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2003-564 Windows, Doors, Etc
TOWN OF QUEENSBURY 421W 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20030564 Application Number: A20030564 Tax Map No: 523400-309-014-0001-012=000-0000 Permission is hereby granted to: WINDOWS. DOORS_ FTC. For property located at: 108 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. 'Type of Construction Value Owner Address: PATRICK MERRILL 108 MAIN St Sign Total Value QUEENSBURY,N.Y. 12804 Contractor or Builder's Name j Address Electrical Inspection Agency Plans&Specifications 2003-564 16.SQ FT WALL-SIGN AS PER APPLICATION $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 awn a uee s u day,August 04,2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement ; Fee Paid: . d-C> TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804 Approved By: Cj (518) 761-8256 Permit #: J{D y SIGN PERMIT APPLICATION THE FOLLOWING INFORMATION IS REQUIRED r cr cSN ED 1. Detailed drawing or photo of sign. �U L 3 ZOO 2. Plot plan of location of sign. 3. Written consen f the owner of the building or land OWNER OF PROPERTY ��- ADDRESS ©� � t � TEL. �� f NAME OF APPLICANT PA,,J 50,k)eth ADDRESS /081?'1410 S1 �uep�s Li cif. TEL. 7 BUSINESS NAME IF DIFFERENT: W/10 C/o 6tD 00r'` TYPE AND LOCATION Check What Applies: Existing Permanent Projecting Sign Temporary Non-conforming Existing _ Free-Standing Wall New Location: Tax Map Numbers Address Proposed Setbacks from Property Line (front) (side) Ll If sign is to be illuminated, please check appropriate box: (0c—) Internal ( ) , External ( ), Incadescent ( ) , Neon ( ) , Other ( ) 1. f Size of Sign: Width _� _ ft. Length ] — ft. Total Square Footage: Sign Copy: Color, and Ma i al Be Used: P1 C � l Signature -One: App t, owner, contractor agent. t I ,HEREBY AUTHORIZE APPLICANT T P CE ON MY PROPERTY OR BUILDING. Signature of Property Owner: f ORIGINAL-Office Copy COPY-Applicant H N M