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SIGN 2014-015 Urgent Care
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 E Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20140015 Application Number: A20140015 Tax Map No: 523400-296-013-0001-018-000-0000 Permission is hereby granted to: URGENT CARE 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 DrTotnl Value DIAMOND POINT,NY 12824-0000 Contractor or Builder's Name / Address Electrical Inspection Agency ADIRONDACK SIGN COMPANY JOHN NATALE 409-7446 222-0316 CELL JOHNeADKSIGNCO.COM 72 BALLSTON Ave SARATOGA SPRINGS NY 12866-0000 Plans&Specifications 2014-015 URGENT CARE SIGN wall sign 40 sq ft $120.00 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 Townof Que sbu r V Fr. 84 /4 atrua ry 24, 2014 SIGNED BY for the Town of Queensbury. Director of Building& Code Enforcement Office Use Only i Town of Queensbury Building & Codes '< 17 Received: _ SIGN PERMIT APPLICATION JAr#al► p914 — Permit No.: _ --Op Permit Fee: S / - -'' , Date //Pity Applicantc4 �cre_ Tax Map ID ,S1396 -Z 96-013-ddb) -61t-cco-da»Address 95-9 /f r9 Zoning C J _ cS4-gC Dot.-_____ y,4„aYJZ)tiy Property Owner /Caymed 1/` pelf . Contractor/Agent �p,��ohcCge,�. S' h 6'o, Address 9519 IP/ Address 71, e q//'e„ c . / veP-hcl,o1 1 6 ,^s ebb Phone _79 Od Phone cls -]y y 413— Contact Contact Person for Sign Code Compliance: '-j-B 17-, y(lof j/c_. (#9.1/esifpe) Day Phone: 46.702.-410 -?yy L Building Street Address: 9 S'- _ _ _ // A. , - _90 9 Site Plan,Variance,or Subdivision Approvals_ Sp;CE-- * c.._ r, 0t' R ,, 12 tl 1, - Location of proposed installation Business ComplexlPlaza/Mallname Duh. ._.- , y J 1i 5 Business name �� 4 Y' -829 . AY . Type of Sign proposed u4 Ayi/ .4 Ve 9 Ly4a.w.,_p/ ✓e /rl o .co 624,-,e"4+7" If sign is to be illuminated, indicatenternal _ external Incandescent __neon _ other 7 Do si ns currently exist on property? Yes _No(if yes,list all existing signage)(VS 03-7 7<klS �l�. � Change of word/copy From — to — Sign Wording/Copy Y--- ,e274 /r"e Sign Size Length.?y/�Z9-x Width ,3yr /' =Total sq.ft. y6,R a,,,p,. --,/9 -,..--co Sign Height (freestanding) T— Color&Material to be usedfils-s - —u A "e/i-y�4�s This application creates a change in the ✓New following existing site conditions(fill in all Change in number of signs from to applicable spaces) Change in setback for sign from to Change in size from to Change in height of sign from to 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 work is authorized by the owner. APPLICANT-PRINT NAME 7-;di ©‘,,�ii2 c e V- APPLICANT SIGNATURE: ,�� i- A al&/ - Date: !/ ^/Y Declaration: I hereby authorize the applicant to place a sign on my property or building: OWNER-PRINT NAME: I'1t0 d .rte a. .'I E. — OWNER-SIGNATURE: I/, , /./ :IT/ % _ Date: ///4//L• I ' Town of Queensbury Building&Codes Sign Perrrit Application 518-761-8256 3.. d d.0'.'•iy UR i , , . 0 _ '", . ' 1 al . . '� ,zs - '• ,„!' _ �__ ... _._.- _.__ 55' of Store Frontage _ 24" CHANNEL LETTERS ON A RACEWAY LETTER WILL ILLUMINATED WITH 12V DC LED'S SIGN WILL MOUNTED BUILDING FACADE ('tease 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(fe: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 discrepencies regarding color,spelling or materials used in production. PROOFS MUST BE SIGNED AND RETURNED VIA EMAIL OR FAX BEFORE PROCEEDING i2JII9ON.iD/\CK Customer Proof Approval YES Li NO si iNi CDh4RANF'( Urgent Care Li NEEDS CHANGES 72 Ballston Ave.,Saratoga Springs, NY 12866 Date p:518.409.SIGN(7446) f:518.478.8489 1/3114 Signature: ,faa_ ____. www.Adl<SignCo.com 0. • • • Facade - 24"x5" letter Individual internally lit UL letters on raceway with UL labeling. All exposed metal will be painted to match facade. Acrylic face color of letters raceway 8"X611 will be white. 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 discrepencies regarding color,spelling or materials used in production. PROOFS MUST BE SIGNED AND RETURNED VIA EMAIL OR FAX BEFORE PROCEEDING ADIRDND/\CI{ Customer Proof Approval:❑ YES ❑ NO Bice COfvl=��ii•1'rr' Urgent Care ❑ NEEDS CHANGES 72 Ballston Ave.,Saratoga Springs, NY 12866 Date p:S 18.409.SIGN(7446) f:5 18.478.8489 1/1 5/'14 Signature: www.Adk Sign Co.corn • • PERMIT PL0j P I HAVE PERSONALLY M€ASUi�ED THE DISTANCE FRC THE P OPERFY LINES TO THE PR P `'ED ` Rl(�T�RE(S) OR SIGiJ($) SIGH ATURE DATE F `Q �:, AA 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