2012-170 Glens Falls Hospital School of Radilogic Technology... TOWN OF QUEENSBURY
WA 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20120170 Application Number: A20120170
Tax Map No: 523400-296-012-0001-037-001-0000
Permission is hereby granted to: GLENS FALLS HOSPITAL SCHOOL OF RADIOLO(
For property located at: 25 WILLOWBROOK Rd
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: SCHERMERHORN COMM. HOLDII
536 BAY Rd Suite 2 Sign
QUEENSBURY,NY 12804-0000 Total Value
Contractor or Builder's Name/Address Electrical Inspection Agency
K.D. WI-IEELER CUSTOM SIGNS
HOLLY 793-2620
16 RICHARDSON St
OUEENSBURY NY 12804-0000
Plans&Specifications
2012-170
40.69 sf wall sign 93" x 63"
Glens Falls Hospital School of Radiologic Technology; SCI; Greater Adirondack Home Aides
Change of Copy Only-replaces existing sign BP 2003-631
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 30,2013
(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 o . % sbury; p i i y Aril 30, 2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
OFFICE USE ONLY , .. ;I .•, f
TAX MAP NO. ,o( e,I�"I`,37EIMIT NO. J `I'1 O PER FEE _
�(. '4' ,
APPROVALS: DEPOSIT u APR 1 7 2012 ? J
SIGN PERMIT APPLICATION: -
F'I Ili btfdr': ^ti . pnr_S
A permit must be obtained before installation of your permanent sign. All applicants'?; aces on this application must
be completed and must appear on the application form.
OWNERSede,e4 A.) 4.-' INSTALLER/BUILDER: R. b. CC(STZ`M S/4-1-).S
J
ADDRESS: 36 Bel pd r. 2 2 Q.V. ADDRESS: I to d-AE1L- �St . 6)43)/
PHONE NOS. 9 $--®Lo 7_I PHONE NOS. 7q7 3 - (n .2..0 T
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 5 GU r i.i-o W,B!2 e 0/� ✓le•
BUSINESS COMPLEX/PLAZA/MALL NAME: c
BUSINESS NAME: 6T LENS FALLS /-I S%?17X3L (rI+o6!- tr SADr0 o 7 CI.k/OLa4y ' (SC
CONTACT PERSON FOR SIGN CODE COMPLIANCE: 1-1 441 k)LL4 EC 4.02. PHONE: 7c!3- a�(.o.2O
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? "Yes No
IF YES,LIST ALL EXISTING SIGNAGE: Ain re.71-4 l G 6c.1JT2 ' SPC QTS /'T E L ICI n16
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
X Change of wording/copy from: 61._ us l�t s /1osP• •jEHaR4��iTx1 to:
/46A-4SAF
Sign Wording/Copy: 6/--ENS PAL.-R-S /-fr.LS PI A L- SCHar c c-c o C 7cNnio4-o cr' Se t
C EAA to , ACK__ h{dMe A IDES
Sign size: Length (13 x Width 6,3" =Total Sq. ft. ''o.(oy Sign Height(freestanding sign): —
Color and Material to be used: H (( • CrREF�
✓ 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)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL
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, andthat such work/is authorized by the owner.
APPLICANT SIGNATUEs 7l (i(J`71R�-�P� DATE: -17/(0//2.—
I
lc//L-
I hereby authorize the applicant to pl.4a sign on my property or building.
OWNER SIGNATURE: _ ' � / — J1 =4"5 DATE:
Town of Queensbury• Co, iunity Development Office • 742 Bay Road, Queensbury, NY 12804
:40p ,. '-i'O`1 N OF QUEENSBUR\'
xc 742 13ay lto:id,`uecuslUry,NY 1230-1-5902 (5l8)761-8301
IIMMS
',:�. ,. Community Development-Building& Codes (518) 761-8256
., p
BUILDING PERMIT
Permit Number: P20030631 Application Number: A2003063 i
Ta.Map No: 523400-296-012-0001-037-001-0000
Permission is hereby granted to: Cil,ENS FAL],S HOSPITA1,MEDICA1. OFF1CFE, CF.
For property located at: 25 WILLOWBROOK Dr
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 nd the of Construction ueensbury Zoning Va ue
Ordinance. Type
Owner Address: SCHERIVIERHORN COMM. HOLDI Sign
15F BIRDIE Dr Total Value
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name /Address
Electrical Inspection Agency
K.D. WHEELER CUSTOM SIGNS
ti
16 RICHARDSON STREET 0-7)
OITEENSBURY. NY
Plans&Specifications
2003-631 GLENS FALLS HOSPITAL THE HEARING CENTER THE REHABILITATION CENTER
40.69 SQ FT WALL SIGN AS PER APPLICATION
$82.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town pf Q. -ensb Th :d! , August 21,2003
SIGNED BY ,.r 1
` for the Town of Queensbury.
NI
Director of Building&Code En ercement
Glens Falls Hospital -�
School of
Radiologic
Technology
•SC/
Subcontracting Concepts
Greater Adirondack
Home Aides
w HE itik Client: Glens Falls Hospital
Drawing #: 3/10/12 Willowbrook 1
yrP
CUSTOM SIGNS Approved by: Date:
a OIVISION of TME WHEELER AflT onouP.wc. A signature is required before any work can be initiated.
15 liktuncloon$°O0to1OB16 eek New 100 This design Is copyrighted and Is the exclusive property of The Wheeler Art Group,Inc.
518.797-2F20 wvw.whsdenlprrcam It is not to be copied or reproduced In any way until approved and accepted through purchase
by the client or their agent.
APR 172.012
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