2000-931 Bay West Associates LLC TOWN OF QUEENSSURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000931 Application Number. A20000931
Tax Map No: 523400-046-000-0001 -005-001 -0000
Permission is hereby granted to: BAY WEST ASSOCIATES LLC
For property located at: 169 HAVILANI7 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 �Cbdes and the Queembury Zoning
�ce. Type of Construe 'on Value
0caner Address: BAY WEST ASSOCIATES LLC Sign
169 HAVILANI3 Rd Total Value
QUEENSBURY, NY 12804
Contractor or Builder's Name / Address Electrical Inspection Agency
MATTHEW STEVES
4 PLEASANT LN
QUEENSBUR.Y, NY 12804
Plans & Specifications
BP 2000-931
18 SQ. FT. FREESTANDING SIGN AS PER PLOT PLAN
$36.00 PERMIT FEE PAID - TINS PERMIT EXPIRES: Friday, Deeemb F 3
4 ]
(If a longer period is required, an application for an extension must be made to the code Enforcemen
Officer
Dated at the Town of bury; ednes ecember 13, 2000
SIGNED BY for the Town of Queensbury.
Director of Building & Code nforc nt
Fee P a : t-� 4�
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Appro Pal
By :
Permit # : (]2m) "
{5 ! 8) 76 I -8256
SIGN PERMIT APPLICATION
;.:rrw� �
. .� - n
THE FOLLOWING INFORMATION IS REQUIRED : DEC x
1 . Detailed drawing or photo of sign . rows'. 'Z 20OL7
2 . Plot plan of location of sign . Bul - f,.; ,
;
- " .
3 . Wri tten consent of the owner of the bui 1 di ng or 1 and . `I ' ' � � �%RV
OWNER OF PROPERTY
ADDRESS '7 ! Y�.7� � TEL .
NAME OF APPLICANT ---
ADDRESS � _] , �'"' �"� TEL . r�r� :;-y'� Ci.'
BUSINESS NAME IF DIFFERENT :
TYPE AND LOCATION
Check What Applies : Existing _— Permanent Projecting Sign
Temporary Non- conforming Existing
Free - Standing Wall _ — New
Location : sax Mav Number _- _
Address �� 'i�tG
Proposed :Setbacks from Property Line ( front. �, ( side ) ? '7
If sign is to be illuminated , please check appropriate box :
Internal ( ) , External { ) , Incadescent { } , Neon ( } , Other ( )
Size of Sign : Width � 4: ft . Length ft .
Total Square Footage : Zo� S �z
Sign Copy : --
Color and Material To Be Used :
Signature :
L�nlne : App tea nre�, owner ..ye- o tractor or agent .
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MYPROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL- Office Copy COPY-Applicant
It lft(a
- tf
r
VANDUSEN & STEVES INace Engbeedng, P.C. (o2 j
AO
LAND SURVE"YCaRS, LLG �--
1 ° yWer Associates Hutchins Enpee' rie
j
FREEMAN ENGINEERINGvi
. .k
-- ��srs
a