2003-648 Orthopedic & Spine Physical Therapy TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030647 Application Number: A20030647
Tax Map No: 523400-289-015-0001-002-000-0000
Permission is Hereby granted to: NORTH TRACT PROPF,RTTF,S. L.L.C.
For property located at: 3 HUNTER BROOK,Ln
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: NORTH TRACT PROPERTIES,L.
13 TWICWOOD Ln Sign
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
K.D. WHFELER CUSTOM ST7NS
16 RTC14ARDSON STREET
OT JERNSBT JRY.NY
Plans&Specifications
BP 2003-647
32 sq. ft. freestanding sign as per plot plan and specifications
Denis D. Buher (Orthopedic& Spine Physical Therapy,P.C.)
$64.00 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 of uee uty u da August 12,2003
SIGNED BY °/d for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY Fee Paid:
k A 742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1 Detailed drawing or photo of sign. zo 144�b
&I 7V OP 400
2. Plot plan of location of sign.
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3. Written consent of the owner of the building or land.
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OWNER OF PROPERTY _&)i 5(5 Ida HEM 1V0 e-774 TeA C it '_7A/e_6
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ADDRESS -,3 1-k(OTMt3kt}OP- LA-13e TEL.
NAME OF APPLICANT CE Loc_
ADDRESS i C,14 Alt fz>s ttl .� TEL. 7�7 _3
BUSINESS NAME IF DIFFERENT: S i C-rl,)S
TYPE AND LOCATION
Check What Applies: Existing Permanent x_ Projecting Sign
Temporary Non-conforming Existing
Free-Standing X_ Wall New >c
Location: Tax Map Number
Address
ku 14/6 6
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (>O , Incadescent Neon Other
Size of Sign: Width - 4 ft. Length ft.
Total Square Footage:
Sign Copy:
Color and Material To Be Used: I- u2C�ta1�y -c> LA
Signature:
— _d -Cirri --nnp- rpplicanf owner, contractor or agent.
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I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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LANDSCAPE NOTES,
L ALL AREAS DISTURBED BY DEVELOPMENT SHALL_ BE RECOVERED WITH A
MINIMUM OF 4- OF TOPSOIL. SEEDED AND MAINTAINED UNTIL A HEALTHY STAND
OF GRASS IS ESTABLISHED AND'ACCE:PTED.
_-._. Z. ALL AREAS PROPOSED FOR AF-F-n r. SLIAIt Rr. LlyncA_Crtntr% im,Cee
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BUILD,G A O C u Y
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b j Client:Denise Buher
m 2003 ` Drawlng#3 temp sin Date:8 6 03
This design Is copyrighted and Is �✓
the exclusive property of T
nThe Wheeler Art Group,Inc, 1UL ' `v �\J(,G,.N\JS
It is not to be copied or reproduced In any way 0
until approved and accepted A DIVISION OF THE WHEELER ART GROUP,INC.
through purchase by the client,
16 Richardson sa Queeosbury,W 12804 Approved by:
Phone/fax:518.193.262E email:kdwheeler@adeipNa,net
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RECEIVED
Denise D, Buher, P,L `Cent,, MDT
Aug � oo�
TOWN OF QJEENSBURY
SPORTS, . WELLNESS ; FITNESS BUILDINGAN9 c
POOL THERAPY .'NECK& BACK
This.design is,popyNhteaendis � � � � �,; �� Ghent,Orthopedic,Spine Physlcal�Therapy;RC
the exclusive property of {
The wnoeler,artcroup,Inc,. i Drawing#2 bake 7/25/03,
It Is not to be wpled or reproduced In anyway, ' ? ~
undlapproved and ecapked:. A,DIVISION.OF THE WHEELERA(i7 QR0UP,INC ,
through purchase by the dNnt:
' •is Aldio'om sti uee*ury,NYC RU4
Phone/hiriC sis 793-2A20 eriteu;kdwheelermedelphle rhd :ApplOved`by
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