SIGN-000214-2018 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development- Zoning Department (518) 761-8256
SIGN PERMIT
Permit Number: SIGN-0214-2018
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.
Tyne of Construction
Owner Name: Mary Canale Sign-Wall $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
Wall Sign 20 sq.ft.
Sign Copy: MT Returnables
$ 60.00 PERMIT FEE PAID
Dated at the Town of Quee sbury; Friday,May 4,2018
SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Building & ^C 'X" �1 S'
SIGN PERMIT APPLICATIF7
Re
APR 2 6 $
TOWN OF QUE: S
Date `-� (`aC-� IY CO3vi�OLARP uELO i1C k; eS
Tax Map ID Address
Zoning �ir�E,� ��� N� 13kA
Property Owner Contractor/Agent: `4&')C"(.�'� G Gc yhlci
Address ?gs ci��?(- Vic l(ctj Address `�3 �\���roc n Y2��&a Use
bJ�Q .�J-q acgl c:l
Phone S M Phone S't k ('moo- n 6
Contact Person for Sign Code Compliance: _7C%J�0 �c��' Day Phone: (� -
Building Street Address: N U >`i �� 11�4
Site Plan,Variance,or Subdivision Approvals rn ' ' ( C`
Location of proposed installation G l;i i c? v� r� ' f
Business Complex/Plaza/Mall name VA
Business name
Type of Sign proposed
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) O&CVp
Change of word/copy From to
Sign Wording/Copy 1V\�A 2 s;U c n C,bl e5
Sign Size Length 2' x Width =Total sq.ft. �
Sign Height(freestanding)
Color&Material to be used n L') �G
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 ---'GUvo e7UCAW
APPLICANT-SIGNATURE: Date:
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME: �c
OWNER-SIGNATURE: UA
2 Date:
Town of Queensbury Building&Codes Sign Permit plication 518-761-8256