2000-541 Orvis TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000541 Application Number: A20000497
Tax Map No: 523400-036-000-000 1 -036-000-0000
Permission is hereby granted to: ORVIS CATALOGUE OUTLET
Owner of property located at: STATE ROUTE 149
in the Town of Queensbury, to construct or place a Sign
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.
Owner Address: MICHAEL TATKO
JR.
11 ORCHARD Dr
RUTLAND, VT 05701
Contractor or Builders Name / Address Electrical Inspection Agency
AMERICAN SIGN
PO BOX 2169
MANCHESTER CTR, VT 05255
Type of Construction : Sign Value : $
Plans & Specifications '
$9&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 Qne befor a expiratwi date.)
Dated at the To nz
;%v
up st 04, 2000
SIGNED BY '' ❑❑ for the Town of Queensbury,
Director of Building & Code Enforcement
TOWN OF QUEEENSBURY Fee Paid :
742 Bay Road, Queensbury, NY 12804 Approved By : � _
(518) 761 -8256 P e rm i t # : `(:' T
SIGN PERMIT APPLICATION ! /
411:3w
THE FOLLOWING INFORMATION IS REgUIRED :
I , Detailed drawing or photo of sign .
2 , Plot plan of Tocation of sign ,
3 . Written consent of the owner of the building or land .
OWNER OF PROPERTY _ /11l�f L TAT(.za
ADDRESS BIALF-R0. -/Q t tOCU ROr9D, u��LLS VT TEL . Y(10? - 61',5 - 999 a
NAME OF APPLICANT ✓IS
ADDRESS R 4 Zf x /7919111(2 H ,ESTjF11? VILLt966- Y`F 06W55# TEL . j? 4W - ,362 - , 6qq
BUSINESS NAME IF DIFFERENT :
TYPE AND LOCATION
Check What Applies : Existing _ Permanent Projecting Sign
Temporary 'Nan- conforming Existing
Free- Standing Wall New
Location : Tax Map Number 30
.Address —
Proposed Setbacks from Property Line ( front ) 16 F7T ( side ) AER67
S Ce f 77-17 116-A0 SHE 71V AI
If sign is to be illuminated , please check appropriate box :
Internal ( ) , External ( ) , Incadescent ( A Neon { } , Other ( }
Size of Sign : Width e _0 ft , Length 6 - a � ft ,
Tot Footage : ' 4 s
Sign Copy : A JOCIVAS
Color and Mat To Be used :
Signature :
Circle One : Applicant r , contra tor or agent .
I 'HEREBY AUTHORIZE APPLICA TO PLACE _/GN O �M PROPERTY OR BUILDING.
Signature of Property Owner:
r.
ORIGINAL-Office Copy COPY-Applicant
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