SIGN 2011-122 Reebok 1 , TOWN OF QUEENSBURY
icw742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20110122 Date Issued: Thursday, May 12, 2011
This is to certify that work requested to be done as shown by Permit Number P20110122
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: REEBOK
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, v%%(' r'G
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.
TOWN OF QUEENSBURY
.41111"
coax..y 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20110122 Application Number: a20110122
Tax Map No: 523400-288-012-0001-022-000-0000
Permission is hereby granted to: REEBOK
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 Yams.
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
2011-122
75 sq ft wall sign to read "REEBOK"
$225.00 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 T Quee ury7 /* es ay,May 11,2011
SIGNED BY ../. r!vv 'v -" for the Town of Queensbury.
Director of Building&Code Enforcement
28-g.
( ^] OFFICE USE ONLY • •
•
TAX MAP NIO PERMIT NO. f( —1222ERMIT FEE 'o' ;
•
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. / - ,/ �/ yy,�,
OWNER: 7a U/(d L'LX11 lam/ f INSTALLER/BUILDER:
`,'fl-6C.)-itfriGt tck QU7(.,e "i/A` C
ADDRESS: /q5(/ glah t''/ 79, L`(T ADDRESS: / / '7 C�-T1 LtL ( f q, L G
PHONE NOS. 5J F - I�95 PHONE NOS. S1Ie -73-010 /
!%Q3`0 10
LOCATION OF PROPOSED INSTALLATION:(LEGAL n ADDRESS),,.. /7`1 7 ,S Z:th ,C�� /' //
BUSINESS COMPLEX/PLAZA/MALL
NA--ME: 46h/TA(a('k._ (ie f /na LC
BUSINESS NAME: / LA)K •
CONTACT PERSON FOR SIGN CODE COMPLIANCE: I PHONE: I�r; - ?//5%)--'
TYPE OF SIGN PROPOSED: _freestanding 4all .wning _projecting
IF SIGN IS TO BE ILLUMINATED,PLEASE INDICATE: p_Internal External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? Nes _No � �
IF YES,LIST ALL EXISTING SIGNAGE: r)-1-kc, 0.i/cab's- (1.a.l're- I fl EL/7-k. •
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): :)K Change in size of sign from yp .Sn /%I- to 15 c Gf .
Change in height of sign from Y to
✓Change of wording/copy from: 1---/ Z CLfl Lbo//'7c, to: Peeebok, •
Sign Wording/Copy:
Sign size: Length I' x Width j =Total Sq. ft. 115 Sign Height(freestanding sign):
n /
Color and Material to be used: S/6. /fa i1� /)OC21,! (11 /a ' b/GICk •
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the façade
the sign will be located on,indicate sign on façade)
QUESTIONS? CALL 761-8256 OR EMAIL
o Height of freestanding sign
o Depth of projecting sign codesqueensbury.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 such rk is au oriz y the owner.
APPLICANT SIGNATURE: v DATE: '7/7/7/7
I hereby authorize the applicant t lace a sign on ;property or building.
OWNER SIGNATURE: L DATE: 'j�/,l
fla Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
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Dimensions Materials Descri lion of Work Colors
------:.---.._
height width sq. ft Backing Letters and border to be cut Background
5' 13' 65 1 112" High Density Sign Foam out of r sign foam meteriF: Cream i
Lettering and to be applied to 11/2" Lettering 1 Borde.•
1" High Density Sign Foam sign tam backing. :..ack ,,
15' 2 112"
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l4ud5oi Fails.NY 12839
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