2007-696 Wall "SAIL Southern Adirondack Independent Living" TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4E Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20070696 Date Issued: Tuesday, April 12, 2011
This is to certify that work requested to be done as shown by Permit Number P20070696
has been completed.
Tax Map Number: 523400-296-019-0001-044-00 1-0000
Location: 71 GLENWOOD Ave
Owner: GLENS FALLS INDEPENDENT LIVING CENTER INC
Applicant: GLENS FALLS INDEPENDENT LIVING CENTER INC
This structure may be occupied as a:
Sign
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20070696 Application Number: A20070696
Tax Map No: 523400-296-019-0001-044-001-0000
Permission is hereby granted to: GLENS FALLS INDEPENDENT LIVING CENTER I
For property located at: 71 GLENWOOD Ave
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: GLENS FALLS INDEPENDENT LIV
67-71 GLENWOOD Ave Sign
Total value
QUEENSBURY,NY 12804
Contractor or Builders Name/Address Electrical Inspection Agency
Plans&Specifications
2007-696
SAIL SOUTHERN ADIRONDACK INDEPENDENT LIVING 12 SQ FT SIGN
$24.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,April 12,2012
(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 Queen ury; Tuesday,April 12,2011
L11
SIGNED BY for the Town of Queensbury.
Director of Building&Cc&Enforcement
/. + . .................. .j
OFFICE USE ONLY 1_.__.____......_.__._.._,
�ffo
TAX MAP NO. PERMIT NO. f f ERMIT FEE_GZ
APPROVALS DEPOSIT FEE 0 ; 1
0 '
SIGN PERMIT APPLICATION:
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.
OWNER: 4(k,,P7ncte.l-� INSTALLER/BUILDER: KQ'71,
ADDRESS: l GAG n L,1uud T AN*," kl«,iy ADDRESS: %.2(t CrG '°eo
PHONE NOS. 9 353'1 PHONE NOS.
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS)
( � � .en wDac� �yen v�T �,rPQn S�yrt3 itJy �-��ut/
BUSINESS COMPLEX/PLAZA/MALL NAME:
BUSINESS NAME:
CONTACT PERSON FOR SIGN CODE COMPLIANCE: Ah nti L/v j na k} , PHONE: q� 537
TYPE OF SIGN PROPOSED: freestanding K wall awning projecting
IF SIGN IS TO BE ILLUMINATED,
PLEASE INDICATE: i Internal _External ^Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? VYes !No
IF YES, LIST ALL EXISTING SIGNAGE: r"Y sn cl,
The application creates a X New
change in the following Change in number of signs from to
existing site conditions(fill in Change in setback for sign from to
all applicable spaces): Charge in size of sign from tc
Change in height of sign from to
Change of wording/copy from: to:
Sign Wording/Copy: 1 C
h
Sign size: Length 1a x Width =Total Sq.ft. _ Sign Height(freestanding sign):
Color and Material to be used: 0"171 e h
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information:
o Location of sign (walls signs: drawing of the fagade the sign will be located on, indicate
sign on fagade)
o Height of freestanding sign CQUESTIONS? CALL T61-8256 OR EMAIL
o Depth of projecting sign odes _gueensbury.neto Distances from front and side property lines.
WESSITE FOR MORE INfORMATIOProvide 2 drawings or photos of sign design. WWw.gueensburv.net
✓ Provide Applicant and Owner's signature (permission for placement of sign on the property or
building).
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 owner11P"-
APPLICANT SIGNATURE: DATE: 0Ia"I Id-7
I hereby authorize the applicant to place a sign on my property or building:
OWNER SIGNATURE: Yt DATE: 6/2 S La
B b-LGL 11-05
QTown of Queensbury - Community Development Office - 742 Bay Road, Queensbury, NY 12804
Commercial inal !n on Report
Office No.: (518) 761-8256 Date Ins request received:
Queensbury Building&Code Enforcement Arrive: 2: am/pm Depart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
f
NAME: PTE:
MITLOCATION: 1I _
COMMENTS: ..
Y N NA
Chimney/"B"Vent/Direct Went Location s5u
Plumbi Vent Th h Roof 6"/Roof j
Exterior Finish/Grade Complete 6'in I or Equivalent
Interior/Exterior Guardrails 42 in. Pladorm/Decks
Interior/Exterior Balusters 4 In. Spacing Platform I Decks
Stair Handrail 34 in.—38 in./Stop Rfeero 7"/Treads 11"
Vestibules For Exit doors>3000 sq.ft
All Doors 36 in.w/Lever Handles/Panic Hardware if required
Exits At Grade Or Platform 36 w x 44'(!Wanon or Equiv.
Gas Valve Shut-off Eposed&ReguWitor 18" Above Grade
Floor Bathroom WaWW/Other Floors Okay P'—Relief Valve Heat Trap/Water Tem .11Q Degrees Maximum
Boiler/Furnace Enclosure 1 hr.or Fire Extinguishing System
Fresh Air Supply for /Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft or Within Line Of Site
ON Furnace Shut Off at Entrance to Furnace Area
Stockroom/ torage/Receiving/Shipping Room(2 hr.), 1 %doors
> 10%> 1000 sq.ft.
%Hour Corridor Doors&Closers
Firewalis/fire Separation, 2 Hour, 3 Hour Complete I Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq.ft.Wood Frame
Attic Access 30'x 20"x 30" h Crawl Spam Access 18"x 24"
Smoke Vents Or Fan if required
Elevator Operation and 5 /Shaft Sealed
Hand' Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signao
Public Toilet Room Handicapped Accessible
Handicapped Service Counts 34 in. Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond(Both
sides
Active Listening System and Signage Assembly Spam
Final Electrical/Flex Gas Piping Bonded
Site Plan/Variance required
Final Survey, New Sbucxure/Flood Plain cerWication If
As-built Septic SysWn Layout Required or On File
Building Number or Tenant Address on Building or Driveway 4'
Water Fountain or Cooler
BuildkV Access AN Sites by 20'/Drhreable Surface 2W wide
Okay To Issue Temp. or Permanent CIO �2 n
Oka To issue C/C sl
LlBuilding&Codes FormstBuilding&Codeftispeclion FonnslCommercial Final Inspection ReporLdoc Revised January 7,2008
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42"HIGH X 72" LONG 2 SWU HIGH F AX BLACK WNYL ON Wtffft MOO EX RIOR
KRAFT FACED PLYWOOD, TWO COATS OF WHITE SIGN ENAMEL FRAMED WITH 1"X 4" PVC
VWLTRIM WITH 3J4"QUARTER ROUND PVC.MOUNTED ON 4"X 4"WHITE PVC POSTS.$750 INSTALLED
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CENTER -so Lq
12 314"HIGH X 22 314" ONG z co
2 SIDED ENTRANCEr EXIT SIGNS OUTHERN ADIRONDACK �
125 EACH INSTALLED INDEPENDENT LIVING
-3 ENTRANCE, 1 EXIT ca
;g Zr HIGH X 72" LONG WHITE OPAGUE WHITE LEXAN WITH HIGH PERFORMANCE
BLACK VINYL LETTERS INSTALLED ON BACK SIDE OF BUILDING S 450.
SIGNS PLUS. Keith Ricciarclone
124 Cramer Road, Malta, NY 12020
587=0445, Kricci;xr@nycap.rr.com
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