2003-999 Allcare Bracing and Medical Equipment TOWN OF-QUEENSBURY
742 Bay Road;Queensbury,NY-12804-5902 (518)761-8201
Community Development Building&Codes (518)761-8256.
BUILDING PERMIT
Permit Number: P20030999 Application.Number: A20030999
Tax-Map No: 523400-303-005-0001-086-000-0000
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Permission is hereby granted to: AT:T,C,ARF.BRAC;TNCr ANT)MEDIC AL POTTTPMF.N
For property located at: 360 QUAKER Rd
in die 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. Tie of Construction Value
Owner-Address: NORHTGATE ENTERPRISES INC
PO BOX 4514 Sign
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name /'Address Electrical Inspection Agency
Plans&Specifications
2003-999 ALLCARE BRACING AND.MEDICAL EQUIPMENT
18 SQ`FT WALL. SIGN
$36,00 , 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 o: of Qu sb ; uesday, December 30, 2003
BY for the Town of Queensbury.
SIGNED Q may
Director of Building& ode Enforcement
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Fee Paid:
TOWN OF Q EEINSBURY
C2
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #:
f (518) 761-8256
SIGN PERMIT APPLICATION ��• ,���� •;
THE FOLLOWING INFORMATION IS REQUIRED:
I. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written conse t of the owner of the building or land.
OWNER OF PROPERTY
ADDRESS 0 � y Dcti�e-ers Gar W6-1-1 TEL. 2-L 2_
NAME OF APPLICANT ll��rc �rac�Y.�a�.c� n,{t�c� ���=Y� .� -7:
ADDRESS 3f(, C,�aa,IG.e, lip Gci . s. s ��, vy tc�Y TEL. 7qS= G7Z? G1
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BU L
SINE55 NAME IF DIFFERENT: /+'y ?17dhy _ Te"7
TYPE AND LOCATION
Check What Applies: Existing _ Permanent _ Projecting Sign
Temporarydi __.. Nonj!g Existing
Free-Stanng Wall New
Location: Tax Mao Number o. -243,65
T�
Address
Proposed Setbacks from Property Line (front) (side)
If siggn is to be illuminated, please check appropriate box:
Internal ;; , External ( ): Incadescent { ), Neon { ), Other { )
Size of Sign: i dth ft. Length ft. Size
Total Square Footage: 19LUYJTI-5 �1 '
�n ooip ,�. `/`//� r-� I !-tc c i v`4 YI 1 'e a �G w � e. he 7ra s` 'IX20
Color and Material To Be Used: WIti � -c- f a4S i wry jV_k.-, Lc� zY;� Si ,,
Signature:
Trcl Qne: pplicant, o r, contractor or agent.
I HEREBY AUTHORIZIE APPLICANT TOPLACE A SIGN ON MY PROPERTY OR BUILDIN8.
Signature of Property, ®time - �6r
' °'� ORIGINAL-Office Copy COPY-Applicant
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