2003-972 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030972 Application Number: A20030972
Tax Map No: 523400-308-016-0001-003-000-0000
Permission is hereby granted to: T,0NF,B1JTJ,PAN(;AKF.Hn1TSR
For property located at: 398 CORNTH 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: CHARLES &BARBARA,SEELEY
398 CORINTH Rd Sign
Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2003-972 LONE BULL PANCAKE HOUSE
48 SQ FT FREE STANDING SIGN AS PER APPLICATION
$96.00 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-e&Queensb W dnesday,December 03, 2003
SIGNED BY for the Town of Queensbury.
Director of Building ode forcement
d�
Fee Paid: ,
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 P e rm i t #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign. �JnV 2 6 2003
3. Written consent of the owner of the building or la
C?WN OF QUE ENSB URY
OWNER OF PROPERTY L.° 3 � _ �/ LLIL ING&ND QCQE
ADDRESS C ( TEL.
x NAME OF APPLICANT A(Jc-,67 e5z-6W-3VLo AJ6-LSaAJ
ADDRESS 36j,? L.meg r h op A- re— LA, NY TEL.
BUSINESS NAME IF DIFFERENT: /Ooe- MILL )0f0nea.4e Aeg--
TYPE AND LOCATION C—_YIS ;1
Check What Applies: Existing k/"/Permanent �rojectingSi n 9
Temporary Nan- onforming Existing
Free-Standing.. Wall —_ New —_
Location: Tax Map Number _ 30?-Y_/&—/ --j
Address
Proposed Setbacks from Property Line (front) (side)
If sign is to be illum1 ated, please check appropriate box:
I ill
nterna� ( 1 , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width Cp ft. Length ft.
Total Square Footage: 5-et
Sign Copy:
Color and Material To Be Used: kr"A,1 , V/�Vv L—
Si gnature:
Circle One: pplica t, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy C -Applicant
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