2003-1007 Tropical Fitness TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Conuntunty Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20031007 Application Number: A20031007
Tax Map No: ' 523400-296-013-0001-018-000-0000
Permission is hereby granted.to: TR OPTCAL FT7 FRSS .
For property located at: 959 STATE ROUTE 9
in the Town of Queensbury,to construct or place
at die 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. Tyne of Construction Value
Owner Address: GMO PASSARELLI
465 LAKE Ave Sign
Total Value
LAKE LUZERNE,NY 12846-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-1007 TROPICAL FITTNESS
28 SQ FT WALL SIGN
$56.00 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 of Que sbury; T esday,December 30, 2003
SIGNED BY for the Town of Queensbury.
Director of Build g& e Enforcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #1 0
SIGN PEPJ41T APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
I Detailed drawing or photo of sign. DEC 1 62003
2. Plot plan of location,of
of sign. ToWN OF QU,-:ENSBURY
3. Written consent of tKe owner of the building or land.
BLjILL)JNC�ANE)CQUE
OWNER OF PROPERTY vnT tE=6 E.
ADDRESS TEL. -,!6V91
6
NAME OF APPLICANT � '1 eYGF_
ADDRESS 9DVT_ 9- G)9 , AA n
&)ITUTEL.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent \:./Projecting Sign
-7
Temporary Non-conforming
�Newsting t f'J,_`�
l V
Free-Standing Wall 1Z
Location: Tax Map Number
-
Address
Proposed Setbacks from Property Line (front) ' ' (side)
If sign is to be illuminited, please check appropriate box:
Internal (K<terna.1 ), -Incadescent ) , Neon Other
Size of Sign: Width 2- ft. Length L/ — ft.
Total Square Footage: t r6 1 Je
Si gn Copy: X C-A C, ICE f fJ&�S
Color and Material T Be Used: C J 16 t-) 6)
A<-vttIca A-,4 6
be-Signature:
Circle One: pplicant owner, .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
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