SIGN 2010-279 Swank Special Sale TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20100279 Date Issued: Monday, June 14, 2010
This is to certify that work requested to be done as shown by Permit Number P20100279
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: ADIRONDACK FACTORY OUTLET CENTER, INC.
This structure may be occupied as a:
Temporary 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 E one nt
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Ba Road,Queensb
` � y ury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20100279 Application Number. A20100279
Tax Map No: 523400-288-012-0001-022-000-0000
Permission is hereby granted to: ADIRONDACK FACTORY OUTLET CENTER, IN
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 OUTLE Temporary Sign
1444 STATE ROUTE 9 Total Value
LAKE GEORGE,NY 12845
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2010-279
TEMP SIGN TO BE DISPLAYED FOR 20 DAYS -JUNE 30TH - JULY 9TH TO READ "SWANK
SPECIAL SALE NOW GOING ON"
$20.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,June 14, 2011
(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 Tcl eens , , 'i ay,June 14, 2010
SIGNED BY for the Town of Queensbury.
Director of Building Code*t. orcement
r
OFFICE USE ONLY •
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TAX MAP NO. PERMIT NO. DEPOSIT:
c i 'f i'i ,
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APPROVALS: ZONING: TOWN CLERK: PERMIT FEE: •
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TEMPORARY SIGN PERMIT APPLICATION:
Applicant Information Business Information
Name: �lM-e- Contact Person: cx-- i7 h4 Y//sL4/A;yk
Address: Address: !'/1-/ / i 7
rt-..-.d4---p- a.rr Its M 4L4...
on IA_
Phone No. Phone No. Si- 7 93-0,5""a
Specific Information about your sign:
✓ What is the date for placement of your sign? -37),.Ne__ 30, 20 i a
✓ What is the date for removal of your sign? 5� i 19 2o i O
✓ How many days will your sign be displayed? o?n
✓ Indicate exact address for placement of sign: /`-"Y`/
ACkazwhade_ O er/"14 c,, LAkci. 5e0 e2 i iv /?.?ys
✓ Indicate tax map number for your parcel:$3 SY- O 2-Doo/0,1a._A -ocx>d
✓ Indicate the type of sign you will display:
>K Wall Sign (cannot exceed 32 square feet)
Freestanding Sign (cannot exceed 16 square feet)
✓ What are the dimensions of the sign? 02 X /b = of 6 sq. ft.
✓ Indicate in words what your sign will say:
VG}Ant£ S? e_, Q_ 6-4-Le-
1110 t i �-a nS Q,.f
Note: Failure to Remove sign at expiration may result in forfeiture of deposit as per the Code
of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993)
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 wi , whether specified or noted, and that such work is
authorized by the owner
APPLICANT SIGNATURE:/ ���J� DATE: 2/-/0
I hereby authorize the ap• icant t:pjce a sign on my property or building:
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