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2004-199 Super Shoes TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040199 Application Number: A20040199 Tax Map No: 523400-288-012-0001-002-000-0000 Permission is hereby granted to: .ST JpF,R SHOF,S For property located at: 1499 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: OCSAP LTD. A MAINE CORP. DBA DEXTER SHOE COMPANY Sign Total Value 71 RAILROAD Ave DEXTER, ME 04930-2056 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-199 SUPER SHOES 60 SQ FT FREE STANDING SIGN CHANGE OF COPY from Dexter to Super Shoes $0.00 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 'u. ;fJ_f(J�(jid i130, 2004 e d9Y P SIGNED BY VV for the Town of Queensbury. Director of Building&Code Enforcement Fee Paid: /I G'�--- TOWN O Q U FENS R Y 742 Bay Road, Queensbury, NY 12804 Approved By: [J Permit #: (518) 761-8256 SIGN PERMIT APPLICATION R � E-_V THE FOLLOWING INFORMATION IS REQUIRED: 1. Detailed drawing or photo of sign. AP P 18 2004 2. Plot plan of location of sign. TOVvIN' 0-r= OUEENSBURY 3. Written consent of the �owner of the building or land. BU!i_n:%iP ,dND CODE OWNER OF PROPERTY ADDRESS �1i�✓7JGcc� ,�,r .J��1Cl�! /t-f-f.Z NAME OF APPLICANT clot Ok-) � Cp . I il's/ " ADDRESS 15&_7 wx��cp c Cir /L/L TEL f" BUSINESS NAME IF DIFFERENT: .0"4r TYPE AND LOCATION Check What Applies: Existing Permanent _ Projecting Sign _— Temporary Non-conforming Existing Free-Standi-n-G A Wall New . CL_ Location: Tax Map Number Address Proposed Setbacks rom Property Line (front) _ Wide) _ If sign is to be illuminated, please check appropriate box: Internal ( j , External (V) , Incadescent ( ) , Neon ( ) , Other ( ) eld-46 _ Size of Sign: Width % ft. Length /D ft. i L Total Square Footage: Sign Copy: Color and Material To Be Used: Circle ; ne: pplicsantnwner, contractor or agent. I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ONLMYPROP -RTY OR LDING. - - - Signature of Property Owner:t ORIGINAL-Office Copy COPY-Applicant R r. 12 104 14:39 CORNING R331 FRX 6709625620 r. 1 BfaNGOR NEON Cl/ 2,0'?94�5931 ' P.01/02o � I v TO WN ()V- Q I.,'.FENS R Y Fee Paid: 742 Bay Road, Queensbury, NY 12804 Approved By: I (518) 761-8256 Permit SIGN PERMIT APPLICATION I' C= E D THE FOLLOWING INFORMATION IS REQUIRED: APR 1 S 2004 I. Detailed drawing or photo of sign. 2. Plot plan of location of sign. TOWN OF QUEENSBURY I 3. Written consent of the owner of the building or land BUILDINGAN!DCODE k. tow OWNER OF PROPERTY ADDRESS 4 1 D) TEL. I. NAME OF APPLICANT B 1 Or, 1h 4msle ADDRESS 1:5&-7 �f o�- L- TEL. D444Ko/ BllS.INESS. NAME IF DIFFERENT: TYPE AND_ LOCATJ.ON .. Check What Applies: Existing Permanent Projecting Sign Temporary Non-confo-rinTng Existing Free-$tand1ng 4_ Wall . New Location: Tax Map "lumber :address Proposed setbacks from Property .Line (front) de) If sign is to be illuminated, please check appropriate box: FILE= 11 Internal ( ) , External ( J , Incadescent ( ), Neon ( ) , Other ( ) I 1 J ' I Size' of Sign: Width ft. Length ft. i Total Square Footage: j Sign Copy: Co T o r and Mat ri a l T U sed.. irci@ b" 'A wn.er, n.tr.actor agent. I HERt`BY Al1TWU91I_E--APPL-ICAN?_'f0 PLACE A,S C R MY PROpERTY�OR�B1ITCtiIN6,_r-- y Signatvrt of Property Owner: r1:� I. .:;..�, ,:, .. .'r;br•,c: r .. .•r .. •: •'t•. .''PYilf,7�r)''L' ORIGINAL-Office. " ►,._: �< i {tt 5e ill � IAr I' i J Y. .. 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