2002-883 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020883 Application Number: A20020883
Tax Map No: 523400-303-015-0001-006-000-0000
Permission is hereby granted to: LINCARE
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. Tne of Construction Value
Owner Address: OMALL FAMILY LIMITED PART Sign
36 DIX Ave Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2002-883
Construction of a 32 sq ft permanent wall sign per plot plan and specifications.
Sign copy: LINCARE
HOME OXYGEN AND RESPIRATORY SERVICES
$64.00 PERMIT FEE PAID-THIS PERM-IT EXPIRES: Friday, October 24,2003
(If a longer period is required,an application for an extension must be made to the code Enfor.c."'M`c-t Officer
of the Town of Queensbury before the expiration date.)
Dated at the T October 24,2002
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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- TOWN OF QUEENSBURY Fee Paid:
%r Approved B
742'Bay Road, Queensbury, NY 12$04 Y:
(518) 761-8256 Permit #: 4 2.-:n
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign.
OCT 1 5 2002
2. Plot p•1an of location of sign.
3. Written consent of the owner of the building or land.
OWN R OF PROPER Y
ADDRESS i Outes j TE-L.
NAME j OF APPLICANT L.i rt(Gi►�P__
ADDRESS 5 TEL. ` 03r� D
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign _
Temporary Nan-conforming Existing _
Free-Standing Wall New
Location: Tax Map Numbe�O-5 f "
Address
Proposed Setbacks from Property Line {front)::D.46r {side). t.
If sign is to be illuminated, please check appropriate box:
Internal ( j , External ( ) , Incadescent ( ) , Neon ( } , Other { )
Size of Sign: Width ft. Length _ ft.
Total Square Foota e: 39k
Sign Copy: _
Color and Material Be Use IG �j7r E/ �'o'Z9 / �/ 1 'Jy'Y?�S /�t.1
_ 7
Signature:
Circle One: Applicant, owner, contractor o gent.
I HEREBY AUTHORIZE APPLICANT TOP A SIGN ON OPERTY OR BUILDING.
Signature of Property Owner: .�
ORIGINAL-Office Copy COPY-Applicant
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