2005-602 Boats by George TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050602 Application Number: A20050602
Tax Map No: 523400-226-016-0001-037-000-0000
Permission is hereby granted to: BOATS BY GEORGE
For property located at: 291 CLEVERDALE 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 Valu�
Owner Address: JOHN A BROCK
P.O. BOX 84 Sign
Total Value
CLEVERDALE, NY 12820
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-602 BOATS BY GEORGE
24 SQ FT WALL SIGN
$48.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Tuesday, August 08, 2006
(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 Town orQuee ury ldo st 08, 2005
SIGNED BY /�VI for the Town of Queensbury.
Director of Building&Code Enforcement
Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER 0,5 ' 0C�
742 Bay Road,Queensbury, NY 12804 00
Dave Hatin,Director codes®aueensburv.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 LcA7S 3�/ &5eg G� GN r� ,C er. cs.ra�c } .52
Address: Z-�j/ GC�.1/'r.�2 D�L� b Address: ^3
Home Phone: C 1tJr l940 Home Phone:
Email Address: Email Address:
QttPhone: ->/ 7 - �'s 5 Cell Phone: y"/lf
FAX Phone: 9,9- -7 53— FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: I�0
Address: /2 Phone
Email Address: U p�AVL f<ZaM
Location of proposed installation: Legal Address: �' /1 C � LG Suite No.
Business Complex/Plaza/Mall Name:
Business Name: A75
Tax Map Number: / /�7 A JS-3
Type of sign proposed: freestanding X wall awning proje�c
If sign is to be illuminated, please inAcox/ Internal _External _Incandescent _Neon _Other
Do signs currently exist on the property?ayes / _No If YES, list all existing signage: W14�-4-1- 516'Al M,+AJ 3LP�
!i-16vKJ DoGKSlD
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 _ 1
XChange of wording/copy from T'I o't' ,.c, PQ1} L to
C�N PC L
Sign Wording/Copy: ep4T. ;` Oy 6elrlr f_ (�N -14-F c A cj
it �►
Sign size: Length Z x Width46 =Total Sq. ft. / Sign Height (freestanding sign)
Color and Material to be used: 5�'RSe-tJ/6; A Lr-� SLCS-1A/F-vA-"
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 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 noted, and that such work is auth rized by the owner.
APPLICANT SIGNATURE: 6 � DATE: J
I hereby authorize the ap ica to pl e sign o y rope or building.
OWNER SIGNATURE: DATE: ✓
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