2004-904 Maplewood Ice Co Inc TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040904 Application Number: A20040904
Tax Map No: 523400-303-016-0001-061-000-0000
Permission is hereby granted to: MAPLEWOOD TC E CO.. TNC',.
For property located at: 438 DIX Ave #32391
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
1 '
Owner Address: MAPLEWOOD ICE CO., INC.
#32391 Sign
Total Value
PO BOX 62
WHITEHALL, NY 12887-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-904 MAPLEWOOD ICE CO. INC.
30 SQ FT WALL SIGN
$60.00 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 own Que b7; Anfda ,November 29, 2004
SIGNED BY for the Town of ueensbu Q r .y
Director of Building&Code Enforcement
r Fee Pai
TOWN OF QL,�EENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256
Permit #: �.1- 0'
SIGN PER141T APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: ' `
1. Detailed drawing or photo of sign. /VO _j
2. Plot plan of location of sign. 2C0�!
3. Written consent of the owner of the building- .'r`land.
OWNER OF PROPERTY _ ll H ple woo �zC co'
3t-_l-I el-
ADDRESS '1 3 0 Di .X q v-e. Qu -e-eos 6c, f-,/ TEL. to ( - l ST2
NAME OF APPLICANT ��7 yr CG C' L(� 9 y f
ADDRESS of 7c/b 12 f Li a TEL. (f M 62s- 2si s
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing +_
Free-Standing Wall it New
Location: Tax Map Number b l to
Address
Proposed Setbacks from Property Line (front) _ 6 0i (side) 2 10
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ) , Incadescent ( .) , Neon ( ) , Other ( )
Size of Sign: Width ' 6 ft. Length t 3_ ft.
Total Square Footage:
Sign Copy: 11
Color and Material Be Used: Plr n� w4 , e
Signature: 9&29Z
Circle One: Applicant owner contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACEJ SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: (1�GCS Gam'
ORIGINAL-Office Copy COPY-Applicant
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MAPLEWOOD lCi
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2' 711 30 SQUARE FEET
WEST SIGNS
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All Signs Point West Since 1923
1100 Dix Avenue
Hudson Falls,N.Y.12839 ---
(518)747-5283
Fax(518)747-5572
AARON WEST