2005-942 Northeast Parent & Child Society TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050942 Application Number: A20050942
Tax Map No: 523400-296-018-0001-005-000-0000
Permission is hereby granted to: NORTHEAST PARENT& CHILD SOCIETY
For property located at: 63 QUAKER 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: OMALL FAMILY LTD. PARTNERS si
35 ORCHARD Rd Tota
l�value
QUEENSBURY, NY 12804 uta
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-942 NORTHEAST PARENT & CHILD SOCIETY
24 SQ FT WALL SIGN
business located in Suite No 2, second floor(upstairs) Mark Plaza
$48.00 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 Tovi of Q ;:�'w
T r a December 15, 2005
SIGNED BY \ for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY, Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 P e rm i t #: —9
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: P
1. Detailed drawing or photo of sign. DEC 1 3 2005
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
TOWN OF CiUEENSBURY
OWNER OF PROPERTY A T IK`
ADDRESS TEL. - 3 _334 7
NAME OF APPLICANT C U
ADDRESS 3 TEL.
BUSINESS NAME IF DIFFERENT: � . ° a c
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign
Temporary Nan-conformin Existin _
Free-Standing Wall New .
Location: Tax Map Numbera9(Q. Is 15
—
Address
ProposedrQ
Setbacks from Property Line front
p Y (front) ��L (side)
If sign is to be illuminated, please check appropriate box:
Internal , External ( ) , Incadescent ( ) , Neon ( ) , Other
Size of Sign: Width f Len th — ft. C3
1
Total Square Foot ag S
Sign Copy: Uar '
u
Color and Material To Be Used: ✓� (�� �`� �ly�
Signature: K
Circle One�- applicant, _6wner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO P A SIGN i Y OR BUILDING.
Signature of Property Owner: �
ORIGINAL-Office Copy COPY-Applicant
3
NORTHEAST PARENT
L
CHHLD SOC ETY
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DES 1 3 2005
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