2008-564 Roof Sign "Main St. Exchange" TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080564 Application Number. A20080564
Tax Map No: 523400-309-014-0001-012-000-0000
Permission is hereby granted to: MAIN STREET EXCHANGE
For property located at: 108 MAIN St
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: PATRICK MERRILL
108 MAIN St Sign
QUEENSBURY, N.Y. 12804 Total value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2008-564
36 SQ FT SIGN TO READ "MAIN STREET EXCHANGE"
$72.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, November 05, 2009
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the T o ee W dtday, November 05, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
.___-`_________________________ _______/ 1�_��____..____.__--_
11/ //a' I f OFFICE USE ONLY e
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TAX MAP NO. PERMIT NO PERMIT FEE ;
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APPROVALS. DEPOSIT
----------------------
SIGN PERMIT APPLICATION.
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completed and must appear on the application form. 1 � I
OWNER:��� C4119619 09LL INSTALLER/BUILDER:JQ)ia-) 3CUENirV�l�1cV�/'/%irUlr S �b
ADDRESS: 0$ ADDRESS: Z0 45�wd er
PHONE NOS. PHONE NOS. 7q,3 '- 12 1 1?
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 0� M AjYV -S 7-
BUSINESS COMPLEX/'P/►LAZA/MALL NAME: I p�M lq I o ST-
BUSINESS NAME: t' k9 1IV s aeiaa ��ITIj�}{�/(,-t 7ry
CONTACT PERSON FOR SIGN CODE COMPLIANCE: �tU 31 Z"ESN(N � -[PHONE: -r 3 12( 0
TYPE OF SIGN PROPOSED: freestanding _wall awning _projecting f2 G o F
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: —Internal —External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? 4Yes _No IF YES,LIST ALL EXISTING SIGNAGE:�{�5 rbe rZcfAj'K
The application creates a change New
in the following existing site _Change in number of signs from to
conditions(fill in all applicable _Change in setback for sign from to
spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy: S��- OTT-A( H -l)
Sign size: Length U6 x Width -3 =Total Sq. ft. J(0 Sign Height(freestanding sign):
Color and Material to be used: S�� Aft-T A-C-\7t-D
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of Sign(walls signs: drawing of the facade
the sign will be located on,indicate sign on facade)
o Height of freestanding signC_-�QUESTIIONS? L 761-8256 OR EMAILo Depth of projecting sign ensburv.neto Distances from front and side property lines. OR MORE INFORMATIONProvide 2 drawings or photos of sign design. nsbury.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 Ordina ce, I other laws pertaining to the proposed work shall be complied with,whether
specified or noted,and that su Q s aut orized by the owner. I �j
APPLICANT SIGNATURE: DATE: l0 1 6 O O
I hereby authorize the ap i to pl e i n on m perty or building.
OWNER SIGNATURE: / DATE:
Town c f Queensbuiy Community,DE[c lopn lent Office 742 Bay.Road, Que cnshury, NY 12804
5767
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