2004-521 Adirondack Wine Merchants TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761/8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040521 Application Number: A20040521
Tax Map No: 523400-302-008-0001-037-000-0000
Permission is hereby granted to: ADTRONDAC;K WTNF,MF,Rb4ANTS
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
C/O VELOCITY EXPRESS INC. Sign
Total Value
BLDG. B SUITE 300
1 MORNINGSIDE Dr N
WESTPORT, CT 06880-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-521 ADIRONDACKWINE MERCHANTS
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$60.00 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 die expiration date.)
Dated at the To n o ueens 7"' e ay, July 13, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
C1TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permi t #:
SIGN PERMIT APPLICATION RECEIVED
THE FOLLOWING INFORMATION IS REQUIRED: J U L 0 7 2004
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
ADDRESS -- JJT E L. �� l 7 IJ'
NAME OF APPLICANT - Uz-_,2_X �\ - _.'Q
ADDRESS ,S 7T TEL.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing __ Permanent ✓_ Projecting Sign
Temporary Non-conforming E tting
Free-Standing Wall New �f
Location: Tax Map Number 3o ;l'_51 La7
Address
Proposed Setbacks from Property Line (front) _ (side) _ aN e 6-
If sign is to be illuminated, pl7, Inecadescent
ck appropriate box:
Internal ( ) , External ( ) , Neon ( ) , Other ( )
Size of Sign: Width G ft. Length _ ft.
Total Square Footage:
Sign Copy: 1���.�Za7i�l?� � tV/A,6 10bXZ1J4 AV
Color and Material �To Be Used: , G V-D
Signature:
Cir e One: AppYicant ner, contractor or agent.
I HEREBY A HORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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JUL U 7 2007
QUEENSBURY
BUILDIN CODE
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