2006-666 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060666 Application Number. A20060666
Tax Map No: 523400-308-016-0001-003-000-0000
Permission is hereby granted to: PAPA'S DINER
For property located at: 398 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. Type of Construction Value
Owner Address: CHARLES & BARBARA SEELEY
398 CORINTH Rd Sign
Total value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-666 Papa's Diner
New Freestanding Sig: 48 SQ FT FREESTANDING SIGN TO READ "PAPA'S DINER POT LUCK
SPECIALS GOOD HOME COOKING"
$96.00 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 To of nsb *aplember 29, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
___---'OFFICE USE ONLYR________.___"__ .. _0 ;�" _-............../
3
TAX MAP NO. PERMIT NO.06` PERMIT FEE '
APPROVALS DEPOSIT FEE , SEE' "06
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.
Ch A 4- -BA b
OWNER: INSTALLER/BUILDER:
— �
ADDRESS: �� ��er�l�aac, ri�s� ADDRESS:
PHONE NOS.`��P3 ��,iO� duo - lad l PHONE NOS. �K�
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS) T
4A� --Rti ,
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME:
CONTACT PERSON FOR SIGN CODE COMPLIANCE: P_ J 2 PHONE: 7
TYPE OF SIGN PROPOSED: X 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:-Wn L.d
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): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy:
Sign size: Length x Width / =Total Sq. ft. °� Sign Height(freestanding sign):
Color and Material to be used:
✓ 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 QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes(ft ueensbu ry.net
o Distances from front and side property lines.
VISIT OUR WEBSITE FOR MORE INFORMATIO
✓ Provide 2 drawings or photos of sign design. WWW.ciueensbury.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 SIGNATLI DATE:
I hereby authorize the applicant to place a sign on my pro y or building:
OWNER SIGNATURE: DATE:
B 6-LGL 11-05
Town of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804