2004-585 Billington Plumbing & Heating TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040585 Application Number: A20040585
Tax Map No: 5234007309-010-0002-070-000-0000
Permission is hereby granted to: BTT,T,TNCTTON PT J WBTNCr&HF,ATTNG
For property located at: 53 MAIN 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
Ordinance. Type of Construction Value
Owner Address: DONALD J DANIELS
1 GILMORE Ave Sign
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-585
12 sq ft Projecting Sign
$24.00 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 Q�eeTrury- u ay,August 22, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Codknforcement
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written co, ent of he owner of the building or land.
OWNER OF PROPERTY
ADDRESS ,G 'F TEL.
NAME OF. APPLICANT R >�J `
ADDRESS TEL.
5 , ' &\DLS& . U
L9 -BUSINESS NAME IF DIFFERENT: '-9, �,( 110 'auk I�t % � I
TYPE AND LOCATION
Check What Applies: Existing Perma e Projecting Sign
Temporary Non-conforming Existing
Free-Standin Wall New
Location: Tax Map Number .k— AD)
Address
Proposed Setbacks fro Property Line (front) _7j E? (side) u
If sign is to be illuminated, please check appropriate box:
Internal X, External ( ) , Incadescent Neon ( ) , Other ( )
Size of Sign: Width ft. Length ft.
Total Square Footage:
Sign Copy:
Color and Material To Be sed:
A - aSignature: 4 c (,
Circle ne:` Applic , owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: ,
ORIGINAL-Office Copy COPY-Applicant
NOV 0 :3 2002
TOWN OF QUEENSBURY
BUILDING AND CODE
. Y
HEATf & PLUM��I NG
COMMERCIAL & RESIDENTIAL 24 HR. SERVICE r
Fil�LLY IN�CRfE=D
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