2002-106 Moselle & Clark Chiropratic TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020106 Application Number: A20020106
Tax Map No 523400-296-016-0001-016-002-0000
Permission is hereby granted to: MOSELLE& CLARK CHIROPRACTIC
For property located at: 17 CRONIN Rd
in the Town of Queensbury,ensbury, 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.
!i Type of Construction Value
Owner Address: J13J QUEENSBURY LLC
Sign
9,TOBEY Rd
PITTSFORD,NY 14534 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
WEST SIGNS
1100 DIX Ave
HUDSON FALLS,NY 12839-0000
Plans &Specifications
1
2002-106 MOSELLE& CHASE CHIROPRACTIC
24 SQ FT FREE STANDING SIGN AS PER APPLICATION
$48.00*1 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 Tu�of Qu b March 08,2002
SIGNED By it A _17;rW -for the Town of Queensbury.
Director of Buil ' g& de Enforcement
10/23/01 16:43 FAX 5184521940 THE HOWARD CROUP IM01
FROM MOSELLE CHIROPRACTIC PC FAX NO. 519-747-5533 Oct. 23 2001 03!40PM P2
y�
T Fee Paid:
742 Clay RixW Queensbury, NY 12&9 Approved By:
(518} 161,8256 Permit N:
rlt�
r SIGN PERMIT APPLICATION IV
SD
DEB 1 < 2062
THE FOLLOWING INFORMATION I5 REQUIRED: TOWN 01=QUEE
. - NSSU
1. Detailed drawing or photo of. sign. DUIL_DINta,gN®CODE Y
2. Plot plan of location of sign.
3:' Written consent of the owner of the b ildinq or sand.
OWNER QF PROPERTYkv
AoDRESS, TEL,
NAME. OF A�KPICAT . '
AODRESS� r .
SUSINESS NAME IF DIFFERENT: Kra
TYPE AND LOCATION
Check what Applies; Existing _. Permanent Projecting Sign
Temp Non.conformtng'ExiSt
e- and n Well ea
Location: Tau R&D Number �---
� Address
Proposed Setbacks from Property Line (front) (side)
If sign `is to be illumiratea#, please check appropriate box:
InternarJ04T, Extern,al Incadescent { ), Neon { }, Other { )
Size of Sign: Width ft. Length �� ft.
1
Total .Square Footage:
-Sign Copy. o. .10041
Color and Material To Be Us
t-
Signature:
Circle One: cah one , con-tractor or agent.
I HEREBY AUTHORIZE APPLICANT PLACE A SIrMN PROPENT OR BUILDING.
Signature of Property er:
I3 lGINAL-Office Copy COPY-Applicant
OCT--23-2001 16:01 518 747 5533 94%, P.02
•
� .F-mo
CH.l� 1WRACTIC
615-0056
Its
� --17 �Gronin Road--
� �-SOC�AL SECURITY:
- ��ADMrt`DISTRiGT OFFIG�-
s
RECEIVED
MAR 0
i .E•
1 #
_ - f
TOWN OF QUEENSBURY
i
�CODE
3
MAP REFERENCE:
MAP OF A PROPOSED SUBDIVISION
MADE FOR
UPPER GLENS FALLS DEVELOPMENT CORP.
BY VAN DUSEN & STEVES
DATED JUNE 24, 1994
LAST REVISED JULY 21, 1994
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON AUGUST 16, 1994
IN PLAT CABINET B SLIDE B-30
OTHER LANDS OF
ROGER & BARBARA BRASSEL
CROSS EASEMENT
FOR VEHICULAR do PEDESTRIAN Tv�
ACCESS
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PC
1-9-11F.`� SEA�T�
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p 11Aw E
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
f FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED T0: T'S REAL AND\DR ASSIGNS
UPPER GLENS FALLS DEVELOPMENT CORP.
LAWYERS TITLE INSURANCE CORPORATION
JBJ QUEENSBURY, LLC
JAY BIRNBAU4j,• • • • • • •
S�®�*'y
CERTIFIED BY:
LE M. •;1;i617
DATED: Aar• Zs �99L •••'•••••�••
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MAP' OF A SURVEY MADE ran
UPPER GLENS FAO., DEVELOPM(Eff CORP.
TW OF Q U EE KS 6 u 121 W A iZ i.>, CMKM. K.Y.
St3ALEt 1'Z co ' DAT6� , �lp_ c. 20; 15 g L .
vatowplivt Staves
LAND SURVEYORS, GAM FALUd= YM-
KY. STATE LLC. NQ 3=7 I'P•�' �'¢'•' Q •nE �'°«v
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N-137 M
IZS