96-2084 BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY Na 962084
TAX MAP NO. 61 . -- 1-41 . 3 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to FITNESS IN MOTION
OWNER of property located at 413 BAY RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a S IGN
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
413 BAY ROAD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDERS Address
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
20 S0. FT EXISTING PROJECTING SIGN AS PER APPLICATION
8. Proposed Use
SIGN
40 December 24 19 98
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
24 ay of December 1g 96
Dated at the Town of Queensbury this
•
SIGNED BY for the Town of Queensbury
Building and Zorn nspector
0Fee Paid:
0,63°
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #: Li
(518) 761-8256
SIGN PERMIT APPLICATION
,,
THE FOLLOWING INFORMATION IS REQUIRED: / • '
1. Detailed drawing or photo of sign. r1
2. Plot pin of
3. Writtenaconsentcof�theonoownernof the building or land. ` 7046� f 79,
OWNER OF PROPERTY C "LC /�(/v 1 iC z$ �.- � 1,
ADDRESS -7/C 44, "'oo' /fi , ` (7- itL.
NAME OF APPLICANT _lWz- lj/Y
ADDRESS '-1 ,51 ` �I 4'513a TEL. 7q 9v
BUSINESS NAME IF DIFFERENT: i/1,4' />t' ,a 4 XXi/
TYPE AND LOCATION /�
Check What Applies: Existing VPermanent Projecting Sign 4
Temporary Non-conforming Existing __
Free-Standing _ Wall _ New __
Location: Tax Map Number _- -
Address
Proposed Setbacks from Property Line (front) _ (side)
If sign is to be illumin ted, please check appropriate box:
Internal ( ?3 ,+External (i7 , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width 2I/L ft. Length g" — ft.
Total Square Footage: _ Z C%
Sign Copy:
Color and Material To Be Used:
Signature:
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE AP L ANT TO PLA E Aliii MY PROPERTY OR BUILDING.
Signature of Property Owner
ORIGINAL-Office Copy COPY-Applicant
ct.6 .....,20,$) ,....i
DEC 17 1996.
lowN or Qua,,;otiRY
WILDING AND CODE
FITNESS IN MOTION
PERSONAL TRAINING CENTER
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