SIGN 2011-118 Rockport TOWN OF QUEENSBURY
742 Ba•Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110118 Date Issued: Thursday, May 12, 2011
This is to certify that work requested to be done as shown by Permit Number P20110118
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: ROCKPORT
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 /J .-----
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.
AI TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
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Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110118 Application Number: A20110118
Tax Map No: 523400-288-012-0001-022-000-0000
Permission is hereby granted to: ROCKPORT
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
1444 STATE ROUTE 9 Sign
LAKE GEORGE,NY 12845 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2011-118
60 sq ft sign to read "ROCKPORT"
$180.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 11,2012
(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 Topes of eensl i ;if sda ,May 11,2011
SIGNED BY ' for the Town of Queensbury.
Director of Building&Code Enforcement
2— (['V '7 -/-
�� OFFICE USE�ONLY PERMIT FEE I
TAX MAP NO. PERMIT NO .Jr f 1
APPROVALS: DEPOSIT
SIGN PERMIT APPLICATION:
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: D.�t,a �►�J.x�/I�L/7 INSTALLER/BUILDERI:,,�Id.t.✓ein d acIL OUTLL //lu!cLJ .
ADDRESS: /45-r LJT'Gi/L�' IC f /'�' ADDRESS: /7 L '7 S & r/i 9, (6—
PHONE
6—
PHONE NOS. S it PHONE NOS. ((��JJ S�� ' 7(7'3 / 7
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS); yy /VI/�/ S i o
BUSINESS COMPLEX/PLAZA/MALL NAME:L ad" rZ /2 ri 1 (�U/�/ Ou"-1 f /)?LL
BUSINESS NAME: PU(<,L10674-- N / /_ '
CONTACT PERSON FOR SIGN CODE COMPLIANCE: I)i VI 6( ikY�M .s./ PHONE: �j ? Lt' • 7(./6d--
TYPE OF SIGN PROPOSED: freestanding awning projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: _ a 14Extemai _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? _'LYes _No / n
IF YES,LIST ALL EXISTING SIGNAGE: (( 1'(J / i.e L.( LQ �_c C"cC rr(14 t7/ 2/, (7)72-7 k-T _
The application creates a change /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:
Jl
Sign Wording/Copy: OC1L/9O
Sign size: Length /2 /x Width J� t=Total Sq. ft. LO 0 Sign Height(freestanding sign):
Color and Material to be used: 1/9 )? 7'I/f) boa 171 (./a /-)/ l I •
✓ 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 facade) QUESTIONS? CALL 761-8256 OR EMAIL
o Height of freestanding sign
o Depth of projecting sign codes@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,and all other laws pertaining to the proposed work shall be complied with,whether
specified or noted,and that suchw0(
((��//wgrj(is autthh rized the owner. 1�
APPLICANT SIGNATURE: a'L•�/ f DATE: "7'//✓-1/(
I hereby authorize the applicant t place a -gn on y roperty or building.
OWNER SIGNATURE: C/ _ _ DATE: L///1"///
QTown of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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