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2006-082 Freestanding "Edward Pacyna Massage Therapist" TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060082 Application Number. A20060082 Tax Map No: 523400-309-010-0002-022-000-0000 Permission is hereby granted to: EDWARD PACYNA MASSAGE THERAPIST For property located at: 40 MAIN St 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 Value Owner Address: EDWARD J PACYNA 40 MAIN St Sign Total Value QUEENSBURY,NY 12804 Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2006-082 EDWARD PACYNA MASSAGE THERAPIST 10 SQ FT FREE STANDING SIGN (CHANGE OF COPY) $0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the own ee 1 r y, May 18, 2006 SIGNED BY �/� 4f� for the Town of Queensbury. Director of Building&Code Enforcement ----------------------- --------------- ___--- _ - - r OFFICE USE ONLY `_- ,--___.- , r , r r r rr �r TAXMAPNO. PERMIT NO. �i rEFV - r r PERMIT FEE: R r FEB L 2 2O r — r- r -------_-------------_----------- ........ _ T_01tU.1 oi—_ URY SIGN PERMIT APPLICATION: BUILDING N ODE A permit must be obtained before installation of your permanent sign. All lie nts' spaces on this application must be completed and must appear on the ap I ion form. OWNER: INSTALLER/BUILDER: ADDRESS: g414 Y 5-17e)"T &56 ADDRESS: PHONE NOS._ l3 -el PHONE NOS. LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS) BUSINESS COMPLEX/PLAZA/MALL NAME: BUSINESS NAME: y,y.¢ IIijS$ roc CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE: TYPE OF SIGN PROPOSED: --Y,freestanding wall awning projecting IF SIGN IS TO BE ILLUMINATED, PLEASE INDICATE: , Internal _ External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? 'Yes _No IF YES, LIST ALL EXISTING SIGNAGE: 4 tt4�-d4 c-"N The application creates a New change in the following Change in number of signs from to existing site conditions (fill in Change in setback for sign from to all applicable spaces): X Change in size of sign from to /© Change in height of sign from to Change of wording/copy from: `` to: Sign Wording/Copy: •I, J e 5 Sign size: Length 40V x Width _- Total Sq. ft. _ /0 Sign Height (freestanding sign): Color and Material to be used: ✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following nformation: o Location of sign (walls signs: drawing of the facade the sign will be located on, indicate sign on facade) o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL o Depth of projecting sign codes@gueensburv.net o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION ✓ Provide 2 drawings or photos of sign design. www.aueensbury.net ✓ Provide Applicant and Owner's signature (permission for placement of sign on the property or building). 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. 9 % APPLICANT SIGNATURE: DATE: 0__(7_0/ I hereby authorize the applicant to f ace ign on my property or building: OWNER SIGNATURE: DATE: QTown of Queensbury - Community Development Office - 742 Bay Road, Queensbury,NY 12804