2003-858 Valley Wines & Spirits TO`� OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030858 Application Number: A20030858
Tax Map No: . 523400-309-013-0002-025-000-0000
Permission is hereby granted to: VAT JF.Y)AnTq_F & SPTRTTS. TNC.
For property located at: 221 CORINTH 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: . pARILL0 FRANK
215 BALLARD Rd sign
Total Value
GANSEVOORT,NY 12831-0000
Contractor or Builder's Name Address Electrical Inspection Agency
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Plans&Specifications
2003-858 VALLEY WINE& SPIRITS, INC.
16 SQ FT FREE STANDING SIGN AS PER APPLICATION
$32.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 22, 2004
(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 jeeurW' ay,October 22, 2003
SIGNED BY R" for the Town of Queensbury.
Director of Building&Code Enforcement
Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 1280 Approved By:
(518) 761-8256 Permit #: 0
SIGN PERMIT APPLICAT
THE FOLLOWING INFORMATION IS REQUIRED:
too I - 4
Ap
proved pp Permit
T
I
S REQUIRE
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign. RECOVED
3. Written consent of the owner -of the building or land.
OWNER OF PROPERTY Art-IC 'sk-ot-5 SEP 1 0 2003
TM!"0,1:QUEENSBURY
ADDRESS -0 _j�y, Y3�_ �',QrAjo�_A- -A/Y (dk�C _ 'J
.110 W5 TEL OCE
U V
NAME OF APPLICANT LV-J a
ADDRESS a&0 TEL.
BUSINESS NAME IF DIFFERENT: 1/4
-ts
U Nl� 1-C,
TYPE AND LOCATION X
Check What Applies: Existing Permanent Projecting Sign 140-k F,4 /V�
Temporary No conforming Existing
Free-Standing Wall New 6S
1--
Location: Tax Map Number J3
Address
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal (g, External Incadescent Neon Other
Size of Sign: Width ft. Length ft.
Total Square Footage: A
Sign Copy:
Color and -Material To Be Used: 21 tatx '5(ozhs- to' V 'Ie A*AO
Signature:
--'Circle One: ic�a, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE qTGN 0 MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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