SIGN 2012-001 Eddie Bauer 41iftki TOWN OF QUEENSBURY
w 742 Bay Road,Queensbury,��� } Q r},N Y 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120001 Date Issued: Tuesday, January 10, 2012
This is to certify that work requested to be done as shown by Permit Number P20120001
has been completed.
Tax Map Number: 523400-288-012-0001-022-000-0000
Location: 1444 STATE ROUTE 9
Owner: ADIRONDACK FACTORY OUTLET CENTER, INC.
Applicant: EDDIE BAUER, LLC
This structure may be occupied as a:
Sign
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
1
A.B• TOWN OF QUEENSBURY
f742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
irie
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120001 Application Number: A20120001
Tax Map No: 523400-288-012-0001-022-000-0000
Permission is hereby granted to: EDDIE BAUER, LLC
For property located at: 1444 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: ADIRONDACK FACTORY OUTLET
1411 STATE ROUTE 9 Sign
LAKE GEORGE,NY 12845 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2012-001
75 sq ft sign to read "EDDIE BAUER"
$225.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,January 10, 2013
(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 of Queensbury; Tuesday,January 10, 2012
SIGNED BY for the Town of Queensbury.
Director of Building& Code Enforcement
OFFI USE ONLY EE'C
414
TAX A1341?--
P . PERMIT O. bpi_ PERMIT FEE_�22c
JAN•i
0 5 2012
APPROVALS. DEPOSIT
•WN • •U N RY
SIGN PERMIT APPLICATION: BUILDING & CODES
A permit must be obtained before installation of your permanent sign. All applicants'spaces on this application must
be completed and must appear on the application form.
OWNER: '41-1-1•4-i A INSTALLER/BUI(LDER: "'es I- Si
94 s
ADDRESS: / A Sh� CiGy /?S YiADDRESS: / ') /9 " ''I
-' 7.;16 I'/?d '9
PHONE NOS. 31 V 6-13 PHONE NOS. /C' "—�7%7- C28_? / �—
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) l yy s rL 9 � (,/e (714-Pd(ir.
BUSINESS COMPLEX/PLAZA/MALL NAME: 4OLI)' QC L 0 L=+ 11th
BUSINESS NAME: 1
CONTACT PERSON FOR SIGN CODE COMPLIANCE: RL^Nti /C5� PHONE:51e- 7q7 zg] x- i zY
TYPE OF SIGN PROPOSED: __freestanding �wall _awning _ projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? /es _No
IF YES,LIST ALL EXISTING SIGNAGE: -51-01"-c— /Mr.( ,
The application creates a change 2N/New
in the following existing site Change in number of signs from_ to _
conditions(fill in all applicable 'Change in setback for sign from to—
spaces): Change in size of sign from _ to
Change in height of sign from to
__Change of wording/copy
from: —_ to:
_
Sign Wording/Copy: 'F.:‘,14: _ et U e _ — ----
Sign size: Length 5 x Width =Total Sq. ft. –7S-- Sign Height(freestanding sign):
Color and Material to be used: ge•�+ .'/ ,Qt.citc /e' x. 'i- &. dnl—_---___
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the facade
the sign will be located on,indicate sign on façade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
o Depth of projecting sign codes(a queensbury.net
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www,queensburv.net
✓ Provide Applicant and Owner's signature (permission
for placement of sign on the property or building).
Declaration: To the best of my knowledge,the statements contained in the application,together with the plans and
specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that
all provisions of the Zoning Ordinance,an31 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.
/3//2—
APPLICANT SIGNATURE: DATE:
I hereby authorize the applican o place a sign on m property or building.
OWNER SIGNATURE: ' #/ 1 DATE:
Pif bid&e .
Town of Queensbury • Community Development Office-1742 Biu Road, Queensbury, NY 12804
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Dimensions Materials Descri .tion of Work Colors
(--\. height width sq. ft. Backing Letters and border to be cut Background
1 1/2" High Density Sign Foam out of 1" sign foam material Cream
5, 15, 75 Lettering and to be applied to 1 1/2" Lettering / Border
1" High Density Sign Foam sign foam backing. Black
15' 1. a 2 1/2"
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Layouts and Designs by:
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1100 Dix Avenue
Hudson Falls,NY 12839
518.747.5283
www.WestSigns.com
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Drawing of Adirondack Outlet Mall.
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518.747.5283
www.WestSigns.COnl
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