2005-096 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050096 Application Number: A20050096
Tax Map No: 523400-296-017-0001-044-000-0000
Permission is hereby granted to: IT RF;NT AT J,
For property located at: 20 SWEET Rd
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: GEORGE & JEAN B WEEKS
131 MONTRAY Rd Sign
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-096 U RENT ALL
45 SQ FT WALL SIGN
$90.00 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 T of ueens xv;
da , March 10, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBERS d��o
742 Bay Road,Queensbury,NY 12804 ��—
Dave Hatin,Director codes@aueensbury.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 AJ ii 7q /I Owner: 6)E
Address: WF Address:
a
Home Phone: 1 Home Phone:
Email Address: Email Address:
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: P/Aer.. "I' iC .N
Address: u 1✓ -i 20T A-6. Phone
Email Address:
Location of proposed installation: Legal Address: )o �u)a f Q u p
LJ
Business Complex/Plaza/Mall Name: FEB 9 4 2005
Business Name: � I��rV ► f}l
f !,�/ TOWN OF OdEENSBURY
Tax Map Number: ��, [ �-I _ T / ZONING OFFICE
Type of sign proposed: freestanding wall41J awning projecting
�r�
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
A- 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 to
Sign Wording/Copy: c ( Au"aF� ,
[�Sign size: Length h x Width 7`� =Total Sq. ft. J s / Sign Height (freestanding sign)
Color and Material to be used:
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 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,whether spQOied or no , and that such work is authorized by the owner.
APPLICANT SIGNAT �E* ��/ DATE:
I hereby authorize the appli to plq<a sign on my roperty or building.
OWNER SIGNATUR / DATE:
L:\Sue Hemingway\Building.Permit.FORM S\Sign Permit Application.doc
V: 1/6/2005
Oj
081
77
41
kv
x
a w 3
`Rl h t ,4.T[(•__i .P t"
'Ab .,s- 4I %8TM J 1 2 vim
1
t t
s a''
ry
A'[p Few Y�-f
U,
iA
t¢ 4 Y F , $
Swee4eo C
Su It, VO_ 'bRt V't
6eOK
bc4e _
/vlea/oY
y7- /11ar . ),No t / yy iication
0 1 2004
Administrator
TOWN VF OUEEN38URY
`L
� e F
l
k�
�.J
i
l �
ti
:Si"e,
s
Jib,
♦ '.
r
j
W o mW
UU
a W
.
m 0Z
� u S W
S
N
t
R
R..
ti
f
t' 1�
S.
^'�,.+p a±. 12'+F7` Yfu,M,lgv, � A .,:♦-iFnr ..3-- .Wnm'.3d
t
n
n
i f i t
5
r
}
r
V
1
c �� c