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TOWN OF QUEENSBURY
(Et 742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110058 Application Number: A20110058
Tax Map No: 523400-308-015-0001-037-000-0000
Permission is hereby granted to: NEW HOPE COMMUNITY CHURCH
For property located at: 454 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
Ordinance. Type of Construction Value
Owner Address: NEW HOPE COMMUNITY CHURC. Sign
PO BOX 4270 Total value
QUEENSBURY,NY 12804-0000
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2010-058
24 sq ft freestanding sign to read "NEW HOPE COMMUNITY CHURCH,EVERYONE WELCOME,
WORSHIP TIMES"
$72.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,June 07,2012
(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 nsb �4s ne 07,2011
e, - i
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY
° TAX MAP NO. �PERMIT NCI.� � PERMIT FEE p
, p
APPROVALS: DEPOSIT " p
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SIGN ----..__-__-....--.........r
A permit crust be obtained before installation of your permanent sign. All applicants"spaces on this application must
be completed andt must appear can the application form.
OWNER: r q ra a� .e�►I�d�' .' Q+ 6%%411A INSTALLEWBUILDER:
At7CIRESS: r�irlMl�v 1c. 11i. tr +1 ,ADDRESS:q_14e{fty 8V041c. )LP,
PHONE NOS. S/- PHONE NOS. � ��y"
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) +C1 M'i �9 1�► R� 1� t � '�"p
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME,
CONTACT PERSON FOR SIGN GONE COMPLIANCE: as \4LPHONE. -793-3110k
TYPE OF SIGN PROPOSED: m freestanding _wall �awning —projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: Internal External )�Incandescenl Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Yes No
IF YES,LIST ALL EXISTING SIGNAGE:
The application creates a change New
in the following existing site Change in number of signs from to
conditions(fill in all applicable Change in setback,for sign from to
spaces): Change in size of sign from to
Change in height of sign from to
Change of wording/copy from: to:.
Sign Wording/Copy: Cc "1-
w r a
Sign size: Length ` at Width =Total Sed. ft. t+ mmSign sleight(freestanding sign):
Color and Material to be used: i ei vrw .
' Provide c pri sof a,,scaled rOWIng or surveyed plot plan With hl fiollowiri �nforimati w
n Location of sign(walls signs: drawing of the facade
the sign will be tatedon,indicate sign on facade) QUESTIONS 7 CALL 761-8256 OR EMAIL
Height of freestanding sign codes(a) ueensbu net
o Depth of projecting sign
o Distances from front and Side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
Providle drawings air phlott s,o sig"n dipsi r. www.gueensbury.net
net
ProVidellicant atld//� flips i tt yre I on
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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„-grid all other laws pertaining to the proposed work shall be complied with,whether
specified or noted,and that such ark fs authorized by the o er.
/
APPLICANT SIGNATURE-. ..,'=- ��a� �';%a",,�,. DATE: -3.
_,.,.
I herebyauthorize the applicant to arae a sign _" p y or building,
pp g Y p
OWNER SIGNATURE: -�`� t =,r P`�: �. S
w:
Town of Queensbury Community Development e~opme nt O fete_ 742 ay Road, Queensbury, NY 12804
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