SIGN-000784-2016 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-000784-2016
Tax Map No: 308.15-1-44
Permission is hereby granted to: Mike Baird
For property located at: 414 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
Owner Name: Mike Baird Sign-Freestanding $0.00
Owner Address: 414 Corinth RD Total Value $0•00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Mike Baird
414 Corinth RD
Queensbury,NY 12804
Plans&Specifications
freestanding sign panel 18 sq.ft.
Room for Paws
$54.00 PERMIT FEE PAID
Dated at the Town of Queens ury; Friday,November 18,2016
SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Office Use Onlv
Town of Queensbury Building & Codes
Received:
' ` Tax Map ID:
SIGN 0E`RMIT41P �CATI�I; t c I�o
Permit No.:
Permit Fee: $
Date Applicant try l S S
Tax Map ID Address - r- -�
Zoning _ _.
Property Owner M 13A t (.D Contractor/Agent: h'1
Address q I ��{ i Q Address
Phone S I = 7 - Phone 5'/ v2` n
Contact Person for Sign Code Compliance: Day Phone:
Building Street Address:
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation r 1
Business Complex/Plaza/Mall name
Business name U q t S 1/LS ao cti a
Type of Sign proposed
If sign is to be illuminated, indicate internal _external _Incandescent _,neon —other
Do signs currently exist on property? YGYes _No(if yes, list all existing signage) X l S 1
Change of word/copy From M to
Sign Wording/Copy ,
Sign Size Length x Width =Total sq.ft. 0 S �
Sign Height(freestanding) �' L� `4
Pa
Color&Material to be used
This application creates a change in the _ New Sim
following existing site conditions(fill in all Change in number of signs rom to
applicable spaces) Change in setback for sign from to
Change in size from 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 \ �,�jk
APPLICANT-SIGNATURE: _71 J,,— Date:
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME: 0"l i C V-GZ e- r
OWNER•SIGNATURE: �'�' L(2N Date:
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256