2002-375 Bella Rose Pizza Cafe TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020375 Application Number: A20020375
Tax Map No: 523400-288-008-0001-009-000-0000
Permission is hereby granted to: BELLA ROSA PIZZA CAFE
For property located at. 1587 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 Addres IS: LEONARD & CALLIOPI LOMBAR
1587 STATE ROUTE 9 sign
Total Value
LAKE GEORGE,NY 12845
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2002-375- BELLA ROSA PIZZA CAFE'
32 SQ FT FREE STANDING SIGN (BELLA ROSA PIZZA CAFE)
$64.00 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 th ,of Queqsbur y)- Tpesday,May 28,2002
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SIGNED BY for the Town of Queensbury.
Director of Building&Co'lle Enforcement
TON OF QUEENSBURY R. Fee Paid:
W
742 Bay Road, Queensbury, NY 12804 ECEIVEDBY:
(518) 761-8256 MAY 1 0 pggTi t #:
TOWN OF QUEENSBURY
SIGN PERMIT APPLICAtfibRING AND CODE
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THE FOLLOWING INFORMATION IS REQUIRED:
I. Detailed drawing or photo of sign.
2. Plot' plan of location of sign.
3. Written consent of the owner of the building or land.
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OWNER• OF PROPERTY Lev � {Jv
ADDRESS TEL. 793-yW 6
NAME OF APPLICANT
ADDRESS 44-h TEL. 19356
BUSINESS NAME IF DIFFERENT: 4L&q
TYPE AND LOCATION
Check What Applies: Existing ✓ Permanent 1`00' Projecting Sign
Temporary Non-cohfornmning Existing __ I
Free-StandT—ng Wall New V .64eswEgs 14A7wi-
Location: Tax Map Number'
Address 16'71
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal External (V< Incadescent Neon Other
Size of Sign: Width ft. Len.gth ft. t .
Total Square Footage:
Sign Copy: VISA -1q3
Color and Material To Be Used: 16 b
Signature:
Circle One:Q1LLcagV, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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