2006-659 City & Country Real Estate TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060659 Application Number. A20060659
Tax Map No: 523400-301-008-0001-016-000-0000
Permission is hereby granted to: CITY AND COUNTRY REAL ESTATE
For property located at: 366 AVIATION 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 Value
Owner Address: KIT ELLEN BURKICH Sign
366 AVIATION Rd Total value
QUEENSBURY, NY 12804
Contractor or Builders Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-659
13.75 SQ FT FREESTANDING SIGN TO READ "CITY &COUNRTY REAL ESTATE"
CHANGE OF COPY -NO FEE
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 29, 2007
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town r
ue bu Fri eptember 29, 2006
4
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
a76",
Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER
742 Bay`Road,Queensbury,NY 12804
Dave Hafrn, Director codes@@ ueensbury.ne t FEE PAI --
Phone: (518)761-8256 rAX: (518)745-4437 Sign Permit Application
.Application & plans.aresubiect to review before issuance of a valid oermit.for.placement of a ,$.
lnstrucHons: 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.
Applicant/Business '� �/ �'j N E e�--K- Owner. C 1✓ �,T a. rJ i31 R K t CN
Address: K. (�l?r(C-E� - G°uS7Ur-� S'�S Address: j
Ito RIChir'\2DSdt� -T 3i�fL ,4J(A-f1�>.� IZb .
Home Phone: our e0S9U oe-y try I Zgo`k Home Phone: QiAEG3:>' L(iEJ,
-Email.Address: Email.Address: '7 9 3 o 7 7
Cell Phone: -` to O 1 ,, Cell Phone:
FAX Phone: Kd �� `�` FAX Phone:
'7,q 3-,LoaE)
Person responsible for supervision of work with respect to Sign Code compliance: S E P 2 0 2006
Name:
Address: a_4- 0-14-VL e-- Phone:
Email Address:
Location of proposed installation: Legal Address: jn AV i AWO fJ RD. Suite No.:
Business Complex/Plaza/Mall Name
i
Business Name: I L(2 Kj C+i -D&)JTI S i g:�J C►-T y C� COU IJ-17e./ PEA k- -tom
Tax Map Number: 30 1. FS - 1 I(p
Type of sign proposed: A_freestanding wall awning projecting.
If sign is to be illuminated, please indicate- Internal X External Incandescent Neon Other
Do signs currently exist on the property? X Yes/ No If YES, list all existing signage:
The-application creates a change in the following existing site conditions: fill in all applicable spaces
New
Change in number of signs from to
Change in setback for sign from to
Change in size of sign from to
Change in height of sign from to
Change of wording/copy from t)A-rweAi,- iAeAL:M aF Qf3yl to &-T y & a-"6n `/ P-,EA -
/ EsTAr6
Sign Wording/Copy: Cal kcn t- &s-i7-A Tf
Sign size:33 Length x Width 13L7S Total Sq.ft. Sign Height (freestanding sign)
Color and Material to be used: I VOK Y C4---DAke_
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (walls signs: drawing of the fagade the sign will be located on,indicate sign on facade)
height of freestanding sign
depth of projecting sign
distances from front and side property lines.
Provide 2 drawings or photos of sign design.
Provide Applicant and Owner's signature (permission for placement of sign on the property or building).
Declaraflon: Please sign below after you have carefully read the statement:
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 SIGNAT"to
DATE: g c)b
I hereby authorize the applicant
a sign/on my property or building.
OWNER SIGNATURE: ��t�C�C! DATE:
C\WINIX)WS\Desktop\Sign Documents\QRY.Sign Permit Application doe
V: 1/6/2005