2003-736 a�
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030736 Application Number: A20030736
Tax Map No: 523400-301-008-0001-029-000-0000
Permission is hereby granted to: CLEANER TMAC;F.
For property located at: 18 MANOR Dr
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: OMEGA ENTERPRISES, LLC
11 RICHARDS St � Sign
Total value
WARRENSBUR.G, NY 12885-0000
Contractor or Builder's Name j Address Electrical Inspection Agency
Plans&Specifications
2003-736 CLEANER IMAGE
20 SQ FT WALL.SIGN AS PER PLOT PLAN SPECIFICATIONS
$40,00 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 wn of Q ens ury; ay, September 15,2003
SIGNED k for the Town of Queensbury.
IV
Director of Building&Code Enforcement
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,
TOWN OF QUEENSEURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #;
SIGN PEPJ4IT APPLICATIOPI
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THE FOLLOWING INFORMATION IS REQUIRED-, �� 0 13 20
03
1. Detailed drawing or photo of sign. !
2. Plot plan of location of sign. /IlvoC
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY L.L-C--
< ADDRESS . E yio�rre.AT b 2 q PJ) VTEL. Sly-(.&S 2A 2.q
NAME OF APPLICANT
ADDRESS 'T-o n-.n��,a�}�..`�?. �1. t,} V i efda�t TEL. Spry-6-
"" BUSINESS NAME IF DIFFERENT: L-4L(^A(t-G�--�c�C
TYPE AND LOCATION
Check What Applies: Existing —_ Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing —_ Wall Y New
Location: Tax Map Number�ir_C) " I= 1
Address - -3�AtJc�f�`1�R�v� 5ta � .Laoy
Proposed Setbacks from Property Line (front) _ (side)If sign is to be illuminated, please check appropriate box:
Internal ( j , External 04/' Incadescent ( ) > Neon ( } , Other ( )
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Size of Sign: Width 0: 1�6 Length _ ft.
r r66
Total Square Footage: _',�2 S-
Sign Copy: -- t'sbb✓J
Color and Ma teri a o Be Used:
Signature:
Circle One; Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT 0 PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: �ORIGINAL-Office Copy Copy COPY-Applicant
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MAILING: SHOWROOM:
P.O. Box 332 • Glens Falls;NY 12801 52 Main Street • Queensbury,NY 12804
rsph. 518-792-4009 fx. 518-792-4476
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