2005-081 Citizens Bank TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050081 Application Number: A20050081
Tax Map No: 523400-302-010-0001-007-000-0000
Permission is hereby granted to: CITIZEN BANK
For property located at: 677 GLEN 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: GLEN ST LLC
PRICE CHOPPER SUPERMARKET Sign
Total Value
501 DUANESBURG Rd
SCHENECTADY, NY 12306
Contractor or Builders Name /Address Electrical Inspection Agency
CITIZEN BANK
677 GLEN St
OIIEENSBITRY_ NY 12804-0000
Plans&Specifications
2005-081 CITIZENS BANK
CHANGE SIGN FROM CHARTER ONE TO CITIZENS BANK
$32.00 PERMIT FEE PAID -THIS PERMIT EXPIRES:
(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 Tn aQueenury; peday, March 09, 2005
/I SIGNED BY for the Town of Queensbury.
Director of Buildigy Code nforcement
y e Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMB0()
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes ftueensbury net FEE PAID
Phone: (518)761-8256 FAX: (518)745 4437
Sign Permit Application
Application & plans are subiect to review before issuance of a valid permit for placement of a sign.
Instructions: 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.
Applicant/Business AA C! :!rCN Q. Owner: � �F" C `Pee-
Address: J MX:e 9.k, Address:
l►K1-'r-tf 14 th
Home Phone: 57 F• 8' , 2S Home Phone:
Email Address: 14 kEIF-15A#41-4F S'rC,1, Cc4 Email Address:
Cell Phone: RX14 Cell Phone:
FAX Phone: S7 ¢-? P-S-O t ,z I- FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: /rs�V o�t tJ g)I! � 1WA/4-e" SZ G'
Address: - A" 5 / v
Phone
Email Address:
Location of proposed installation: Legal Address: 67 1 Ll pd�sACW •�7� Suite No.
Business Complex/Plaza/Mall Name: PKcec C�ap ,L
Business Name: # 4-re re_ b ,4W 4--
Tax Map Number:
Type of sign proposed: X freestanding wall awning projectirg--
If sign is to be illuminated, please indicate: -Infernal _ External _Incandescent _Neon _Other
Do signs currently exist on the property? Yes / `No If YES, list all existing signage:
The application creates a change in th following existing site conditions: fill in all applicable spaces
New
Change in number of signs from to
Change in setback for sign from to
Change in size of sign from to
Change in height of sign from to
Change of wording/copy from CA4 :7 toIF 1�C
Sign Wording/Copy: d
Sign size: Length x Width Total Sq. ft. 14 , 0 0 / Sign Height (freestanding sign) IS
Color and Material to be used: 40 Af V Af#�.r 7
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (walls signs: drawing of the fagade the sign will be located on, indicate sign on fa(;ade)
height of freestanding sign
depth of projecting sign
distances from front and side property lines.
Provide 2 drawings or photos of sign design.
Provide Applicant and Owner's signature (permission for placement of sign on the property or building).
Declaration: Please sign below after you have carefully read the statement:
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,whetkier specified or noted, and that such work is authorized by the owner.
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: � � DATE:
L:\Sue Hemingway\B u ilding.Permit.FORMS\Sign Permit Application.d.)c
• 1/6/2005
UuLUb KEAL ESTATE PAGE 02/02
02/i6/06 TM 00:24 FAX M 002
TC)WN OFF QUEENSBURY Fee Paid:
742 Bay Road, Queensbwy, IVY 12WX Approved By:
(518) 161-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of• location-of sign. < ;
3. Written con se of the owner of the bui. ing or land.
OWNER OF PROPERTY U
ADDRESS TEL.
I(AkE Of APPLICANT
ADDRESS ' TES..
BUSINESS NAME IF DIFFERENT;
TYPE AND LOCATION
Check that Applies: Exfsting _ Permanent Projecting Sign
Temporary Non-conformit' g�x1sting -
Free-Standing Nall New. (D .
Location: Tax Map .Number
Address
Proposed Setbacks from Property Line' (front) (side)
IF sign' is to be illuminated, please check appropriate box:
Internal ( )', External { ), Ineadeseent ( ), Neon { )', Other { )
Size of Sign: Width � ft. Length _ ft.
Total Square Footage:
Sign Copy:
Color and Material To Be Used:
Signature:
CircleOne: Applicant, owner co tractor or a ent.
I HEREBY AUTHORIZE APPLICANT "k myt OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-4olican'
Reface Existing Tenant Panel Existing
Citizen's Greer) Background W/White Copy `` Philadelphia Sil
Proposed
CITIZENS
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v 417, MAP NO. 142
GE
ORGE S.H• NO 1.74 DATED JULY 3,
R-1, PARCEL NO.
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