98-3159 Nova Care BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 9R1159
TAX MAP NO. 107. -1-48 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to NOVA CARE
OWNER of property located at 310 BAY RD. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a FREE aIANOTNG SIGN
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
1. OWNERS Address is
310 BAY RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
SIGN TECH
3. CONTRACTOR or BUILDERS Address
99 BURGOYNE AVENUE
HUDSON FALLS, NY 12839
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X) SIGNS
I I Wood Frame 1 1 Masonry ( I Steel I I
7. PLANS and Specifications
4. 50sq ft FREE STANDING SIGN AS PER PLOT PLAN SPECIFICATIONS
(NOVA CARE)
8. Proposed Use
FREE STANDING SIGN
10 January 20 2000
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
20 January 19
Dated at the n f Queensbury this Day of 19
SIGNED BY t ail c for the Town of Oueensbury
Building a oning Inspector
O Fee Paid: jai 00
0._. TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: clg ,' . /s1
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED
J A
N 0 91998
1. Detailed drawing or photo of sign. R
2. Plot plan of location of sign. .rOwN OF ANDS pp
3. Written consent of the owner of the building or la . ggAga Cx
OWNER OF PROPERTY _ Pe 6/'6 .SGc i74 el'
ADDRESS _ 901 / ..44 i `Z / S /• A/&hi /2207 TEL(S78) 76.(- ?72(
NAME OF APPLICANT S,, di /2 C
ADDRESS 9 /11-/57(e' I�v� . TEL. 7r? 3 5
BUSINESS NAME IF DIFFERENT: e/
TYPE AND LOCATION
Check What Applies: Existing —_ Permanent V/ Projecting Sign —_
Temporary No conforming Existing —_
Free-Standing Wall __ New —_
Location: Tax Map Number _10 . -_7`�
Address .3 ) 0 f
Proposed Setbacks from Property Line (front) — (side) —
1,1
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width 3' (' ft. Length All( ft.
Total Square Footage: — 7r J
Sign Copy: -- /a704 ref i'
Color and Material To Be Used: I/4:" /e41 „)-7
Signature:
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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