6143 Professional Offices BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6143
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Donald M. Matusik p
lessee
Qom} of property located at Mark Plaza — Quaker Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Wall Sign
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is fA
George Boychuk x
Mark Plaza - Quaker Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
11
4. ARCHITECT'S Name by
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ly
5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( ) Wood Frame ( ) Masonry ( I Steel ( ) O
7. PLANS and Specifications 4 'x5 ' on front of building, directly over middle
No. entrance, below roof line per sketch and
application submitted.
8. Proposed Use
COPY: PROFESSIONAL OFFICES (changeable copy - tenants N.
names)
Advertising
• $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 80
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 1 9th Day of October 19 79
SIGNED BY C7. .0 [_ for the Town of Queensbury
Building and Zoning Inspector ,6.
TOWN OF QUEENSB�,e
•. TOWN •OF QUEENSBURY p F_
3
`0 � APPLICATION FOR SIGN PERMIT OCT 1 8 19/9
•
78910112123456
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Application for .a sign permit shall be submitted to the .Building
. Inspector in duplicate in ink or typewritten. . *
THE FOLLOWING INFORMATION REQUIRED: (1) Detailed drawing. or 'p-lan,: to
• ,scale, showing the area (size) and the lettering and/or pictorial
matter composing the sign (2) Plot plan showing. it' s relation to nearby
buildings, structures, lot boundaries and any private or public streets
or highways (3) Written consent .of the owner of the building or land. -
All signs must have name plate 'attached . giving: sign permit number and
name and address of owner.
1. OWNER OF THE PROPERTY GEORGEI. BOYCRUK. : •
Queensbury
2. ADDRESS Mark Plaza, Quaker Rd. , TELEPHONE NO. 793-2600
3. NAME OF APPLICANT DONALD M. MATUSIK • '
4. ADDRESS • Mark Plaza,Quaker Rd. ,Queensbury TELEPHONE NO. 793-6604 •
5. LOCATION OF STRUCTURE OR LAND OF PROPOSED -SIGN Mark Plaza,
Quaker Road, Front Facade between. First Federal Savings &- Passono Paints---
6. . SIZE OF THE. SIGN (Width) four (4) Ft. . (Length) five (5) Ft.
7.. If the Sign is to be two faced give the number of square feet of
each face. Sq. Ft. N/A
S. If the Sign. is to be Illuminated please check. appropriate box:
Internal ( ) , External ( ) , Incandescent ( ) , Neon (x) , Other ( )
All illuminated signs shall be •inspected and certified by the New
York. Board of Fire Underwriters.
9. , Type of material used for construction of Sign Piatic Mta1
•
• 10. If the. Sign is. to be attached to a building, please describe where
on the building . the Sign' it to be located and the distance..from wall
In' addition to front facade , directly over middle entrance .0 V,r,
11. Remarks or other information See attached sketch LUI
_ prole-AY D: , 6972.1
•
tober 10, 1979 • • . - •17
ease. indicate
Date � Signa ure o pp can p
. if owner, Contractor or Agent
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