2013-137 Ambrosia Diner TOWN OF QUEENSBURY
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742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20130137 Application Number: A20130137
Tax Map No: 523400-302-005-0001-097-000-0000
Permission is hereby granted to: OUEENSBURY DINER. LLC
For property located at: 518 AVIATION 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: QUEENSBURY DINER, LLC
518 AVIATION Rd Sig't
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
MATTHEW SIGNS
518-828-0613
PO BOX 163
LOUDONVILLE NY 1234-0000
Plans&Specifications
2013-137 AMBROSIA DINER
SIGN wall sign 30 sq ft
$0.00 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 f Que sbu Tu a April 16,2013
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
Mar 28 13 01:01 p Ambrosia Diner 15186365488 p.1
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P 5 -i- " OFFICE USED ONLY /�
TAX MAP NO. rPERMIT NO. 13'��J PERMIT FEEAti____11)
DEPOSIT _ M� 0 9 2013
r APPROVALS: ,
SIGN PERMIT APPLICATION:
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completedandand must appear on the application form. ,� e
OWNER: NP,4S -ta2d'
ciA. . jet r IA C S INSTALLER/BUILDER: �'�!rr,-y3 ?�r
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ADDRESS: 311 i+� 1✓
. t`l iaeE 5.1' CWIVILL PYADDRESS: /min gel( / /1,1i..
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PHONE NOS. 51g -cjt/7- /O47 PHONE NOS. 5:jk r} - obi3 /010540
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 6-)SI f4ti'ff'rljJ i2I) a/1°0AS Oji:6, ,'U
BUSINESS COMPLEX)PLAZA/MALL NAME:
BUSINESS NAME._________41241 6E e s t e �:aerG p
CONTACT PERSON FOR SIGN CODE COWLIANCE: in or PHONE: Sig--5 -Per3
TYPE OF SIGN PROPOSED: _*eesIending Xwall awning prolog
rF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE X internal `External _incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? XYes _No
IF YES,LIST ALL EXISTING SIGNAGE t'UE 5TA1ti 1)l My i b S i 6 NI
The application creates a changeNew
in the following existing site Change in nUMber of signs from i to t_
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 WordingiCopy: 4 FYI eg-o5)A b)111I
Sign size: Length i 1.}q x tMtdth Li =Total Sq.ft. 3i Sigr. Height(freestanding sign):
Color and Materia:to be used: \r,Vr C! B loi', t 4e 1 tovJ
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location Of sign(neaps signs: chewing of the facade
the sign will be located an,indicate sign on facade)
o Height of freestanding sign QUESTIONS 7 CALL 761-8256 OR EMAIL
o Depth of projecting sign coties0queensbury.net
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE UDJFORIRATTON
✓ Provide 2 drawings or photos of sign design. trwYne.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 aU proposed work tc 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 work is authorized by the owner.
APPLICANT SIGNATURE' . - :^ DATE: r 3�a�/f3
• •
I hereby authorize the applicants. . .• ..:-. on my. ... •. or building.
OWNER SIGNATURE: / DATE: `y
CXTown of Queensbury- Community Development Office• 742 Bay Rnrtd, Qtreensbicn, NY 12804
Rough Plumbing I Insulation Inspectio Report, ;)
Office No. (518) 761-8256 Date Inspection req� , �itif
i ed:
Queensbury Building & Code Enforcement Arrive: \2 7a S► - •art: a pn
742 Bay Road, Queensbury, NY 12804 Inspector's Initials r1IP
NAME: ' . ' PER , T #: I --1-3
LOCATION: ( 3 , (3 oi INSPECT ON: -�3
TYPE OF STRUCTURE: S -Ft)
Y N N/A
Rough Plumbing / Nail Plates • ��� l _______
Plumbing Vent/Vents in Place
1 1/2 inch minimum Drain Size
Washing Machine Drain 2 inch minimum
Cleanout every 100 feet/change of direction
Pressure Test
D•- /Vent
ead V
P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation / Residential Check/Commercial Check
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent
Door/Window Sealed (No Insulation)
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly t No duct tape
COMMENTS:
Rough Plumbing insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7,2008
QTY: 1 Revisions
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APR o 9 2013
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Customer:Ambrosia Diner Materials: Clear Bright Aluminum Township: Queensbury,NY Installation: �S
3/16"Acrylic Plastic
Install on wall according to elevation plan
'itting Address: 11/2'Steel Angle Iron Goole Allowaflce: 30 sq.ft.Allowed with permit RC1 MATTHEW
JT White LED Modules kiil SIGNS
B Bright 60w Power Supply
Site Adres5:518 Aviation Rd Queensbury,NY Chrome Trim Cap
Contact: Bob Ph (518)636-5486 Contact: John O'Brien 761.8256 518-828-0613
Gotorg: Vivid Blue 8a8-5/ens-s6
White Fox SI*-aaa-Osla
File Location: Ambrosia Dinar,Ouoanbury/Front won Sign Yellow
Stainless
ILO 4...1,y W 14,4 n
All orders under 500.00 must be paid in full at time of order,orders over 500.00 require 50%deposit. t •'"r•i""""3s"•
Deposit is non refundable.Not ropsansible for items left aver 30 days.Any variations or change may s. xor.s r.
be subject additional charges.Bsigning
I yyou agree to terms and conditions spelled out obove. Approval Signature: Dace: -,_ -_ •a.
MAP REFERENCES:
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LANDS OF
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At
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AVIATION ROAD DEVELOPMENT CORP.
TO
MEADOW RUN DEVELOPMENT CORP.
DATED SEPTEMBER 1,
1966
IN BOOK 476 PAGE
16
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