2002-127 Tire Warehouse TOWN ORQUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 ' (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020127 Application Number: A20020127
Tax Map No: 523400-302-008-0001-039-000-0000
a
Penxiission is hereby granted to: TIRE WAREHOUSE
For property,located at: 274 QUAKER Rd
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: LOUISE SILVERTHORNE Sign
30 OLD COACH Rd
Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans &Specifications
2002-127 TIRE WAREHOUSE
35 SQ FT FREE STANDING SIGN AS PER APPLICATION
$70.00 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 T( wn of ue r d r&01,2002
D 0 rwn Of,
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
518 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: RECEIVED
1. Detailed drawing or photo of sign. E E B 2 6 2002
2. Plot plan of location of sign. TOWN OF QUEENSBURY,
3. Written consent of the owner of the building or land. BUILDING AND CODE
OWNER OF PROPERTY
ADDRESS 30 15 y 7" �1 e,,�, �1�-115 � � TEL.
NAME OF APPLICANT ��/ e.j,VAZg_A100S e--
ADDRESS / 1.-1C aA"kC''t'I.., JZ1) TEL.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing -_V_ Wall __ New
Location: Tax Map Number
,Address _ ✓, • J'M IZA) _
'VIZ
' Proposed Setbacks from Property Line (front) , (side)
If sign is to be illuminated, please check appropriate box:
lnternal ( )-,"External ( ) , Incadescent ( ) , Neon ( } , Other ( )
Size of Sign: Width ft. Length 10 _ ft.
Total Square Footage: _ 3�
Sign Copy: 0,0 Wl 0 A-A) y ko o
Color and Material To Be Used: RZO /J000, 0 6_0 Ib �,aA F
Signature: G
Circle One: pplicant, " n r, contractor or agent.
I HEREBY AUTHORIZE APPLICANT T PLACE A SI ON MY P PERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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