2002-1036 Budget Inn TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518).761-8201
Community Development-Building&Codes (518) 761-82M
BUILDING PERMIT
Permit Number: P20021036 Application Number: A20021036
Tax Map No: 523400-296-013-0001-017-000-0000
Permission is hereby granted to: BTJDGF,T 1NN
For property located at: �� ` 11�4.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: NASREEN&MASIH KHURSHID Sign
931 STATE ROUTE 9 ' Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002�1036 BUDGET INN
50 SQ FT FREE STANDING SIGN AS PER APPLICATION
$100.00 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 the 7n �tr
December 30,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
100 C.-I
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
518 761-8256 Permit #: andl—jolo
( ) RE—
SIGN PERMIT APPLICATION CE:IVEE)
DEC p 3 2002
THE FOLLOWING INFORMATION IS REQUIRED: TO K/N()F Q t JEE,
BUILDINJ NSBURY
1. Detailed drawing or photo of sign.
2. Plot plan of location of-,s*gn.
3. Written consent of the 6wnr. of the building or land.
OWNER OF PROPERTY
t%
ADDRESS TEL
NAME OF APPLICANT U
ADDRESS TEC.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent VProjecting Sign
Temporary Non-;.Gnforming Existing
Free-Standing Wall New
Location: Tax Map Number C�
Address
&;t�
Proposed Setbacks from Property ,Line (front) (side) C?c-A"r6 P� 0
If sign is to be illumi r ted, please check appropriate box:
Internal (7, ExternaT Incadescent Neon Other
Size of Sign: Width ft. Length — ft.
V
Total Square Footage:
Sign Copy: 9;L)l) 66T- Iryti S�(5 /-,-o L/a
Color and Material To Be Used: , k,4A) AA& 0�<�t
116 , -
Signature:
Circle On�. eA—pplicant, owner, contracto or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ZVY PROPER TY OR BUILDING.
'44
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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RECEIVED
DEC 2 3 2002
TOWN OF QUEENS13URY
6 inj BUIIDIN(;AFD CODE