2004-453 Sweet Basil - � TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040453 Application Number: A20040453
Tax Map No: 523400-296-013-0001-062-000-0000
Permission is Hereby granted to: SWEET RASTT,
For property located at: 1012 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: PETER SHABAT
P.O. BOX 967 Sign
Total Value
GLENS FALLS, NY 12801-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-453 SWEET BASEL ITALIAN-AMERICAN RESTAURANT
95 SQ FT WALL SIGN
$190.00 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 n o ueens M
eday, June 30, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Vnforcement
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TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: b — 53
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: 19111, ✓��.7 ��
1. Detailed drawing or photo of sign. ONGQVF OQ
2. Plot plan of location of sign.
3. Written consent of the owner of the building or nd. c�OF'QY
OWNER OF PROPERTY U -GAL✓'��
ADDRESS ,� s TEL. L c
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NAME OF APPLICANT
ADDRESS ��/ 2- TEL�
BUSINESS NAME IF DIFFERENT: )
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming E sting _—
Free-Standing �— Wall New
Location: Tax Map Number
Address
Proposed Setbacks from Property Line (front) _ (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (V),-,/Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width Length _Z6 _ ft C/ "iC/ V
Total Square Footage:
Sign Copy:
Color and Mate j'ao Be Used: AIA/,�r6�9 16,44, /1vl4,f_,
Signature:
d ' One: Applicant, owner, co tractor or agent.
I HER BY A THORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature f Property (Abner:
ORIGINAL-Of ice Copy COPY-Applicant
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