2001-014 Leroy Holding Co., Inc TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010014 Application Number: A20010014
Tax Map No: 523400-110-000-0001-001-222-0000
Permission is hereby granted to: LEROY HOLDING CO.,INC.
For property located at: DIX Ave
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: BROWN ASSOCIATES Sign
20.NORTH St Total Value
ALBANY,NY 12204
Contractor or Builder's Name/ Address Electrical Inspection Agency
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Plans &Specifications
2001-014
64 SQ FT WALL SIGN (LEROY HOLDING CO.,INC.)AS PER APPLICATION
$128.00 PERMIT FEE PAID - THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow,t en T s uary 11,2001
r
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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. ,a.. T Fee Paid: )10.--��
TOWN OF QGEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By: -
518 761 8256 Permit #: J00 f— U
SIGN PERMIT APPLICATION
REn 7: `47 ED
THE FOLLOWING INFORMATION IS REQUIRED: A N Se 8 2001
1. Detailed drawing or photo of sign. TOWN 0 UUEENSBURY
2. Plot plan of location of sign. BUILDING.Alv-_�.CODE
3. Written consent of the owner of the building or land. ------
OWNER OF PROPERTY 'ept.,0)✓ A,cs-cDa 147 5
ADDRESS 4-0 A9 3 ./ 4A60-fO f .1651TEL. Lj i /t)
NAME OF APPLICANT 16-7/Zj 74.4 j b0S, @p y✓('
ADDRESS /3 L— T L. 79'3 a Sr$I
J,ir• )4v2.
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing __ Permanent Projecting Sign _
Temporary Non-conformin Existing
Free-Standing _ Wall New _A .
Location: Tax Map Number l/D - j
Address
Proposed Setbacks from Property Line (front)p Y Sd (side) 10 —
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width V ft. Length a r _ ft.
Total Square Footage:
Sign Copy:
Color and Material To Be Used: GI// lP 41. 4 ly �,/i14 ,1t fch. Le'CX
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
16'
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rnldinn ' TRUCK LEASING
■ ■ eroylEi [co. •
• COMMERCIAL RENTALS
— INC. • TRANSPORTATION SERVICES 14
• • • • • (510) 703-2501
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JAN 0 8 2001
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