2005-459 Vortex ..............
Plot,
-A7
.41h�l S111 L I]IR N"
1li.�, b Ill fjui 1,ply n;3 bf,I" l'A', t J
�n,n�h w, y I' ,� L�p'InM�a�l �w
311',A,
-010 1`11�0,,O 101-1011)(
I'M A SI
152 NIA I�,I, I ,)A
(J'p jt Y,."" �,Njlj('I iRr'W
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050459 Application Number: A20050459
Tay:Itlap No: 523400-309-010-0002-028-000-0000
Permission is hereby granted to: VORTF,X TECHNnT,OGTFS
For property located at: 52 1VIAIN 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. Tyne of Construction Value
Owner Address: 52 MAIN ST. WEST GLENS FALLS
52 MAIN St Sign
Total Value
QUEENSBURY, NY 12804
Contractor or Builders Name /Address Electrical Inspection Agency
Plans&Specifications
2005-459 VORTEX TECHNOLGIES
40 SQ FT FREE STANDING SIGN
$80.00 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 uee u4 sday, June 30, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER.C400 z-YS1
742 Bay Road,Queensbury,NY 12804 ¢� C.1,
Dave Hatin,Director codes®aueensburv.ne t FEE PAI
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 com leted and must appear on the application form.
Applicant/Business �fi.t6C Owner: RNW14
Address: S2. rl 0�n i J Address:
ALI
Home Phone:Phone: Cot -03 Z-1 Home Phone: 34 L
Email Address: C )A Its & Vor k-Cl- o n Email Address: %j•
Cell Phone: 30-1 - `l"�?, Cell Phone:
FAX Phone: t J- C.�32 3 FAX Phone:
Person responsible for supervision
�' of work with respect to Sign Code compliance.
Name: D,V-kS C .1V0I t�.vt ;
Address: 15
T+ec- ✓w, 7) _ Phone
Email Address: _C),aS ® - og 1 \ . Y 1
Location of proposed installation: Legal Address: 52- Al*3 �7, Suite No.
Business Complex/Plaza/Mall Name:
.—,--
Business Name: C �xCf+nl��-� t cS •; `
Tax Map Number: - fi '� �O�E
�� t okjl
Type of sign propose freestanding all awning �' ecting
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:
OA 4-C&M. Lf_ ,A
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
Change in height of sign from to
Change of wording/copy from to
Sign Wording/Copy: S cc A_4c c kcl
Sign size: Length x Width =Total Sq. ft. / Sign Height (freestanding sign)
Color and Material to be used: W 0C) t j o"t
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,whether specified or no that such work is authorized by the owner.
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant to place a n on my property or building.
OWNER SIGNATURE. 114 �/� ' ` DATE:
L:\Sue Hemingway\Building.Permit.FORMS\Sign Permit Application.doc
V: 1/6/2005
'UN
4 TOWN O iUcENSBURY
BUILDING AND CODE
TECHNOLOGIES
4'
Camera & Security Systems
for your Home or Business
www.vortex-online.com
T
2'
615-0321 <-2'--�
3,
3'
s
f
Q � �
'jik
r _ .
We
CANI
44
A0n
-77
f
t :