2004-288 Designers Warehouse TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040288 Application Number: A20040288
Tax Map No: 523400-288-000-0001-059-000-0000
Permission is hereby granted to: DF.STGNER'S WARF,HOUSP
For property located at: 1477 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: DANIEL LOMBARD
7 STONE PINE Ln Sign
Total Value
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-288 DESIGNER'S WAREHOUSE
60 SQ FT FREE-STANDING SIGN
$120.00 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 n Quee s nesday, June 30, 2004
7
Queensbury.
SIGNED BY for the Town of
Director of Building&Code Enforcement
r Fee Paid:
'OWN OF QL,�EENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: �K
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign. ,� �� U�
2. Plot plan of location of sign. �``�`'-'`' °L M1'
3. Written consent of the owner of the building or land..", 0 S' Z004
OWNER OF PROPERTY AIJ L,) 4 ( A I&A � � a ___ _. rr y�nl 10y
ADDRESS ' G �TEL:
--
NAME OF APPLICANT
ADDRESS
BUSINESS NAME IF DIFFERENT: G'NL� L,OAp VQ0 S
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Nan- nforming Existing
Free-Standing Wall New
Location: Tax Map Number _ o2��b DD — — 5,�,
Address _ _ ��
Proposed Setbacks from Property Line (front) : (side) 11c�
If sign is to be illuminated, please check appropriate box:
Internal (YK, External ( ) , Incadescent ( ) , Neon ( } , Other ( )
6lL
Size of Sign: Width ft. Length �_ ft.
Total Square Footage:
Sign Copy: .� ', fl-� 1iU�S o1=S1GN
Color and Materi LTO�
�v\ _ (a4
Signature: -
Circl One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT �;� PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
RECEIVED
MAY 0 6 2004
TOWN OF QUEENSBURY
BUILDING AND CODE
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RECEIVED
MAY 0 6 2004
TOWN 0�a��'D C�®E Y
QUILQ
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