2005-470 Harvest Fields Baptist Church TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050470 Application Number: A20050470
Tax Map No: 523400-288-008-0001-009-000-0000
Permission is hereby granted to: HARVEST FIELDS BAPTIST CHURCH
For property located at: 1587 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. Tyne of Construction Value
Owner Address: LEONARD & CALLIOPI LOMBAR n
Temporary Sign
1587 STATE ROUTE 9
Total Value
LAKE GEORGE, NY 12845
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-470 HARVEST FIELDS BAPTIST CHURCH
TEMPORARY SIGN PLACEMENT 6/24/05 REMOVAL 7/16/05
$60.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, July 16, 2005
(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 of ueen ury; ues , ly 05, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TEMPORARY SIGN PERMIT APPLICATION
TOWN OF QUEENSBURY PERMIT NUMBER: 41/70
Dept. of Community Development
742 Bay Road Fee Paid: 0"'zo• u-t;
Queensbury, New York 12804
Deposit Paid/ Deposit on file:
(send refund/deposit to: `SUSPrt,I 77jz )
Important Notice: Temporary Sign Permits are issued for a period of 12 calendar days not
to exceed 60 calendar days per year per applicant.
DATE: placement of sign: - - pS
DATE: removal of sign: -- to - 0<
Applicant Name (individual or business name): 6,rve&i_:k,E'.L �pt4 a
Mailing Address: S" Telephone No. 0 S'
Ge ��� y
Exact Location / Placement of Sign: c � ka�- ,1 n s 11 e Sefl. as
� i �e�rnam S1�h
Tax Map Number: R ® (U�
Type of Sign: JUN *. -, 21105
TOWN Oi uL;E=NSBURY
Wall Sign (not to exceed 32 square feet) Sign Copy: BUILDING AND CODE
X_ Freestanding Sign (not to exceed 16 square feet) Sign Copy: SPA
Size of Sign: _ x = & sq. ft.
Additional information required for this temporary sign permit application:
L Detailed drawing or photo of sign.
2. Plot plan o location of sign.
signatur o icant si e of pr erty owner if
different from applicant name
Failure to remove sign at expiration may result in forfeiture of deposit as per the Code of the Town of Queensbury,
Section 140, Subsection 140-4(Local Law No. 11, 1993).
RECEIVED
JU 2005
TOWN O� ULJEENSBURY
BUILDING AND CODE
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