2002-304 Health Focus of New York TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020304 Application Number: A20020304
Tax Map No: 523400-303-015-0001-006-000-0000
Permission is hereby granted to: HEALTH FOCUS OF NEW YORK
For property located at: 295,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. t Type of Construction Value
Owner Address: OMALL FAMILY LIMITED PARTN Temporary Sign
36 DIX Ave Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-304 HEALTH FOCUS OF NY
30 SQ FT WALL BANNER(HEALTH FOCUS OF NY)
AS PER APPLICATION
$100.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,June 25,2002
(Ifa 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 own Que sb a esday,May 08,2002
SIGNED BY for the Town,of Queensbury.
Director of Building&Co e Enforcement
TEMPORARY SIGN PERMIT APPLICATION
TOWN OF QUEENSBURY PERMIT NUMBER:C)oIMI,
Dept. of Community Development a�'742 Bay Road Fee Paid: � � �(,
Queensbury, New York 12804 �n� C_jVSajaV,
Deposit Paid: Deposit on file:, pop
(send refund/deposit to: )
Important Notice: Temporary Sign Permits are issued for a period of 12 calendar da t
to exceed 60 calendar days per year per applicant.
DATE: placement of sign: DA__ C 61
1 r.
DATE: removal of sign: —7 G .
Applicant Name (individual or business name): �-
Mailing Address: Po box 4-TS61 Telephone No.
Q. U C 0 A 1"A -� f
Exact Location / Placement of Sign:
Tax Map Number:
Type of Simon:
hmn
Wall Sign (not to excee)32 square feet) Sign Copy: keaAA_
Freestanding Sign (not to exceed 16 square feet) Sign Copy:
1 � .
Size of Sign: f x _ 30 sq. ft.
Additional information required for this temporary sign permit application:
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
/M.
signature of applicant signatur ro sr
different from applicant name
Failure to remove sign at expiration may result in forfeiture of deposit as per the Code of the Town of Queensbury,
Section 140,Subsection 140-4(Local Law No. 11, 1993).
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