2001-453 Leo'S Pizza ��� TOWN OF QUEENSBURY
1coo 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010453 Application Number: A20010453
Tax Map No: 523400-288-008-0001-009-000-000.
Permission is hereby granted to: LEO'S PIZZA
For property located at: 1587 STATE ROUTE 9
in the Town of Queensbury, to constructor place
j 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: LEONARD & CALLIOPI LOMBARE sign
1587 STATE.ROUTE 9 g
LAKE GEORGE,NY 12845 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
•
'Plans &Specifications
2001-453 LEO'S PIZZA TIME
32 SQ FT FREE STANDING.SIGN AS PER APPLICATION
I $64.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: . Friday,June 27,2003
(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 Town of Queens ; We esday,June'27,2001 .
VVV
SIGNED BY (----- / for the Town of Queensbury.
Director of Building
&" ode' forcement
zit
tLz0
: - .: --gia;` TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #
518 7618256 /'455
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: RECEIVED
1. Detailed drawing or photo of sign. JUN 2 2 2001
2. Plot plan of location of sign. ®���G�
3. Written consent of the owner of the building or 1 an QUEEE;U:,'
E3lJIlDIfyG I�ND cOci .
OWNER OF PROPERTY LP�P1)Q• j9 p j� na, J D o T
ADDRESS f S()i/ ,safe R 1 Lae 6eo/2a e VI TEL. 9 -y02)b
NAME OF APPLICANT LeMa R/O L )m/ flkI90 Leo cS r127.0 I l ril ‘ -
ADDRESS J \) l / S fC R t-I LA-Ile G o ti e. /V TEL. /7 y g -,c-os-�
Lro
�- � yBUSINESS NAME IF DIFFERENT: ' S Pi z2,CP Tim m .-e.
TYPE AND LOCATION
Check What Applies: Existing _ Permanent Projecting Sign __
Temporary Non-conforming Existing __ ,91
Free-Standing — Wall 1—_ New —_
Location: Tax Map Number , �� - 1 - G-3
Address .-5?7 ! / 9
' Proposed Setbacks from Property Line (front) — (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( , Incadescent ( ) , Neon ( ) , Other ( )
' Size of Sign: Width . 4/1 ft. Length ( ft.
Total Square Footage: — . 3 v, Uq t€ F
7
7
Sign Copy: L e PJc CI 09J 2 7 aI 7 ) Th
Color and Material To Be Used: NNen. 1 (AA 1-e ) 51/er ii 1110 r GC) 6 0
Signature:
Circle One: Applicant, ne).contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: c1=P-(2 U/l,C- _ g_y
,,_„, --)
ORIGINAL-Office Copy COPY-Applicant