2002-107 Betterway Realty TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020107 Application Number: A20020107
Tax Map No: 523400-296-019-0001-025-000-0000
Permission is hereby granted to: THOMA.S BOLEN '
For property located at: 90 GLENWOOD 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 Address: THOMAS BOLEN sign
10 STONEWALL Dr Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-107 BETTERWAY REALTY
3 SQ FT FREESTANDING SIGN AS PER APPLICATION
$6.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,February 21,2003
(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 of en b T ursday,February 21,2002
SIGNED BY for the Town of Queensbury.
Director of B ' ding ode Enforcement
Fee .Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
Perm' #: c2acl-2-107
(518) 761-8256 IF C k:71
P"
SIGN PERMIT APPLICATION Veo
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THE FOLLOWING INFORMATION IS REQUIRED: r0VVJV 0,,,
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1. Detailed drawing or photo of sign. "�•AtV,D
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY
ADDRESS
0 TEL.
NAME OF APPLICANT
ADDRESS TEL. 36 -05,�7
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Apples: Existing Permanent Projecting Sign
Nan-con Existing
New .
Location: Tax Map Number _65-1
Address 9D 7, Te b��� C2
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:
Sign Copy: dz_e , l_lv
Color and Material To Be Used: /PI4-L 6A fJ 6
Signature:
Ci1rcre 0`ne:(Applicaht-,)own fLs-r, contractor or agent.
I HEREBY AUTHORIZE APPLICANT 7O PLACE A: SI O MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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