2003-998 R & T Collectibles TOWN OF QLTEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030998 Application Number: A20030998
Tax Map No: 523400-296-017-0001-051-000-0000
Permission is hereby granted to: R & T C OT,T,F,C;TTBT,FS
For property located at: 870 STATE ROUTE 9
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: ALEXANDER POTENZA
FRANK BORK Sign
Total Value
403 GLEN St
GLENS FALLS, NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-998 R& T COLLECTIBLES
24 SQ FT FREE STANDING SIGN(ANTIQUES BUYING& SELLING
$48.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension roust be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o ueens r ay,December 18, 2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code&forcement
TOWN OF QUEENSBURY ��
742 Bay Road, Queensbury, NY 12804 E6 proved.
roo off' rM t w_
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(518) 761-8256 �U1ID
N� S�URY
SIGN PERMIT APPLICATION op
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THE FOLLOWING INFORMATION IS REQUIRED: d 3
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent �f/ the owne f the building or land.
OWNER OF PROPERTY � � d
� � 1&1-4r ADDRESS 1� CGS . TEL.
NAME OF APPLICANT 1avr, '4�r7SLc�1n. ,,--gyp r
ADDRESS ��tS TEL. (ot�J- Kag
BUSINESS NAME IF DIFFERENT: } G c
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign
Temporary Non-conforming- Existing +�
Free-Standing Le, Wall New
Location: Tax Map Number -- 0Qe/,s_l 7
Address
Proposed Setbacks from Property Line (front) rr, (side)
If sign is to be illuminated, please check appropriate box:
Internal ( j External Incadescent ( ) , Neon ( } , Other ( )
Size of Sign: Width ft. Length �_ ft. e6le See
Total Square Footage: CP
Sign Copy: te 6 �� tc i'l -f n
\\�JColor and Materia To Be used:
Signature:
Circle One: A2 1p icant, owner,-contvfttor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A S 10 Y PROPERTY OR BUILDING.
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Signature of Property Owner: "Z
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ORIGINAL-Office Copy COPY-Applicant
FROM MIKE HAIRD SIGNS PHONE NO. 518 792 6241 Dec. 08 2003 03:43PM P01
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