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2006-510 Freestanding "Jeffrey T. Kilburn CPA" TOWN OF QUEENSBURY 9a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060510 Application Number. A20060510 Tax Map No: 523400-296-019-0001-042-000-0000 Permission is hereby granted to: PRIME GLENNWOOD, LLC JEFFREY T KILBURN For property located at: 79 GLENWOOD 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 Queens bury Zoning Ordinance. Type of Construction Value Owner Address: PRIME GLENNWOOD, LLC 79 GLENWOOD Ave Sign QUEENSBURY, NY 12804-0000 Total value Contractor or Builders Name/Address Electrical Inspection Agency Plans &Specifications 2006-510 5.29 SQ FT SIGN TO HANG ON EXISTING SIGN POST $10.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,July 25, 2007 (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 Town of nsbury; Tuesd y,July 25,2006 SIGNED BY for the Town of Queensbury. Director of Building&Co Enfo ement .............. ._L�j Z . `OFFICE USE ONLY ......... --.. %-_- ...--._- TAX MAP NO. PERMIT NO.©� ��� ' e °( ''�E PERMIT FEE ; 10 APPROVALS DEPOSIT FEE JUL 2 0 2006 ,TOWN OF uj ------------• •-BVItC7lN'GANr�-CbtSE" - SIGN PERMIT APPLICATION: A permit must be obtained before installation of your permanent sign. All applicants' spaces on this application must be completed and must appear on the application form. OWNER: Pri#1 dl ,e`''��1 �G� �� INSTALLER/BUILDER: r'{> ttt---���----- i T�,reV / �ielbZlVM ADDRESS: � i r,�,}�j !_��'y'. 1L 6RESS: �`1� �'7-t/ n�uA X Ve /� / PHONE NOS. ` _�7 ' j.?��L�p� PHONE NOS._ 7f(- 27 LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS) BUSINESS COMPLEX/PLAZA/MALL NAME: BUSINESS NAME: L/_ ,,, /�T^mac, lr�U�,,� CONTACT PERSON FOR SIGN CODE COMPLIANCE:�%� `('>/u�,.� PHONE:_ .2 f? TYPE OF SIGN PROPOSED: freestanding wall awning projecting IF SIGN IS TO BE ILLUMINATED, PLEASE INDICATE: —Internal —External _Incandescent _Neon _Other DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Zes No S �.� p /J /� S�� IF YES, LIST ALL EXISTING SIGNAGE: _(�nloru/L'-�� �KP r- F'o,- The application creates a .�e_W 5`,J�`1 New nxfbT«, '� vn T'os change in the following Change in numb;r of signs from to existing site conditions(fill in Change in setback for sign from to all applicable spaces): Change in size of sign from to Change in height of sign from to Change of wording/copy from: tt / -to: Sign Wording/Copy: \Je__KreV T QV, 1ye'n jl ff Sign size: Length �x Width 27�x =Total Sq. ft. 5' Sign Height(freestanding sign): 1 Color and Material to be used: Vy Dok. v ✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: o Location of sign (walls signs: drawing of the fagade the sign will be located on, indicate sign on fagade) o Height of freestanding sign o Depth of projecting sign QUESTIONS? CALL 761-8256 OR EMAIL cod es(&-q u ee n s b u rv.net o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATIO ✓ Provide 2 drawings or photos of sign design. www.gueensburv.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. APPLICANT SIGNATURE: DATE: —7A,91 ID6 I hereby authorize the a plicant to place a sign on my property or building: OWNER SIGNATURE: DATE: IAil/Q B 6-LGL 11-05 Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804