2000-876- Maynard Baker Funeral Home TOWN OF QUEENSBURY
742 BayPioad„ Queembury, NY 128045902 (518) 761-8201
Community Development - Building St Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000876 Application Number: A20000876
Tax Map No: 523400-104-000-0001 -030-000-0000
Permission is hereby granted to: MAYNARD BAKER FUNERAL HOME
For property located at: 1 I LAFAYETTE St
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 N
and approved and in compliance with the YS Uniform Building Codes and. the Queensbury Zoning
Ordinance. Type of Construction Value
C}wner Address: MAYNARD BAKER FUNERAL HOM Sign
11 LAFAYETTE St Total Value
QUEENSBLTRY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans & Specifications
2000-876
45 SQ FT FREE-STANDING SIGN AS PER APPLICATION
$90,00 PERMIT" FEE PAID - THIS PERMIT EXPIRES: Thursday, November 28, 2002
(If a longer period is required, an aPPlication for an extension must be made to the code Enforcement
Officer
Dated at the Town o Quee bu , T,4esd er 28, 2000
SIGNED BY for the Town of Queensbury.
Director of Building & Code Enforcement
TOWN
OF Qry EE RU +/Ky Fee Paid :
742 Bay Road, Queensbury , NY 12804 Approved By :
# :
(518) 761 -8256 Permit
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED : ,, �IVED
1 . Detailed drawing or photo of sign . NOV 1
2 . Plot plan of location of" sign . ZQQ(�
3 . Written consent of the owner of the building or land-4 V"N 'DFQUEEN,,,r,OURY
OWNER OF PROPERTY WIt�r�"
ADDRESS
NAME OF APPLICANT bp%
ADDRESS , ' r - ' GUI ' TEL6Slcf- 6 >.3 --�"wrz' 3
BUSINESS NAME ? F DIFFERENT : h1a �� • � G�.c�•►� ^�-
TYPE AND LOCATION
Check What Applies : Existing _ Permanent ,Y Projecting Sign
Temporary Nv,on- conforming Existing _
Free - Standing ,,-e, Wall New .
Location : Iax Mats Number ,
Address
,i
Proposed Setbacks from Property Line ( front ) ��/� ( side )
If sign is to be illuminated , please check appropriate box :
Internal ( ) , 'External X, Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign : Width ,! "i i° le ft . Length /V ; A/ e, ft .
Total Square Footag;J4
:
Sign Copy : /' f� IJOW f9 r T] IC'•e a-' f''u N +e. P ra N v 47 or.
Color and Material To Be Used : Sy / i C1 aIr04 " ; �+E'
Signature :
Circle Une ,0 Applicant , owner contractor or agent .
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ONN 14'Y PROPERTY OR BUILDINGm
Signature of Property Owner: M 2=:t-iK-Aa Rr
ORIGINAL- Office Copy COPY-Applicant
!Y ERAL INSPECTIQN REPQRT r
( 518 ) 761 - 8256
Town of Queensbury
Dept. of Community Development Date inspection request received: o o
Building & Code Enforcement
742 Bay Rouad � ,��''
Queensbury, NV 12804 Arrive !`L- am/pm Depart anv
r Inspector's Initials
NAME: i3 � IL � "�' � c m � r /k� l'v^rJ-, PERMIT #
(00
LOCATION: i 1 t - G ak�t c��__- D P,TE : 0
TYPE OF STRUC7URE:
RECHECK
N/A 'DES NO COMMENTS
FootinSsFPiers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Datnpproofin
Hackfill Approval
Plumbing Under Slab
Plumbing 'Ventl Vents in Plane
Rough Plutbing
Heating Rough-in
Insulation
Foundation Walls Interior R-
Foundation Walls E r R- _
Floors R-
Walls R-
Ceiling R-
Duct work or pi pin in
unheated R-
Proper Vent, Attic V nt
Framin
Jack Studs/H rs
BracingBri
Joist Hangers
Jack Posis/Mai-n Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestoppin
RECEIVED
NOV 14 2000
TOWN OF QUEENSSURY
BUI PING AND CODE
f T.
� � r
2
f
--- f
0S). °
}