2006-502 Ca$h for Gold & Diamonds TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060502 Application Number. A20060502
Tax Map No: 523400-296-017-0001-05 1-000-0000
Permission is hereby granted to: R &T ANTIQUES
ALEXANDER POTENZA
For property located at: 870 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: ALEXANDER POTENZA
FRANK BORK Temporary Sign
403 GLEN St Total Value
GLENS FALLS, NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2006-502 R&T Antiques
TEMP SIGN TO RUN FOR 36 DAYS TO READ "CA$H FOR GOLD AND DIAMONDS" July 25 -
August 29, 2006
$30.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 29, 2007
(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 Town Que bu Frid eptember 29, 2006
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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TAX MAP NO.—___----PERMIT NO. _— DEPOS : v ! -JUL 17Diu 11
APPROVALS:
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-----------PERMIT FEE: � I;..: , •.:
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TEMPORARY SIGN PERMIT APPLICATION:
Applicant In,Lormation
Business In ormation
Name: _T ✓1�'AAke T
Contact Person V V rr� �►
Address: _ -- '�— ---
— Address: ------ -------------
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Phone No. � � � --------------�-
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Sped is In rmation abo t our Sim
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� i _ Along with your application, �i�zy��
✓ What is the date for placement of your sign? - please submit:
/��� /��✓ What is the date for removal of your sign? _ _ o Detailed drawing or photo
✓ How many days will your sign be displayed?___
of sign
- �� Plot Plan of location of
✓ Indicate exact address for placement of sign: — s;,,n
✓ Indicate tax map number for your parcel:
Note: Failure to Remove sign at
✓ Indicate the type of sign you will display: expiration may result in forfeiture of
deposit as per the Code of the Town of
_—Wall Sign (cannot exceed 32 square feet) Queensbury, Section 140, Subsection
-_Freestanding Sign (cannot exceed 16 square feet) 140-4(Local Law No. 11, 1993)
✓ What are the dimensions of the sign? S'X_ _=—A___sq.ft.
✓ I 'sate in words what your sign will say: 1.,
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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, and all other laws
pertaining to the proposed wo shall be c lied with, whether specified or noted, and that such work is
authorized by the own
If I
APPLICANT SIGNATURE:_ DATE:_
I hereby authorize the Wplicant to DIACa gn n property or building:
OWNER SIGNATURE-_ DATE:
Town of Queensbury- Co unity Development Office• 742 Bay Road, Queensbury, NY 12804
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