2003-468 Ellie's Cafe TOWN OF QUEENSBURY ,
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number; P20030468 Application Number: A20030468
Tax Map No: 523400-295-008-0001-002-000-0000
Permission is hereby granted to: ELLIE'S CAFE
For property located at: 1161 STATE ROUTE 9
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: MITCHELL COHEN
P.O. BOX 21 Sign
Total Value
LAKE GEORGE,NY 12845-0000
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications.
200 3-468 ELLIE'S CAFE
96 SQ FT WALL SIGN AS PER APPLICATION
$192.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(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 T'6111on;bf, ueen ne-30,-2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
00
U
TOWN OF QUEENSBURY Foe Paid: 42 —
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
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
ADDRESS C"\C'-' r'A �rTEL. 6, 1
LNki-
NAME OF APPLICANT A, C
ADDRESS TEL.
BUSINESS NAME IF DIFFERENT: LL CP r—S_
TYPE AND LOCATION
Check What Applies: Existing 1, nRECEN Permanent Projecting Sig ED
/
Temporary Non-conforming Existing
Free-Standing Wall _� New Mi Z 4 2003
Location: Tax Map Number F QUEENSBURY Z_ TOWN 0
Address k Z Z r->`1 ,WILDING AND CODE
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (}Q, Incadescent Neon Other
Size of Sign: Width ) 7_ ft. Length ft.
Total Square Footage:
Sign Copy:
Color and Material To Be Used: A15 9 A3 A L_ kg 9-
Signature:
Circle One: Applicant r -co tractor or agent.
I HEREBY AUTHORIZE APPLICANT 0 PLAC A IGN ON NY PROPERTY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
RECENED
0'
_F QUEENSBURY
ING AND CODE
.ELLI .E S CAFE
i ► i I $ ALL
( CAN
1
Breakfast. 95
Buffet
Dinner !
7am Noon
Lunch, Buffet
95
. & �S'plad B-ar
Noon, 4pm T
Buffbt
& S a,' 'la B
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95
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