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2004-522 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: P20040522 Application Number: A20040522 Tax Map No: 523400-302-008-0001-037-000-0000 Permission is hereby granted to: ADTRONDAC;K XV NF,MF,RC;HANTS 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 MURK 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 2004-522 ADIRONDACK WINE MERCHANTS 60 SQ FT FREESTANDING SIGN $120.00 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 Queens-bury; u day, July 13, 2004 SIGNED BY l Jfor the Town of Queensbury. irector of Building Co nforcement ©b Fee Paid: TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY. 12804 Approved By: (518) 761-8256 Permit #: ���L/ SIGN PERMIT APPLICATION THE FOLLOWING INFORMATION IS REQUIRED: REE9 1. 96, Detailed drawing or photo of sign. JUL 0 7 2004 2. Plot plan of location of sign. TOWN OF 3. Written consent of the owner of the building or land. BUILDING UEENSBU AND CODE Y OWNER OF PROPERTY Z7?0-7- t P— T ADDRESS TEL. 793 —J301 NAME OF APPLICANT RG ADDRESS TEL. -7q 3 BUSINESS NAME IF DIFFERENT: e2r.��+� TYPE AND LOCATION / Check What Appl.ies: Existing 4/ Permanent V Projecting Sign Temporary Non-conforming Existing Free-Standing / Wall __ New Location: Tax Map Number '_I.L `/ 4 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 ft. Length _ ft. Total Square Footage: Sign Copy: Ad )Lm GK VNL Color and Material To Be Used: G�91tt- U & w/ Signature: Circle One: Applicant, owner, contractor or agent. I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING. Signature of Property Owner: ORIGINAL-Office- Copy COPY-Applicant fM; _ STAND W�- S/-9fj Fee Paid: TON OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804 Approved By: (518) 761-8256 Permit #: SIGN PERMIT APPLICATION THE FOLLOWING INFORMATION IS REQUIRED: N EC EI ED 1. Detailed drawing or photo of sign. JUL 0 7 2004 2. Plot plan of location of sign. TOWN OF 3. Written consent of the owner of the building or land. BUILDING UEENSBURy AND CODE OWNER OF PROPERTY �— ADDRESS _z u.a �rz, 4p h (0 TEL. NAME OF APPLICANT ADDRESS L-P �t��—�� [� c i�� TEL. '7( 3 � I BUSINESS NAME IF DIFFERENT: ��; 2�r��✓+�� l� � i C "- -�� TYPE AND LOCATION Check What Applies: Existing _�� Permanent IxProjecting Sign Temporary Non-conforming Existing Free-Standing , Wall __ New Location: Tax Map Number ( _4 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 Sr ft. Length _ ft. Total Square Footage: _ 31 / P Sign Copy: ��1�.�1y1��L/� ( )WE ftA& ))Tj Color and Materia/,T To Be Used: -'gi f�� LfL,I Signature: Cir le One: plicant, owner, contractor or agent. I HEREBY THORIZE APPLICANT TO PLACE A SIGNN ON MY PROPERTY OR BUILDING. .Signature of Property Owner: ORIGINAL-Office Copy COPY-Applicant flECEIVED JUL 0 7 ZN4 QUEEN ODE ��(� @U1LD1 C t (oa r a�� —fib, flo�S nab-Cl�.n� mil" Lbuo Grf+S MAR 0 1 200 TOWN OF QUEENSB IRY BUILDING AND COE E -QaC�Si��rto i�Q4��►'7 1�l� ��'--h ne,� rye sbu cf m 1 i � �� �4` `w ���� �' �. f' l u "v / tir d !'r o�S� RECEIVED JUL 0 7 Z004 TOWN OF QUEENSBURV BUILDING AND CODE AD WINE S IRITS GIFTS