2000-855 Lorraine & Company TOWN OF +QUEENSBURX
y 742 Bay Road, Queenshurv, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number; P20000855 Application Number: A20000855
Tax Map No: 5 2 3400-09 1 -000-OO+OI -0'02-003-0000
Permission is hereby granted to: LORRAINE & COMPANY
lA'or property located at: 340 AVIATION Rd
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. Type of Construction Value
Owner Address: DONALD & LUCYNA SOKOL Sign
38 HELEN Dr Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans & Specifications
2000-855
CHANGE EXISTING WALL SIGN
$0.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday, November 16, 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 T7 ueensb ; Thursday, November 16, 2000
SIGNED BY for the `rown of Queensbury.
birector of Building 8c ode forcetnent
TOWN OF QUEENSBURY
Fee Paid :
742 Bay Road, [Queensbury, NY 12804 Approved By :
(518) 761 -8256 Permit # : . 7e�?
SIGN PERMIT APPLICATION CJ\("V-N' �C f �' I�I1 C,
THE FOLLOWING INFORMATION IS REQUIRED :
C". Yc
I . Detailed drawing or photo of sign . R EC EIV E
Li
C . Plot plan of location of sign .
3 . Written consent of the owner of the building or land . NOV U 7 20LIO
OWNER OF PROPERTY �� �' 5 ' �.r, 2� _ 10VV V or-
ADDRESS TEL . --_
NAME OF APPLICANT ��*,,sr
ADDRESS 94s� ,/��'�/'�'�a �- /�' r LX�' / ' TEL . . e 2- 4Y-73
BUSINESS NAME IF DIFFERENT :
TYPE AND LOCATION
Check What Applies : Existing _ Permanent x Projecting Sign
Temporary —' Non- conforming Existing _
Free- Standing Wall ,rc� New
Location : Tax Map Number !/
.Address
Proposed Setbacks from Property Line ( front ) _ ( side ) _
If sign is to be illuminated , please check appropriate box :
Interna ; ( ) , External PO , Incadescent ( ) , Neon ( ) , Otherof
( )
Size of Sign : Width 0 -7. Length , ft .
r-Tottal Square Footage : ��,,�_����� _YC::7r
Sign Copy :
Color and Material T4p Be Used :
Signature : G/1 . �
Circle one : Applicant , owner , co ractor or agent .
I HEREBY AUTHORIZE APPLICANT TO P CE A ,SIGN ROPERTY OR BUILDING.
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Signature of Property Owner : _ 4
4
ORIGINAL-Office Copy COPY-Applicant
RECEIVED
NOV V 7 2003
t
YAWN OF QUEENSBURY
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