2004-001 Brennan & White Attorneys at Law TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040001 Application Number: A20040001
Tax Map No: 523400-289-020-0001-005-000-0000
Permission is hereby granted to: BRENNAN&WHTTF, ATTORNEYS AT LAW
For property located at: 163 HAVILAND 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: BAY WEST ASSOCIATES Sign
169 HAVILAND RD Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-001
BRENNAN&WHITE ATTORNEYS AT LAW
32 sq. ft. freestanding sign
$64.00 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 th. own of Oneensb Tuesday, March 09, 2004
SIGNED Y for the Town of Queensbury.
Director of Bu'ding& ode Enforcement
Fee Paid: ,
ILI TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: _
SIGfi PERpIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: �1
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign. fCtbcatcq ��C6i� GL
3. Written consent of the owner of the building or land. 4
OWNER OF PROPERTY — 1,��Xe-✓Y7
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ADDRESS A /��/� ��r/ � .�����ie e.✓��✓rc� IV Y TEL. 7y2-- 9'17 V
NAME OF APPL---I-CANT /C^�i✓�ti ✓ ��i7z L L�
ADDRES� v, la- y TEL. 7y3-3y-2 V
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BUSINESS �IF; DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing / Permanent �/_ Projecting Sign
n
PP 9 Y --
Temporary Non onforming Existing —_
Free-Standing Wall New
Location: Tax Map Number
Address
Proposed Setbacks from Property Line (front) �{ � (side) —
If sign is to be illuminated, please check appropriate box:
Internal ( j , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length _ ft.
Total Square Footage: — 3,2
Sign Copy: —_�"L-d
Color and Material To Be Used: A//) 0
Signature: - - �,✓ �� T C///
Circle 0 pplica t, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICAN TO PLACE A S ON MY PROPERTY OR BUILDING.
Signature of Property Y�
ORIGINAL-Office Copy COPY-Applicant
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Joseph",-,R
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JOSEPH E. r 11(42..4,H 0 L S
DATE
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ALL REGHTS RIESIERVIEO APPROVED:J�
REVISED:
JMX =2 GLEMS FALW, NY
MAILING: SHOWROOM:
P.O. Box 332 • Glens Falls,NY 12801 52 Main Street • Queensbury, NY 12804
ph. 518-792-4009 fx. 518-792-4476
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