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BOTH-000187-2015 E5 Support Services LLC TOWN OF QUEENSBURY ow 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: BOTH-000187-2015 Tax Map No: 296.19-1-42 Permission is hereby granted to: E5 Support Services,LLC For property located at: 79 GLENWOOD AVE In the Town of Queensbury,to wnstruct 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 Tvce of Construction Owner Name: Prime Glenwood,LLC Sign $0.00 Owner Address: 621 Columbia ST Total Value $0.00 Cohoes,NY 12047 Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications Freestanding 8 s.f. E5 Support Services LLC $24.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,December 9,2016 (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�Q�d bury; / I 4 Tu s ay a er 15,2015 SIGNED BY: (` (n�.'_�{V/ for the Town of Queensbury. Director of Building&Code Enforcement Office Use a Only Town of Queensbury Building & C' SIGN PERMIT APPLICATIO Tax Map ID �tb- 19 - 1-�EZ OCT 2 2T:ARNO.: 60T14 - 16'+-Z0Il5 TOWN OF C2I EENSBURY �^" ;: r1V. �J BUILDING Date Ar.n,.; ? 3 1, }0 15 pplicahC Tax Map ID — Address -7 1 Wood Avt, Zoning a eeu,sb✓wi , 02 0-elY Property Owner Prhre- ContractorlAgent: Ij i W,ar, F• Fi;-cwr,�C of 64,4( f3 n hu Address C/G •cn". b A, key w,cad 3-r. Address 17 T Gi (Cry S1 -4 Cil Cot�'"rb S of G(as Fectly, NY 12b�I Phone CtoIties W 1�i-ogl Phone S 1 — 7R6 —186E 5-18-7 —TOOL Contact Person for Sign Code Compliance: NaAec/ Rr.q n.Xt n Day Phone: S(Sl-755 -4000 Building Street Address: 6 a Co(�.-b,k T".e-j Col c{�, A,-( IloN-7 Site Plan,Variance,or Subdivision Approvals Location of proposed installation 7q6 l,cx O Business Complex/Plaza/Mall name cwt Wr a Q,Y Business name t5s_ 5_0 t �YV'Z s LLC Type of Sign proposed If sign is to be illuminated, indicate —in mal 17extemal _Incandescent _neon —other Do signs currently exist on property? Yes _No(if yes, list all existing signage) Change of word/copy From to Sign Wording/Copy See a mi,-d 'r'q-C' Sign Size Length x Width =Total sq.ft. 8' Sign Height(freestanding) Color&Material to be used This application creates a change in the 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. APPLICANT-PRINT NAME �Ou �o.5 7, lJ d e mjh APPLICANT-SIGNATURE: Date: ©fs- �H5' Declaration: I hereby authorize the applicant to place a sign on y property or building: X OWNER-PRINT NAME: OWNER-SIGNATURE: /l L N i"A Ar eo-f d Date: 9_1Y_ Town of Queensbury Building&Codes Sign Permit Application 518-761-8256 r High Peaks Hospice S YY 1 Palliative 1 _ _ /I � r it _ hiL SUPPORT ERVICES , LLC P RC OGCRD nmaf H '.IL'ILf --ri i . ........... ...y.. `* ..._...t..................I..........................� ` PROPOSED FIRST FLOOR:OFFICE FLOOR PLAN 7 II < 1 F v � 4 l