2002-355 Ellie's Cafe TOWN OF .QUEENSBURY
742 Bay Road,Queensbuq,NY 12804-5902 (518)761-8201
Community Development-Building& Codes' (518)761-8256
BUILDING PERMIT .
t
Permit,Number:" P20020355 Application Number: A20020355
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: DONALD J DANIELS Sign
1 .GILMORE Ave Total Value
QUEENSBURY;NY 12804
Contractor or;Buildei's Name/ Address Electrical Inspection Agency
Plans &Specifications
s
2002-35.5 ELLIE'S CAFE
32 SQ FT FREE STANDING AS PERAPPLICATION
$64.00 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 Quee b M nday,May 13,2002
SIGNET?BY for the Town of Queensbury.
Director of Building.&�Co&Enforcement
Fee .Paid: (<
TOWN OF QUEENSEURY
742 Bay Road, Queensbury, NY 12804 Approved By:
518 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: RECEIVED
1. Detailed drawing or photo of sign. MAY 0 7 2002
2. Plot plan of location of sign. TPWN OF QUEENSBURY
3. Written consent of the owner of the building- or l an �UlLL?INQ AND CUIaE
OWNER OF PROPERTY �>D I V bPN t C
ADDRESS / C9"lhin��/�' 4t/a/ Oj IL/ a!57 i,-� IVY �p�B�VTEL. -7qs"
NAME OF APPLICANT C I"i 0
� ._
ADDRESS `7R' dgr�«, �� ����EL. _1��- -C6 t
BUSINESS NAME IF DIFFERENT: Z-�-
TYPE AND LOCATION
Check What .Applies; Existing __ Permanent Projecting Sign
Temporary Non-conforming Existing
eE E St n i ng.� Wall New
Location: Tax Map Number
Address
Proposed Setbacks from Proper�t�y-Line (front) u (side)
If sign is to be illuminated, please (c.hec.k appropriate box:
Internal ( ) , External ( ) , incadescent=`( ) ._Neon- (- ) , Other ( )
Size 'of Sign: Width 15 ft. Length _ ft.
Total Square Footage:
Sign Copy:
Color and Material To Be Used:
Signature:
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICA TO PLACE ASSIGN ON MY PROPERTY OR BUILDING.
Si gnat:! of Ptroperty Owne~r
ORIGINAL-Office Copy COPY-Applicant
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