2002-1028 Harvest Fields Baptist Church TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20021028 Application Number: A20021028
Tax Map No: 523400-289-020-0001-005-000-0000
Permission is hereby granted to: JFFF KFI.T.Y
For property located at 163 HAVILAND 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: BAY WEST ASSOCIATES LLC Sign
163 HAVILAND Rd Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection-Agency
Plans&Specifications
2002-1028 Address is#163 per DH, 12-16-02.
Construction of a 30 sq ft permanent wall sign(banner material)per plot plan and specifications.
Sign copy: Harvest Fields Baptist Church,Pastor Jeff Kelly
$60.00 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 To4i of 1 eens yy, 4twanuary06,2003
SIGNED BY ZPI for the Town of Queensbury.
Director of Building&Code Enfoicement
- Y
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By: -
Permit #: �C =
(518) 761-8256
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: FiL
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of the owner of the buil_di.ng or land.
OWNER OF PROPERTY _ 1wd�� ssiS
ADDRES s t�`� I•-��,���+-�,r�- �=�a����e_+U��i~~ �1''� Fs
NAME OF APPLICANT �f t F k'C L L Y
ADDRESS 'qE 14h rhiv1/'(� AA Ud1'PA1 b#g91V Jff TEL. '5V• t,5
BUSINESS NAME IF DIFFERENT: 44le- ?- 4e7151 CffVfZCA
TYPE AND LOCATION
Check What Applies: Existing Permanent >C Projecting Sign
Temporary Non-conforming Existing
Free-Standing Wall i_ New
Location: Tax Map Numb
Address .`— -=
t6e3
i'roposed Se cks from Pro i ne (front)
If sign is to be illuminated, please check appropriate box: !!
Internal ( ) , External ( ) , Incadescent ( ) , Neon ( ), Other -
Size of Sign: Width -3 ft. Length l D _ ft.
Total Square Footage: _ 30
A4,le SAW AW rip
Sign Copy: 4,ty�' �1.�t , s?�G' ' PAs7�vL�efF , '"lG� s ` ,P sku.�� s on�.��., Q�vil,�2 t
Color and Material To Be used: Vr AAA _._VfAlAt.. —
Signature:
Ci cle One: icant, o er, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO P E IGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Off ' e Copy COPY-Applicant
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
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THE FOLLOWING INFORMATION IS REQUIRED: I
hLau, (6u,_d
1. Detailed drawing or photo of sign. 6
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY WiS7 kc'soLtA-TrS. , tLc
ADDRESS TEL.
NAME OF APPLICANT
ADDRESS 1-16 4,4 �hjo;< AP) TEL.
BUSINESS NAME IF DIFFERENT: Agkle_57- EGAS %
Jv-175.7 C1 vfzc- I
TYPE AND LOCATION
Check What Applies: Existing —_ Permanent � Projecting Sign
Temporary Non-conforming Existing
Free-Standing Wall New __.
Location: Tax Map Number Ogg , 62 (3
Address #8; gf> _V&WA'wq _.Aly 10—rew
Proposed Se�NZ Property Line (front) {side)
If sign is to be illuminated, please check appropriate box:
Internal External Incadescent Neon Other
Size of Sign: Width ft. Length ft.
Total Square Footage: 30
,tr -le sAilf/wA'a,'p '5e
Sign Copy: A44vecr Fle-l'or 6-2 at_sLerc 4g�o', S111AA!Z 1-,7-1�Z
Color and Material To Be Used: vi.uL �"-V7aLA/L
Signature:
Citcle One�: pfffi cant, bwner,' contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO P E IGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Of e Copy COPY-Applicant
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OTHER LANDS OF
FAMILY GOLF CENTERS, INC.
an D us e
& Steve s
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lie. No. 50135
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*UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
NAP BEARING A LICENSED LAID SRVEYORS SEAL 0 A
MOLATION OF SECTION 720% SUB -DIVISION 2. OF THE
NEW YO K STATE EDUCATKN LAW.'
*ONLY COPIES FROM 1ME ORIGINAL OF TMS SURVEY
MARKED NTN AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHAD. BE CONSIDERED TO BE VALID TRUE COPIER'
•CERTINCATIONS INDICATED IE1®ON SKNPY THAT
TINS SURVEY WAS PREPARED N ACCORDANCE NTH THE
DISSTMD CODE OF PRACTICE FOR LAD SURVEYORS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROEEWMAL
LAID SURVEYORS SAD affnFCATKNS SWILL RUN ONLY
TO THE PERSON FOR NOM THE SURVEY s PREPARED. AD
ON HIS BEHALF TO THE VAX COMPANY. WVERN ENTAL
ACOICY AND IDIOM IN3111UOTN LMTED NERRVIX AND
TO THE ASSONEES OF TIE IDNONG IOIITUTION.•
I.R.F.
AREA
101,359 sq. ft.
2.32 acres
DROP INLET
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DROP INLET
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LEGEND:
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I.R.F.
= IRON ROD FOUND
M.).
= UTIUTY POLE
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= UGHT POLE
❑
= CATCH BASIN
= FIRE HYDRANT
Map of a Survey made for
BAY WEST ASSOCIATES, LLC
Town of Queensbury, Warren County, New York
UTILITIES
63.�71'w2
79-1
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2 3/28/02 SHOW PARKING SHEET 1 OF I
1 12-8-00 PROPOSED SIGN BAY WEST
NO. DATE DESCRIPTION DWG. NO. 86672—BW
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