2004-066 Queensbury Gifts & More mot. TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040066 Application Number: A20040066
Tax Map No: 523400-302-008-0001-037-000-0000
Permission is hereby granted to: Oi T,F.NSB1 TRY CTTFTS &MORE
For property located at: 278 QUAKER Rd
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: EDWARD &ROSE MARIE MURR
PO BOX 414 Sign
Total Value
CHESTERTOWN, NY 12817
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-066 QUEENSBURY GIFTS &MORE
8 SQ FT WALL SIGN
$16.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(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 Town of Queensbury; hursday,March 04, 2004
19 SIGNED BY for the Town of Queensbury.
Director of Buil Co Enforcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: 0q-0 UP
SIGN PERMIT APPLICATION RECEIVED
THE FOLLOWING INFORMATION IS REQUIRED: MAR 0 1 ?_004
1. Detailed drawing or photo of sign. TOWN OF QUEENSBURY
2. Plot plan of location of sign. BUILDING AND CODE
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY Ed Loc�:"d �/( V r re,
ADDRESS �� ( ()s^r gC'✓ R L [�el�l/��G�v�� �'y �� w TEL. ��j` �
i
NAME OF APPLICANT Da -17 Z-Ul_'cc r .J'`e Z— fy�,
ADDRESS _ 3 cl" Ley,tM fet, s- ( Il5' r9 5 ���'r iy TEL. 57P_e"-tas�/
BUSINESS NAME IF DIFFERENT: C� u -eo -rlS 4 116K'
TYPE AND LOCATION �\` V
Check What Applies: Existing X Permanent —_ Projecting Sign __ I
Temporary Nan-conforming Existing vshI
Free-Standing —_ Wal-l~ _' New
Location: Tax Map Number
Address — — :I Uct-fie- Fla�` ve«sl�v-y �l:�y -- F
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal ( j , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width ft. Length _ ft.
Total Square Footage: 18
Sign Copy: -- �ue-ei2 sbu;'j i F 5' "Or-eF
Color and Material To MUsed: W-Ji i-fie 1 c , ,l- wLc,4 iW_t,+e_Ae`,
Signature: /0-
Circle One: Applicant owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SL ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy PY-Applicant
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G� d _IVED
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