99-3391 The Docksider Restaurant BUILDING PERMIT
VALUE $ 0 TOWN OF QUEENSBURY No. 993391
TAX MAP NO. 38 . -4-2 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MOZAL, RICHARD &
OWNER of property located at 298 GLEN LAKE RD. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a WALL SIGN
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
99 FITZGERALD RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
MIKE BAIRD SIGNS
3' NTT A GtJliriCIINVki8Al.)ddress
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
6. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) SIGNS
I I Wood Frame ( I Masonry ( I Steel ( I
7. PLANS and Specifications
40 SQ FT WALL SIGN AS PER PLOT PLAN SPECIFICATIONS
No.
8. Proposed Use
WALL SIGN
80 0 0
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
7 September 1999
Dated at the Town of Queensbury this Day of 19
SIGNED BY jac for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY Fee Paid: g�
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
ti f D
THE FOLLOWING INFORMATION IS REQUIRED: SEP d) 1 1999
1. Detailed drawing or photo of sign.
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY ki/(7 oli',d e7 - L
ADDRESS � c { 72) k 3 4 TEL. .)4r? -o 3 )
NAME OF APPLICANT ,u e .E,4 t5 7
ADDRESS �`s., 62f5/7/ L/ x%. ,ke TEL. 75'&
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing _ Permanent Projecting Sign __
Temporary Non-conforming Existing _
Free-Standing — Wall New
Location: Tax Map Number _ -y r - ��f
Address 3 /e �` /CIL/
—
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External ( ) , Incadescent ( ) , Neon fri,, Other ( )
Size of Sign: Width ! ft. Length /Z5 ft.
Total Square Footage: q a 3�j r ,
Sign Copy: -- / t1 �'- oockstke_.c
Color and Material To Be Used: - VUeolo keyiGce
Signature: _` V,.. /
Circle one: Applican , wne , on c o or ag
I HEREBY AUTHORIZE APPLICANT TO PLACE A ON MY OPERTY OR BUILDING.
Signature of Property Owner: 4Z04.-/ c
ORIGINAL-Office Copy COPY-Applicant
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