2003-114 Adirondack Car Wash TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030114 Application Number: A20030114
Tax Map No: 523400-296-017-0001-042-000-0000
Permission is hereby granted to: ADIRONDACK CAR WASH
For property located at: 19 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. TTpe of Construction Value
Owner Address: KENNETH &ERMIGER
SEALE, MICHAEL Sign
Total Value
708 QUAKER Rd
QUEENSBURY,NY 12804-3960
Contractor or Builder's.Name/Address Electrical Inspection Agency
Plans&Specifications
2003-114 ADIRONDACK CAR WASH
48 SQ FT FREESTANDING SIGN (CHANGE OF COPY)AS PER APPLICATION
$0.00 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 o Quee u rsday,April 10,2003
17
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Cq-L\
A�ATOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #:
_ 2 l(518) 761 8 56
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign. MAR 3 1 2003
2. Plot plan of location of sign. 0������a E SR R°�
3. Written consent of the owner of the building or land.
E3URl� )f As'�1��970�
OWNER OF PROPERTY /"'VCJ4*L- 5(�LE,
ADDRESS $ allAkP, (WM //"-,qVFf(J(5v/U'1NI' ftgOLk TEL. (913 761-og3a
NAME OF APPLICANT
ADDRESS _ 0 aVAw� �L�U'cl✓y1AU12f'�r f4q�{-
TEL. C56)
-,
BUSINESS NAME IF DIFFERENT: A f4W1)A0C CAP— WA-30
TYPE AND LOCATION
Check What Applies: Existing Permanent :( Projecting Sign
Temporary Non-conforming Existing
Free-Standing 5� Wall __ New
Location: Tax Map Number
Address _(Z A M.
_
Proposed Setbacks from Property Line (front) _ 15 (side) _
If sign is to be illuminated, please check appropriate box:
Internal (.Xj , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length _ ft.
Total Square Footage:
Sign Copy: 5 /-ff`fACPV)
Color and Material To Be U d: � G��LLOWJ
c
Signature:
C' le One: Applicant wner, ntractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE 7OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
'VF-D
7.39 MAR 3 1 2003
TOWN OF QUIEENSBURY
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