2014-107 Glens Falls Hospital Medical Alert Service TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20140107 Application Number: A20140107
Tax Map No: 523400-296-012-0001-037-001-0000
Permission is hereby granted to: GLENS FALLS HOSPITAL
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. HOLM Sign
536 BAY Rd Suite 2 Total Value
QUEENSBURY,NY 12804-0000
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
2014-107 GFH Medical Alert Service
WALL SIGN on back wall: partial change of copy on existing 40.69 sq ft wall sign from wording:
"School of Radiologic Technology" to read "Medical Alert Service". Cross Ref. Sign Permit BP 2012-170
and BP 2003-631
$0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Tow of Qu sbu /f T e:d (- -• c it 29,2014
jlf 4
SIGNED BY � for the Town of Queensbury.
Director of Building& Code Enforcement
i
- Office Use Only
Town of Queensbury Building & C t i
Cu6tcegfv"E •
SIGN PERMIT APPLICATIO - ax- • i+ e. k% / a-L-3 ?.
APR (Yea/WI': —1,0 ' l
Penni{ ee: ��YJJJ1$• _ �_ L C ' �: 9Ga
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TOWN OF -
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Date H 3- , { =/ 'f,ba'NNG& e.,- �-cYL eaSnM.dI¢NS
Tax Map ID 5a34o0 - 29Lo -o,2-coo;-.'37- Address D ACLxc4. J dr
Zoning
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Property Owner SAe,e hE'1 _Ai o,eni 6,4Haiecm i.-- Contractor/Agent: /-(o,-kr W N Eel-eV--
Address f B 6 BAY 1RC) , S.,-, ,TE 2- Address .dance a.a a-g-v 2
(ueenislacce'y, i.SX. lagngf
Phone 7“'-No 7 `i Phone le13 -�(o d0
Contact Person for Sign Code Compliance: //„ /-,-/ (,L/'-I E 4_fle Day Phone: 79 3 -.26 eat)
Building Street Address: .95 64),.4_r-ccuZieetf -:'b . OS/.
Site Plan,Variance,or Subdivision Approvals
Location of proposed installation 4,25 Co,1-1-c LC 3,cec Ic 12 D . Q /3)/
Business Complex/Plaza/Mall name
Business name G-1-auS 41Lk-s f- s2,776),- MED,c.1:- At.67)27 Sae✓ICr
Type of Sign proposed e/ „` y i � D
If sign is to be illuminated,indicate intern external _Incandescent neon other
Do signs currently exist on property? x Yes _No(if yes, list all existing signage)
Change of word/copy From G-F Nosy S'cHco:.c RA,/eu-to 64 Nosp. Mea,c•aL A�aCS�7,c=
_ M
Sign Wording/Copy - "" T '
G��s ra,-+_s /-losa,»�- Mer�,c,t� A.r-�-; .5��,��,zEST .sw`ays
Sign Size Length 6,3" x Width 93 =Total sq.ft. 40•ro9 d 7746,
Sign Height(freestanding) - S°�'
Color&Material to be used 33K- Q-P--en-1 - oc:- wet,n k_,rt-#'-.s //DU-
This application creates a change in the New
following existing site conditions(fill in allChange in number of signs from to
applicable spaces) I _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 bio 1-/-/ £xie Ler._
APPLICANT-SIGNATURE: i zi ,L°I-Ze XA/c ) Date: 'S/-F- /`4
Declaration: I hereby authorize the applicant a place a sign on my property or building:
OWNER-PRINT NAME: /
OWNER-SIGNATURE: 4Date:
Town of Queensbu wlding 8 Cod . -„ •enmt Application , j b
, . 5 518-761-8256
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TOWN OF QUEENSBURY
di742 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. WHEELER 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 orhnetnsbury. ,Mo i t .y - pril 30,2012
SIGNED BY \ _,r.. 1 t ..Aftfor the Town of Queensbury.
Director of Building& Code Enforcement
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Glens Falls _ . a �'�
Media lent i -" ; o,,il
Service V 011
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Subcontracting Concepts
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Greater Adirondack - APR 1 ° 0t"
TOWN OF QUEENSBURY
Home Aides -- BUILDING& CODES
FERMI T PLOT PLAN
I HAUF PPRSONALL"MEASURED THE DISTANCE
FROM THE PROPERTY LINES TO THE
PROPOSED STRUCTURE(S)OR SIGN(S)
HI +r.,��1 Client: Glens Falls Hospital SIGNATURE DATE
+2f• ``� Drawing #: 3/17/14 Willowbrook wall
CUSTOM SIGNS Approved by: Date:
�� era om� � 51 ' P signature is repwre0 Defore any work can be imba[eU.
.v,rrt �mn TMs design is copydybted and Is Me exclusive property of The Wheeler Art Group.Inc.
R is not to be copied or reproduced in any way until approved and accepted through purchase
by the diem or their agent.
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