SIGN-000132-2017 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-000132-2017
Tax Map No: 308.15-1-44
Permission is hereby granted to: Mike Baird
For property located at: 414 Corinth 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.
Tyne of Construction
Owner Name: Mike Baird Sign-Wall $0.00
Owner Address: 414 Corinth RD Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Mike Baird
414 Corinth RD
Queensbury,NY 12804
Plans&Specifications
Wall Sign 29 sq.ft.
Sign Copy: Dog Boarding&Day Care
Business Name: Room for Paws
$87.00 PERMIT FEE PAID
Dated at the Town of Queensbury; .-4-C A- 1 7
rtA_SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Building & Codes
Received:
SIGN PERMIT APPLICATION Tax Map ID: —
Permit No.: 56d 13a- 17
Permit Fee: $ 19 a-J
Date Applicant
Tax Map ID Address
Zoning
Property Owner M Contractor/Agent:
Address t Address
ilQ Y, TOWN
Phone - Phone UNITY DEVELOPMENT
Contact Person for Sign Code Compliance: Day Phone:
Building Street Address:
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation (_43
Business Complex/Plaza/Mall name
Business name O
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
Change of word/copy From to
Sign Wording/Copy
Sign Size Length x Width ,2 =Total sq.ft. -{
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. 1
APPLICANT-PRINT NAME -e—
\ {�
APPLICANT-SIGNATURE: LDate:
Declaration: I hereby authorize the applican to place a s' n on m property or buil ing:
OWNER-PRINT NAME: aL
OWNER-SIGNATURE: L Dater
Town of Queensbury Building&Codes Sign Permit Application , 518-761-8256