2004-867 Advanced Imaging TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518).761-8256
BUILDING PERMIT
Permit Number: P20040867 Application Number: A20040867
Tax Map No: 523400-296-012-0001-029-000-0000
Permission is hereby granted to: ADVANCED TMACI NG
For property located at: 22 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 COMMERCIAL
536 BAY Rd Suite 2 Sign
Total Value
QUEENSBURY, NY -12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency.
K.D. WHEELER CTJSTONt STGNS
16 RTCHARDSON STREET
OT JEENSBT JRY_ NY
Plans 8c Specifications
2004-867 ADVANCED IMAGING AT BAYBROOK
18.67 SQ FT FREE-STANDING SIGN,
$37.34 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 ueensb ; Monday,November 08, 2004
SIGNED BY for the Town of Queensbury.
Director of Building ode forcement
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
Permit #:
(518) 761-8256
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign. 0V
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY �SC�I���/EiZ NOS' �J C�D/�fM�"12L��A� i-C>10 CTS , /AJ
ADDRESS J 3 (p _R J�) 17-6 a— 5t3biR EL. 75'�--067�t
NAME OF APPLICANT JA)4E7el�El�_ r
ADDRESS t)cJ �,' .T eE7r, t,l TEL. at, .16
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing __ Permanent X Projecting Sign
T =�Qt
- , -conforming Existinggrffe- n'a Wall New x
Location: Tax Map Number
Address _ �'1���, , b��d�� ,ear�� � L----, .
Proposed Setbacks from Property Line (front) _15 (side)
If sign is to be illuminated, please check appropriate box:
Internal ( ) , External (X) , Incadescent ( ) , Neon ( ) , Other ( )
Size of Sign: Width 8afl f=t. Length
Total Square Footage: _ f g, (o l
Sign Copy: ADVANCE] 1 M A--►_, , 4-A ` &8EQ6 V__
Color and Material To Be Used: I)ak L C L II N?,�>v
Signature: c �J
Circle One: lican , owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A S GN N PAY PROPERTY OR BUILDING.
S�%gna�t�r�e, o�f Pro�e,rtyy Oanye1r: -
ORIGINAL-Office Copy COPY-Applicant
�} CED I
N
D G _
BAYBROOK
M
SERVICES PROVIDED BY
Glens Falls Hospital North Country
ICY-Cl.yl MEDIeI�E, �bme4own I m a g i n g Cyr
. � � J�✓Kaq�s -for bif�
8411 `I
4 Client: Advanced Imaging at Baybrook
02004
This design Is copyrighted and Is ti r d+ '': Drawing: Office 2
the exclusive property of CULS,,T SIGNS The wheeler Art Group,Inc. A DIVISION OF THE WHEELER ART GROUP,INC. Date: 10/19/04
It Is not to be copied or reproduced in any way
until approved and accepted 16 Richardson St. Queensbury, NY 12804 Approved by:
through purchase by the dlent. Phone/Fbx:518-793-262o email:kdwheeler®adelphia.net
fl www.wheetersigna.com
- I
i
oasTNc ORINEWAY �
THESE PLANS HAVE BEEN APPROVED UNDER AUTHORITY
LOT No. 5 / OF A RESOLUTION ADOPTED 5-22-03 BY THE PLANNING
1ao• I BOARD OF THE TOWN OF QUEENSBURY, NEW YORK WITH
EXI5TINo PAY GARS aWM / \ ~" -7 i _ I THE FOLLOWING CONDITIONS
,� \[r �` �t h av�'� T ice\ I 1. THE PARKING LOT AND SIDEWALK LIGHTING.Fl TURES WI'
BE OF THE SAME OR SIMILIAR TYPE AS USED ELSEWHER
1
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Course + \r �',, �s � � ' • �'` _ + 207. = 36 SPACES MAXIMUM ,�''• �
•• . .. 8.850 GROSS LEASEA8LE SF 30
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PROPOSED PARKNG
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� Revisions
• • AON'"• •/ PROPOSED REQUIRED •
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AYDUT ��
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'•- O , a� • i -•'�, REARS 139.1 20.0 A. Fbview Comments
.,..� '' •' ' �:: •.' •' • SIDE CWEST� 57.9 20.0' UTILITY'
�� N
• !i •M ," '� -- ,.rr - - _� _:� ' ' ' . . •• SIDE CEAST� 182.0' 20.0' ,AIL'• 'd4- 2 May 21' 2003-Reeokitlon
'�`. '�` '�`- '�`. J Condtlons Added per
. _ NOTICE Plarx�rg Board Approval
_ PONDS 61.3' 75.0' - VARIANCE REQUIRED GAIT BEFORE YOU�DIG U"PO j
` rA - WETLAND, 100.0' 75.0'
�� umx:RGROUND FACA MS
PAVEMENT SETBACKS PROTECTIVE ORGANIZATION 3. May t7, 2004- Revlee
• . ,r. . � , , •, 1->'►00-962 7962 .. �` wak Layout
a• / WETLANDe 71.4' 50.0' 48 HOURS NOTICE REGURrD
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. �' 4► `Juy 7, 2004- Revlse DATES MAR 15 2003
WI&La out SHEETI OF
Location Plan