2005-095 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050095 Application Number: A20050095
Tax 1`lap No: 523400-296-019-0001-032-000-0000
Permission is hereby granted to: PROVTDF.NT BAY ROAD_ LLC
For property located at: 375 BAY 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: PROVIDENT BAY ROAD, LLC
3 TALLOW WOOD Dr Sign
Total Value
CLIFTON PARK, NY 12065-0000
Contractor or Builder's Name / Address Electrical Inspection Agency
Plans&Specifications
2005-095 MEDICAL AND PROFESSIONAL OFFICES
CHANGE EXISTING 24.2 SQ FT FREE STANDING SIGN
$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 To,, €"& eensbu�/ay,�{% T s y, February 24, 2005
SIGNED BY r4 for the Town of Queensbury.
Director of Building&Yodoew
En rcement
Build,�; g k,Codes Office-Department of Community Development-Town of Queensbury PERMIT NUMBER
74 Bay Road,Queensbury,NY 12804
Dave Hatin,Director codes@gueensbury.net FEE PAID
Phone: (518)761-8256 FAX: (518)745-4437
Sign Permit Application (/
Application & plans are subject to review before issuance of a valid permit for placement of a sign.
Instructions: 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.
Applicant/Business �I rovtAxc- raUl� -�51� G/'Owner:
Address. Address: c\ I)w c ,
Gleams a!S A/Y /d F�L / C J� -k k ,,.K u,< i-AC-0
Home Phone: _�9 f _ Home Phone: 3 1"' 11 a,\
Email Address: S ka p C—�� Email Address:
Cell Phone: &A 0a S75- Cell Phone:
FAX Phone: 7g!-0600rJL FAX Phone:
Person responsible for supervision of work with respect to Sign Code compliance:
Name: ! 'J gkl kl�-4 :JcLck - -Yta vl✓l
Address: Qa o- r 'fir 1--es A_/6 U J Phone c1 -
Email Address: faIgA Sip 6 61tJ2 P t t
Location of proposed installation: Legal Address: � G���r C v Suite No.
'raBusiness Complex/Plaza/Mall Name: �� e01 .( ?� SSiG+�Y� �f RECEIVED
Business Name: FEB 2 4 �005
Tax Map Number: TOWN OF QUEENSBURY
ZONING OFFICE
Type of sign proposed: _)�,freestanding wall awning projecting
If sign is to be illuminated, please indicate: _Internal 'Y External _Incandescent —Neon _Other
Do signs currently exist on the property? ; Yes / No If YES, list all existing signage: � �`>
Ei � -
The application creates a change in the following existing site conditions: fill in all applicable spaces
New
Change in number of signs from to
Change in setback for sign from to
Change in size of sign from to
Change in height of sign from to o'e,
�
Change of wording/copy from 37 5 9,, �2.d to N(ed 1rG(c �r�� SS�o" 1``I r
r,7 11
rSign Wording/Copy: v �AL"^ � U
Sign size: Length x Width otal Sq. ft. 02 2 / Sign Height (freestanding sign)
Color and Material to be used:
Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
location of sign (wails signs: drawing of the facade the sign will be located on,indicate sign on fa(;ade)
height of freestanding sign
depth of projecting sign
distances from front and side property lines.
Provide 2 drawings or photos of sign design.
Provide Applicant and Owner's signature (permission for placement of sign on the property or building).
Declaration: Please sign below after you have carefully read the statement:
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, pe i d o ed, and that such work is authorized by the owner.
APPLICANT SIGNATURE: DATE:
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: `' �` /DATE:
L:\Sue Hemingway\Building.Permit,FORM S\S ign Permit Application.doc
V: 1/6/2005
r pCo ICa11k►s t al dartMrsui+MY�+-Town of GIuNrltsDuy MOM"N M . .—
0=w-w I q! t ) via
rt�x rwlra —
p
A par befate"ttaolbgh of Your per►r ►si.alan. Ali ojn "COS On It*
Hors rltwt? anti 1 a�,paatr•an the app icatton iRsrm.
• vt L
ArpM> wM, AdeTMlst:! !Pt1CN1al! Hamm Phorw:
Email,'►+tea: I atypui 1...A%& frog Acl
Pas VCA ms;pos e►w A;at vr#1Nk with nMpeat to Sl n►Code r vTir p•srlc:w:
�ma1�1 wdalrs>wss ,.
Er?wa i6v of per: i 1 1.4601 AddM $s- WE- M.• a 1 su"e • �-
1lvMniiilar tom 1� a I a 'asfnil:.;
�wlnirri tJame• , . _ ..� - --
.las�
Tmo:bf dw ptimP64"s;j -besesicrlldisv _.waN awnina rx 40wilrild
If alat�I&to Isla Nbmitlotal -p4 mtl.eta+�i�.: —tMemof jL EutaMdl 1nactinrimmmont —hl.ut, 0f lier ,
ba s a wvvrni 11 Iygl�►f 1 pepoipwWO J„Yea i ..No It YES.Ust cM OxWnta>d� + • /an
Tho 4ppMCetic-fNO"cx re#'a! iw1 sA fvllowinld itlrtq llte e�oMsdlgone: 1N1(n csll t�p>SiN kyN1►s CJ
• .__,Ct:gii'Iq!e In i(su M s71H1'M troll+s tea
�_�Ctho�F for 1160' floret
m 1In ._.._. to
_ to -
In to
-4ii+ ,mm 6omm---4,ts h jo I*tco Sa,tt. •2, / Sipn Hehaht Iff"OnnOnp by ,�—
;.Colci and mr4tststld'so we
..Mrrs Aiso 2 r-c>F#wi of a *0 lawk ew survoysto plot plan with il'lat.folWwlM tt+fCwmatI*n:
'of Npr1 t 4&0%vft of the taipcKw t"o sign will be located on,Indicate an on tcrrnrtw�
cirlrHth� n . '
dlrMns�IM ifE�1n t} d ikii ptvPMty Nni►s•
SPie►vli;la dras�n�' t ftm.. an-
a�i�lvk�w gpF*oc nt 'R OM in tf:wwHt bled rc•w fdcwtew, n1 cal wwl w1 111w tAWwriY tx 11lIr1�).
PIiCIM tttt9 Votj hc"--ankfU#V road the szttstarrmnt:
e Iar hes Qf the s'talwmrlts eot�tcMrleay it/tho q gtk►n.toae"r wHh"m p1 and
R C000 x we wi.s'.nd Cal Iq*ftn Out m"mni ut iS p't pofited wall to b&r 01W that clesciskms J
cum"nd at/. 2u tlUwktarrcw,and cA bthsr Kiwi pwicA "to the w Mall
baM G Nald w1fh.; ,and that Wah WOtk Is authotlssed pY ills WOW.
'I iWho*?Y I71 47w"10. �4 • ~` � � � � - -�
�;,�aw►MksssYs•MruMs r , sshre; .o���c . , .-
E D
FEB 2 4 2,005
TOWN OF OUEENSBURY
ZONING OFFICE
h.
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: n�;`pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
�-�
NAME: �_ PERMIT#:
LOCATION: -� c,_ !� IN ON: u51
TYPE OF STRUCTURE:
Comments
Y N/A
rags
Monolithic Slab
Reinforcement in Place--��.
The contractor is responsible fol"
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
ches above footing
°ram .for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
LASueHemingway\Building.Codes,InspectionTORMSWoundation Inspection Report.doc; January 28,2003
y�N p r S
MIA 15 kL h� � r`
oZ
m
Z® �
oC U l
n M M
`
mw m
Medical & Professional Offices 24.2 5gft 0
2-sided
WWARC Extreme edges: 58.25" x 72"
James Yovanoff Dimensional sign: raised main panel
Steven Karp with raised further tenant panels
1�u colors as per drawing, mounted
inbetween existing brick columns
(replacing exisiting green sign)
w
RECEIVED
y.
FEB 9 4 z005
TOWN OF QUEENSBURY
ZONING OFFICE
r °4
� A r•��_ T
+A [Yr
*ter
I
• �
• •
� � �� ' �:
� � �F< �v
�� ,�
d. � ;
,3�M '� e
r
fi
..
',*Y'-:
r,,.. +. _, __
« � , � _
af. !'�
X
' � a _
�, �
_ �.
� ':%� � � `
TAN''._".�:� 'ti.�. � � 4>
N.
F
_ � - ,
-� � �
��
� _ .��
— ,,,�
.i
1i: t�,
y.
� �
NDS N/F OF SHOULD THE ADJACENT PROPERTY BE DEVELOPED
)D HOMEOWNERS IN THE FUTURE, A 24 FEET WIDE CROSS-
;SOCIATION INTERCONNECTION EASEMENT WILL BE PROVIDED
TO FACILITATE INTER PROPERTY VEHICULAR TRAVEL
LANDS N/F OF
HUGHS
40 FT
11' i
24' 14' TRAVEL LANE MEDIAN 14' TRAVEL LANE
O -
2% CROSS SLOPE 2% CROSS SLOPE
MOUNTABLE
Z CURBS (TYP) SHRUBS MEDIAN
-- z N BOULEVARD DRIVEWAY
o 2 ENTRANCE SECTION
0 E-2 SCALE: 1 = 10
CC
I= CROSS REFERENCE: NONE
RECONFIGURE PARKING BY REMOVING THE STRIPING
FOR 3 PARKING SPACES AND CROSS STRIPING THE
REMAINING 3 FEET. SEE DETAIL 1/E-2
LANDS N/F OF
HUGHS
b — S84-05'40"E
FUTURE PROPERTIES _.._._��_ -
INTERCONNECTION EASEMENT (�' - 6' HIGH DUMPSTER `
E-2 SCALE: 1 = 20 I 2s 440.15' ENCLOSURE
CROSS REFERENCE: NONE sr E AR S T K 9'! .
—�
10.
'�--
a 117' CONCRETE rn
O I 10, CURB
It
f ' .t
y O I 24' 9' N 9' 9' CURBR& WALK CONCRETE
1:1
►� TY cv CURB NA
? RO TSSIOL a ``
ml 26' 9' N uuolric" ANDS N WESTCOTT F
v N g 26.7' I
13 LO 379
al LA- ! N CONCRETE HANDICAP + LO
�- O Z m
} w CURB PARKING-f f p-p (n SEE DETAIL 3/E-2
LANDS N/F OF Of 24' �� SIGNAGE LAWN a w N o
WESTWOOD HOMEOWNERS ASSOC. �I �� °' �'� Z S84'05'40"E
oa o3 I 'µ .
�I 11 11 72' �! 222.5 '
N = -AWN cv , jr V
7 , ' .
CO
9 88, _ HANDICAP PARKING 13 °i� 2�SIDE YARD 313.8 TRANSITION
1 a SIGNAGE (TYP) '0,�4 v RSETBACK CURB
30' Io _-- ,
I a
co
14.
cv
I a Of
°i PROPOSED o 5' 5.5'R 186'
•F TWO—STORY 30'R
OFFICE BUILDING o ,,, I CURBH s
189.2' • 3' `" 40'R 188' I 5'5'R rn cw
W
O j S v ( 30'R
88'
oml ID SIGN C)
t.I m
I '
a LAWN w� �C, 25
in a Q d Of 0 �U) �
o Z 3 10' N b p
ZI I ir
O 7 ►^ ^a TRANSITION
c� 71T 72 > f W _
CURB
pN U c . *. '� 125' $►OE YA/� _ ## e>'
D S66ACKLO
J . I _
ASPIgLT PAVEMENT zINTEGRAL CONCRETE
N CURB do WALK 40'Rzo
; I N82'2423',W I
TRANSITION 157,84' f d
25 IUE � �
CURB
855 YARDN JI pS � f I
'
d I
M c� }:
0) FLORIS co
NDS N/F OF 312.38: io
ESTCOTT
0
Z I LANDS N/F OF
w N82*02 30"yy DIVINEY
o I
I „
O 194.48'
N = LANDS N/F OF _
1 HOWE LANDS N/F OF
v STEWART _ I
I LANDS N/F OF IT'
r PARCONC LANDS N/F OF I I
MATTH EWS
REINFORCED I
CONCRETE SIDEWALK I
EDGE OF BAY ROAD
2" ASPHALT CONCRETE WEARING COURSE SIDEWALK TRAVEL LANE II L
(TYPE 7, NYS DOT ITEM 403.18) 1 REVEAL I
ASPHALT CONCRETE BASE COURSE NYSDOT
SECTION 403, ITEM 403.13, TYPE 3 •
0 0 0 0 0 0
0 u ys -
12" GRAVEL SUBBASE COURSE NYSDOT %o 0 0 0 0 0 0 0 0 EXPANSIO
SECTION 304, ITEM 304.03, TYPE 4 JOINT nr /
SUB GRADE COMPACTED TO -III-III _-I I 1-I I i-1_ 9Y
95% STANDARD PROCTOR �—� � �—� ( �i� � �—� � �—� � !—� � �—� I �—� � � sus •
3 KEYED DRIVEWAY CONNECTION DETAIL
E_2 SCALE: NONE
CROSS REFERENCE: NONE
REVISIONS RECORD/DESCRIPTION APPR. UNAUTHORIZED ALTERATION OR
ADDmoN TO THIS DOCUMENT
IS A VIOLATION OF SECTION IVAN Z D RAHAL ASSOCIATES, P LLC
LAN REVISED IZ NEW YORK STATE N EDUCATION
2 OF THE
SITE LAYOUT PLAN
.ANS REVISED PER 1/28/03 PLANNING BOARD IZ LAW. ENGINEERING AND PLANNING
_VISED PER 2/18/03 PLANNING BOARD Iz 959 ROUTE 146 53 MAIN STREET '
CLIFTON PARK, NY 12065 LAKE PLACID, NY 12946 PROFESSIONAL OFFICE BUILDING
LANS REVISED PER WARREN CO. DPW REVIEW Iz PHONE: 518.383.0769 PHONE: 518.523.8902 PROVIDENT DEVELOPMENT GROUP, LLC
FAX: 518.371.4356 FAX: 518.523.2197
TOWN OF QUEENSBURY WARREN COUNTY, NY
® 2002 IVAN ZDRAHAL, P.E. Web Site: IZA.cc
" = 40' SHEET 4 OF 8 DWG. NO: 02-51—L
PROJ. NO 02017.00 DATE: DEC 5. 2002 SCALE: 1 Y
IVAN ZORAHAL ASSOCIATES, PLLC LICENSE 55,307 I ,