SIGN-000213-2018 TOWN OF QUEENSLtJM
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Zoning Department (518) 761-8256
SIGN PERMIT
Permit Number: SIGN-0213-2018
Tax Map No: 309.9-1-81
Permission is hereby granted to: Jade Eddy
For property located at: 71 Ohio AVE
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 Name: Mary Canale Sign-Freestanding $0.00
Owner Address: 28 Fox Hollow LN Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Liberty Graphics
53 Hudson AVE
Glens Falls,NY 12801
Plans&Specifications
Freestanding Sign 16 sq.ft.
Sign Copy: MT Returnables
$ 48.00 PERMIT FEE PAID
Dated at the Town of Quee sbury; Tuesday,May 1,2018
j
SIGNED BY: 1, for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Buildin I t �, )-',, y
�C� n " 0 4l riZec�ved:
SIGN PERMIT APPLIC 10 APR 6 2018 � S i6fJ al 3 - l
tlt Io..
I i it F ee: $ 9
i ,._,P QUEENSa
Date `1���f Ig _. OPME' �(.�. CttGiD If S
Tax Map ID Address "l 1 CG h ,c� V -02 a v-_
Zoning ve��,� �.c N"`� l �GLl
Property Owner OACS!j 'SG 0C,, ca-. Contractor/Agent: 'Xt (f-4jd 61kc4( hiQ3
Address 0� "U 1t c w Lc,l{L Address S yl u('JY rl Qj"P kV-e
C.�veun5huc�/, PLf 131" cn1enS -&m1 j IDS (11
Phone Phone (S��S r'3C?-- � i'i�
-�SJ�SC he
Contact Person for Sign Code Compliance: L&(L,4 1 _ _ Day Phone:
Building Street Address: VI ~ `Av'� , 4'1C:C;4 Icy!/ Nq I:� 65 4'
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation 't U 5,'JE - A,
Business Complex/Plaza/Mall name 114
Business name
Type of Sign proposed os
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) 1
Change of word/copy From to
Sign Wording/Copy - V'? s3 C;+.1
Sign Size Length L-l' x Width�_=Total sq.ft. I f,
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 rr(/fC t</
APPLICANT-SIGNATURE: Date: c114
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME: \ 'S (-12 01 r\C,
OWNER-SIGNATURE: Date:
Town of Queensbury Building&Codes Sign Per t Ap ficabon 518-761-8256