2013-140 A*4 TOWN OF QUEENSBURY
,04 .
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130140 Application Number: A20130140
Tax Map No: 523400-296-019-0001-029-000-0000
Permission is hereby granted to: ALLSTATE - THE CROSBY AGENCY
For property located at: 357 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: OLD SCHOOL HOUSE L.L.C. Si
ATTN: JOHN &DIANE MATTHEW:
Total Value
2546 STATE ROUTE 9L
QUEENSBURY,NY 12804-0000
Contractor or Builder's Name/Address Electrical Inspection Agency
ACTION SIGN COMPANY. LLC
518-449-0560 OR 364-8700
3276 RIVER Rd
RENSSELAER NY 12144-0000
Plans&Specifications
2013-140 ALLSTATE - The Crosby Agency Suite No. 2
SIGN freestanding CHANGE OF COPY ONLY- LOGO change
50.00 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 Town of Qu .sbury;� Thursd.y, April 11,2013
SIGNED BY 1!' a / for the Town of Queensbury.
Director of Building&Cod•Enfoent
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TAX MAP N O. 0 r��PNO. 13-. ( PERMIT FE' AL � �,
�/ ; APP I 2013 ,
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APPROVALS: DEPOSIT it G ,
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. _
V
OWNER: K 41� An
-- Ac-g h 'r INSTALLER/BUftLBER: AL'- L.1.. - rsiZ LPA.!u5/ LLC_
ADDRESS: 3$1 v( U i S`.(:.2) [l'i,Ga e:,,a1 .!'ADDRESS: 32:1(-0 iZI Ve.2 -/ �ieN-> fif /f-�kt/ 1 J
(yS- ,
PHONE NOS. 51 ZS •1,--i S-s-2.1)0 PHONE NOS. 5 f -Log
-05-4,0 0(ae,t1-10 DO
LOCATION OF PROPOSED INSTALLATION:(LEGAL ADDRESS) 357 1 'Ay bed. Sut ke� A'�t,e.,e,ASh-U"y ;A.y l z gt`�
BUSINESS COMPLEX/PLAZA/MALL NAME: Al lA
1 •J
BUSINESS NAME: Ki%il14 (''e0..56/.- AWJi 14-61E
CONTACT PERSON FOR SIGN•CODE I,i•LIANCE: Krc.�/\A (. 2�'S(3 y PHONE: 3^�`11.��' `aa
..* TYPE OF SIGN PROPO D: /freestanding 1/ wallLw✓!�_awning _projecting
IF SIGN IS TO BE ILLU I • - • CATE: Internal _External _Incandescent _Neon _Other
DO SIGNS CURRENTLY EXIST ON THE PROPERTY? %/
Yes No
IF YES,LIST ALL EXISTING SIGNAGE: VG •7-4-.5 ` O(z-°--SG Sea- 'i `t-
The application creates a change "r 0 O .L4' �!'�
in the following existing site Change in number of sign from to
conditions(fill in all applicable Change in setback for sign from to
spaces): Change in size of sign from to
Change in height of sign from to
/ Change of wording/copy from:6&t.. ce to: Ffs Loc- -t A I1 -c_
Sign Wording/Copy: 2-0 O i ( -a..�`6 2--Yos Y
00) . . - et
Color and Material to be used: a cr ) .,..-,-0.4- ---e„1/4.,....-e- ,, W-r'c� v''-'rtS -.. Alkier%
✓ Provide 2 copies of a scaled drawing or surveyed plot plan with the following information: Vii
o Location of sign(walls signs: drawing of the facade 'i lit
the sign will be located on,indicate sign on façade)
o Height of freestanding sign QUESTIONS? CALL 761-8256 OR EMAIL '
o Depth of projecting sign codesf queensbury.net
o Distances from front and side property lines. VISIT OUR WEBSITE FOR MORE INFORMATION
✓ Provide 2 drawings or photos of sign design. www.queensburv.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 owner.
APPLICANT SIGNATURE: y101-4"-4-4 LC A--�- DATE: 1(--Cil' '- / 3
I hereby authorize the applicant to place a sign on my property or building.
OWNER SIGNATURE: DATE:
12�-0SE Se-c Qvu4-'0a- PPA-0 V ALI.tnl GSCej'TACf ti�-d . --r -K j, c z)
Town of Queensbury • Community Development Office ■ 742 Bay Road, Queensbury, NY 12804
03/14/2013 14:03 5187922910 ALLSTATE PAGE 01
PHILADELPHIASLG
• ,RANT„ TQ Lire
Re. Site )N.'C50
Kevin Crosby
357.Bay Rd ;Leo
Suite 2
Queeirsbury, NY12B0‘
AUTHORIZATION AND CONSENT FORM
By my signature below,I hereby represent that I am the owner of the property indicated above or otherwise
duly authorized by the Lease to giant authorization for Philadelphia Sign Company and/or their sub
contractor to apply for permits and install new signage at the above referenced location.
LANDLORD APPROVAL
•
- Print Name > 'U / +�/• _ f Date 3/
Signature _../ � --- /'
- Title l,1i S� _ email PX it
Address
"(F, ` •, li Phone • ' . '
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eAiAA _.M • ..1_U"ti W • L
Return Form to:
•
or FAX to: 856-829-8549 attu: Helene Gotthold
•
or email to: hgotthold@phil3idelphiasign.eozn
, 6 ° 13 - I <-1
Action Sign Company,LLC ASC Powder Coating,a division of 0
3276 River Rd.,Rensselaer,NY 12144-5121
jamie a actionsigncorp.com-Owner Wendy@actionsigncorp.com-Project Manager
Phone:518-479-0560* Fax:518-479-0656
S/GNS
APR 1 0 2013
April 9,2013
Town of Queensbury
Community Development Office
742 Bay Road
Queensbury,NY 12804
RE:Kevin Crosby-Allstate Agent,Logo change on signage-additional signage at location,not applicable for permitting.
The following is additional existing signage that should not require a permit,due to changing of logo only,as advised.
-Freestanding sign by building,mounted between stone pillars.Logo change.Copy attached for your reference. M
•
-Interior window vinyl,not to exceed 20%of window space.Logo change.Copy attached for your reference.
-Interior door vinyl.Logo change,updated hours.Copy attached for your reference.
-Road sign-no activity.
If you have any further questions regarding this job,please do not hesitate to contact us.
Thank you for your time.
Sincerely,
Wendy S.ides,
Project Coordinator
E02 ALST.CUST.RFC Custom Reface-2'6-114"h x 5' 1/4"w Existing
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ma17:7:axd S a a n YOVR PERSONAL USE IN
Crosby,Kevin P02 CONJUNCTION WITH A :NuOJECT
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BE SHOWN TO ANYONE TSIDE
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LOCATION:NYC50 SHEET: 03.4.13 DRM Revised E01 to NA SIGN IT IS SUBMITTED FOR
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Crosby,Kevin P03 CONJUNCTION WITH A PROJECT
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, I The Crosby Agency /1/4-')A
I 518-745-8200
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t Office Hours 1 tiTL�ti"� 1 J -�1..—
< Monday-Thursday 8:30am-5:30pm
Friday 9am-5pm
.. Y I __ allstate.com
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1-800-Allstate
Auto,Home,Business,Life,
Annuities,Mutual Funds,
fr Retirement&College Savings Plans
.., •• t .�-'�� Securities are offered by
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Personal Financial Representatives
Jt through Allstate Financial Services,LLC
I„�•_; Registered Braker-Dealer
Member FINRA,APC
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Crosby,Kevin P05 CONJUNCTION WITH A PROJECT
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707 West Spring Garden StreetBay DWG BY:
BEING PLANNEDSIGN FOR YOU TO
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Palmyra,NJ 08065-1798 Queensbury,NY JNR DRAWING NUMBER: BE
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