SIGN 2006-400 Parking $5 Al64 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20060400 Application Number. A20060400
Tax Map No: 523400-296-009-0001-007-002-0000
Permission is hereby granted to:
For property located at: 1110 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: GUIDO PASSARELLI
465 LAKE Ave Temporary Sign
LAKE LUZERNE, NY 12846-0000 Total Value
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2006-400
TEMPORARY SIGN TO READ PARKING $5.00 TO BE DISPLAYED FROM 6/10/06 TO 8/8/06
NEVER APPROVED LAST SUMMER DATES TO BE DISPLAYED CHANGED (5/25/07 TO 7/24/07
INSTEAD)
$0.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 24, 2007
(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 Tow9mfeQueensburn Friday,i May 25, 2007
SIGNED BY % 4for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY � Er,
RFi�_/ED
21C•,- 1- 7-, Z. Ai r C 11�1
TAX MAP NO. PERMIT NO. 07' '7 00 DEPOSIT: _J .C �" JUN 0 9 x006
APPROVALS: ZONING: TOWN CLERK: PERMIT FEE 1 -X� • TOWN yr y _-i �t3URY
BUILDING AND CODE
TEMPORARY SIGN PERMIT APPLICATION:
Applicant Information Business Information
Name:U�'P) 1-EAJ C ( Contact Person:
Address: /1/0 / 9 Address:
6Rieto....s 1",t.. IU /a-joy
Phone No. 71(5 - 6- 55- 7- Phone No.
Specific Information about your sign:
✓ placement om- 51251P7
What is the date for of your sign
✓ What is the date for removal ofour sin? - ^ C? T/24/ .
Y g �-
P- .
✓ How many days will your sign be displayed? A 'S---‘,-- Ca
✓ In 'cate exact address for placement of sign: /1/0 � 9
tJtP„s,rsve )1/4-)(C
✓ Indicate tax map number for your parcel:
✓ Indicate the type of sign you will display:
Wall Sign (cannot exceed 32 square feet)
eestanding Sign (cannot exceed 16 square feet)
✓ What are the dimensions of the sign? if X = / 6 sq. ft.
pU
V Indicate in words what your sign will say: -fir I13 3'
Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11 , 1993)
Declaration: To the best of my knowledge, the statements contained in the application, together with
the plans and specifications submitted, are a true and complete statement of all proposed work to be
done on the described premises and that all provisions of the Zoning Ordinance, and all other laws
pertaining to the propo work shall be com.lied with, whether specified or not d, and that such work is
authorized by the ow 'er.
APPLICANT SIGNATUR • 1”,0:v / �..i 1 DATE: 6 (F/0
I hereby authorizeeapplicant to place a sign on my property or building:
OWNER SIGNATURE: DATE:
Along with your application, please submit:
QUESTIONS? CALL 761-8256 OR EMAIL
o Detailed drawing or photo of sign codes@queensbury.net
VISIT OUR WEBSITE FOR MORE INFORMATION
o Plot Plan of location of sign www.queensbury.net
Town of Queensbury . Community Development Office • 742 Bay Road, Queensbury, NY 12804
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BUILDING AND CODE
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