2002-233 Livis Ice Cream TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020233 Application Number: A20020233
Tax Map No: 523400-295r008-0001-002-000-0000
Permission is hereby granted to: LIVIS ICE-CREAM
For property located at 1161 STATE ROUTE 9
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: DONALD J DANIELS Sign
I GILMORE Ave Total Value
OUEENSBURY,NY 12804
Contractor or Builder's Name Address Electrical Inspection Agency
Plans & Specifications
2002-233 LIVIS ICE CREAM
32 SQ FT FREE STANDING SIGN AS PER APPLICATION
$64.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,April 09,2003
(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 T ,April 09,2002
SIGNED BY z for the Town of Queensbury.
Director of Building&Code Enforcement
Fee .Paid:
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TOWN OF {,�UEENSBURY � ��
742 Bay Road, Queensbury, NY 12804 AP Ap �"ed By: _
(518) 761-8256 '' 01z G?JC�
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SIGN PERMIT APPLICATION___ZZ 0S.-
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written cgiistgnt of the ner of the building or l and:`'
OWNER OF PROPERT
ADDRESS f TEL.
NAME OF APPLICANT
lr✓jW.�'� '�,'"'` S S ,.: �. �. 1; i``�`" ,.. '- w- TEL.
BUSINESS NAME IF DIFFERENT: . :.. "
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign
Tem Non-conforming Existing
ree-Standing �- Wall New
Location: Tax Map Number
Address �f rev,
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Proposed Setbacks from Property Line (front) (side) d,�r
If sign is to be illuminated, please check appropriate box: /J/4—
Internal ( )_, Exter al ( ) , Incadescent ( ) , Neon ( ) , Other { )
Size of Sign: Width ft. Length 4�-- ft.
Total Square Footage:
Sign Copy:
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Color and Material To Be Used:
Signature: _ amkAT
Circle/One: Applicant, o ner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGH ON MY PROPERTY OR BUILDING.
Si gnatu.re-of Property Owner-:--'
ORIGINAL-Office opy COPY-Applicant
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