2002-082 Shrimp House TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
1 BUILDING PERMIT
Permit Number: P20020082 Application Number: A20020082
Tax Map No: 523400-302-008-0001-008-000-0000
Permission is hereby.granted to: SHRIMP HOUSE
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. Tune of Construction Value
Owner Address: F. T. &E. P. COLLINS Sign
PO BOX 64 - Total Value
GLENS FALLS,NY 12801
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2002-082 SHRIMP HOUSE
6 SQ FT WALL SIGN AS PER APPLICATION
$12.60 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 Town o uee ; d slay,February 13,2002
SIGNED BY for the Town of Queensb
ury.
ury.
Director of Building&Code Enforcement
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By: ----------------
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
RECEIVED
THE FOLLOWING INFORMATION IS REQUIRED:
JAN 3 1 2002-
I. Detailed drawing or photo of sign.
2. Plot plan of location of sign. TOWN OF QUEENSBURY
3. Written consent of the owner of the building or land. BUILDING AND CODE
OWNER OF PROPERTY /44'�772'*�XkA
ADDRESS TEL. Sig 1713 717
NAME OF APPLICANT AJ190,6411V6 d 46 jr-
ADDRESS ID01-2 AV _V TEL. -:5/9 7c10 r7132-
BUSINESS NAME IF DIFFERENT: IJ WA A/V I jS ?F:5 7 2 hJ,"V2 i 27 7,01
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary/-X— 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 ft. Length (_5 ft.
Total Square Footage:
Sign Copy: 1519v-,10'e) 1-Z 4zOA-C4-7_p'T5*
Color and Material To Be Used: AJ4-7Z,1Z4t_, I 1VAA7?,F
Signature:
Cir6Te One: &O-plicant Owner, contract 6_tYr agent.
I HEREBY AUTHORIZE APPLICANT-TO-PLACE A SIGN ON MY P !�"E PTY Z901'
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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FEB 0 12902
TOWN OF QUEEN
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