2002-083 Shrimp House TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number; P20020083 Application Number: A20020083
Tax Map No:, 523400-302-008-0001-008-000-0000
Permission is hereby granted to: SHRIMP HOUSE
For propertylocated 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 M` compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. T-we of Construction Value
Owner Address: F. T. &E. P. COLLINS Sign
PO BOX 64
Total Value
GLENS FALLS,NY 12801
Contractor or Builders Name Address Electrical Inspection Agency
Plans &Specifications
2002-083 SHRIMP HOUSE
9.6 SQ FT WALL;SIGN AS PER APPLICATION
$20.00 PERMIT FEE PAID - THIS PERMIT EXPIRES:
(If a longer period is'requited,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at div,qro— of ay,February 13,2002
SIGNED BY ;Vl ury for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY Fee Paid: Oqsoe:�i .
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PER141T APPLICATION RECEIVED
THE FOLLOWING INFORMATION IS REQUIRED: FEB 0 1 2002
I Detailed drawing or photo of sign. TOWN OF QUEENSBURY
2. Plot plan of location of sign. BUILDING AND CODE
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY
ADDRESS S kv 10046 at TEL. 5 17el-? 9
NAME OF APPLICANT kll�&C&IZ 00NIM L/1, NAIA 9ZZeQ /MLJ_rA5_
ADDRESS /Z/W 4001� QAQ�I�X'l TEL. _,7
BUSINESS NAME IF DIFFERENT: 5'-V 1797 33 YO
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing Wall New
Location: Tax Map Number
Address
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal External Incadescent Neon Other
Size of Sign: Width go ft. Length 459 ft.
Total Square Footage:
Sign Copy:
Color and Material To Be Used: _ 47-020,!e7 WOO 017—il
Signature: U
Circ16 One: Ap
plicant, o ner, contractor '-or agent.
I HEREBY AUTHORIZE APPL ANf_i0_P- CE A SIGN ON MY PRPPERT 0 1 1 INI
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Signature of Property Owne
ORIGINAL-Offi Copy COPY-Applicant
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