2014-227 "State Farm Rita Hawkins" TOWN OF QUEENSBURY
via
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20140227 Application Number: A20140227
Tax Map No: 523400-289-015-0001-003-000-0000
Permission is hereby granted to: STATE FARM INSURANCE
For property located at: 9 HUNTERBROOK Ln
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: RCILETTI, LLC Si
92 MASTERS COMMON NORTH g°
QUEENSBURY NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
SAXTON SIGN CORP.
518-732-7704 EXT 102
1320 STATE ROUTE 9
CASTLETON NY 12033-0000
Plans&Specifications
2014-227 STATE FARM Rita Hawkins 518-798-9049
SIGN freestanding 24.93 sq. ft.
$74.79 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town Quee bury o i t :yi une 30,2014
Ar 4
SIGNED BY / for the Town of Queensbury.
Director of Building&Code Enforcement
t ---alt 1, � 1
eTH12
oceOnIN/Town of Queensbury Building & R�$ ved U
SIGN PERMIT APPLICATION
Tax— MiIRY `. Si f 5-_)—3
TOWN OF QU=pperm No.. i <4 _aa
BUILDING �Permit Fee: $ i, ' I) —../117 /
Date 1-AAli I S, 2014 Applicant SA,ekt�S�-n t_art �I
Tax Map ID Address 132O2w. 4
Zoning ex,s1-IIcA-n.-, t,1�/ 1 .033
Property Owner RC i7-TTI t TTI LLC ContractorlAgent:S ,eux_c ` t'nr_e
Address q2 Piwskr-;elymnor_Ijma-L Address \32 tZisw A
Qu PP i 4,u r i RS @ s1.1e ,-‘ tJ4 f.O33
Phone 'Th ?- 90 L4`t Phone `132.-"1'10'
Contact Person for Sign Code Compliance:Skc rR, t1w._,--i4 Day Phone: rI 3Z-1-t o 4
Building Street Address: Ct 1-Ln-kr (trout
Llsvbue_
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name
Business name S1
Type of Sign proposed Fp k_v Shu n,,i net-
If
rteIf sign is to be illuminated,indicate internal _external _Incandescent _neon u other ?Juxs--
Do signs currently exist on property? Yes 4 No(if yes, list all existing signage) 06- 0PA
Change of word/copy From to
Sign Wording/Copy 5 tpr,t,,, q:L. kius 'SSkFc-^A$-9d49
Sign Size Length S t x Width S 1 =Total sq.ft..a4.93
Sign Height(freestanding) to` {{
Color&Material to be used A\u rn,num, Nei cloorccie.�ees, Q-j- PS. J l LLI,.-1_
This application creates a change in the V. New
following existing site conditions(fill in all Change in number of signs from to
applicable spaces) Change 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. n
APPLICANT-PRINT NAME , pa t ,c,L.nrS.sCI
APPLICANT-SIGNATURE: i x. Date: 6-15-(4
Declaration: I hereby authorize the applicant taplace a sign on my property or building:
OWNER-PRINT NAM
OWNER-SIGNATURE: Date:
/7 C�
Town of Queensbury Building&CodesSign Petmit Application igp� 518-761-8256
Office Use Only
Town of Queensbury Building&Codes
Received:
SIGN PERMIT APPLICATION Tax Map ID:
Permit No.:
Permit Fee: $
Date I-(ay t S. 2014 Applicant S%At_h` S eoce
Tax Map ID Address 132-0( . q
Zoning et446 f.N 17u33
Property Owner k i t trim t t_C Contractor/AgentSn-ekm_C gam-Ohre
Address a2_ E1.4.51/._14& Inn1.6-4-L Address 1.37-ot��wtr q
Qy PP 12404 p4 flo'
Phone h ct$- la 41 Phone `132-11o'*
Contact Person for Sign Code Compliance:Skn.eeK-R, Day Phone: 132-7-io 4
Building Strut Address: R 1-Inn4G- Amok_lxt,ue
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation
Business Complex/Plaza/Mall name
Business name 56,2,:\P 511,14--
Type of Sign proposed FEar S1,.La a nfrk-
If sign is to be Illuminated,indicate __internal _external _Incandescent neon k other ).;du-'--
Do signs currently exist on property? _Yes j No(if yes,list all existing signage) t1�c mo z d
Change of word/copy From to
Sign Wording I Copy Suit_ - r., FAQ us 5'1$-Mg.4°49
Sign Sae Length 3 I x width SiI =Total sq-fL cl.5
Sign Height(freestanding) (n` n
Color&Material to be used Ptlur c,FS Yrdtanr.c- (u-Ot-
This application creates a change in the L. New
following existing site conditions(fill in a6 Change in number of signs from to
applicable spaces) Change in setback for sign from to
Change in sae 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 S. n c',e1.o.,-Ss' II
APPLICANT-SIGNATURE: Date: $=t 5 t
Declaration I hereby authorize the applicant to place�a sign on my property or building:
OWNER-PRINT NAME: 4 `114 IC-tC
r
OWNER-SIGNATURE: fr� Date: CIIo I 111
lir
Town of Queensbury Building 8 Codes Sign Permit Application 18=7J-8256i
New Box Sign 3'-1" x 8'- 1"
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Rita Hawkins 518-798-904 • M
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)1-1-93 1.1
3'-1"x 8'-1" New Sign Program
Trim Size: 3'-0 5/8"x 8'-O 5/8"
V.O.: 2'-9 3/4"x 7'-9 3/4"
Flat Non-Glare (Spartech Sungard) UV Polycarbonate Faces-
Double Face CP (12) F36T12/D/HO (Vertical)
Double Face Sign: 9 3/4" Depth 1 EX-148 with EX-249R (Both Sides)
1 5/8" G-Molding
:`ice -THIS,ARTVVORK=ISTO BE USED1FOR GRAPHIC REPRESENTATION.ONLY'
::InSite Group SFA527223 Rita Hawkins File No.:SFA527223-1
A.MwMle Gr WFeMos
]ees copied
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�"-ro"eile Tnn-m �houtemre.oeof Scale: t22
]e]S 60)334-800 Once
9e.304111sFa 3]931 Cuefanre•App-wal of Garments McMSIte Group
X965)3�2-0Ap OR[e•0�h)539$311 Fes the MSRe Group
wxxlMMSM9T�Pmm
Date: 27MARCH 14
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