96-2075 N.E. Solar Guard Window Tinting Fee Paid: G16
TOWN OF QUEENSBURY OCT 31 -.Qs
.p. : ,ed By:
742 Bay Road, Queensbury, NY 12804
Permit #: q&-)-0
(518) 761-8256
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY C-fv1l j(der
ADDRESS ! 1 .1 Qfi1 ee6a'.ory'/7 if. a TEL. 15/?
NAME OF APPLICANT ► "
ADDRESS TEL.
BUSINESS NAME IF DIFFERENT: 1\A{) i)an,/ br' card,
TYPE AND LOCATION
Check What Applies: Existing __ Permanent C Projecting Sign __
Temporary Non-conforming Existing __
Free-Standing b' " Wall —_ New
Location: Tax Map Number _ -Address - -- �-
Proposed Setbacks from Proper Line (front) _ (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (-b) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length — ft.
Total Square Footage: IF I S
Sign Copy: Wire 11-41;.-2, 19e,116 Co/ ftl ieq /- 4(5 'h ! se-7 fg-5SS5
Color and Material To Be Used: Bid) k)I}j-ft
Signature: C4/0
Circle One: plicant owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TOPLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: l �:PR_� G �i`
ORIGINAL-Office Copy COPY-Applicant
TOWN OF QUEENSBURY
w DEPARTMENT OF COMMUNITY DFVELC TENT o APPROVED
r Aplication
IIJ BUILDING PERMIT NUMBER AIIIIK
[L, 9- (9 — a.0 7 5 v so 40 \
1. BASIC/BUILDING PERMIT INFORMATION: A '
0. Applicant/Name & Address Agent/Name & Address n TO6t DuE 7 4 Coy
arp anf agent
v H
,Z TAX MAP NUMBER:
C'a.,tir.t `:1 Nmuc,AdLlt&„ /0 '7.r 1 —.3()
Ni l xr,.. �Y M AA PI.:. ,//Clrt AL1ddtt.] � J� ��
`J �� V ~
2. PROJECT DES��ION:
�c,- i _ 4. ____ -❑plot plan (2 copies)
❑ building plan (2)
sewage disposal
energy code
3. PROPERTY INFORMATION: [electrical inspection
Cldriveway permit
SETBACRS REQUIRED ACTUAL. $ ted/signed
CIFEE PAID
Front Yard i/J
Front ( if corner)
Side Yard (1) /r" a NEW CONSTRUCTION
Side Yard (2) /C ❑ ADDITION
Rear Yard a ALTERATION
Width a MODIFICATION
Depth CISION
YES NO N/A
PROPERTY IS IN APPROVED SUBDIVISION
/ limit,
Meets depth, width & square footage requiremen
Preexisting, nonconforming lot with proper setbacks
Required road frontage on public road
Has required off-street parking
Permeable area is adequate / Required:
Building does not exceed maximum height / Max. ft.
Required setbacks from stream, lake and/or travel corn,or
meets requirement
Buffer zones required
Is lot in a Flood Plain Zone?
0 VEfij
4 it
4 ""` A `t 17['_' ERMI ATION:
w peection(s) of the Zoning ❑ Sign ❑ Subdivision
7,2; Ordinance Ordinance Regulations
4,1
w
s 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS:
ACTION FILE NUMBER RESOLUTION DATE
❑ Use Variance
❑ Area Variance
El Sign Variance
❑ Other
Comments:
6. REVIEW REQUIRED BY PLANNING BOARD:
ACTION FILE NUMBER RESOLUTION DATE
❑ Site Plan Review
❑ Subdivision
❑ Planned Unit Dev.
❑ Other
Comments:
REV IFINED BY STAFF DATE COMMENTS
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NOV — 4 1996
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TOWN 8F OM' EENSBURY