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2014-108 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: P20140108 Application Number: A20140108 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. HOLDII 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 2014-108 GFH Medical Alert Service FREESTANDING SIGN Partial Change of Copy on existing 32 sq. 11. freestanding sign: remove wording "School of Radiologic Technology" and replace with "Medical Alert Service". Cross Ref. Sign Permit No. 2012-171 and BP 2003-419 $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 29,2015 (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 Qu sbu A Tu .4 a/ A s ri_ l 29,2014 tl/ SIGNFT)BY \ for the Town of Queensbury. Director of Building&Code Enforcement E © Of - Town of Queensbury Building , -s --------_`1 's Recew SIGN PERMIT APPLICA ION,� �� 1 0 . , Mai) •I _�, _ - - 8 &C OFQ - !! .. - As LDING `�Zn efee: $ AG i,1 Date Ai-t- r'f Applicant le• . GOme-ezaC CIASnM is Tax Map ID 5a34f0D - 296 -ora-opo,-037- Address /to X,c:a4'cJSe,J LST Zoning Co. -yea) 0 u-EtnistSU P-, "Y 7a,St'/ Property OwnerSei-IFNEQJM,-n/ aon"G-�ec�A'-- Contract , eor/Agent: FitLl-y wN=ELElt_ Address 531.2 'BAY RD , Su ,re 2- Address 4 �<r2 es ttEEh)s(3W2y, >,3 Y /awl+ / Phone 791 -06,7 y Phone -7q.3 -a(0,20 Contact Person for Sign Code Compliance: A4 4 i-y /A1 NEE 4 Er__ Day Phone: 793 -a(o-76 Building Street Address: (.215 W/,c_i_ow AS ec-o/C 2_6 . (78/, Site Plan,Variance,or Subdivision Approvals Location of proposed installation G.25 Gx.11 c/-01A.) 3 gift r< "R,>. Q /a y Business Complex/Plaza/Mall name ._ Business name 6-1-ek1S fALkS Tks?,-n . itie- a cAi— ,&oc.i lacy' Cr Type of Sign proposedk/ 6411At o If sign is to be illuminated,indicate intui i al _g_external Incandescent _neon other Do signs currently exist on property? x Yes No(if yes,list all existing signage) Change of word/copy From GF gasp %Se Noyc_c, RAD,oWO-{o 6-F I-lose. /4CD,cAL A,_a a-St 'toe c''c no".,- Sign Wording I Copy ' �� T G�e>JS FAAt-S N -nAI_ cs�, gE MED,� Ajar Sf12NcE A-SrT IS NE rl Sign Size Length 4' x Width Et' =Total sq.ft. 32 AH= Sign Height(freestanding) - 1 Color&Material to be used •3:1 f` G— e+-3 / qPF W M,re ,Lt„tx s / rfD 44— Thisapplication 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 iA l.-1/ /)Neff1.-02. APPLICANT-SIGNATURE: /7U o Date: -f/- 8-r'/ Declaration: I hereby authorize the applicant to place a sign on my property or building: OWNER-PRINT NAME: —sa OWNER-SIGNATURE: 4rr1 II --e/ Date: co Cki2nv-e4-14,1-2-- i Town of Queensbury Building 8 Codes Sign Permit Application J idrei;;,y AL____ 518-761-8256 -_ TOWN OF QUEENSBURY A -= 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8207 — Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120171 Application Number: 420120171 Tax Map No; 523400-296-012-0001-037-001-0000 Permission is hereby granted to: SCHERMERHORN COMM. HOLDINGS. LP 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. HOLDI] Sign 536 BAY Rd Suite 2 Total Value QUEENSBURY,NY 12804-0000 Contractor or Builders Name/Address Electrical Inspection Agency Plans&Specifications 2012-171 32 sf Sign-Freestanding 8' x 4' Glens Falls Hospital School of Radiologic Technology; SCI; Greater Adirondack Home Aides Change of Copy to BP 2003-419 $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 of teen =ury; )nd ;ri_ . 1,2012 �' SIGNED BY -. "l` G letter for the Town of Queensbury. Director of Building&Code Enforcement )1-1 -10 � H E! DWIL4 -, N APR 10 2014 a J TOWN OF QUEENSBURY •1: BUILDING&CODES 4:: ck,to 10 (4 $111-Pt e North Country Medical Alert Glens Falls Hospital Service ee O Sports Medicine •ge�—� Subcontracting Concepts ORTHOPEDIC SURGERY 25 Willowbrook Road Greater Adirondack Home Aides 1 • I �q NxegLPIP ,.�„ -.,�.,.a...., — t cl1lIGNS_ .�..a a. • PERMIT PLOT PIAN I HAVE PERSONALLY MEASURED THE DISTANCE FROM THE PROPERTY LINES TO THE PRO.OSED STRUCTURE(S) OR IGN(S) SIGNATU• DTE I MY ol dJi1i�'S U6� RL I icy I