99-3435 BUILDING PERMIT
TOWN OF QUEENSBURY
No.
VALUE $ 0
WARREN COUNTY, NEW YORK 993435
TAX MAP NO. 105 . -1-8
PERMISSION is hereby granted to
CONVENIENT MEDICAL CARE
OWNER of property located at Street,Road or Ave.
.319 BAY RD.
in the Town of Oueensbury,To Construct or place a
at the above location in accordance to application together liaifTrilloPIgn§nd other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
I. OWNER'S Address is
319 BAY ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDERS Address
4. ARCHITECTS Name
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
( ►Wood Frame ( 1 Masonry ( )Steel S{G,NS
7. PLANS and Specifications
2 WAl°L SIGNS #1 ( 39 sq ft) #2 ( 45 . 5 sq ft ) WALL SIGNS AS PER
A)PLICATICN
8. Proposed Use
2 WALL SIGNS
$ 168 PERMIT FEE PAID —THIS PERMIT EXPIRES 0 19 0
(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 17 Day of November 19 1999
SIGNED BY L>f'_ \r\\(A,.\ — for the Town of Queensbury
Building and Zoning Inspector
Fee Paid: i040
TOWN OF QLEENSBVRY
742 Bay Road, Queensbury, NY 12804 Approved By:
444 (518) 761-8256 Permit #:
cAc1 -3L35
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: NOV 0 7999
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY 1 ��� LI
ADDRESS ! `E36 TEL. '742- 2i<`'/
NAME OF APPLICANT
ADDRESS 3 (` , l TEL. `7e12 . 2/el
BUSINESS NAME IF DIFFERENT: cccNT a{ C f'f
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign —_
Temporary Non-conforming Existing __
Free-Standing — Wall New
Location: Tax Map Number 105 ) -
Address
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (4, Incadescent ( ) , Neon ( ) , Other ( )
Size o Sign: Width ft. Length _ ft.
duo Total Square Footage: — 4. S
Sign Copy: L oti v KI'a l E6i4AL_ CA z
Color and Material T e.. U_ (A.MoN tc7WIZ \) /C'`
Signature:
Circle One: Applicant, owner contracto ,or agent.
I HEREBY AUTHORIZE APPLICANT I� PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: I
a' ORIGINAL-Office Copy COPY-Applicant
NOV ,`; -999
Au- (-1-7TICP bc\1-ZE7 Cia,- \ -1-242rniZbSu1ST1C
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Convenient Medical Care
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122
Medical Care.
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