2012-596 TOWN OF QUEENSBURY
'142 Bay Road,Q)tteensbury,NY 12804-502 (518) 761-8201
(21W Coninitiniq,Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Nuniber: P20120596 Application Number: A20120596
Tax Nfap Nw 523400-278-00'0-000 1-046-000-0000
I)erjiiissiotilslicrel)ygr,,iiitc(ito: CANINE DESIGN & SPA
For property located at: BAY Rd
in the Town of Queensbury, to construct or place
at the above.location in accordance with application together Nvith plot plans and other informatiott hereto filed
and approved and in coinpliance,with the,NYS Uniform Building C(ACS and the Queensbull,Zoning
Ordinance. TvI)e of Construction Value
Owner.\ddress: STRANAI IAN INDUSTRIE"S LI.0 sigil
1347 BAY Rd Totalk'alue
LAKE GEORGE, NY 12845-0'000
Contractor or Builder's Nmi-le/ Address F"Iectrical hispcction.\gcncy
Plans& Specifications
2012-596
Wall Sip CANINE DESIGN & SPA
$36.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If to longer period is required,an application for an extension naust be made to the code Enforcement Officer
of the`Town of Queensbury before the expiration date.)
Dated at the Town of Qiveensbory; 'rhursday, Jaiwary 03,2013
SIGN1,I)BY
for thcTown of Queensbury,
Dirccior of Building& Codc 1"tiforcenient
OFFICE USE ONLY .
TAX MAP NC)$ .'1- ) RMIT NO. D�6 Crig PERMIT FEE
APPROVALS: DEPOSIT DEC 2 7 2012
SIGN PERMIT APPLICATION:
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completed and m' ust appearonthe application form./t
OWNER: Si 4-1n w n(M1 4 1r)6146-hi _. fpn.-LC.. t INSTALLER/BUILDER: \kj -t .1C-IK 5 �} 1
ADDRESS: I,3fc Q W.1 \ iit . `1CL�1 1�1j ADDRESS: II^�(`'o b�jCn. 41WQ IUCD � cisor l\ ,1V3
PHONE NOS.696 V'4 vJJ PHONE NOS. I i1- - `,,L U 3
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS
) 43 ,S- ►Ale I LP exp�vt
J9 ,
BUSINESS COMPLEX/PLAZA I MALL NAME: (1_01114' Pile i" "1 Igctj Poi
BUSINESS NAME: L owI e, t 6 9 4, ()pa
, p
CONTACT PERSON FOR SIGN CODE COMPLIANCE: ,Llan �V(,5} �r) PHONE: � �� 20.
TYPE OF SIGN PROPOSED: _freestanding wall �� projecting (i) on C'.�IIYY?fll sir
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? ✓Yes . No .� `` _
IF YES,LIST ALL EXISTING SIGNAGE: CQJ{I(x/11 fYleuivrt % W Q hAts /*I-alum 1 ro,
The application creates a change ✓ New on -/(la,`o 3in the following existing site V Change in number of signs from L 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:
1 Ft 11
Sign size: Length 7 x Width Ic=Total Sq.ft. Sign Height(freestanding sign):
Color and Material to be used: �Vv hi 1�D �le-W-10 Iene.
✓ 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) QUESTIONS? CALL 761-8256 OR EMAIL
o Height of freestanding sign codesna.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 by the owner. I .�
APPLICANT SIGNATURE: _Y� DATE: I,9; a W
I hereby authorize the applicantto place a si n on my property or building.
OWNER SIGNATURE: 7 \ DATE: /g/ cID / / a
Town of Queensbury • Community Development Office • 742 Ball Road, Queensbury, NY 12804
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DESIGN & SPA
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SWIS : 523400
Print Key : 278 . -1-46
Comment : 3/23/2012
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