2005-355 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050355 Application Number: A20050355
Tax Flap No: 523400-309-007-0001-014-000-0000
Permission is hereby granted to: ADIRONDACK P & M
For property located at: 10 HOLDEN Ave
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: CURTIS INDUSTRIAL PARK LLC
887 STATE ROUTE 67 Sign
Total Value
BALLSTON SPA, NY 12020
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-355 ADIRONDACK P & M, INC.
40 SQ FT WALL SIGN
$80.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must he made to the code Enforcement Officer
of the"Town of Queensbury before the expiration date.)
Dated at the of Q nsbury; ednesday, July 27, 2005
SIGNED B for the Town of Queensbury.
Director of Bud mg& ode Enforcement
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TOWN OF QUEENSBURY Fee Paid:
Say at Havdand Road, O~sbury, NY 12W4-9725-518-792-5832 Approved By: c�
Permit #:
SIGN PERMIT APPLICATION RECEIVED
THE FOLLOWING INFORMATION IS REQUIRED:
I Detailed drawing or photo of sign. TOWN OF QUEENSBURY
2. Plot plan of location of sign. BUILDING AND CODE
Written consent of the owner of the building or land.
OWNER JOF PROPERTY _ � VT Eex±!_pi o<JS
ADDRESS O PiolGler, Air, TEL. 3"3 M 3
NAME OF APPLICANT
' ADDRESS PO 1 X S(o)- 10N(den, TEL. 7 /3-3�s3
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent V Projecting Sign
Temporary Non-conforming fisting
Free-Standing ,r Wall UNew —
Location: Tax Map Number + '—
Address
Proposed Setbacks from Property Line (front) (side) _
If sign is to be illuminated, please check appropriate box:
Internal { }, External ( ), Incadescent ( ), Neon ( ) , Other ( )
Size of Sign: Width j ft. Length ft.
Total Square Footage: S
Sign Copy: A-6 Z'e)`16fZ7—
Color and Material To Be Used: LAIN lw;orb
Signature:
TEPA-
CircTe One: VA#pT1cant, own contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO
PLACE A SIGN ON MY P OPERTY OR BUILDING.
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Si ature of Property Owner: v
ORIGINAL-Office Copy COPY-Applicant
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MAILING' 12801 fx. 518-792-4476
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P 0'Box 332 ph' 518-792"4009 5
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RECEIVED
MAY d 2005
TOWN OF QUEENSBURY
BUILDING AND CODE
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