2002-092 Galusha & Sons TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902, (518)761-8201
Community Development Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20020092 Application Number: A20020092
Tax Map No: 523400-303-016-0001-067-000-0000
Permission is hereby granted to: GALUSHA& SONS LLC
For property located at: 426 DIX Ave.
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.Addiress: GALUSHA& SONS LLC Sign
PO BOX 4787 Total Value
'QUEENSBURY,NY 12804
Contractor.or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-092
18 SQ FT FREESTANDING SIGN AS PER APPLICATION
MAW PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,February 12,2003
(Ifa 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 Tok ueens ury; Tuesday,February 12,2002
SIGNED BY for the Town of Queensbury.
Director of Building o nforcement
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 1,2804 Approved By:
Permit #: C)21�
(518) 76i-8256
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REqU�ED
I Detailed drawing or photo of sign. FEB 0 7 2062
2. Plot plan of location of sign.
3. Written consent of the owner of the building or 1��*N OF QUEr--INSSURY
AN CODE
OWNER OF PROPERTY '10) & mr\
ADDRESS (D TEL. ILA - rJ00
NAME OF APPLICANT k Mood,
ADDRESS TEL.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing __ Wall New
Location: Tax Map Number
Address
Proposed Setbacks from Property Line (front)
(side)
If sign is to be illuminated, please check appropriate box:
Internal' ( ) , External ), Incadescent Neon Other
Size of Sign: Width ft. Length ft.
Total Square Footage: S!52
Sign Copy:
Color and Material To Be Used:
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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