2004-055 Crop A Lot f.
TOWN OF QUEENSBURY
742 Bay Road,-Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040055 Application Number: A20040055
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: CROP A LOT SHOP
BERCT. RENFE
For property located at: 959 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. Type of Construction Value
Owner Address: GUIDO PASSARELLI
465 LAKE Ave Sign
Total Value
LAKE LUZERNE, NY. 12846-0000
Contractor or Builder's Name /Address Electrical Inspection Agency ,
i
Plans&Specifications
d
2004-055 CROP A LOT ' Space A, Mount Royal Plaza
30 SQ FT WALL SIGN
$60.00 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 To of eens ;
XV , February 25, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved T4y:
Perf
(518) 761-8256 � ".
O q r�s
SIGN PERMIT APPLICATION IE3 2 3 2004
THE FOLLOWING INFORMATION IS REQUIRED: 'OWN
B�LDIN Q N�CSBURY
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
ADDRESS �` G ����{�' ��- G I y Pe►r1 S lJ C4 fJ U� T L.
NAME OF APPLICANT 4 ShnD
ADDRESS �J`( �1 �`�° ( �( ' /IX EL.
BUSINESS ME IFOLFFERENT:
p
_ TYPE AND LOCATION a°
-
C'heck What Applies: Existing —_ Permanent Projecting Sign d
Temporary Non-conforming Existing V,
Free-Standing —, Wall 4/ New � �
Location: Tax Map Number -
Address
Proposed Setbacks from Property Line (front) (_ 0 0 (side)
If sign is to be illuminated, please check appropriate box:
Internal (), External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ¢ ft. Length / 01 _ ft.
Total Square Footage: — C�
Sign Copy: 1-1C--bC-G ic- C— r+.
Color and Material -0'5e U ;. <_4C ;71-1 6-o if)/ " t' �77c��2/1��;.��1;� tit'�'i
Signature:
Circe One: Applicant, owner, ontractor' Or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
RECEIVED
FEB 2`3 2004
TOWN OF QUEENSBURY
BUILDING AND CODE
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KY-S. HIGHWAY ROUTE-9