2004-338 Borgos & Delsignore T TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040338 Application Number: A20040338
Tax Ma No: 523400-296-019-0001-020-000-0000
Permission is hereby granted to: BORGOS &DELSTGNORF,
For property located at: 82 GLENWOOD Ave
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:. ANTHONY RICCIARDELLI
27 ORCHARD Dr Sign
Total Value
QUEENSBURY,N.Y. 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2004-338 BORGOS &DELSIGNORE, P.C. ATTORNEYS AT LAW
20 SQ FT FREE STANDING SIGN
$40.00 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 T Queen ury; Friday, June 04, 2004
SIGNED BY for the Town of Queensbury.
Director of Building Co Enforcement
TOWN OF' QUEE�ISBURY Fee Paid: 1 V
742 Bay Road, Queensbury, NY 12804 Approved By:
(s 1 a) 761-8256
Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: Y
ED
1. Detailed drawing or photo of sign. Cy, ,t 2004
2. Plot plan of location of sign. La �JO�Y
3. Written consent of the owner of the building or land. OF
OWNER OF PROPERTY — 80rD6--Z_
ADDRESS S2 64F1,1 JOdO .Aid TEL. 7Z-1�//06
NAME OF APPLICANT —
ADDRESS — — TEL. --
BUSINESS NAME IF DIFFERENT: '80,e45�os e /OEG sm!;C10'er
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing Wall __ New
Location: Tax Map Number9G�� -_
Address Ea
Proposed Setbacks from Property Line (front) (side) _3
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ) , Incadescent ( ) , Neon ( ) , Other { ) lU a
Size of Sign: Width p2 , � ft. Length ft.
Total Square Footage: '7
Sign Copy: _-3 O
Color and Material To Be Used: p VA
Signature:
Circle One: Applicant, owner, contractor
I HEREBY AUTHORIZE APPLICANT TO GN 0 Y PROPERTY OR BUILDING.
Signature of Property Owner:.
ORIGINAL-Office Copy COPY-Applicant
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