2001-036 Prudential TOWN OF QUEENSBURY
b:.
V T 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010036 Application Number: A20010036
Tax Map No: 523400-059-000-0005-002-000-0000
Permission is hereby granted to: PRUDENTIAL
For property located at: 360 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: NORHTGATE ENTERPRISES INC Sign
PO BOX 4514 Total Value
QUEENSBURY,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-036
32 sq ft WALL SIGN AS PER APPLICATION
$64.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday,February 02,2003
(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 the To ueens Fr',+ , ebruary 02,2001
SIGNED BY c/ 4iisi „ A for the Town of Queensbury.
Director of Building&Code nforcement
. o» Fee Paid: f /1,./Y'
..' 4 :� .:,>' TOWN OF QLTEENSBURY
`° .w,_4 _ �{ '. 742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 F
Permit #: c �)f 03(i,
CEP f E )
SIGN PERMIT APPLISIFON6 2001
TOWN dui°.0 , r
THE FOLLOWING INFORMATL31,1 �it'Jr:a �`!BCj ' (3)-1,--
1. Detailed drawing or photo of sign. Li
2. Plot plan of location of sign. (- 1'49j-62-1--V11—\
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY IiNAL 1--1-e5S`C.._i(1— /f
ADDRESS��g 1 UPS 6-(elS--. C� �S1 Jv� �ZTEL. 5)7- 7c92--` tiO
NAME OF APPLICANT tic L c . 'r nA / G-re5 i I\-ef ?r�ckev4 \
ADDRESS 35%--- Q „1 e (2eX• 9..A5)1.1 A V I Z5O 1EL. S18- 7 43 -? - 9 f
BUSINESS NAME IF DIFFERENT: �rvG(e,n-A-.kc,, 1 I
TYPE AND LOCATION
Check What Applies: • Existing 5( Permanent Projecting Sign _ �, 1',/,Ct
Temporary Non-co I ing Existing _ J `{U
Free-Standing __ Wall New 6Y
alb
Location: Tax Map Number :59 `
Address _ Q�
Proposed Setbacks from Property Line (front) (side) rru(i)(z_'�'
If sign is to be illuminated, please check appropriate box:
i;;Internal (' External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width 7 ft. Length Y ft.
Total Square Footage: _ 32
Sign Copy: ' I rocter4\-0A
Color and Material. sed: 744/E o a 04) L3f-fiT.E L6xr9,:,
Signature: I
pplic
Circle One: an , owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLAC ON MY PROPERTY OR BUILDING.
r
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
JAN 25 '01 14:55 FR PRUDENIAL T.V. TO 115187439001 P.02i02
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