Application & DeedSign Variance [ZBA approved November 15, 2019]
General Information
Tax Parcel ID Number: ,3p&, I
Zoning District: C
Detailed Description of Project [include current & proposed use]:
kplcim-eI+5-6v►9 {1non�r�r►�s� p. w AAA, hem 5r'X3i = 1fss �t /kor��7�+ewd1 S'$n c�fa 13.y Se%c%
Y►S 11 N-evv 3.3 ' x 3 , 3 cj cA & L4 A I SPJ 6.�c lc
�,rsle,ll f�t``S �e,sbleS�dt. �,YtC:�o�a1 "3)X,-'%
ahct4- &9,-iS' S-e eIc
W bo )N le C-Icl t�,,Yrc4ody 3' Y,a' C S;S) S iy K Q kL 2,4,Lf �b
Location of Project: r(A 1 M
J
Applicant Name:
1
Mailing Address
04D& rGo
Home Phone
City, State, Zip
9d 1
Work Phone
q
Cell Phone
E-Mail:
FAX No.
T�c�
Agent's Name:
Mailing Address
Home Phone
City, State, Zip
Work Phone
Cell Phone
E-mail
FAX No.
Owner's Name
Home Phone
` t
�f
Mailing Address
City, State, Zip
Cell Phone
Work Phone
Z I
e hhn
E-mail
J
FAX No.
I I
-T.Dm elc4K �J
Page 1
Sign Variance [ZBA approved September 21 2016]
Site Development Data
Area / Type
Existing sq. ft.
Proposed
Additions . ft.
Total sq. ft.
A. Building footprint
24818
0
24818
B. Detached Garage
0
0
0
C. Accessory Structure(s)
392
0
392
D. Paved, gravel or other hard surfaced area
33989
0
33989
E. Porches / Decks
0
0
0
F. Other
4537
1 0
4537
G. Total Non -Permeable [Add A-F]
63736
63736
H. Parcel Area [43,560 sq. ft. / acre]
94089.6
94089.6
I. Percentage of Impermeable Area of Site [I=G/H]
677
.677
Setback Requirements
Area
Required
Existing
Proposed
Front Yard [ 1 ]
75
78.8 Corinth Rd
Front Yard [2]
75
68.5 Carey Rd
Shoreline
Side Yard [1]
Side Yard [2]
Rear Yard [1]
30
31.9
Rear Yard [2]
30
75.9
Travel Corridor
Height [maximum]
Permeability
Number of parking spaces
Page 2
Sign Variance [ZBA approved November 15, 2019]
Compliance with Chapter 147 Si(_ni Ordinance
1. A scaled drawing of the entire sign(s) and site plan drawing showing the location is to be included in the
submission packet ie on building and on site. Please note a survey is required unless a waiver is granted.
2. This application is for a change in the (check all that apply):
Number of Signs: from (currently): p 1
Setback for Sign
w/Size of Sign
Height of Sign
Other (specify)
3. Sign Dimension(s)
to (proposed): (P
Sign Type
Existing
(Check)
Proposed
(Check)
Length
(ft)
Width
(ft)
Total
(Sq Ft)
Height
(ft)
Wall
AMoA P
h2- �
3
�
Freestanding
,
L
Freestandin b-Ye
Other ie panel
NY-wbDv-wi 03
Projecting
Awning
Illuminated
Type:
4. Property Line Setbacks Front/ Rear
5. Sign Wording: Jzay,1005
6. Additional information if applicable
Side
Page 3
CD
0
0
m
c
7
=
O
�D
2
C1
3
CD
O
C
O
C
0
CD
7
CD
N
A
6
QQ
CD
CL
CD
N
C1
CL
0
vow
x
X
cn
rt
3
C[]
x
x
x
-a
B
0
CD
Q
W
-
W
-
W
Cb
N
W
W
CD
ca
N
N
W
3
W
W
W
0')
0)
(A
s
'
co
0
'^
T
,1
rh
AA
Y
^^
Y
Z
=
O
0
m
3
2
^'
^Z
UJ
m
A
N
-0-1
W
CD
-
Cb
-
Cfl
-
A
-
A7
0
Pr
Sign Variance [ZBA approved September 212016]
The following questions reflect the criteria for granting this type of variance. Please complete them; use additional
sheets if needed.
Whether an undesirable change will be produced in the character of the neighborhood or a detriment to nearby
property will be created by the granting of this sign variance?
The cionc�nnt = rothice a Change in Chararter to the neighborhood Thig is a rnmmerrial area, avrwc frnm a heat
manufacturer. The proposed signs will not be out of place within the area _
2. Whether the benefit sought by the applicant can be achieved by some method, feasible for the applicant to pursue,
other than a sign variance?
Signage in needed for wayfinding purpnReq Thig ig n large medical CUIMplex with msnV-diffeXcrine nffinin nnd doCtUrS The.
ski page will serve to help Uatients/m9torists find the correct location of their doctor/facility_/pharmacy
Whether the requested sign variance is substantial?
The mimher of 6gna rnuld he viewed as Ruhatantial however the si n oae ill provide. a g aW,r oVi(le much needed dirertinnal aAviCe to
,patients navigating the complex Uying to find their doctor's office/facility.
4. Whether the proposed variance will have an adverse effect or impact on the physical or environmental conditions in
the neighborhood or district?
The Cigna will he unlit and will have no imnart nn the environmental conditions of the area nr neighhnrhnnd
5. Whether the alleged difficulty was self-created?
to find their doctor easily.
Additional Project Information
1. If the parcel has previous approvals, list application number(s):
2. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit
Program? _ Yes / )< No
3. Estimated project duration: StartDate End Date
4. Estimated total cost of project:
Page 4
Sign Variance [ZBA approved November 15, 20191
Section 179-14-030
Application materials and site plan drawing is to include sufficient information for the Board to review and provide a decision. The
applicant is to provide a site plan drawing(s) — a survey showing existing conditions, a proposed conditions map
(see page 00 for
specific criteria) and include any other attachments that address A - D as applicable to the proposed project.
A.
I General
Shown on Sheet #
1
Title, Name, Address of applicant & person responsible for preparation of drawing
2
Deed
3
North arrow, Tax Map ID, date prepared and scale [minimum: 1 inch = 40 feet ]
4
Boundaries of the property plotted to scale, zoning boundary
5
Principal structures, accessory structures with exterior dimensions
6
Site improvements incl. outdoor storage areas, driveways, parking areas, etc.: existing &
proposed
7
Setbacks for all structures and improvements: existing !& proposed
) a
8
Elevations and floor plans of all 2roposed and affected structures
B.
Water & Sewer
Shown on Sheet #
1
Project sewage disposal facilities, design details, construction details, flow rates, and number of
bedrooms proposed
2
Water supply [i.e. well] & septic on adjoining lots with separation distances to existing or
proposed on -site water supply and septic
3
Separation distances for proposed sewage disposal system to well and water bodies
JOJA
4
Existing public or private water supply [well, lake, etc.]. Method of securing public or private
water, location, design and construction of water suipply including daily water usage
5
Percolation test location and results
A
C.
Parkin / Permeable Areas
Shown o 'Sheet #
1
Number of spaces required for project including calculations and justification: existing &
proposed
2
No. of existing parking spaces, number to be removed, number to maintain and type of surfacing
p 1`
material [e. ., avel, aved
/ V I
3
Provision for pedestrian and handicapaccess and parking: existing & proposed
4
Desi details of ingress, a ess, loading areas and cutting: : existing & ro osed
5
Location and character of green areas [existing and proposed], modification to green area, buffer
zone to remain undisturbed
6
Lighting, location and design of all existing and prqposed outdoor lighting,
D.
Additional Site Development and Miscellaneous
Shown oq Sheet #,
1
On -site & ad'acent watercourses, streams, rivers, lake and wetlands
2
Utility / energy distribution system [gas, electric, solar, telephone]: existing & proposed
3
Location, design and construction details of all existing and proposed site improvements
including: drains, culverts, retaininU walls, fences, fire & emergency zones and hydrants, etc.
4
Square footage of bldg. area proposed for office, manufacturing, retail sales or other commercial
activities: existing !& proposed
5
Si a e: Location, size, type, design and setback: existing & proposed
6
Waiver Request: provide letter with application requesting any waivers: please reference
specific items
7
Commercial / Industrial Development requires submission of Landscaping, Stormwater
Management, Grading & LiEhting Plans
8
Identification of Federal, State or County permits required for the project together with a record
of application for all necessary hermits
{� ,
Page 5
Sign Variance [ZBA approved September 21 2016]
Pre -Submission Conference Form / Section 179-9-040
1. Applicant Name: AJ Signs/ HHHN 9 Carey Road
2. Tag Map ID
308.16-2-2.3 Location: 9 Carey Road
3. Zoning Classification CLI 2.12 ac
4. Reason for Review: Applicant proposes multiple signs for one site on a corner lot
5. Zoning Section #: 140
6. Pre -Submission Meeting Notes: Provided Outstanding; Please provide by
Deed X
General Information complete
Site Development Data Complete
Setback Requirements Complete .r _
Additional Project Information Complete �P�5=1U18
FAR addressed
Compliance with Zoning Ordinance
Checklist items addressed
Environmental Form completed ques 10 yes ✓
Signature Page completed �-
The applicant proposes to update several signs for the Hudson Headwaters complex at 9 Carey Road. The
project includes 2 free standing signs, 2 directional signs and 2 wall signs. Free standing MM2 24 sf less than
15 ft setback existing is 13.4 ft. Free standing BM4 11.11 sf more than 1 free standing sign. Directional signage
D2, D3 directional signage greater than 4 sf. Allowed signs Wall -Logo signs on West and North will need
permits. Relief requested for more than one free standing sign, oversized directional signage, and free
standing sign setbacks.
(Items reviewed: sign variance application, survey with sign notations, sign details
Items to be updated
1) Page 1 detailed description of project will need to be complet9d
2) Page 2 required setbacks are 75 ft"for two front yards and 30 ft for two rears - please enter the following
setbacks per the survey on the site data sheet
Building Front 78.8 ft Corinth Road, Front 68.5 ft Carey Road, Rear 131.9 ft Rear 2 75.9ft
3) Page 4 other applications SP45-2018 shed
4) Survey will need to be stamped and full size 24X36
5) EAF question 2 change to yes and it should say Queensbury Zoning Board.
6) Convert all measurements from inches to square feet
Staff Representative: Laura Moore via email 7/16/2024
Applicant / Agent: Kristen AJ signs 05/13/2024
Date: 07/16/2024
Page 6
Sign VarianCe [ZBA approved November 15, 20191
This page includes the 1.) Authorization to Act as Agent Form: 2.) Engineering Fee Disclosure; 3.) Authorization for Site Visits; 4.)
Other Permit Responsibilities; 5.) Official Meeting Disclosure and 6.) Agreement to provide documentation required.
QvvNER1 AGENT FORM: Complete the following if the OWNER of the property is not the same as the applicant:
Owner:
Designates: -J-S hS as Agent regarding the following:
Variance Site Plan — Subdivision
For Tax Map No.: Deed Reference: Book_ Page , Date
' OWNER SIGNATU _ (I w _ _ DATE: %
APPLICANT'S AGENT FORM: � Complete the following if the APPLICANT is unable to attend the
meeting or wishes to be represented by another party:
Owner:
Designates: _ as Agent regarding the following:
VarianceSite Plan Subdivision
For Tax Map No.: Deed Reference: Book Page Date
OWNER SIGNATURE: DATE:
2.1 ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, storm
drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be charged directly to the applicant.
Fees for engineering review will not exceed $ 1,000 without notification to the applicant.
3.} AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein, the Owner, Applicant,
and his/her/their agent(s) hereby authonize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of
reviewing the application submitted.
4.. OTHER PERMIT RESPONSWILITIES: Other permits may be required for construction or alteration activity subsequent to approval by the
Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits.
S.l OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a designated
stenographer tape record the proceedings of meetings resulting from application, and minutes transcribed from those tapes constitutes the official
record of all proceedings.
6., AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I, the undersigned, have thoroughly read and understand the instructions
for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans and supporting materials are a true and complete statement/description of the existing conditions and the
work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I
acknowledge that prior to occupying the facilities proposed, I or my agents, will obtain a certificate of occupancy as necessary. I also understand that
Uwe may be required to provide an as -built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of
occupancy
I have read and agree to the above,
Signature` [Applicant]
Print Name [Applicant]
5 /3j,
Date signed
Signature [Agent] Print Name [Agent] Date signed page 7
Short Environmental Assessment Form
Part 1- Project Information
Instructions for Completing
Part 1— Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the
application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on
information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as
thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the
lead agency; attach additional pages as necessary to supplement any item.
Part 1— Project and Sponsor Information
Name of Action or Project:
HHHN signage
and
Project Location (describe, ttach a location map):
cica,e"
Brief Description of Proposed Action:
Installation of panels in existing freestanding signs & new directionals.
Name of Applicant or Sponsor:
Telephone: 5183999291
E-Mail: Kristen@ajsigns.com
AJ Signs
Address:
842 Saratoga Rd
City/PO:
State:
Zip Code:
112027
Burnt Hills
NY
1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance,
NO
YES
administrative rule, or regulation?
If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that
❑
may be affected in the municipality and proceed to Part 2. If no, continue to question 2.
2. Does the proposed action require a permit, approval or funding from any other government Agency?
NO
YES
If Yes, list agency(s) name and permit or approval:
1�+�►�-Pi1hS�vv � �nj
�
-
3. a. Total acreage of the site of the proposed action? 2_16 acres rbt,&.ya
b. Total acreage to be physically disturbed? 0 acres
c. Total acreage (project site and any contiguous properties) owned
or controlled by the applicant or project sponsor? 2.16 acres
4. Check all land uses that occur on, are adjoining or near the proposed action:
5. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial m Commercial ❑ Residential (suburban)
❑ Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify):
❑ Parkland
Page 1 of 3
5. Is the proposed action,
a. A permitted use under the zoning regulations?
b. Consistent with the adopted comprehensive plan?
NO
YES
N/A
I
❑
❑✓
❑✓
❑
❑
❑
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
NO
YES
❑
✓❑
7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identify:
NO
YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels?
b. Are public transportation services available at or near the site of the proposed action?
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed
action?
❑�
❑
NO
YES
❑
❑
IZI
❑
9. Does the proposed action meet or exceed the state energy code requirements?
If the proposed action will exceed requirements, describe design features and technologies:
NO
YES
❑✓
❑
10. Will the proposed action connect to an existing public/private water supply?
If No, describe method for providing potable water:
NO
YES
❑✓
❑
11. Will the proposed action connect to existing wastewater utilities?
If No, describe method for providing wastewater treatment:
NO
YES
❑✓
❑
12. a. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district
which is listed on the National or State Register of Historic Places, or that has been determined by the
Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing on the
State Register of Historic Places?
b. Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for
archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory?
NO
YES
❑
❑
✓❑
❑
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain
wetlands or other waterbodies regulated by a federal, state or local agency?
b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres:
NO
YES
❑✓
❑
❑
❑✓
Page 2 of 3
14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply:
El Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid -successional
❑ Wetland ❑ Urban m Suburban
15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or
Federal government as threatened or endangered?
NO
YES
❑
❑
16. Is the project site located in the 100-year flood plan?
NO
YES
❑✓
❑
17. Will the proposed action create storm water discharge, either from point or non -point sources?
If Yes,
a. Will storm water discharges flow to adjacent properties?
b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)?
If Yes, briefly describe:
NO
YES
❑
❑
❑
18. Does the proposed action include construction or other activities that would result in the impoundment of water
or other liquids (e.g., retention pond, waste lagoon, dam)?
If Yes, explain the purpose and size of the impoundment:
NO
YES
❑
❑
-19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste
management facility?
If Yes, describe: —
NO
YES
❑
❑
20.Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or
completed) for hazardous waste?
If Yes, describe:
NO
YES
I CERTIFY THAT THE INFORM • TION DED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/sponsor/name:L f Date:
Signature: Title:
Io
PRINT FORM Page 3 of 3
EAF Mapper Summary Report Friday, May 10, 2024 3:55 PM
Disclaimer: The EAF Mapper is a screening tool intended to assist
308.16-1t%6
project sponsors and reviewing agencies in preparing an environmental
30816-1-82 1 309.13-1-2
assessment form (EAF). Not all questions asked in the EAF are
30,8.16-1_-653@8.16-1_-77
answered by the EAF Mapper. Additional information on any EAF
30$ 16-1-58 5 308,16-'I _g2 2309-13-1-1
question can be obtained by consulting the EAF Workbooks. Although
3Cj'8 16-1-64
308.16-1=61
the EAF Mapper provides the most up-to-date digital data available to
308 16-1-53 3081 £ 1 '7930,8.16--1: $0
DEC, you may also need to contact local or other data sources in order
308. i 6_-1-,0 366.16.1.-78
to obtain data not provided by the Mapper. Digital data is not a
308:16-1 -5 6 308 .16-1-63
substitute for agency determinations.
30816-1-54 ,r.maro J'd 309A3-2-31.113
fi5ati
ontp,.
ueensbu v
Trnr n k
308.16-2-2. '
108.162
Hanulkn [
€r��tGr
309.13-2-31.2
309.13-2-31.112
on t pfralo- ri-
�' ntl.any
308.162-4.2 308.162-41
� 08.16 2 -6 308. i 6-2-2 2 r
s
t 5:nt rc-es Esi, HERk Garmin USES, Irterma. IPIC Ef i� �,
SDI.r eT: Esri, HERE, Garr-rir. USG5 Irl ftfrnap, IACREN h1T P P%RCn. Esji N 1ETI1E 11ii
1RCar,. Eso 1*N3 1 IvIE`t Est'r Chlra (I—* ,u K r -:_ Etri Kate Es,f
I l`� fH� r F:r�rr 'Esri Korea Esrl .'Bail4per Iree*Aap vb,6tutrir5 aid
A=Fc i a^ >,.. , ic; OperS`reetkla@ ar., tie GIS.
4.16-278 308.16-2_4.3 309.13 Z-3 hA�l,'1 3 � %�rtY9
F��''irt l j; E�ri.IiEFF I ar1�`Ii hP5
+,.,,user L;
Part 1 / Question 7 [Critical Environmental
Area]
Part 1 / Question 12a [National or State
Register of Historic Places or State Eligible
Sites]
Part 1 / Question 12b [Archeological Sites]
Part 1 / Question 13a [Wetlands or Other
Regulated Waterbodies]
Part 1 / Question 15 [Threatened or
Endangered Animal]
Part 1 / Question 16 [100 Year Flood Plain]
Part 1 / Question 20 [Remediation Site]
No
No
Yes
No
No
Digital mapping data are not available or are incomplete. Refer to EAF
Workbook.
No
Short Environmental Assessment Form - EAF Mapper Summary Report I
Recorded On-2007-Feb-13 As-1657
11111owIIC009
11111
WARREN COUNTYDOOUMENT� 00001657
PAMELA J. VOGEL VOLUME - 31 g3 PAGE.- 34
COUNTY CLERK
Lake George, NY 12845
Instrument Number: 2007- 00001657
As
Recorded On: February 13, 2007 Deed Commercial
Parties: CAREY CAROLE TRSTE
To
HUDSON HEADWATERS HEALTH NETWORK
Recorded By: COMMUNITY TITLE
Comment:
Deed Commercial
TP-584
Recording Charge;
Transfer Tax
QUEENSBURY
Tax Charge:
FIN
Billable Pages: 2
Num Of Pages: 3
** Examined and Charged as Follows:'"'
32.00 Cover Page 5.00 RP-5217 Commercial
5.00
207.00
Consideration
Amount Amount RS#/CS#
640.00 160,000.00 TT 1742 Basic
Additional
640.00
0.00
Special Additional
0.00 Transfer
RECORO>:O
County Clerks Office
Feb 13v2OO7 11*44
Fa"la J. Vosel
oarren County Clerk
** THIS PAGE IS PART OF THE INSTRUMENT **
I hereby certify that the within and foregoing was recorded in the Clerk's Office For: WARREN COUNTY, NY
File Information: Record and Return To:
Document Number: 2007- 00001657 JONATHAN LAPPER ESQ
Receipt Number: 24677 BARTLETT PONTIFF STEWART & RHODES
Recorded Date/Time: February 13, 200711:34:54A ONE WASHINGTON STREET
Book-VollPg: Bk-RP VI-3193 Pg-34 GLENS FALLS NY 12801
Cashier I Station: C Burch / Cash Station 3
165.00
0.00
640.00
V5
1
0
Ul
¢oZ
2
CW1j
E O O
8
Warranty Deed with Lien Covenant
This Indenture
DOCUMENT- UOs3►1 d5
VOLUME: 3193 PAGE=
Record and Return to:
Jonathan Lapper, Esq.
Bartlett, Pontiff, Stewart & Rhodes, PC
One Washington Street
Glens Fails, New York 12801
Made as of the 8'b day of February, Two Thousand Seven
Between CAROLE CAREY and E. JOSEPH BRITTON, Successor Co -Trustees of the
CAREY REAL ESTATE TRUST, having a principal address at 402 B. MacEwen Drive, Osprey,
Florida 34229, parties of the first part, and
HUDSON HEADWATERS HEALTH NETWORK, a New York Nat -for -Profit
Corporation having an address of One Broad Street Plaza, Glens Falls, New York 12801, party of
the second part,
Witnesseth that the parties of the first part, in consideration of One Dollar ($l .00) lawful
money of the United States, paid by the party of the second part, do hereby grant and release unto
the party of the second part, its successors and assigns forever,
ALL THAT CERTAIN LOT, PIECE OR PARCEL OF LAND, situate in the Town of
Queensbury, County of Warren and State of New York, shown on a map entitled Northern
Distributing Subdivision, Town of Queensbury, Phase 1, made by Rist-Frost Associates, P.C., dated
October 28, 1987, filed in the Office of the County Clerk of the County of Warren on October 3,
1989 in Oversize Map Cabinet as Map E-5, as Lot Number 7.
BEING a portion ofthe premises conveyed to the Carey steal Estate Trust by deeds recorded
in the office of the Warren County Clerk as follows: (1) Liber 487 of Deeds at Page 263; (2) Liber
584 of Deeds at Page 205; (3) Liber 672 of Deeds at Page 175; (4) Liber 674 of Deeds at Page 465;
and, (5) Liber 780 of Deeds at Page 342.
Subject to all covenants, easements and restrictions of record.
Together with the appurtenances and all the estate and rights of the parties of the first part
in and to said premises,
To have and to hold the premises herein granted unto the party of the second part, its
successors and assigns forever.
And said parties of the first part covenant as follows:
First, That the party of the second part shall quietly enjoy the said premises;
Second, That said parties of the firstpart will forever Warrant the title to said premises; and
35
110
DOCUMENT 00001657
VOLUME= 3193 PAGES 36
Warranty Deed with Lien Covenant
Third, That, in Compliance with Sec. 13 of the Lien Law, the parties of the first part will
receive the consideration for the conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the improvement before using
any part of the total of the same for any other purpose.
In Witness Whereof, the parties ofthe first part have hereunto set their hands and seals the
day and year first above written.
CAREY REAL ESTATE TRUST
In Presence of By:
Carole Carey, Successor -Trustee
By: e zga_'�'*_
E. Jos tton, Successor Co -Trustee
STATE OF FLORIDA )
ss.:
COUNTY OF )
On the day of in the year 20 D o before me, the
undersigned, personally appeared C ROLE CAREY, personally known to me or proved to me on
the basis of satisfactory evidence to be the individual whose name is subscribed to the within
instrument and acknowledged to me that she executed the same in her capacity, and that by her
signature on the instrument, the individual or the person upon behsl of which the individual acted,
executed the instrument. &I , t W�j
Notary Public
STATE OF NEW YORK )
) ss.:
COUNTY OF a reA-Ptp- )
Malty *Ak - ftb d AM
*
MM0XMW MOMa�
On the 6' day of _ in the year 20_ff, before me, the
undersigned, personally appew6d E. JOS H BRI`170N, personally known tome or proved tome
on the basis of satisfactory evidence to be the individual whose name is subscribed to the within
instrument and acknowledged to me that he executed the same in his capacity, and that by his
signature on the instrument, the individual or the person upon behalf of which the individual acted,
executed the instrument.
Notary hbfic
R:%CLICAREY.REU.ot 7ldeed.wpd
OMMAJOPM
CUMMM" WAiE i�r�art
-2- W F!.lIFB 10
MOMMOSAMOM
V'*'7