95-1780 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY 951780
TAX MAP NO. 61. -1-41. 3 No.
WARREN COUNTY, NEW YORK
GLENS FALLS BALLET/DANCE CTR
PERMISSION is hereby granted to
413 BAY RD.
OWNER of property located at Street, Road or Ave.
FREESTANDING SIGN, 48. 73 SQ. FT.
in the Town of Queensbury,To Construct or place a
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.
1. OWNER'S Address is
GARY POSTER 413 BAY ROAD
QUEENSBURY, NEW YORK 12804
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
SIGNS
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
48. 73NSQ. FT. FREESTANDING SIGN
THE ULTIMATE BODY SHOPPE, GLENS FALLS BALLET AND DANCE CENTER
8. Proposed Use
FREESTANDING SIGN, 48. 73 SQ. FT.
98 0 0
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
20 April 95
Dated at the Town of Queensbury this Day o 19
SIGNED BY for the Town of Queensbury
Building and Zoni Spector
10110k ' W‘P°
Fee Paid:
130 TOWN OF QUEENSBURY
531 Bay Road, Queensbury NY 12804 Approved By:
(518) 745-4447 Permit #: qsr-T-TWO
SIGN PERMIT APPLICATION a ,
THE FOLLOWING INFORMATION IS REQUIRE qPR 1 ns
opviv3 r9
1. Detailed drawing or photo of sign. ,i ,
2. Plot plan of location of sign. GAN�Ca r
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY / j
ADDRESS r //? / j 4c) TEL. zcf /yt
NAME OF APPLICANT — 74'
ADDRESS g/ ,g /`'g, iZ Mtn-- TEL. 7Y?3/ff
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing 1Permanent ___ Projecting Sign __
Temporary Non-conforming Existing __
Free-Standing t/ Wall _ New __
Location: Tax Map Number a / - 04 3
Address 9/.377
,9t ,'t O
r /
Proposed Setbacks from Property Line (front) lc (side) -
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ), Incadescent ( ), Neon ( ), Other ( )
Size of Sign: Width ;..71r..le-,, ft. Length ft.
Total Square Footage: A.
fc cic.7y,41:4re- i30:o y srfar/-6,-
Sign Copy: CCc-r,a j-,4,‘es (IA-C.{(--7- :7 cc-- CEl 7 yt,
�7"
Color and Material T Be Used: a 74;e4j,i/ 4vo0,o
Signature: (De-
Circle One: Applicant, wner), contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A IGN ON NYY PROPERTY OR BUILDING.
Signature of Property Owner: _® C `---- 1., =
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