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2014-088 Unique Cigs Electronic Cigarettes TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140088 Application Number: A20140088 Tax Map No: 523400-309-011-0002-036-000-0000 Permission is hereby granted to: UNIOUE CIGS ELECTRONIC CIGARETTES For property located at 4 WESTERN Ave S 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: HAYES & HAYES LLC Sign 297 SARATOGA Rd Total Value SOUTH GLENS FALLS NY 12803-0 Contractor or Builder's Name /Address Electrical Inspection Agency DESIGN SHOP SIGNS & GRAPHICS, INC GREGG SUTTON 315-699-0066 5676 ROUTE 31 CICERO NY 13039-0000 Plans& Specifications 2014 - 088 "UNIQUE CIGS Electronic Cigarettes" SIGN 30 sq ft wall sign $90.00 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 Toreensbt�[y T d y, April 15,2014 SIGNED BY for the Town of Queensbury. Director of Building& ode Enforcement I . •Mr,- E1V L li iv Town of Queensbury Building & Codes L SIGN PERMIT APPLICATION "p l ?R 0 t Fat. t-, —3 i° • o.: t BURY • SS ,.ermi +f g p•�l. CO e, a& Date tAcwcAt- 14 120H Applicant Qr6C Stl1\b3 Tax Map ID 3b4.l 1 - Z -3L, Address S1111/4 ?-o'X 3 t Zoning ClommL:i1c•tyat. Ci V:t© 1 NA 1303cl Property Owner N-P4ES • 11AA-WSLLC Contractor/Agent: ht .!-SiC'U S StC. 0S4- Gcia%t.S.IOC. Address Z9'1 l -W CwO.. Address St,?(, RoUM= 3l .SO.;ctl Gu,4 C-AWUS ,N4 IZbui CtCSO )N4 t3n3cl Phone •51 g' -Ica 4142 Phone 31;--GA q-0(1(0 Contact Person for Sign Code Compliance: 02-c(--G Svc Day Phone: 315- (A'1 044, Building Street Address: 4 '0tr11 viers-c-ctN p"t1Cioc --cows c:G Gtkt=nise a�-t Site Plan,Variance,or Subdivision Approvals Location of proposed installation 4 50tM-k kit-S- ti= tAk-tt-l-)C Business Complex/Plaza/Mallname j3prui.tMILt. PkyaZr, Business name UNt CQJ , . u C ' CAA,.Cre-CACI t C. C.t 6rtm-5 Type of Sign proposed CakwitE L Le-M-4LS pit ?_aix-vt. If sign is to be illuminated,indicate A internal _external _Incandescent _neon other Do signs currently exist on property? 4 Yes _No(if yes,list all existing signage) Change of word/copy From to Sign Wording/Copy U tlt auC CICS a'EC tali. C1(ofwt TTt S Sign Size Length x Width =Total sq.ft. 30 Sign Height(freestanding) Color&Material to be used ?OLy L'ts,2Aotici pw. tut.h l SU-A.1.1L v,1tFt h u t pao,;Th CA This application creates a change in the a New following existing site conditions(fill in all Change in number of signs from to applicable spaces) Change in setback for sign from to Change in size from to Change in height of sign from to Declaration: 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. APPUCANT-PRINT NAME GG .SO iiL23 APPLICANT-SIGNATURE: LGr�ir U Date: 3 -2` - lH Declaration: I hereby authorize the applicant to place a sign on my roperty or ilding: J OWNER-PRINT NAME: 1 1611 r c' l J T-/ y lJ /741(1 1 1 C ) OWNER-SIGNATURE: l Date: 7-311/4/ Town of Queensbury Building&Codes Sign Permit Application 518-761-8256 i LLLLLLLLLL I ► SP y t„c..ri lid, t i di I , (, ,y /!'l app . i 09 pti 1 t 414 7, ' al ' (44 lii i‘i, ii .toi ii l' ,i, a ...0 I_ , _ 9 1 iliQ , :‘„,. II .11,41 ' . k \` -•---' ,: .. : v., h'''<1 .14,-) , .11 i t. o ,if. 1 i lc bs- -411in , ' 1 i 1. ill III I 6( ‘Sti ii PH ) T d "it' c7\t!I_1 1 -,S,"kat/ I I I cy ' U it 1 lir 9 -I • ' Ili\ii Ci.1 .i. f/ 1 1 if '10 li ' -' \ \I )11 ;• Oil '' e , 0 li!`,i' Ill rrifri.-e. may.0ki to 44i,4. -...,1 1111 1 '011 Si • t) ' , 1 ,ti,? , - . 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