2003-790 VFW TOWN OF QUEENSBTURYY
742 Bay Road,Queensbury,NY 12804-5902 .(518)761-8201
Community Development-Building.&•Codes (518) 761-8256
BUILDING-PERMIT
Permit Number: P20030790 Application Number: A20030790
Tax Map No: 523400-309-010-0002-009-000-0000
Permission is hereby granted to: OT TERNSBI TRY VFW POST 6196 CORP,
For property located at:' 32 LUZERNE 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. T e.of Construction Value
Owner Address: VETERANS OF"FOREIGN WARS 4
TOWN"OF'QUEENSBURY Sign .
Total value
32 LUZERNE Rd
QUEENSBURY,NY -12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-790 QUEENSBURY VFW POST 6196 CORP.
16 SQ FT WALL SIGN AS PER PLOT PLAN SPECIFICATIONS
$32.00, 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 wn o uee ury y, September 24,'2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
M
. A
Fee Paid: —f
4 , TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #: a
518 761-8256 ,b
SIGN PERMIT APPLICATION RE COVED
i
SEP'1 7 Z003
THE FOLLOWING INFORMATION IS REQUIRED:
T0Wtd OF QU'_ENSBURY '
1. Detailed drawing or photo of sign. BUILDI'M AND C',P E _
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY u rig co C90P
ADDRESS r Zu2 c°+i ryi5 '�y rz '°`/TEL. - 7�'3' �
NAME OF APPLICANT 6)uledAl1' bur 1
ADDRESS 61 C,.2 efLw 'QJ � &uec4Vz5 btl�y m'� r z S"oyTEL.
T
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent _ Projecting Sign
Temporary Nan-c i- Existing
Free-Standing all _ New �—
Location: Tax Map Number
Address .L C.f�C�rZ/ti�E fl i ee4.6 4Z /1,�. t/ 1.;2 S'o`I
Proposed Setbacks from Property Line (front) � (side)
If sign is tci be illuminated, pleasW
check appropriate box:
Internal , ) , External Incadescent Neon ( ) y Other ( )
Size of Sign: Width ft. Length ft.
Total Square Footage: _ j6
Sign Copy: &1"L y Pd_->t 61/
Color and Materi a To Be Used: XV wJz t"'Id'
Signature:
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TA PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: 1 t� d"� f�7<�c•r�r�a��
ORIGINAL-Office Copy COPY-Applicant
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