2004-975 Jiff Lube Free Carwash with Lube TOWN OF QUEENSBURY
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040975 Application Number: A20040975
Tax Map No: 523400-296-020-0001-002-000-0000
Permission is hereby granted to: H0FFMAN C'ARWASH/JIFFY TJJBF,
For property located at: 265 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
Orduiance• Tyne of Construction Value
Owner Address: HOFFMAN, T. REALTY LLC
1757 CENTERAL Ave Sign
Total Value
ALBANY, NY 12205-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-975 HOFFMAN CARWASH JIFFY LUBE
76 SQ FT WALL SIGN (JIFFY LUBE FREE CARWASH WITH LUBE)
$152.00 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 Tp n Queen uryzy e, nesday, January 05, 2005
SIGNED EY (i ��"/� for the Town of Queensbury.
Director of Building&Code Enforcement
W
Fee Paid: 16d.
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By: (�
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
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THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign. p i 2004
2. Plot plan of location of sign. TOWN OFQUEENSBURY
3. Written consent of the owner of the building or land. BUILDING AND CODE
OWNER OF PROPERTY a
ADDRESS -L ,3 CL,4 C_ 0a TEL. �jcl-3 2-1cu
NAME OF APPLICANT �, / w,sJf /f
ADDRESS � TEL. 2-� "��
BUSINESS NAME IF DIFFERENT: �?�/��Ji-� 1..� — �l /�1 Z—aL'
TYPE AND LOCATION
Check What Applies: Existing __ Permanent X Projecting Sign
Temporary Non-conforming Existing
Free-Standing Wall New .
--Location: Tax Map Number
Address
V Proposed Setbacks from Property Line (front) (sfde)
If sign is to be illuminated, please check appropriate box:
Internal QN , External ( ) , Incadescent ( ) , Neon ( ) , Other
Size of Sign: Width ft. Length 3 8 ft. j/,5k5
D�
Total Square Footage: _ 7 V11bk
Sign Copy: 1/�/ � UA ���, C,e— 0IT Z
Color and Material To BeZC���
Signature:
(i' 9
ircle ne: pplic n , .owner,, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLAC� SIG&ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
Y
ORIGINAL-Offi:ce .61opy COPY-Applicant
SGA6E at H4F�MAlVAIQ ASf�' - JIFF
.265=Quaker=Road; 61ens::Faill0, New York
:BMLbM%-:FRONT :SOUTf4
1. HOFFMl ► -;CAR WASH 2.x 23 - 46
-2. JI.- FFY LURE 2 x 13: 26
�15
1�
5 JIF.FY LUBE, Free Car Wish 1niit 1.ube,:Perz tow 2 xB 76
6. TOUCHfREE WASH lix.14 14
7. SELF"SERVICE.WASH' 1:XI4 14
TOTAL 214
SWNSNOT APPROVED
Sign:#3 44
Sign#4 =14
Si�rr-#8 -30.
.REVISFf3":.:WAl- : ' T'D.TAL 17,6 f.
::MEESTANt}V*.t060� N
8.foot.frontprvpertlr.aine-SObcr&,,13=feet_:high: -96-sq f -
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