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SIGN-000630-2017 TOV^T OF QUEENSBUR' T { 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 ,.r Community Development-Zoning Department (518)761-8256 SIGN PERMIT Permit Number: SIGN-000630-2017 Tax Map No: 308.17-1-7.11 Permission is hereby granted to: Spencer Montgomery For property located at: vacant land West Mountain 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 Name: APEX CAPITAL LLC Sign-Freestanding $0.00 Owner Address: 59 W Mountain RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency Spencer Montgomery 59 WEST MOUNTAIN RD Queensbury,NY 12804 Plans&Specifications Replacing 12 sq.ft.freestanding sign.(3 ft.across top and 4 ft.to the point) Sign Pole had deteriorated and needed to be replaced;sign pole was moved closer to the road;setback from front yard 1 is 37 ft.(previous 45 ft.)and front yard 2 is 25 ft. Original Sign Permit File Number 1579 Year 1971 West Mountain Corp. L), PERMIT FEE PAID .^ c t.7 SS��t Dated at the Town of Queen sb ry; —� 1 SIGNED BY: for the Town of Queensbury. Zoning Administrator --�""c�"�1 Office Use Only LgTrarlf UVA uilding & Codes DReceived: OCTION afflaMI LICATION Tax Map ID: Permit No.: S�G�,t�- fob 2P,V+ TOWN OF QUEENS RY Permit Fee: $—fc Dat BUILDING 7 L e c �/�J -/tf Applicant ��� t�e Tax Map ID .3 0/S • P7—• 7- 1 Address �'� sy//64 •s Zoning / ''�, ��� � �i►a ri/1�� Property Owner Contractor/Agent: Address Address 'jZ 41il Phone Y Phone Contact Person for Sign Code Compliance: e c 04 1 n/`✓4-'v Y' Day Phone:J_��,f—7IJ-- Building Street Address: CodG� off` ll/e s� 4 �afA 1c . ,tidy Site Plan,Variance,or Subdivision Approvals Location of proposed installation G f/y ��ol /�/ ?z6a^ c, Business Complex/Plaza/Mall name Business name ox a Le 2Z,4 t. Type of Sign proposed h ;'4 X /?-/74 457/, . If sign is to be illuminated, indicate _internal Kternal _Incandescent _neon _other Do signs currently exist on property? _Yes No(if yes, list all existing signage) D6, Change of word/copy From :�,a ^en es kee,O -7z- to of Sign Wording/Copy �" f 4� Sign Size Length x Width =Total sq.ft. t"�M .S/�Ct c 10 Sign C�Sr�d/ &0%- V; Stt c i s 3 Ft"c.cro `o Color& Material to be used —5 a 6 - � r pG✓ 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 _ l (^/ 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. ,Swe 4 G��' 04 0 APPLICANT-PRINT NAME /� l� (/ /'/ZZC APPLICANT-SIGNATURE: � Date: V l Declaration: I hereby authorize the applicant to place a sign on my property or building:: OWNER-PRINT NAME: OWNER-SIG NATURE: ! Date: O l Town of Queensbury Building&Codes Sign Permit Application 518-761-8256