BOTH-000035-2016 DXL Mens Outlet TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: BOTH-000035-2016
Tax Map No: 288.12-1-15
Permission is hereby granted to: Ray Sign Inc
For property located at: 1498 State Rte 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
Owner Name: Lake George Associates Sign $0.00
Owner Address: 50 State ST,6th Floor Total Value 50.00
Albany,NY 12207
Contractor or Builder's Name 1 Address Electrical Inspection Agency
Pians&Specifications
"Temporary-Banner"sign(treated as permanent sign installed for less than 30 days(40.57 sq.ft.banner sign)No Fee
Charged:Change of Copy ONLY.After 30 days: temporary Banner to be removed&replaced by Sign Permit No.
BOTH-033-2016 Wall Sign of 56.57 sq.ft.to be placed on front of building facing Rte 9;Sign Copy: DXL Mens Outlet
PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an exte sion must be made to the code Enforcement Officer
of the Towm of Queen before the pira' n;
Dated at the Tawe f Quce b T ebruary 2,2016
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
Office Use 0
Town of Queensbury Building &Codes Received:
SIGN PERMIT APPLICATION JANTAX ap ID:
fei No.: i3o I` .3 5-�
Permit Fee: . $
Date I l e '' Applicant eR S'q �3
Tax Map 10 Address d�i2 SjoL ve_.
Zoning C cr e ajaG-I A l2 3 0
Property Ovrner 1 a LtEll,ol(7aA (',PA�L41c,�.0 Contractor/Agent:
Address _':=)U Sfia-!(- 1r 1a ('L Address -2s, CO l4 t, 6 L Pve
II
g1 DT. a nV I-N!Y �77-ff=- -- ec_.. MA- )a3 e
Phone Phone 5:�1 ' 377— lSy I
Contact Person for Sign Code Compliance: u 55 k h? -jJ Day Phone:
Building Street Address:
Site Plan,Varianco,or Subdivision Approvals
Location of proposed installation 4 -.7- 9 7-- ?
Business Complex/PlazalMall name
C
Business name 34 L Q '5 I-e
Type of Sign proposed T P p Aq A.) a .o E
If sign Is to be Illuminated,indicate _ internal ^external incandescent ,,._neon _other — =
Da signs currently exist on property? ✓Yes ._.No(if yes,list all existing signage) �e_e Win) c y - �C%4', o s
Change ofwordicopy From 4 ,'-Wt� to r27 L Z' r u e , - -
Sign Wording 1 Copy
Sign Size Length �Width =Total sq.ft. tea ,;7
O Lq
Sign Height(freestanding)
_
m .4
Color&Material to he used _ eeaJ e
This application creates a change in the New ei
following existing site conditions(fill in all Change in number of signs from to ) m
applicable spaces) Change in setback for sign from to Q a)
Change in size from to6 0
d ; O
CL
Change in height of sign from to _ oo
J � E x
Declaration: To the best of my knov&dr , the statements contained in the application, together with the plans and specificatiol
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of tl
Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such
work is authorized by the owner,
APPLICANT-PRINT NAME 5's -;-,g I
APPLICANT-SIGNATURE: c l ==— Date: ! 4,
Declaration: I hereby authorize the a�piicant to place a sign on my property or building:
La 0VA1'6t S,LLC
"\QWNER•PRINT NAIVE:
,OWNER-SIGNATURE: Bate:
Town of Queensbury Building&Codes Sign Permit Application 518 767-8258
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