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2004-839
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ,Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040839 Application Number: A20040839 Tax Map No: 523400-309-010-0001-035-000-0000 Permission is hereby granted to: T,OX OF BA(TELS AND MOOR For property located at: 89-1/2 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. Tyne of Construction Value Owner Address: MARK&LENA POSNIEWSKI 89-1/2 MAIN St Sign Total Value QUEENSBURY, NY 12804-0000 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-839 LOX OF BAGELS &MOOR 20 SQ FT WALL SIGN ( CHANGE OF COPY) $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: (1f 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 To pl?,( o�eensbuzy; FA *day,.mN�vo�vember 05, 2004 SIGNED BY f�� 'ark� J d tr xt�� for the Town of Queensbury. Director of Building&°bode&`tiforcement TOWN OF QUEENSBURY Fee Paid: 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 consent of the 7n,,,,of the building or land. OWNER OF PROPERTY / ADDRESS /�G/j� ST• 2 TEL. NAME OF APPLICANT 4eQl�Gc ADDRESS �Olii7 S/2e 7 e�� TEL. ,5ha/77 e-- BUSINESS NAME IF DIFFERENT: O 5( OT —bag � q•V d a© F TYPE AND LOCATION Check What Applies: Existing —_ Permanent _ Projecting SIi'gn_��.v , 1. .' 11 D Temporary Non-conforming Existing _ Free-Standing _ )all New OCT t 0 2004 Location: Tax Map Number 3//11 vq' - Tr_ •; ;_; F. ;Y Address Proposed Setbacks from Property Line (front) (side) _ If sign is to be illuminated, please check appropriate box: Internal ( j , External ( ) , Incadescent ( ) , Neon ( ) , Other1 1 Size of Sign: Width ft. Length b L _ ft. Total Square Footage: Sign Copy: 0 x a� � a PAS 4 M O(0 4 Color and Material To�Be biSed c3 WAaC-e-1 C) r6( o-V 4 Signature: Cir le One: Applican , own contractor or agent. I HEREBY AUTHORIZE APPLICANT TO P A SI ON MY PROPERTY OR BUILDING. Signature of Property Owner: i ORIGINAL-Office Copy COPY-Applicant CAD OCT 2 0 2004 TOWN OF QUEENSBURY BUILDING AND CODE D 0 D D D ca(m(ff: El 0 �� `s 044.