2004-553 America's Mattress 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: P20040553 Application Number: A20040553
Tax Map No: 523400-302-006-0001-057-000-0000
Permission 's hereby granted to: AWRTC;A'S TWATTRF.—
For property located at: 708 GLEN St
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
Ordnance. Type-of Construction Value
Owner Address: UPPER GLEN REALTY INC
428 OLD NISKAYNUA Rd Sign
Total Value
LATHAM, NY 12110
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-553 AMERICNS MATTRESS
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.) l
Dated at'the Town of Queensbury; Monday, July 19, 2004
SIGNED BY A for the Town of Queensbury.
Director of Buildin o nforcement
Fee Paid:
- TOWN OF QL'EENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
518 761-8256 Permit #: 0
SIGN PERMIT APPLICATION RECEIVED
THE FOLLOWING INFORMATION IS REQUIRED: J U L 16 2004
1. Detailed drawing or photo of sign. TOWN OF QAND CODE
9 P 9 BUILDING AND CODE
2. Plot plan of location of sign.
3. Written consen/t� of the owner of the building or land.
OWNER OF PROPERTY
ADDRESS "?6 S,.r' TEL.
NAME OF APPLICANT S q�t�
ADDRESS /!/► TEL. SA-vV' Z=
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing —_ Permanent __�Z_ Projecting Sign
Temporary Non-conforming Existing
Free-Standing —jZ Wall —_ New
Location: Tax Map Number ,3Ur'ki-�
Address _
Proposed Setbacks from Property Line (front) S (side) _
If sign is to be illuminated, please check appropriate box:
Internal (' , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length _ ft.
Total Square Footage: _ �� SAC /tl-
Sign Copy: 191�7g Mtl6llF v 161 lrul1 Chi MA ff
Color and Material To Be Used: Z�gA j �1�i'v'ZL� �✓`� �� � G� f✓i C��Iw��
Signature:
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT 7ACE A IGN ON MY PROPERTY OR BUILD NG.
IA
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
5 1!I �R AST
MAILING: SHOWROOM:
P.O. Box 332 • Glens Falls, NY 12801 52 Main Street • Queensbury,NY 12804
ph. 518-792-4009 • fx. 518-792-4476
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CEIVED K
JUL 16 2004
TO NN OF QUEENSBURY
�.� � UILDING AND CODE
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