o Height of freestanding sign codes a(..queensbury.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.eueensbury.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 wor is authorized by the owner.
APPLICANT SIGNATURE: rot) 1\-k7'2- DATE: /Z/C (UfZ"
I hereby authorize the applicant top
lacea sign�on my property or building.
OWNER SIGNATURE: ADO6llkiP l.GO DATE: /0(f( r L
Town of Queensbury • Community Development Office - 742 Bay Road, Queensbury, NY 12804
Queensbury Web Map
1 5
1 (6 6) \ .-6g / .,,- ,
. ,I
. ...,
PERMIT PLOT PLAN
I HAVE PERSONALLY MEASURED THE DISTANCE i
FROM T PROPERTY LINES TO THE \
PROPS s D S ,�'URE(S)OR SIGN(S) ii
_ i
.4111166.411* ate. / Z-tom -/?--
GNATUREglir- DATE i
i.
50 Se if in/W/6 I1.
DEC 2 0 2012
\ht. /
41k.. X
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tMap is for GENERAL REFERENCE ONLY. I
i� 81 Feet
Printed 12/19/2012 1 : 1334 Page 1/ 1
Dimensions Materials Descri•tion of Work Colors
CWI wiirde
height width sq.ft. Plastic Formed Letters Building to be drilled for Lettering
52" 35" 12.75
'Community,Work 8 Independence,Inc.' Goudy Extra Bold letter style stud mount letters to be installed Navy Blue
height width sq.ft.
48" 200" 66.75 (same as the sign out front) on to facia of building.
Overall Sq. Ft. • To be centered over front door glass area
Job Information
16' 8"
Job Name:
CWIQUAKERBUIUNG
Location:
765 Quaker Rd
Queensbury, NY 12804
Community, Work & CWL
r, cwi Independence, Inc.
Contact Information:
• Kevin Elms
518-745-8084 x-13128
765 s
�H 1A:R NII�
r
_ -- Layouts and Designs by:
1
7t( Ontnt Hint
1100 Dix Avenue
Hudson Falls,NY 12839
518.747.5283
rn
www.WestSigns.com
Sales Conlaci:
AaronWest
c,C/ aaron@westsigns.com
ti
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