2003-003 Allcare Bracing TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030003 Application Number: A20030003
Tax Map No: 523400-303-005-0001-086-000-0000
Permission is hereby granted to: AI LCARF,BRACING AND MF,DTCAT, F,OIJIPMF,N
For property located at: 360 QUAKER Rd
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. Twe of Construction Value
Owner Address: NORHTGATE ENTERPRISES INC
PO BOX 4514 Sign
Total value
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-0003 ALLCARE BRACING AND MEDICAL EQUIPMENT, INC.
FREESTANDING SIGN AS PER APPLICATION
$20.80 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 Town kPue i. r; F January 10,2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #; 3
SIGN PER14IT 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 owner of the building or land.
OWNER OF PROPERTY _�yrI,gc„� � ��`� er�► ,'��, F nc.
ADDRESS 5 cA-{-z�s6�, V L,rfly TEL.
NAME OF APPLICANT _ /�e e�rt 13���,'r� ? a.� e �'� ='7,
ADDRESS TEL. 6js- y.2 76
BUSINESS NAME IF DIFFERENT: L-ell 7yy—Z_23_7
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing _(/ Wall __ New
Location: Tax Map Number s)3`1 Q, 30:3 yi�� dGa lam/
Address 3SGci�wk-t., 12-'D F- li t� y,s G� ��V0
Proposed Setbacks from Property Line (front) _ /� (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width 11 31' ft. Length S _ ft.
Total Square Footage: _ %U' Vh
Sign Copy: 611cz-r-e 6r-6-c Cn an a ca I i5o u,r�,�,�
Color and Material To Be Used: W1a. L-1OLk' L' I-fie. ;hti a- t �_L
Signature:
Circle 0 e: App icant, wner, 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