2005-931 200 Glen 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: P20050931 Application Number: A20050931
Tax 1\/Iap No: 523400-303-019-0001-052-000-0000
Permission is hereby granted to: 200 GLEN ANTIQUES
For property located at: 34 LOWER WARREN 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: ROBERT & ARTHUR DE AVILA Sign
39 MASTERS COMMON NORTH Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-931 200 GLEN ANTIQUES
50 SQ FT FREE STANDING SIGN
$100.00 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 of *j-, December 15, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Building&Codes Office-Department of Community Development-Town of Queensbur_y, PERMIT NUMBER''/ +
742 Bay Road,Queensbury,NY 12804 �� _ i� 'fI� i { - �. j
Dave Hatin,Director codes@aueensbury.net t �I FEE PAID
Phone: (518)761-8256 FAX: (518)745-4437
DEC 0 6 2005 f
Sign Permit Application TOWN OF
Application & plans are subiect to review before issuance of a Va'lidrpermit--foY-.-placement of a sign.
Instructions: A permit must be obtained before installation of your perm e t sign: All-applicants' spaces on this
application must be completed and must appear on the application form.
Applicant/Business 245D [� +i, Ake - Owner:
Address: 3 �, � (,�r� f;pn SfiAddress:
Home Phone: - Home Phone: �a 2_- ft g
Email Address: d fiEmail Address: 4aQ
Cell Phone: Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: v (ke, v'i tG._
Address: 2 h,_X-V Phone-
Email Address:
Location of proposed installation: Legal Address: ` Suite No.
Business Complex/Plaza/Mall Name:
Business Name: Zn
Tax Map Number: "—
Type of sign proposed: freestanding wall awning projecting
If sign is to be illuminated, please indicate: K Internal _External _Incandescent _Neon _Other ��JJ
Do signs currently exist on the property? K-Yes / _No If YES, list all existing signage: t6 1,04
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
K-Change of wording/copy from �;ke_aX 4Li L. e to ZO-D �.P..(�� Gt.AfrjA Q,5
Sign Wording/Copy: 2,6Z 1rr4&� Alii±,�� CA I u)Gz, 5 Rky jwl ) -79 2-0 j -L
r / � /
Sign size: Length �U x Width =11 Total Sq. ft. 5D / Sign Height (freestanding sign)
(A � Sn
Color and Material to be used: kk -tom-- haLG K i k
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (walls signs: drawing of the fapade the sign will be located on, indicate sign on fapade)
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 n ted, and that such work is authorized by the owner.
APPLICANT SIGNATURE: 4DATE:
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE� DATE:
L:\Sue Hemingway\Building.Pemiit.FORMS\Sign Permit Application.doc
V: 1/6/2005
RECEINIED
DEC 0 6 2005
TOWN OF QIUI-EENSBURY
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