2000-945 Devine Billiards TOWN OF QUEEN' SBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Cedes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000945 Application Number: A20000945
'Fax Nlap No: 523400- 1 12-000-0001 -013-000-0000
Permission is hereby granted to: DEVINE BILLIARDS
For property located at: 49 BOULEVARD
in the 'I`own of Queetxsbury, 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: RENALD & CLAUDIA DEVINE Sign
49 BOULEVARD Total Value
QUEENSBUR'Y, NY 12804
Contractor or Builder's Name J Address Electrical Inspection Agency
Plans & Specifications
2000-945
39 SQ FT WALL SIGN (NEWO HOME OF DEVINE BILLARDS)
$78.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, January 08, 2003
(Ifa 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 ensbu Mon(jay, anuary 08, 2001
SIGNED BY for the Town of Queensbury.
Director of Building & C de En rcement
Fee Paid : � �
_ TOWN OF QUEENSBURY
742 Bay Road, Queensbury, IVY 12804 Approved By :
(518) 761-8256 Permit # :
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED : DEC 2
1 . Detailed drawing or photo of sign . V ,
2 . Plot plan of location of sign ,
3 . Written consent of the owner rof the building or land . ' "; t� D CODF„
OWNER OF PROPERTY
ADDRESS _ H 1 L> L— JD u f49 TEL . Ili L-/ 3 "
NAME OF APPLICANT I eeJA-ld 10eUrvQ.
ADDRESS / cfX 3 ,,z / reel% fid 14 F:� ll --.. // TEL * 2L-t3 —
BUSINESS NAME IF DIFFERENT : 1,)2 y1 •ye /3t rIlHrcl� S� �I� 0e't S
TYPE AND LOCATION
Check What Applies : Existing _ Permanent z . Projecting Sign
Temporary Non- conforming E isting
Free- Standing T� Wall New
Location : Tax Map Number - -
Address � G- iL�I UPS r" � � rV.v� hc^h _
Proposed Setbacks from Property Line ( front ) ( side ) _
If sign is to be illuminated , Please check appropriate box :
Internal ( ) , External ( ) , Incadeseent ( ) , Neon ( ) , Other ( }
r
Size of Sign : Width ft . Length $ T ft .
Total Square Footage :
Sign Copy : 1vv l�.i f t c#- Ve0c/ LatQI , ! C` Azn /.%1'
Color and Material To Be Used : lUo6i 4 iry (; a tnsc- +3t � � ( 4v-��s
Signature : ry1 �-
Circle One : Applicant owner , ontractor or agent .
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON PROPERTY OR BUILDING6
Signature of Property Owner :
1
ORIGINAL- Office Copy COPY-Applicant
y �
t � aIP. 7�
e
1