2004-067 Queensbury Gifts & More TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040067 Application Number: A20040067
Tax Map No: 523400-302-008-0001-037-000-0000
Permission is hereby granted to: OT TF.F.NSBT TRY C'TTFTS &MORE
For property located at: 278 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: EDWARD &ROSE MARIE MURK
PO BOX 414 Sign
Total Value
CHESTERTOWN, NY 12817
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-067 QUEENSBURY GIFTS &MORE
12 SQ FT FREESTANDING SIGN
$24.00 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 Town of Queensbury; Thursday, March 04, 2004
SIGNED BY for the Town of Queensbury.
r rector o(guild^e Enforcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By: /
518 761-8256 Permit #: 0 C1-O �
SIGN PERMIT APPLICATION
0 1V
THE FOLLOWING INFORMATION IS REQUIRED: ? ;; 2004
1. Detailed drawing or photo of sign. TOWN OF QUEENSBURY
2. Plot plan of location of sign. BUILDING AND CODE
3. Written consent of the owner of the building or land.
f- .
OWNER OF PROPERTY L("air UV'vczy
ADDRESS t� L��c GC may` f��. aU-e�nS TEL.
NAME OF. APPLICANT '�Gc u L e,s'
ADDRESS Lf�' Lei lC��,ry�cbt S-l: �Gz Ll1r S ,a / TEL. S- ySSJ
BUSINESS NAME IF DIFFERENT: v-eeo 5b F+s i-
TYPE AND LOCATION .
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing-_ Wall __ New
Location: Tax Map Number 3025- - I - y' 7
Address _ a 7�^��i - -- �d, c vz ��s J TT 12e-09' _
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal (I), External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length ft.
Total Square Footage: — -
Sign Copy: V���S ��✓�e{ 6� F-t-5 No 2 c
Color and Material Tq Be Used: ltr-t (aJ i �1 Le7pp6-f
Signature:
Circle One: 1Applicant owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROP RTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
67
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TOWN OF QUEENSB IRY
BUILDING AND COE E
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