2002-970 Northway Transmission TOWN OF QUEENSBUKY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes t(518) 761-8256
BUILDING PERMIT
Permit Number: P20020970 Application Number: A120020970
Tax Map No: 523400-296-009-0001-007-002-0000
Permission is hereby granted to: JOSEPH I.EUCT
For property located at 1110 STATE ROUTE 9 ? I
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 Zonfiig
Ordinance. T Value
_Tune of Construction
Owner Address GUIDO PASSARELLI Sign
465 LAKE Ave Total Value
LAKE LUZERNE,NY 12846-0000
Contractor or Builder's Name Address Electrical Inspection Agency
tt
Plans&Specifications tf
2002-970 Northway Transmission
Construction of a 40 sq ft free-standing permanent-sign per plot plan and"
§peciticatio is.
Sign copy: "NORTHWAY TRANSMISSION
MOUNTAINSIDE AUTO11
$52.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,December 03,2003
I -
(If a longer period is required,an application for an extension must be made to the code Eiriforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow(joMnsbA16 T 0,--December 03,2002
SIGNED BY 4 for the Town 6f Queensbury.
Director of Building&Code Enforcement
TOWN UEENSBURY Fee Paid:
TO � OF Q . ; P
742 Bay Road, Queensbury, NY 12804 Approved By.
(518) 761-$256 Permit #:CEIVED
RE
SIGN PERMIT APPLICATION t
NOV � 2002 �d
c 0UBENSBURY THE FOLLOWING INFORMATION IS REQUIRED: eX
TOWN 0,
BUILDING A, ND CODE �y ,
Detailed drawing or photo of sign. L�
2. Plot plan of location of sign. CU/1i�'�` d�
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY .; n le--Is5/+-Af-
ADDRESS ` '!"P G-4 1�
'Z� l -' I- TEL.
NAME OF APPLICANT
ADDRESS a TEL.
BUSINESS NAME IF DIFFERENT: k61-7`&Ild-1 P)UP 'A l ffloWf j
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TYPE AND -LOCATION
Check What Applies: Existing Permanent -/ Projecting Sign ¢
Temporary Nan-conforming Existing __
Free-Standing Wall __ New
Location: Tax Map Number _ a2��, - ��•o�
Address _ / ilDAti 2kWEF 9
f
Proposed Setbacks from Property Line (front) 2,251 (side) Z,
If sign is to be illuminated, please check appropriate box:
Internal ( External ( ) , Incadescent ( ) , Neon +( ) , Other ( )
/ 0
Size of Sign: Width ft. Length _ ft.
Total Square Footage: _ (0
Sign Copy:
Color and Material To Be Used:
Signature:
Circle One: Applicant, owner, contractor or agent. f
I HEREBY AUTHORIZE APPLICA TO PLACE SI ON MY PROPERTY OR BUILDINGlaw�
Signature of Property Owner:
ORIGINAL-Office Copy apr-Appli nt
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MAILING: I SHOWROOM:
P.O. Box 332 * Glens Falls,NY 12801 52 Main Street • Queensbury,NY 12804
. 518-792-4009 • fx. 518-792- 476
NOV 'h 2002
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TOWN OF QUEENSBURY �
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