2004-454 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: P20040454 Application Number: A20040454
Tax Map No: 523400-296-013-0001-062-000-0000
Permission is hereby granted to: SWFFT BASTL
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
2004-454 SWEET BASIL ITALIAN-AMERICAN RESTAURANT
50 SQ FT FREE STANDING SIGN
$100.00 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 ueensb Wednesday, June 30, 2004
SIGNED BY for the Town of Queensbury.
Director of Building& ode Et orcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit !—
SIGN PERMIT APPLICATION JUG! 1 7 2004
TOWN OF QUEENSBURY
THE FOLLOWING INFORMATION IS REQUIRED: BUILDING AND CODE
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY cJ
ADDRESS ��� TEL.
NAME OF APPLICANT
ADDRESS o/2 la - TEL. y z(
BUSINESS NAME IF DIFFERENT: e's— G2���'C�
TYPE AND LOCATION
Check What Applies: Existing `; "" Permanent �_ Projecting Sign
Temporary Non-conforming Existing
Free-Standing _i/ Wall —_ New
Location: Tax Map Number
Address — -- J(� I a RkUlU —
Proposed Setbacks from Property Line (front) _ (side) _
If sign is to be illuminated, please check appropriate box:
Internal ( j , External (V) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length ft.
Total Square Footage: — / P 6A)f
Sign Copy: -- -
Color and Mat eri 1 T B sed: (164155M 1A)I41— a/��s�/ ,4/14XIJ Y
Signature:
Cir70RIZE
e: Applicant, owner contractor or agent.
I HEREBY APPLICANT TO PLACE A SIGN 0 MY PROPERTY OR BUI ING.
Signature o Property Owner:
ORIGINAL-Office Co y COPY-Applicant
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