2003-726 Bay St Diner TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030726 Application Number: A20030726
Tax Map No: 523400-302-008-0001-008-000-0000
Permission is hereby granted to: BAY ST. DWER
For property located at: 313 BAY 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 Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address F. T. &E. P. COLLINS,
PO BOX 64 Sign
Total Value
GLENS FALLS,NY 12801
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-726 BAY ST. DINER
6 SQ FT WALL SIGN AS PER APPLICATION
$12.00 PERMIT"FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 15, 2004
(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 di o of Qu sb onday, September 15,2003
7d)
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY Fee Paid:
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: n�=Y4:
SIGN PERMIT APPLICATION R E C E It V E D
THE FOLLOWING INFORMATION IS REQUIRED: %SEP 0 2 2003
1. Detailed drawing or photo of sign. TOWN OF QUEENSSURY
2. Plot plan of location of sign. BL11LDING AND COC-c'
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY
ADDRESS TEL.
,31 .
NAME OF APPLICANT
ADDRESS c) TEL. q46- lqq�
,BUSINESS NAME IF DIFFERENT: �C)N
TYPE AND LOCATION
Check What Applies: Existing -- Permanent Projecting Sign
Temporary Non-cogqfhxMing Existing
Free-Standing -- Wall New
Location: Tax Map Number
Address -0-olut
� -gttya-6'1�'S-TfF�OMProperty Line -(Fr'ht) ' de si
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External Incadescent Neon Other
I
Size of Sign: Width ft. Length 3 ft.
Total Square Footage:
Sign Copy: . i"01- S� - �l ne
Color and Material To Be Used: VZ di t&r oreen
Signature: A,
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SISM ON ROP RJY OR BUILDING.
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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COLLINS Since Jan 2000
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