2012-019 TOWN OF QUEENSBURY
742 Bay Road,Queembury,NY 12804-5902 (518)761.8201
Community Development-Building&Coda (518)761-82M
BUILDING PERMIT
Permit Number: P20120019 Application Number: A20120019
Tax Map No: 523400-308-019-0001-066-000-0000
Pemtission is hereby granted to: FIRST FLAME FIREPLACES
BRIAN NELSON
For property located at: 475 CORINTH 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 YaluOrdinance. I of Construction
Owner Address: BRIAN NELSON Sign
114 DIXON Rd Total value
QUEENSBURY,NY 12804-0000
Contractor or Builders Name/Address ElectOW Inspection Agency
Plans&Specifications
BP 2012-019 First Flame Fireplace,LLC
24 sq.R. freestanding sign(freestanding sign is preexisting without any"copy") New Sip COPY: [Stove
Inserts Gas Wood Pellett Coal 798-2220]
$72.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If s boast period is required,an appacadan for an ommim must be made to the cede Enfornemeut fNater
of the Town of Quesnabury before the capitation deft.)
Dated at the Town of@' enab W t Yt dsy,January 185 2012
SIGNED BY or the Town of Queensbury.
Director of Building&Code En orcemettt
.................................................................. .............
�OO- �-1 " l�OFFICE USE ON'Y�l �� 0 D �._`�n E
f TAX MAP N PERMIT N ERMIT FEE i
APPROVALS: DEPOSIT JAN 1 2012
.................................................................. : ...............
SIGN PERMITAPPUCATION. e
A pamdt must be obEalrusd boilers Ineagaaon of your pernh-- oWL All applksift
be oompltlad and must appear on the applkodon torn.
OWMER: N6 LS UA) INSTALLERSUILDER: Carr ( eanl); ls'<Di1
ADDRESS: 4'7:�- Cp✓I Ink 'c a / ADDRESS: QWf-nabufLiI �D
PHONE NOB. 5 (T - ?9 . •ZZ2,0 C W C ) PRONE NOS. 5 IT -'7
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 4 7 Y- CCY L-4'(n RQ1"
BUSINESS COMPLEX/PLAZA/MALL
NAME: S T- Pt_AAA.t= Pr L IP F-S
BUSINESS NAME 'r F L s L C-
C4 CONTACT PERSON FOR SKIN CODE COMPLIANCE: fLa n PHON • -7� "Z 7-U _ -
U\���f TYPE OF SIGNPROP090: .91 Nq _ran _MR" _IxoJaakq fppp'i'i��WWrrrnnn,+++ �j�
(.�bY IF BON 18 TO BE ILLUMINATED,PLEASE INDICATE: )(Inrnw _Eft mel _IncendewoM _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? a _No
1 UST ALL EXISTING NONAGE: 6LU Ltd i AJL, S L G A)
�ex.«
The application cubs a change '_Now
In the folowing existing site Chonpe in number of signs from to
conditions pill in oil applicable Charge in setback for sign from to
spaces): Cher"In Was of sign from to
Change in height of sign from to
X—Change of wordhploopy from: (R!0� to: t;(a 5 T- PL A+u t Fi h2eC LAC£S
SignWordlnplCopy: 5-I-pv4s • -T-P,)5tR-" Gu> - weoD , P.L. ILL-i - Coal -790c,22-7L
Sign size: LsngM--�L x 1Mdth 1Q_■Total Sq.ft. Sign Height(freestanding sign):_L Z.)
Color and Material to be used:_&f 52�p -./7- 13 f)•N I?)cis 77 A) G Sq u a h'2 n'I.e.-fa.Q QLCt lu ree4tu5 k'
✓ Provide 2 copies of a scNed drewirg or surveyed plot pan with the following Information: 51 /Ili 0 rl -�D1O ,
G Location of sign(welt e1pr: arm"of to few*
the eqn wS bo Iocaled on.InheoNo ollph on hgede) aeTIONs? CALL 7Msfls OR WAIL
o Height of freesanding elpn codahmausenaburv.not Or
o Depth of pmIseling sign �
o Distances from front and side property tins. VOT OUR wIMM FOR Y INPOMATO 4
✓ Provide 2 drawings or photo of sign design. www.aueensburv.nat
✓ Provide Applicant and Owner's signature(perrmisslon t4i
for pacerneM of sign on On property or building). m
iiiiijkMift: To the bat of my knowledge,the staternena contained In fit applkstlan,Wg*w with the plena and
specifications submitted,we a true and complete eta- ont of all proposed work to be dons on the described premises s
all prwAslons of fit Zoning Ordinance,and all other Ism pertaining to fts proposed work shall be compiled with,whother as
spselAed or noted,and that such work Is authorized by the owner. Oh
APPLICANT SIGNATURE: 11 it' e� DATE: C
I hereby ou tharke ds applicant to pace a sign on my property or building. tr
OWNER 81GNATURE: 15. S DATE: r (b— z-
Town of Queensbury a Community Development Office a 742 Bay Road, Queensbury, NY 1280 LL
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