2004-973 Groomer on the Go TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040973 Application Number: A20040973
Tax Map No: 523400-309-010-0002-015-000-0000
Permission is hereby granted to: CTROOMF,R ON THF, GO
For property located at: 45 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 die NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tie of Construction Value
Owner Address: HERBERT RICHARDSON LE
SCOTT RICHARDSON Sign
17 BOSS Rd Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
GROOMER ON THE GO
45 MA1N St
OTTEENSBITRY_ NY 12804-0000
Plans&Specifications
2004-973 GROOMER ON THE GO
16 SQ FT WALL SIGN
$32.00 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 To o eens d� , January 14, 2005
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:(518) 761-8256
Permit #: J066i-l73
SIGN PERMIT APPLICATION
RFCP
THE FOLLOWING I / @�INFORMATION IS REQUIRED: E®
1. Detailed drawing or photo of sign. DEC 2004
2. Plot plan of location of sign. rOWNOFQ,, t--NS8
3. Wri tten consent
of the owner of the bui 1 di ng or l and. BUILDING uE.- E Y
OWNER OF PROPERTY J C�C� I Z.l (�� CU OL36n
ADDRESS , (Y) a_-Lr1 bg1hiy TEL.
NAME OF APPLICANT n `�.)� G ���7 � or\ �(jV
ADDRESS `-t,!� --i-,'� TEL.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing _
Free-Stan ding Wall _ New
Location: Tax Map Number , V �f� �
Address
l /
Proposed Setbacks from Property Line (front) _ (side) O
If sign is to be illuminated, please check appropriate box:
Internal ) , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
1 /
Size of Sign: Width ft. Length ft.
Total Square Footage: _ �' r�6 P
Sign Copy:
Color and Material To Be Used: v 6k
Signature: v
Circle One: Applicant owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON NY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
RECEIVE®
4
DEC 1 7 2004
TOWN OFNC
r BUILDING ANDD CODE
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