BOTH-000207-2015 Chevrolet Buick GMS Cadillac D'ELLA TOWN OF QUEENSBURY
qL 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000207-2015
Tax Map No: 296.20-1-5
Permission is hereby granted to: Tom Wheeler
For property located at: 293 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
Type of Construction
Owner Address: 293 Quaker RD Sign $0.00
Queensbury,NY 12804 Total Value $0.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Tom Wheeler
842 Saratoga RD
Burnt Hills,NY 12027
Plans&Specifications
Freestanding sign 40 s.f.
Chevrolet Buick GMC Cadi
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 dale.)
Dated at the Town of ueens n /J.4on y O ,2015
SIGNED BY: ('I VJX(/ /aJ for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use Only
Town of Queensbury Building & Codes Received:
pU &7rtl -0omo"--2 QL'5
SIGN PERMIT APPLICATI p it .:
Permit Fe : $
OCT 0 9
Date ' �� )_ Applicant
Tax Map ID 3( — , I—ti Address-ii'flf SB 0 {ar ?
Zoning HZ - 111 - -0O o
Property Owner kLlwe,QContractor/Agent: __
Address 1-9a (�dykc Rj Address
Phone �— Phone
Contact Person for Sign Code Compliance: A r Day Phone:
Building Street Address: 97 (k
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation 93 u ,-,
Business Complex/Plaza/Mall name
Business name & L G'r+,
Type of Sign proposed ,; 1
If sign is to be illuminated,indicate _-Cintemal —external Incandescent _neon mother 0-0
Do signs currently exist on property? Yes _No(if yes,list all existing signage) (iefiawLud
Change of word/copy From to
Sign Wording/Copy /01
Sign Size Length 7G :x Width
26,_jL=Total sq.ft. 4v
Sign Height(freestanding) -(/ =
Color&Material to be used _AjkkW1A f d S rl/
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
kl��ut 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 Il1CeNU( G� Ind
APPLICANT-SIGNATURE: /�/UL_� Date:
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME:
OWNER-SIGNATURE: Date:
Town of Queensbury Building&Codes Si Permit Application , 518-761-8256
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This document Is the sole property of Architectural /
//�•� I I YOUR I MAGE■ Drawn By: Mak Graphics, Inc., and all design, manufacturing.
RM: Justin reproduction,use and sale rights regarding the same
OUR PRIORITYi are expressly forbldden. It is submitted under a
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Location: Queensbury, confidential relationship, for a epecl.1 purpose, and
ARCHITECTURAL GRAPHICS INC . the recipient, by accepting this document assumes
Date' 09/25/2015 custody and agrees that this document will not be
copied or reproduced in whole or In part, nor Its
2655 International Parkway Sign Type: 536@11'-6"H Contents revealed In any manner or to any person
except for the purpose for which it was tendered,nor
Virginia Beach, VA 23452 Scale: 1/2":1' any special features peculiar to this design be
Incorporated In other projects.