SIGN-000774-2016 Smart Wash Carwash TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Zoning Department (518)761-8256
SIGN PERMIT
Permit Number: SIGN-000774-2016
Tax Map No: 303.15-1-12
Permission is hereby granted to: Smart Wash of Queensbury LLC
For property located at: 708 QUAKER 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
Owner Name: Mike Seale Sign-Wall $0.00
Owner Address: 51 Lehland DR Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Michael Greenough
77 Masters Common North
Queensbury,NY 12804
Plans&Specifications
Wall Sign 60 sq.ft.
Sign Copy: Smart Wash Carwash
Cross Ref.SV PZ 238-2016
$180.00 PERMIT FEE PAID
Dated at the Town of Queensb y; Tuesday,November 8,2016
SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Building & Codes
r.: eceived: I I - 7-
SIGN PERMIT A
"t i ( Pe�rut No.: �'�- U I
L NOV 0 2016 � , grr'' it Fee:
Date ( I �,;%� �t= art,;4pyillwli'�' YV�(L✓� u i{ G
Tax Map ID �Z 'Address_. ._. .. 08 itA �l I°
Zoning
Property Owner Contractor/Agen '( t� �r�
Address JAI k-ehlcnd Dr,,�'_ Address
QI�,2✓�5bcrr N /d�'c�
Phone Phone
Contact Person for Sign Code Compliance: Y�I ( � l�lr � ` �1 Day Phone: S Iy y o� ZL/q 3
Building Street Address:
Site Plan,Variance,or Subdivision Approvals .o
�O o
Location of proposed installation ytt p, KILL N M
Business Complex/Plaza/Mall name N
N
Business name Y.f
Type of Sign proposed ^ N
If sign is to be illuminated, indicate —internal —external _Incandescent _neon _other
Do signs currently exist on property? _Yes _No(if yes, list all existing signage) v> 2 c
Change of word/copy From to d) u
Sign Wording/Copy jM&K--}- Wksh aywo-s h a a
Sign Size Length 5 x Width =Total sq.ft. c
Sign Height(freestanding)
Color&Material to be used (I W U ° v e
vn
This application creates a change in the New <3 '^
following existing site conditions(fill in all Change in number of signs from to O c
applicable spaces) Change in setback for sign from to
_ Change in size from is* to
Change in height of sign from to
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-PRINT NAME 3}'YlF "+ P'ulA tug ' Alwi ,
APPLICANT-SIGNATURE: ` ate:
Declaration: I hereby authorize the applicant to pl e a sign o y property or building:
OWNER-PRINT NAME: ill( u_"d
OWNER-SIGNATURE: !� 4wi!5f—
Date:
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256