2004-495 Quaker Plaza TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20040495 Application Number: A20040495
Tax Map No: 523400-302-007-0001-012-000-0000
Permission is hereby granted to: OT TF.F,NSBI TRY 01 TAKER. L.L.C.
For property located at: 118 QUAKER 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: QUEENSBURY QUAKER, L.L.C. Sign
90 STATE St Suite 1411� Total Value
ALBANY, NY 12207-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications .
2004-495 QUAKER PLAZA
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 eens� o my 19, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
� 7/1 3' � ��, Fee Paid: (mod
TOWN OF QUEENS
BEE
CI�ZY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: 0—:K-5
SIGN PERMIT APPLICATION RECEIVED
THE FOLLOWING INFORMATION IS REQUIRED: U 2004
TOWN OF QUEENSBURY
1. Detailed drawing or photo of sign. BUILDINGAND CODE
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY
ADDRESS �(2 S7X} /,� TEL
NAME OF APPLICANT _ /cC)AI 5/rAJ ra /oJc,
ADDRESS �? Q �,f=-V ,2_ �T A TEL. �70-2/lam"
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing __ Permanent �_ Projecting Sign
Temporary Nan- nforming Existing _
Free-Standing Wall __ New
Location: Tax Map Number
Address __2---3- (9f)A !i2�z_490Ar> _
Proposed Setbacks from Property Line (front) jc�- (side) L.4 Q_
If sign is to be illuminated, please check appropriate box:
Internal (N�/' External ( ) , Incadescent ( ) , Neon ( ) , Other (VT
Size of Sign: Width 5-( ft. Length 5 _ ft.
Total Square Footage: _�5n
Sign Copy: _ ,4 — �kkAL `rS V SAY✓1 ZS
Color and Material s �� r,��JQ�-C�/�,Pya--( — G11 UV�, / �1MC4 1G
Signature:
Cir le e: Applicant, own contractor r agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
OAP' QL.'BB:�'SB�.'RY Fee Paid: 0 �i-
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERl1IT APPLICATION
THE FOLLOWING INFORMATION IS REQUIREDmew
1. Detailed drawing or photo of sign. F, 1,L,) ,
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY , X10k C�j�► c ,
ADDRESS 0 STK�?'}�_ TEL. t7 �
NAME OF APPLICANT
ADDRESS I %J TEL. �U-?-/le
�- 23ay
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check .What rApplies: Existing ,T Permanent V/1 Projecting Sign
Temporary Non- nforming Existing
Free-Standing all New
Location: Fax P9a lNumber
Xddre
Proposed Setbacks from Property Line (front) jam— (side)- _4._
If sign is to be illuminated, please check appropriate box:
Internal (V, External ( }, Incadescent ( }, Neon ( ), Other (V�
3t S �
Size. of Sign: Width -!Z:t ft. Length ft.
Total Square Footage: ._K
Sign Copy: (QUAY. " ML�AW 9ALMZS
Color and Material To Be Used: j�r,l���{��p .� &-um, /1qrJ2y lG,
Signature:
Circle One: A plj. , w c. tract ,r or : gent.
I REREBY�AEI NORIIE"AP Pit ICANT TO PLACE A SIGN ON-MY-'PROPERaT�i LUIN6.
Si nature of P ty Owner: Y.
ORIGINAL-Office Copy
MANHOUE
h,RIP; 321,63k7.C, hiANHOLC
IIN.IN 3I2.63 n „z;
lt.T,G,
11W, OUT 302,75 INIV,IN a06,41 I2`C1,
60f,54 6" C.i, a-
t 3 Xp 4 SB ` S SB a SB
-
} 3 f 11 u kas
' g -
`
� � 1 C• 8 SB ' ' :ly },1 ;
`{ PATIO
J //� �a
l� v
orp=S-4k PROPOSED 956811,
• ' ''
PROPOSED .. SO. FT. BANK ,
RESTAURANT.
` L- 6AS METER
;+ h.RIM A.T.G
-IAIV- C-=;A-n— -- --- _ -
4"FP
Ll
' 6875 S FT. "� 'vl ���c%�6
R ET �, -s s 8�PVc ''��, - - 't
TYPICAL SERVICE FOR