2004-690 Sweet Basil's --rr TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes.(518)761-8256
BUILDING PERMIT
Permit Number: P20040690 Application Number: A20040690
Tax Map No: 523400-296-013-0001-062-000-0000
Permission is hereby granted to: SWFF.T BASTE
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 Temporary Sign
Total Value
GLENS FALLS,NY 12801-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-690 SWEET BASIL'S
TEMPORARY SIGN PERMIT TO RUN FROM 9/1/04 THROUGH 11/1/04
$100.00 .PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 14, 2005
(If a longer period is required,an application for.an extension'mnst be made to the code Enfor'cement Officer
of the Town of Queensbury before the expiration date.) i
Dated at the own Qu,e ury• u sday, September 14, 2004
1
SIGNED BY for the Town of Queensbury.
Director of Building&Co Enforcement
TEMPORARY SIGN PERMIT APPLICATION
TOWN OF QUEENSBURY PERMIT NUMBER:
Dept. of Community Development
742.Bay Road Fee Paid:
Queensbury, New York 12804 Deposit Paid:
Important Notice: (11 , I r y 11 111 /
Temporary Sign Permits are issued for a period of 12 calendar days not to exceed 60 calendar days per year
per applicant. Exception-political signs(see attached Local Law).
DATE: placement of sign: ? DATE: removal of sign. f f r / r, ?
Applicant Name (individual or business name): _
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Mailing Address: /L)1.2 I ( Telephone No. ( ) 7cr2- -
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Exact Location/Placement of Sign: 2 cti J( J ; ��
Tax Map Number: Section , Block , Lot
Type of Sign: (only one [1] sign allowed per permit-exception)
Political Signs ONLY (to be placed 60 days prior to event)
Sign Copy for Political Sign:
Wal Sign (not to exceed 32 square feet) Sign Copy:
Freestanding Sign(not to exceed 16 square feet) Sign Copy:
SIZE OF,SIGN: x — .sq. ft.
nl-, � �z
`,4
railureto
of applicant sign ture of property owner if
diferent from applicant name
ove sign at expiration may result in forfeiture of deposit as per the
own of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993).
Send Refund-deposit to: �W ell l}s 2- 1
RECEIVE®
SEP 0 ?, 2004
TOWN OF QUEENSBURY
BUILDING AND CODE
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SEP 0 2 20&
TOWN OF QUEENSBI
BUILDING AND COD
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