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BOTH-000147-2015 Berkshire Bank r .. . TOWN OF QUEENSBURY 742 Say Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: BOTH-000147-2015 Tax Map No: 296.19-1-43 Permission is hereby granted to: Graphic Impact For property located at: 183 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 Tvoe of Construction Owner Address: 99 North ST Sign $0.00 Pittsfield,MA 01201 Total Value $0.00 Contractor or Builder's Name/Address Electrical Inspection Agency Graphic Impact 575 Dalton AVE Pittsfield,MA 01201 Plans&Specifications Freestanding sign 32 s.f. $96.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town!:v A ze r 2,2015 SIGNED BY: �i/ for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only Town of Queensbury Building & C.odes __--- -- SIGN PERMIT APPLICAtlb� Lj',' axI-As6 C-e -k 4u—/� 116 I"t�r -2©$ `�b . r rnv # Date � ��.. l�s•�r`�.c. rr� dys:�t.�t ��.•S, r r�lc. Tax Map ID `� - � 1,_ �!' Address _87.5 A-Y-c_ Zoning -4 C— v f1AA a r o Property Owner erz-w -e 13.ntsji_ l�(?k2 #Iee si.-jContractor/Agent: Address ct i Nor,r-k Sr Address Phone c c 3 ( ?a34 Rhone 00 Contact Person for Sign Code Compliance: ll�e(t ' � Day Phone: 0 4EP -� 37� Building Street Address: Site Plan,Variance,or Subdivision Approvals Location of proposed installation Business Complex/Plaza/Mall name Business name ,c Type of Sign proposed • ts+,- vs c GXA's nn c.- rc ktc;�.-, YO s c�cam, ft- If sign is to be illuminated, indicate _internal _external _Incandescent _neon _other Do signs currently exist on property? Yes _No(if yes, list all existing signage) Change of word/copy L From to • M Sign Wording 1 Copy Sign Size Length x Width =Total sq.ft. 3 Sign Heigh)(freestanding) (� Color&Material to be used This application creates a change in the New U_�'1;, - following existing site conditions(fill in all Change in number of signs from to applicable spaces) ClChange in setback for sign from to Change in size from to Change in height of sign from to 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-PRINT NAME d�► N z APPLICANT-SIGNATURE: Date: Declaration: I hereby autho' e t appica o place a i on my property or building: OWNER-PRINT NAME- OWN ER-SIG NATURE: AME:OWNER-SIGNATURE: Date: _ Town of Queensbury Building&Codes Sign Permit Application 518-761-8256 �& A _ . . � � � � /�/» � �\:��/\ �� \ / �.�� \ � ~` �\ � . . � � © � � § \ � » � ¥ � . . � # .� � » f � t > \ . . - / />� : \ \ � . �� .} �' . /� �°�} 2\� � � ~ - . � �. . . � ! . e � >�\ � . . . �� } \ } - \ . � > �� } . � � . � �, � � � } . � . � � \�� - � . . : V` � � a � } � ! 2 � � ~ \�� : . , � > 2�. � - . ' - - � - : . . , . , : . - � . . . - � � / � - �_} - / : ® � \ a 2 g } \ , � � \ �\\ , \ \ , .