96-2039 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 962039
TAX MAP NO. 61. -1-34 No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to INTERIM HEALTHCARE
OWNER of property located at 357 BAY RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a FREE STANDING SIGN
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
LISA EVANS 357 BAY ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
MIKE BAIRD SIGNS
3. CONTRACTOR or BUILDER'S Address
414 CORINTH ROAD
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SIGNS
( 1 Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
15 sgo.ft FREE STANDING SIGN AS PER APPLICATION
8. Proposed Use
FREE STANDING SIGN
$ 30 PERMIT FEE PAID —THIS PERMIT EXPIRES 0 19 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24 Day of June 19 96
SIGNED BY 'YY'2.0ON for the Town of Queensbury
B ding and Zoning Inspector
TOWN OF QUEENSBURY Fee Paid:
531 Bay Road, Queensbury NY 12804 Approved By:
(518) 745-4447 Permit #: 3 /
JUN . 1 t
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 Nj(
6114 ,
ADDRESS 3219 Rd.#1 Lake George, N.Y. 12845 TEL.
-bal-ligf_
NAME OF APPLICANT Lisa Evans 7‘t'5--r21
ADDRESS 357 Bay Road TEL. 452-3655
BUSINESS NAME IF DIFFERENT: Interim Healthcare
TYPE AND LOCATION
Check What Applies: Existing x Permanent Projecting Sign __
Temporary Non-conforming Existing __
Free-Standing 2L Wall __ New
Location: Tax Map Number - -
Address (/,�4 ,�� € - ,4
Proposed Setbacks from Property Li e (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ), Incadescent ( ), Neon ( ) , Other ( )
Size of Sign: Width 3 ft. Length 5 ft.
Total Square Footage: 15'
Sign Copy: Interim Healthcare
Color and Material To Be sed: ge of copy only: red/black vinyl
Signature: 4.v
Alba i -c
Circle One: Applicant, IV, contractor
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN MY PROPERTY OR BUILDING.
/ /0
Signature of Property Owner: -fir
ORIGINAL-Ofiice Copy COPY-Applicant
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TOWN OF QUEENSBURY
DEPARTMENT OF C'OM.t,1i h TY DEVEL'�`PMENT APPROVED
w 0 Application
BUILDING PERMIT NUMBER `�,-,1_, CI G - - )4'q 3,,t_,..
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1. BASIC/BUILDING PERMIT INFORMATION: Q
Applicant/Name & Address Agent/Name & Address--- -- ant ent
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51741
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2. PROJECT CRI ION: _
�--,---A,-_ ,, Z _ _aZ_ ___ plot plan (2 copies)
0 building plan (2)
0 sewage disposal
Elenergy code
3. PROPERTY INFORMATION: (electrical inspection
driveway permit
SETS CR':, RHfJi.. ZD ill17r' _AL. Cacompleted/signed
CaCEE PAID
Front Yard /( -t- mai.
Front (if comer)
Side Yard (1) ❑ NEW CONSTRUCTION
Side Yazd (2) El ADDITION
Rear Yard 0
ALTERATION
ElWidth MODIFICATION
Depth CI SIGN
YES NO N/A
PROPERTY IS IN AP ROVED SUBDIVISION
1,ltitr
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 /[itequired:
Building does not exceed maximum height / Max.I !'t. I
Required setbacks from stream, lake and/or travel corridor
meets requirement
\ 0
Buffer zones required
Is lot in a Flood Plain Zone?
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t4gTiON:
• �cti (s) of the0 Zoning_ , L I Sign K Subdivision
Ordinance Ordinance" Regulations
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5.
REVIEW REQUIRED BY ZONING BOARD OF APPEALS:'
ACTION. FILE'NU
t4�IB RESOLUTION DATE
.Use:Variance
O Area'Var nc
{ Sign Variance
`Other
Comments.
6. REVIEW REQUIRED BY PLANNING BOARD:
ACTION' _ FILE NUMBER RESOLUTION DATE
O Site Plan Review
0,Subdivision
Planfied Unit Dev.
❑ Other
_
Comments: °'
F;C i` E ;.. (�r _
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