SIGN-000836-2016 Allstate Ken Hein Agency TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Zoning Department (518)761-8256
SIGN PERMIT
Permit Number: SIGN-000836-2016
Tax Map No: 296.19-1-19
Permission is hereby granted to: Action Sign Company,LLC
For property located at: 78 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.
Tyne of Construction
Owner Name: Allstate Sign-Freestanding $0.00
Owner Address: 78 Glenwood AVE Total Value $0.00
Queensbury,NY 12804
Contractor or Builder's Name/ Address Electrical Inspection Agency
Action Sign Company,LLC
3276 River RD
Rensselaer,NY 12144
Plans&Specifications
18.69 sq.ft.freestanding sign
Change of Copy from previous Sign Permit
File BP 2005-385
Sign Copy: Allstate
No Fee Required for Change of Copy-same business
#91 PERMIT FEE PAID
4�r'�
Dated at the Town of Queen Tuesday,December 6,2016
SIGNED BY: for the Town of Queensbury.
Zoning Administrator
Office Use Only
Town of Queensbury Building & Codes Received:
LI I ap ID:
SIGN PERMIT APP
�C E 0 V�I7 i No..
i Fee: $
DEC 0 2 2010
Date Lk-
Tax Map ID TOWN OF SBURY _0 ,
Zoning BUILDIN� DES
Property Owner A r<%P Contractor/Agent: Ay A-er -
Address -1'9 Address
Phone Si s - q to,) Phone
Contact Person for Sign Code Compliance: l-A-o9L� C- :3 . Day Phone: SI
Building Street Address: 'l d 6% -C",-)vj>oo P )�%
Site Plan,Variance,or Subdivision Approvals al
Location of proposed installation FA4-C- eAk Ar--�LN E •T-O G%,,yt�r�
Business Complex/Plaza/Mall name N�ft
Business name
Type of Sign proposed
If sign is to be illuminated, indicate _internal _external _Incandescent _neon _other
Do signs currently exist on property? _L Yes _No(if yes, list all existing signage)
Change of word/copy From 044>A to Na�N Na;����� 9fi po o; G c�
Sign Wording/Copy Aj w czo keN u e AGJ';-�^'L S 1 -'76
Sign Size Length x Width ' =Total sq.ft.
Sign Height(freestanding) rl
Color&Material to be used
This application creates a change in the
following existing site conditions(fill in all Change in number of signs from to
applicable spaces) Change in setback for sign from to
Change in size from to
Change in height of sign from to
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-PRINT NAME
APPLICANT-SIGNATURE: Date:
Declaration: I hereby authorize the applicant to place a sign on my property or building:
OWNER-PRINT NAME:
OWNER-SIGNATURE: Date:
Town of Queensbury Building&Codes Sign Permit Application 518-761-8256