2005-848 R & T Antiques TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050848 Application Number: A20050848
Tax Map No: 523400-302-006-0001-015-000-0000
Permission'is hereby granted to: RICK HAVES
For property located at: 729 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: RICK HAVES Sign
MICHAEL FITZGERALD Total Value
63 SARA-JEN Dr
QUEENSBURY,NY 12804-1959
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-848 R& T ANTIQUES
24 SQ FT FREESTANDING SIGN
$48.00 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 Town M=4
Th - fd , April 06, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building&Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER :L/ �G�
742 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codesQqueensburv.net FEE PAID tJ
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 complet�e}d-and
� must appear on the application form.
Applicant/Business Q, I ✓'I R�,�0 k-f Owner: N C�Gti,l 'F±2,, v-6k �
Address: 7a Uppe, S-I- Address: '7a U ov, ( f
Home Phone: 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: dwh
Address: ka, u4f Qr a tl�UA* f h, JA/-f Phone
Email Address:
Location of proposed installation: Legal Address:\•. l_ n �f S� Suite No.
.Business Complex/Plaza/Mall Name: +rl �i f�yUr[t J et 7-2,0ll
Business Name: l ENIt®
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Tax Map Number: 1p LS—' , .0 M5
Type of sign proposed: freestanding wall awningS
TC �F(� pE
gU1LDIN A �09E
If sign is to be illuminated, please indicate: _Internal _External _Incandescent _ on _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
Change in height of sign from to n
Change of wording/copy from to U�11 /elf j
Sign Wording/Copy:
Sign size: Length x Width 4--=Total Sq. ft. / Sign Height (freestanding sign)
Color and Material to be used: L 10-1\
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, whether specified or noted, and that such work is authorized by the owner.
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant t p e n on my property or building.
OWNER SIGNATURE: `/ DATE:
L:\Sue Hemingway\Building.Permit.FOPMS\Sign Permit Application.doc
V; 1/6/2005
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JUL 141995
TOWN OF QUEENSBURY
BUILDING AND CODE
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OCT .,2 b 2005
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