2004-274 TOWN OF QUEENSBURY
742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201
Vita Q rY,
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040274 Application Number: A20040274
Tax Map No: 523400-296-012-0001-027-007-0000
Permission is hereby granted to: SCHERMERHORN COMMF,RCTAT,HOLDINGS_ T.
For property located at: 536 BAY 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: SCHERMERHORN COMMERCIAL
gn
15F BIRDIE Dr Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
K.D. WHEELER CIJSTOM SIGNS
16 RICHARDSON STREET
OI TEENSBT TRY_ NY
Plans&Specifications
2004-274 SCHERMERHORN REAL ESTATE HOLDINGS
50 SQ FT FREE STANDING SIGN:
Sign Copy: Schermerhorn Real Estate Holdings, Allergy and Asthma Treatment Center
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(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 own Quees • 'nesday, May 05, 2004
SIGNED BY / 4.. for the Town of Queensbury.
Director of Building&Code Enforcement
IOU/0r"^ T Fee Paid: IOU
TOWN OF QL,-EENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
518 761-8256 Permit #: Gr��111)�� Li
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.
OWNER OF PROPERTY SCi..16RmEe- i4o1eJ COr4Hee.L_ 1-40 06-c L-4
ADDRESS btier,.) ,( t,t,e-`/ 13 / TEL. 71 -0(4+
NAME OF APPLICANT oLL1 / EE�'12
ADDRESS I(>? 12 ic44A-RD 6„ / TEL. $ 'rr
BUSINESS NAME IF DIFFERENT: X.:b. Ci_zcsTO, ( ((�,
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign __
Temporary Non-conforming Existing __
Free-Standing X Wall __ New x .
Location: Tax Map Number ' = 1.2 7
Address 53(.0 SAY Qfl&E0V U -y
Proposed Setbacks from Property Line (front) _ IS ' (side) 1 5'
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (X) , Incadescent ( ), Neon ( ) , Other ( )
Size of Sign: Width Al `2 " ft. Length l2-1 _ ft.
Total Square Footage: _ Q Pi
Sign Copy: Nce.i-ti Fit�a3 REAL_ e --,aTe 140,b,,,3's A«E,cG- /ts►f+ to
eThsr
Color and Material To Be Used: 4uic'C7-ctNd / /fZ U
Signature:
Circe One: , pplicanbt) owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: //41,,,fl JI&.t
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ORIGINAL-Office Copy COPY-Applicant
r
Schermerhorn Real Estate Holdings
536 Bay Road Suite 2
Queensbury, N.Y. 12804
(518) 798-0674
K.D. Wheeler Custom Signs
16 Richardson St. #zi6
Queensbury,N.Y. 12804
To Whom It May Concern,
(39
Oil
heeler of Wheeler Customs Signs has my permission to install a free standing sign
on my property at 536 Bay Road Queensbury,N.Y. 12804.
Sincerely,
Richard P. Schermerhorn
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i' FREE STANDING SIGN ,� .... .... . :.
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SCHERMERHORN
Asthma & Allergy
Treatment Center
REAL aSTATa
I-I O LID I N G S Michael Chas. Slaughter, MD
-144 "
d-o - d-7tj
• � Z Client: Schenrnerhorn Holdings
„fr.
.. Drawing Sign3
m zoo.* CUSTOM OM SIGNS Date: 3/24/04
This design Is copyrighted and Is
the exclusive property of
The wheeler Art Group, Inc. A DIVISION OF THE WHEELER ART GROUP, INC.
It Is not to be copied or reproduced In any way
until approved and accepted 16 Richardson St. Queensbury, NY 12804 Approved by:
through purchase by the client. phone/Fax: 518-793-2620 email:kdwheelereladelphia.net
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