2012-393 9.1411A TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
�� 3 Q n,
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20120393 Date Issued: Thursday, August 16, 2012
This is to certify that work requested to be done as shown by Permit Number P20120393
has been completed.
Tax Map Number: 523400-296-019-0001-003-000-0000
Location: 2 COUNTRY CLUB Rd
Owner: QUAKER COUNTRY CLUB ASSOCIATES LLC
Applicant: QUAKER COUNTRY CLUB ASSOCIATES LLC
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 4
property owner of the responsibility for compliance with Site Plan, P 41:477
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
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120393 Application Number: A20120393
Tax Map No: 523400-296-019-0001-003-000-0000
Permission is hereby granted to: QUAKER COUNTRY CLUB ASSOCIATES LLC
For property located at: 2 COUNTRY CLUB 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: QUAKER COUNTRY CLUB ASSOC
784 TROY SCHENECTADY Rd Sign
Total value
LATHAM,NY 12110-0000
Contractor or Builder's Name/address Electrical Inspection Agency
K.D. WHEELER CUSTOM SIGNS
HOLLY 793-2620
16 RICHARDSON St
OUEENSBURY NY 12804-0000
Plans&Specifications
2012-393
85 sq ft wall sign 1 of 2
The Rehabilitation& Wellness Center The Hearing Center
$255.00 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 of Queensbury; Thursday,August 16,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
1
OFFICE USE ONLY
1
(� r� 1 D lr 1
TAX MAP NO. a`JZ,19— 1
MIT NO. ) o�`�/3RMIT FEE S� ice/ ,
1
�
APPROVALS: DEPOSIT G% ,
i AUG 132012
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: QI4AK.e€. 0.0Ltr.1T R-y Cf_Lt.E Assoc • INSTALLER/BUILDER: K• W HE c:.= t-S Dh( .S1 0-)S
72r
ADDRESS: c2 COU#.Y> y CL-IA/ K-d. Qisy ADDRESS: 1 C NAR-C3Sa/-J S.7` Q 8,
PHONE NOS. 7q3-5/33 PHONE NOS. 7q 3 (a i
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) o? (c t(h-'-r7`=`/ C L.Li r3 %?- Q i y
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME: T/•#E HH/3l T7 r/00—) LA)t=i..Li-)Ea,S (s_'7J TER— THE 146)449-41J tit=7JT?
CONTACT PERSON FOR SIGN CODE COMPLIANCE: 14A0 Le--g—_ PHONE: 7`7 3-c .(o SLE)
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: C.0 0%. / .S a 4-AA)C-E
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:
Sign Wording/Copy: 77-/E wAf3/1.A--1-z7o. ) u'E-LJESs T-1 HE h J - 7__
Sign size: Length x Width =Total Sq. ft. FSS Sign Height (freestanding sign):
Color and Material to be used: /n.)pi v, DU A,c_ %z " ,q e,e p-,c �c r'7�72 5 / 41--LLE
✓ 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 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.queensbury.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 at such work is authorized by the owner.
APPLICANT SIGNATUR . / / (N DATE: Vs,/,I hereby authorize the applicant to pla e a sign on my property or building.
OWNER SIGNATURE: L DATE:
Qw Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
The Rehabilitation & Wellness Center
The Hearing Center
Glens Falls Hospital Big-City Medicine. Hometown Care. \�
_
"Vki Client: GF Hospital P d 3
CAD
Drawing #: 6/19/12 wall
CUSTOMSIGNS Approved by: ~'
Date:
A.IVISION OF THE WHEELER ART OROLIP.INC. A signature is required before any work can be initiated.
16Richardson 2treet,Oueensbury,New York 12804 This design is copyrighted and is the exclusive property of The Wheeler Art Group, Inc.
618.793-2820 www.wheelersigns.com g g
It is not to be copied or reproduced in any way until approved and accepted through purchase
by the client or their agent.
ii
LAND5 NIF OF
NIAGARA MOHAWK
POWER CORPORATION
AREA
373,925 sq. ft.
8.58 acres
5TAND PIPED
io
LAN05 WF OF
NIAGARA MOHAWK
POWER CORPORATION
0
Ti
r
N
S/ Z
V �
v
fi
IXO OI
p INV.321.54
C5 NCW
� rP=3za Ir %ITCPP
.. / Nv32367
.... New ASPHALT SEAM
$ T=327.27
a`j /
ry A5PHALT 5URFACE
z
h
/ 11196.41' XIMATE HIGHWAY BOUNDS
DUNDS
r
. , �-' • • • INv=320.20
^'•' tfRQ�K ... .•. TF -323,93'Q$
i
-"-'60CMP
30' WIDE SEWER EASEMENT - 9531116
'.F. 328.54'
NEW -ASPHALT SURFACE
NNG C85 REPLACED WITH NEW GIg5
NG 8' CMP REPLACED WTgI12' CPP
PROP05ED SIGN
PROPOSED RAISED
LETTERING SIGN
F.P.
F.F. 328.61
0
65
TP -328.04'
F
a
4- TUE
¢ 3
N CO
ACV
t r 1
OD h�a '^T
W O
O
yc
44TRE,
Of NV
� V
H
4•TREE
2 N V
a d
N� 4' TREE
Q 0
F.P.
383. 19 . 60,g8'
N85°04'53"w w
• " ��- -- m TF=322.55'
.. �..�BROOK •
-------- INV -315.43
-
QUAKER
ROADI --
I
—""'� tee; e�•belie�_
a� hos l.ses, wells:
DATUM: NGVD88
CONTOUR INTERVAL = 1 FOOT
MAP REFERENCES:
o
LEGEND:
MAP OF A SURVEY OF LANDS OF
0 IPF
= IRON PIPE FOUND
MAURICE M. YAFFEE
0 IRS
= IRON ROD SE77TO BE SET
DATED: DECMESER 26, 1961
UTILITY POLE
BY.JOHN B. VAN DUSEN
H
LIGTH POLE
c
�
-
= SIGN
R
z
TOPOGRAPHIC MAP
w
=FIRE HYDRANT
OF A PORTION OF LANDS
wv
0
10
OCCUPIED BY
DQ
= WATER VALVE
a
GLENS FALLS ELECTRIC
ov
SUPPLY CO., INC.
Eby
= GAS VALVE
v
DATED: NOVEMBER 29, 1978
ce ❑
= CATCH BASIN
1
LASTAMENDMENT: AUGUST 9, 1990
a
V
BY COULTER & McCORMACK
®
= SANITARY MANHOLE
a
= GUARD RAIL
MAP OF A SURVEY MADE FOR
m
r.(
%^I
11J
tiU
QUAKER COUNTRY CLUB ASSOCIATES, LLC
FAG)
=FLAG POLE
Cr
bic0
DATED: APRIL 5, 2004
o
w
0
LAST REVISED: APRIL 7, 2004
Cd
z�
BY VAN DUSEN & STEVES
E+
DEED REFERENCE:
v
ELIZABETH D. YAFFEE, et. al.
TO
YAFFEE FAMILY LIMITED PARTNERSHIP
DATED: OCTOBER 7, 1998
BOOK 1088 PAGE 102
i
PROP05ED RA15ED LETTEPJNG S�ICuYI
LETTERING AREA 84.13 5F
EXISTING
4'X17' SIGN
The Rehabilitation & Wellness Center
The Hearing Center
COOL
_
,�
Pbe WnFWgyl am«-
1��
Insur:ni: Ageney
Ina.
�t!
r
5OUTH ELEVATION rain wAv)
PARTIAL EA5T ELEVATION (cawlfrr cw RoAv)
SCALE, 1'=10'
20'
fir
The Nearing CenterT7Ljens Fads Hospital
B�Y-C;fy maim. H;mdoum C=
—�.tfd
516N DETAIL
SCALE, 1'=2'
�aJV-314.96' a �l�.tatlene+++_�/�
c The flearing Center co
tTiR ta
lens Falls Hospital Aw
C.ja�vldlciltt.Ca%.
RATS=.; LETTERING AREA = $4.13 SF
RAlSEII LETTERING SIGN D
5CALE, 1'=2'
b F' 1 A-3`013
MC,►
Data AugW 8, 2012
Scale 1'- 40'
S-1
SHEET 1 OF 1
DWG. NO. 47500
E47
M
F
C6
n
o
�o
a
Cq
a
CJ
H
�
c
�
44
•�
U
R
z
Q)
b
o
7
0
10
a
Cz
Eby
r
v
M
t��
r
a
V
U
a
a
m
'Irl
m
r.(
%^I
11J
tiU
0
_y
Cr
bic0
W
o
w
0
Cd
z�
Q%
E+
Data AugW 8, 2012
Scale 1'- 40'
S-1
SHEET 1 OF 1
DWG. NO. 47500
E47
M
F
C6
n
o
�o
Cq
d�
7
0
10
Eby
�
M
U
a
a
m
I0
_y
bic0
0
Cd
z�
�
m
Data AugW 8, 2012
Scale 1'- 40'
S-1
SHEET 1 OF 1
DWG. NO. 47500
E47
M
F
C6
n