2002-784 North Country Cat Hospital TOWN OF QUEENSBURY
742 Bay Road,:Queensbury,NY 12804-5902 '`(518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING- PERMIT
Permit Number: P20020784 Application Number: A20020784
Tax Map No: 523400-309-011-0002-013-000-0000.
Permission is hereby granted to: HOT.I.Y WHF,F,T.F,R
For property located at: 13 MAIN St
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and otherinformation hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: PATRICIA EVANS
107 CORIVIUS Rd sign
Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builddr's Name I Address Electrical Inspection Agency
KF,NNFTH WHF,F,I,F,R
16 RIC14ARDSON St
OT JFF,NSBURY.NY 12804
Plans&Specifications
2002-784
Construction of a 24 sq ft permanent, free-standing sign per plot plan and specifications.
$48.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 24,2003
(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 To of Q ensb ptember 24,2002
SIGNED BY4 s for the Town of Queensbury,
Director of Building&Code Enforcement �T
Fee Paid: 10
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY t2804 Approved By:
(518) 761-8256 Permit #: MOZ- 71N
SIGN PERMIT APPLICATION
V E 03
THE FOLLOWING INFORMATION IS REQUIRED: SEP i 2002
I Detailed drawing or photo of sign. TOVIIO� OF 0t.1FEN'S1_',U'R\Y
2. Plot plan of location of sign. P:p!
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY _bR. _PX-tP_ic,(A C-VA MS
ADDRESS 8 A I tJ LL U Ee k3st&I P__ TEL. �7q 3
NAME OF APPLICANT //0 L X' 146 E L F e__
ADDRESS 6 'RtCHA'ZDSotJ S,T QRG'e1'J'S8uF_X TEL. - -7ri 3-,2&2 0
BUSINESS NAME IF DIFFERENT: V-,b, WHEEI-ep- (Itt S77)m ^SAC tj's
TYPE AND LOCATION
Check What Applies: Existing ✓ Permanent ✓ Projecting Sign
Temporary Non-conforming Existing
Free-Standing ✓ Wall New
Location: Tax Map Number 3()q, )I
Address
Proposed Setbacks from Property Line (front) t r (side) 83'
If sign is to be illuminated, please check appropriate box:
Internal (X) , External Incadescent Neon Other
Size of Sign: Width 3 ft. Length ft.
Total Square Footage:
Sign Copy: 0 P-774 0-o y Aj-;-4Y C 4 7- /4cs P i-rA
Color and Material To Be Used: AG-066-i-I liloj-v
4RE= i
Signature: -Ilill-ei
"I-AJ
Circle One: 44 1c�an_t',, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE N MY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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