2002-222 North Country Academy TOWN OF QUEENSBURY
742 Bay Road,.Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020222 Application Number: A20020222
Tax Map,No: 523400-296-012-0001-030-000-0000
Permission is hereby granted to: NORTH COUNTRY ACADEMY DAY CARE CENT
For property located at: 6' WILLOWBROOK 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: GUIDO PASSARELLI Temporary Sign
465 LAKE Ave Total Value
LAKE LUZERNE,NY 12846-0000
"Contractor or Builder's Name Address Electrical Inspection Agency
Plans &Specifications
BP 2002-222
Temporary freestanding sign(15 sq. ft)for the North Country Academy
Day Care Center as per plot plan and specifications
$50.00" PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday;June 03,2002
(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 ex*ndate.),Dated at the own Que s ryApril 09,2002
SIGNED BY for the Town.-of Queensbury.
Director of Building&Code Enforcement
lip"
TEMPORARY SIGN PERMIT APPLICATION
TOWN OF QUEENSBURY PERMIT NUMBER:
Dept. of Community Development
742 Bay Road Fee Paid:
Queensbury, New York 12804 a�
Deposit Paid: � Deposit on file:
(send refund/deposit to: )
Important Notice: Temporary Sign Permits are issued for a period of 12 calendar days not
to exceed 60 calendar days per year per applicant.
DATE: placement of sign:
DATE: removal of sign:
' 3 ,24o 06
Applicant Name (individual or business name
Mailing Address: Pe
n Telephone No. ) -
Exact Location / Placement of Sign: �-
Tax Map Number:
Type of Sign: �jti `--���
ViA 4kWU44
Wall Sign (not to exceed 32 square feet) Sign Copy:
Freestanding Sign (not to exceed 16 square feet) Sign Copy:
Size of Sign: x _ sq. ft.
Additional information required for this temporary sign permit application:
1. Detailed a or hoto of sign.
Plot plan of location of sign. -
signature of a nt signature of property owner if
1C� ./ different from applicant name
�J .1 64'.s0�.
Failure to remove sign at expiration may result in forfeiture of deposit as per the Code of the Town of Queensbury,
Section 140,Subsection 140-4(Local Law No. 11, 1993).
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FROM BILL JOHNSONX SYSTEM PHONE NO. 51858180113 Apr. 04 2002 02:23PM P1
WI:LLOWBROOK RD.
Temps s;i.g zi
ParkiYig Lot
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Temp signs location
2.0 Ft from Say Rd. and
20.Ft from wil:lowbrook Rd
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