2006-812 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060812 Application Number. A20060812
Tax Map No: 523400-279-018-0001-004-000-0000
Permission is hereby granted to: WARREN COUNTY HISTORICAL SOCIETY
TOWN OF QUEENSBURY
For property located at: 195 SUNNYSIDE 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: TOWN OF QUEENSBURY
742 BAY Rd Sign
Total value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-812 Warren County Historical Society
7.7 sq. ft. freestanding sign on a 8 ft. high post
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,November 16, 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 o eensb Thursday,November 16, 2006
SIGNED BYWAde
for the Town of Queensbury.
Director of Buildingorcement
.� . 1- .
OFFICE USE ONLY .;
TAX MAP NO. PERMIT NO. ilZPERMIT FEE 0 '
APPROVALS DEPOSIT FEE ;
.................................................................� i.......................J
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.
�� o c,7 ue��s gutY
OWNER: INSTALLER/BUILDER: Stone
ADDRESS: ADDRESS: Sam c
PHONE NOS. sl S' `7V 3— 3 4- PHONE NOS.
LOCATION OF PROPOSED INSTALLATION: (LEGAL ADDRESS)
/9s SumVy a 3 er 2-,Q-c> Qof--. $u2y , Ny '7-74
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME: WA-R +CE:;U C"vAU TY l+-i.S-r0g.,c.,4 4. Sc Ci E-TV
CONTACT PERSON FOR SIGN CODE COMPLIANCE: PHONE:
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? Yes '!No
IF YES, LIST ALL EXISTING SIGNAGE:
The application creates a New
change in the following =Change in number of signs from O to.
md3ting site mnd uuos(iiii in Chai ige 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:
i
Sign size: Length 3 7— x Width !� =Total Sq. ft. Sign Height(freestanding sign):
Color and Material to be used:waodp.t s-4 s eci ~ 64d e 4/A-,P L. ex AA-it
✓ 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 QUESTION:? CALL 761.8256 OR EMAIL
o Depth of projecting sign codaueensburv.neto Distances from front and side property lines. VISIT OUR WEE FOR MORE INFORMAT{0
Provide 2 drawings or photos of sign design. w�vueensbury 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. �I
APPLICANT SIGNATURE:. DATE:
i hereby authorize the applicant to place a sign on my property or buildin
g-
OWNEROWNER SIGNATURE: DATE: ,
boa,.S�C- pin �� �e L tI.US
1
QTown of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804