2000-680 TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000680 Application Number: A,20000680
Tax Map No: 52340OL-055-0 0-0002-019-052-0000
Permission is hereby granted to: PACK BASKET, THE
Owner of property located at: 543 QUEENSBURY Ave
in the Town of Queensbury, to construct or place a Temporary Sign
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.
Owner Address: ADIRONDACK IP, L.L.C.
23A 'WALKER Way
ALBANY, NY 12205
Contractor or Builder's Name 1 Address Electrical Inspection Agency
Type of Construction: Temporary Sign Value : $
Plans & Specifications
2000-680
12 SQ FT TEMPORARY SIGN PERMIT AS PER APPLICATION
$60.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, September 12, 2002
(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 f Que ,"Mies to ber 12, 2000
sbu
SIGNED BY /QF for the Town of Queensbury.
Director of Building & Code Enforcement
TEMPORA R Y SIGN PERMIT APPLICATION
- PERMIT NUMBER:
TOWN OF QUEENSSURY �. ,� .
Dept. of Comm"nity Development "
742 Bay Road i 0 2 Fee Paid: 3 ) �'
Queensbury, New York 12804 } Deposit Paid:
P,UG
Important Notice:
Temporary Sign Permits are issued for a period of 12 calendar days not to exceed 60 calendar days per year
per applicant. Exception - political signs (see attached Local Law). c�
DATE: placenren! of sign: 0 o DATE: removal of sign: f f .2. f (9 d
Applicant Name (individual or business iiatue): T ke PIr c�C Gt/ ✓, So.7 O _eCAI.ji -
Mailing Address: P.Q. Roy, 303 Telephone No. (S►g) ?4S7 - 2;09
I Zwo 1
Exact Location / Placement of Sign 47S --o w4ep"�sbL)t j Ao-en �10" i X� ipI
roc�' d .
Tax Map Number: Section k`J , Block _ Lot __..,("'t t ' —
Type of Sign: (only one [ I ] sign allowed per permit - exception)
Political Signs ONLY (to be placed 60 days prior to event)
Sign Copy for Political Sign:
Wall Sign (no( to exceed 32 square feet) Sign Copy:
✓^ Freestanding Sign (not to exceed 16 square feet) Sign Copy:
SIZE OF SIGN: � � x —_-� = �_� sq. fi.
j'ign o applicant signature of property owner if
different from applicant name
Failure to remove sign at expiration may result in forfeiture of deposit as per the
Code of the Town ofQueensbury, Section 140, Subsection 140-4 (Local
/Law No. 1 1 ,f}�[1�9,93e)), g
Send Refund - deposit to: -_.,-_it C � ��xrP � r
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INTER - OFFI +C .E CC7RRESPO' NDENCE
'TO: Cvmpt oLrr's OfHce
FROM: Dept. of Communit"/ Development
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