2001-792 fk TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010792 Application Number: A20010792
Tax Map No: 523400-296-008-0001-001-000-0000
Permission is hereby granted to: MICHAELS GROUP. L.L.C., THE
For property located at: HAVILAND 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: MICHAELS GROUP,L.L.C., THE Sign
10 BLACKSMITH Dr Total Value
SUITE 1
MALTA,NY 12020
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-792 WAVERLY PLACE
2-FREESTANDING SIGNS AS PER APPLICATION
ONE LOCATED AT THE NORTHERN ENTRANCE AND ONE AT SOUTHERN ENTRANCE
$96.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,November 06,2002
(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. .Town Q eeny. T. esday,November 06,2001
SIGNED B,ei,Y r Al :� for the Town of Queensbury.
�.
Director of Building&Code Enforcement
,
Fee Paid: z.
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #: ,---- ,k 2 t`; f /• } ,.._-,r,
(518) 761-8256 - , ``..
SIGN PERMIT APPLICATION '
THE FOLLOWING INFORMATION IS REQUIRED-: '\
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign. ; •'
3. Written consent of .the owner of the building or land. ?�=` L,
OWNER OF PROPERTY 1114 K4,cLfG .2k A,A4nAil
ADDRESS (v 1Vr 3A "(Lc,,,r . (-(`-k. T► ��}-�... TEL )1 ( I�' -ex' �'
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C ` ( t 11 H 1 t� ('
NAME OF APPLICANT'�.�J,eA-t �•h�,�•-� ( 1 �n li , � .a c•_ -12.4A: >..n
ADDRESS Air s Erb l 2.r`L TEL. ,a¢-6 0.. ..
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing —_ Permanent — Projecting Sign __
Temporary Non-conforming Existing ` ,i
Free-Standing — Wall — New —_
Location: Tax Map Number - -
Address ' POI'au A-,oN, 4-re. .s-Le_ ") ( I3t,-u-e.ck (21.fr .,,: _ .
Proposed 'Setbacks from Property Line (front) — (si.de) —
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( lc Incadescent ( ) , Neon `( . ) , Other ( `,t)
Size of Sign: ,-Width ? ft. Length • 3.� _ ft.I
4 Total Square Footage: — �' --y 1'`,t ' ,
Sign Copy: N; �.(.()c-ne c ' ,
Color and Material-To B.e`U1s d:- .
Signature: (12
Vr- r-��. _ ..
Circle One: Applican, owner, contractor or agent..
I HEREBY AUTHORIZE,.:APPLICANT TO PLACE k,SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: P-`P Or--
ORIGINAL-Office Copy COPY-Applicant
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Fee Paid: '_?\ .i (! 1\J„-`C , ,
te i ~ . . TOWN 'OF QLTEENSBURI' ;1;�S? ' ;,,_3
.7.42 Bay Road, Queensbury, NY 12804 Approved By: . - . , �`
Permit #• ,, �;' . ---a'
(518) 761-8256 _'' s o_.
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land. 3
s.
OWNER OF PROPERTY 9 ko [qv(Ac(ei c (c,Tau P
ADDRESS I.c� In e t',w -R t tC4 —1haR��J�� ,--(
TEL. St;e , r ( '-exr- 0 ..
NAME OF APPLICANT .1v-i, C1 )
-
ADDRESS tl,c, AdL-tsv TEL. ak-�? -- .
BUSINESS,,NAME IF DIFFERENT:' -
s (, - ' 'TYPE AND LOCATION ty.
Check What Applies: Existing _ • • Permanent /'' Projecting 'Sign __
Temporary 'Non-conforming Existing __
Free-Standing Wall New
Location: Tax Map Number ,
Address � : r (� � � t . Cs
Proposed Setbacks from Property Line (front) S. (side) IS
If sign is to be illuminated, please° check appropriate box:
Internal ( ) , External ( 1) , Incadescent ( ) , Neon ( ) , Other ( )
,
Size of Sign: Width c ft. Length 3 ft. .
Total Square Footage: < dc/
Sign Copy: �?o,..)�(,U %R._LP
Color and Material Tolle,-Used:
Signature: ,� "� { . _
Circle One-:' (Appl i cant;' owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: (A) - -
_ ORIGINAL-Office Copy COPY-Applicant
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road 2
Queensbury,NY 12804 Arrive am/pm Depart `a�m/pm
Inspector's Initials V�-
NAME: ,io,o,C6,—(-1 (U Y PERMIT# 15( - 7
LOCATION: (13 W6--V2 L-- rz-- DATE : b 3 1 6 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-1-
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from frees g
for 48 hours following the pla - vent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In N.
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
uct work or piping in
unheated spaces R-
oper Vent,Attic Vent ✓///C- CO` j ,2 (UC$ .
Franung J r—U
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
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Sign: 3'x81 .
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54"
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36'
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36'
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24"
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( 24" >)(
! i 96"
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