2004-510 Harvest Fields Baptist Church TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040510 Application Number: A20040510
Tax Map No: 523400-288-008-0001-009-000-0000
Permission is hereby granted to: HARVEST FIELDS BAPTIST CHiTRCH
For property located at: 1587 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: LEONARD & CALLIOPI LOMBAR
1587 STATE ROUTE 9 Sign
Total Value
LAKE GEORGE, NY 12845
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-510 HARVEST FIELDS BAPTIST CHURCH
32 SQ FT FREE STANDING SIGN
$64.00 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 o /VPQuee bury; 02,1 , 1 2004
Town of Q• for the To Queensbury.SIGNED BY r .y
Director of Building&Code Enforcement
( 00
� + Fee Paid:
TOWN OF QUEENSBUIRY
742 Ray lZoad, Oueenshury, lY 12804 Approved By - - -
(518) 761-8256 PennI t #: a0o L/, <
SIM PERNIT APPLICATMN
THE FOLLOWING INFORMATION IS RP LTRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of theowner of the building or land.
OWNER OF PROPERTY LOO �Vl
ADDRESS .a. �� 1e�n T i r '-�Z
WE OF APPLICAMT ��.�yec��- �I�1c�s t'���.. ;r ailILL
ADQRM —P.0.�jcx`IDKz d��11LrS'�S' � .� 1���( (�� ��! TEL, LC 7q7jt
BUSINESS NAME IF DIFFERENT: � AJ�'ik
TYPE AND LOCATION
Check What Applies: Existing � Pemanent. / Projecting Sign
Temporary : Non- fornin9 Existing .�
Free-Stand'_ 11 New
Location: lax Mao Number -
Address — 61
re
Proposed Setbacks from Property Line ( rant) (side) 01
If sign is to be illuminated, please -check appropriate box:�
Internal ( ), External ( )g Tncaaescent { ), neon ( Other ( )
Si Ze of Sign: Width _ ft, length ft.
Total Square Footage: S
Sign Copy;
Color and ate al To Be U e : L l �ti ;�„ L ! 41'e ul s-Ii�+�*1 ���'�C��y��ed",1,7
Signature; , !
C rele I ne: ple
dZZE
, contactor ar en
I He Y l CAME APPIL A SHN ON PRO RTY OR BUILDING.
Signature of Property6�er:
ORIGINAL-Office Copy COPY-Applicant
XF+e LT..YT i..tT thA.f tTh f lrl
Neal000v ewlc&
Baptist C Burch
_
GOD CENTERED, OTH' RS FOCUSED
Pastor Jeffrey Kelly
792.1158
BIBLE STUDY FELLOWSHIP 9 A.M. PRAYER MEETING &
MORNING WORSHIP SERVICE 10 A.M. YOUTH GROUP 7 P.M.
EVENING SERVICE 5 P.M.
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