2015-285 ADK Urgent Care a
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TOWN OF QUEENSBURY
e_i01 I IA
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
FI.,ri,r,, ,..W
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20150285 Application Number: A20150285
Tax Map No: 523400-296-013-0001-018-000-0000
Permission is hereby granted to: RAYMOND HIPPELE
For property located at: 959 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: RAYMOND HIPPELE Sign
50 ACORN Dr Total Value
DIAMOND POINT,NY 12824-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2015-285
SIGN ONLY 14.7 s.f.
Adirondack Urgent Care
$44.31 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 09,2016
(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 Tow of Qu nsb . 1 �.g.y,July 09,2015
4 \
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Y __ - --- -
Office Use Only
Town of Queensbury Buidng&Codes
Raosivect
SIGNPERMTAPPLICA�IION'JL U l,l Tax fufaptQ 2�le. 13- - 1ib
Permit No.: 2.615-21e)
_ OF QUEL, Perri*Fee: $ 4A.5k .
p!III f)Iron o "r
Late 7 -' "i?o/S Applicant 9-im„., err_4 Gln r f &..„....p
Tax Map ID ‘5.t 4949 0 -.2.96 -4i3-Devi Address 9,59 ,q7 9 4, c _y 1��
Zoning CDZ. 5,,F-e- �6S 07Z.4791 /9q,3 g
Property Owner n a�rri6snJ s0919.% Contractor/Agent: Akz,a�� rs en,
Address 9'59 ,'f 9 Address 7A .69 r.....c,., 'ye_
Fhone 791- -66..zFhone s//-..949-7fr3
Contact Person for Sign Code Compliance ZZS lj , 6)7444 Lay Phase �3%,-yD,9-7 514,
Building Street Address: 94-9 .q,1-9 -.).A.,..,-,,c,4,.�, ,f/y ,.,5 .4707,./'
Ste Rai,Variance,or Subdivision Approvals
Location of proposed installation ' ,pb /l✓ /ai�eL //
asiness CarrpledRrum -V�so, /j A ®4�aY%9
Business name i /
Type of Sign a ed a :%/".a-i0,019,4,d,€/ �i^Pr., -
ff sign is to be ifurrinated,inckate internal edema) Incandesce# neon other
Do signs cumandy edst al property? 1E Yes _Nb Of yes,Iist all edsting signage) Aoq„e/49s,e--r/t io 3)
Changeafwadloopy From On [b�' to
�Wxdr g/� /94/f cod* �14 dare-
Sign Sze Length //y x Wdth��? =Tata)sq.ft. / L C'fpAae,/, c)
Sign Height(fistarxing) gfiisf.�
Color&Material to be used 43,14/ !!,G '�/la.r.,s�,ecn0 6/®n,.�
This applica6m creates a doge in the D New
following a Misting site coed tions(fill in all i0 Change in runner of signs from to
applicable spaces) fit Change in setback for sign from U rsi to
Charge in size from Acct AO to
Charge in height of sign from to
Declaration To the best of rry knowledge,the staternanls contained in the application,together with the plans and spedficatias
&kn tted,are a true and complete st<tenent of all proposed work to be done on the described rxerrises and that all provisions of the
Zoning Ordnance,and all other la ns pertairing to the proposed work shall be complied with,whether specified or noted,and that such
work is authorized by the owner.
APPLICANT-FRI NT NAIVE 1C 1)1411.a(• 1--
APPLICANT-SIGNATURE
'APPLICANT-SIGNAT RE rd. .:,'ii .,/1A/1.I - Cate: 6/tr r 9
cedar ort I hereby authorize the appli.- to pace a sig.'on rry property or txilcirxg:
CM( PRINTNAIVE G ikrr7Ol ; , Je /
�-SIGNATI.RE 4j / Date: (o/15/)c
Town of Query Bribing&Cozies Sign Permit Ppplicatian 518-761-ffi56
1
Zim Development Co.
959 Rt. 9
Queensbury, New York 12804
April 10, 2014
Re: Road sign availability
To All Mt. Royal Tenants,
We have great news. We have been working on a redesign of our road monument sign with
the Town of Queensbury for aver a year now. This involved many meetings,surveys,
paperwork and culminated in a Queensbury Planning Board Variance meeting where we have
received approval for all tenants to have signage on the road sign.
Each tenant business sign is limited to 8.5" tall by 4'8" wide. A computer image of the
reconfigured sign can be seen in our office or can be requested by email. As far as exact
position on the sign, we will allow the current tenants with the greatest seniority to choose first
as to sign placement and so forth. A sign permit is required from the Town of Queensbury for
$9.15ea. West Signs will need to be contacted for creation and installation of your individual
sign (518-747-5283).
This is great news and will allow your business to enjoy greater exposure from signage directly
on the road. If you have any questions or require greater clarification, please call our office at
518-798-0026. Thank you.
Sincerely,
44,
Raymond Hippele
Zim Development Co.
X15 in .�
37.27 in
.5 4_3210
Tk 892 in
k: AWONDACK
-� �- 4
cARE
WM in .� 3487 in
Qty: 2
18.5" X 115"
Single sided 3 mil Alulite with laminated digital print
Panel will be fastened to directory with stainless fasteners.
Please proof read carefully upon receipt.Colors viewed on monitors may vary slightly from actual colors in final production.If color critical,please provide accurate
color samples(Ie:pantone,paint swatches,etc.) Signed proofs indicate review and acceptance of the proof.Once proof Is signed and returned with approval,we
are not responsible for any discrepencles regarding color,spelling or materials used In production.
PROOFS MUST BE SIGNED AND RETURNED VIA EMAIL OR FAX BEFORE PROCEEDING
�IRDND�CK Customer Proof Approval:❑YES 1:1 NO
SIGN COMPANY Adirondack Urgent Care LI NEEDS CHANGES
72 Ballston Ave.,Saratoga Springs, NY 12866 Date
p:5 18.409.SIGN(7446) f:518.478.8489 61311 5 Signature:
www.Adk Sign Co.com
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PLAZA
ADIRONDACK
URGENT CARE
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crtnramirrym e. Computers
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Please proof read carefully upon receipt.Colors viewed on monitors may vary slightly from actual colors In final production.If color critical,please provide accurate
color samples(le:pentane,palm swatches,etc.) Signed proofs Indicate review and acceptance of the proof.Once proof Is signed and returned with approval,we
are not responeible for anydlecrepenciee regarding colon epelungor materials used in production.
PROOFS MUST BE SIGNED AND RETURNEDVIA EMAIL OR FAX BEFORE PROCEEDING
Customer ProotApproval:❑YES ❑NO
ADIRONDACK
SIGN COMPANY Adirondack Urgent Care ❑NEEDS CHANGES
72 Ballston Ave.,Saratoga Springs,NY 12866 Date
p:S 18.409.SIGN(74) t 518.478.8489 6/3115 Signature:
www.AdkSign Co.com
N
PERMIT PLOT PLf1N
I HAVE PERSONALLY MEASURED THE DISTANCE
FROM TSDRUCW(
OPE TY LINES TO THE
PROPOSOR SIGN )
SIGNATURE JDAT
JUL 0 2 2015
EN.� M-� -� '
TOBUI ® WN OF C) CODES Y
x T R H
P O C
M L H G F P
Mount Royal Plaza
959 State Route 9
— stairway to 2nd floor Suites' is shown Tax Map No. 296.13-1-18
on layout between Store O and Store M
N
Layout shows "Stores"
1st floor or ground level