2005-082 (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: P20050082 Application Number: A20050082
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 Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-082 CITIZENS BANK
39.27 SQ FT WALL SIGN
$78.00 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 To f Queens ury; hursday, May 05, 2005
SIGNED BY for the Town of Queensbury.
Director of Building Co nforcement
Building&Codes office-Department of Community Development-Town of Queensbury PERMIT NUMBA� U(,
742 Bay Road,Queensbury, NY 12804 ��
Dave Hatin,Director codesQaueensbury.net FEE PAID
Phone: (518)761-8256 FAX: (518)745-4437
Sign Permit Application
Application & plans are sub eectto 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 �� C- Owner: G C/�ePW
Address: c rL t2 b Address:
/,.+7-t.4M Aly 10217 0
Home Phone: S7 P-9?A -6/p'3 X ems Home Phon
Email Address: 4 CAh Cor. Email Address:
Cell Phone: R a'=AV s-.�L x 6 Cell Phone:
FAX Phone: Jf 1* 1 -? €3 -O/A p FAX Phone:
v
Person responsible for supervision of work with respect to
Sign Code compliance:
Name:
Address: I. h vit i)-ile PhoneS7r"-'3
Email Address: E,��t ffx ,4�E y�.=aw ,Cp A? x Z5
/ , yin
Location of proposed installation: Legal Address: lo_ gor& 63,Ars P/L' Suite No. pe��'V I�
Business Complex/Plaza/Mall Name: Ae VCR 0 4#120E /A--
Business Name:014,4/tire,/L o Atc n A yk
Tax Map Number:
Type of sign proposed: freestanding wall awning projecting
If sign is to be illuminated, please indicate: Internal _ 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 the 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 c�S'. a7 5 F
Change in height of sign from to
Change of wording/copy from to e-V CNS 3 4W
Sign Wording/Copy:
Sign size: Lengthy Width��-Total Sq. ft. S,97 / Sign Height (freestanding sign)
Color and Material to be used: alwa + w *rm W N Po -
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (walls signs: drawing of the facade the sign will be located on, indicate sign on facade)
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,whe er specified r noted, and that such work is authorized by the owner.
APPLICANT SIGNATURE. DATE:rV
S 5
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: 41 DATE:
L:\Sue Hemingway\Building.Permit.FORMS\Sign Permit Application.doc
V: 1/6/2005
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02/19/08 TUE 09:24 FAX IM 002
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFOP ATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of, location•of sign. t
3. Written conse of the owner of the bui. ing or land.
s
OWNER OF PROP&rY u G 6
ADDRESS TEL.
RA14E OF APPLICANT
ADDRESS * TEL.
BUSINESS NAME IF DIFFERENT;
TYPE AND LOCATION
Check What Applies: Existing _ Permanent Projecting Sign
Temporary " ' Non-conforming�xisting
Free-Standing Wall New.
Location: Tax Map "lumber
Address
Proposed Setbacks from Property Line' (front) (side)
If sign is to be ill-uminated, please check appropriate box:
j,
Internal { )', External ( ), Incadescent ( ), 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 en..
I HEREBY AUTHORIZE APPLICANT LA MY" R OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-A lican
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BANK
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