Application For Sign Permit Form - Town Of Hyde Park, New York
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1Town of Hyde Park
Zoning Administrator’s Office
4383 Albany Post Road
Hyde Park NY 12538
Phone: (845) 229-5111 x-2
Fax: (845) 229-0339
APPLICATION FOR SIGN PERMIT
Permit #:__________
Fee:
$150.00
Paid: ______
Date of Application: _________
$50.00 (temporary)
Paid: ______
Date Approved: ____________
Grid #: _____________________________
Address / Location where sign is to be located: ___________________________________________________
Sign is accessory to what use: __________________________________________________________________
Property Owner: ____________________________________________________________________________
Applicant: ______________________________________
Telephone # : ___________________________
Sign Owner: _____________________________________
Telephone # : ___________________________
Sign owner’s address: ________________________________________________________________________
************************************************************************************
Type of Sign
Specifications:
(Check) Applicable Items
Free-standing
Single-faced
Wood
Spot-lit: Uplit
Downlit
Wall
Double-faced
Metal
Shielded: Yes
No
Easel
Permanent
Plastic
Neon (interior only)
Stationary
Temporary
Masonry
Unlighted
Hanging
Non-revolving
Non-flashing
Painted
Printed
Vinyl
No internally lit signs are permitted in the Town of Hyde Park: no channel letters or light boxes.
All electric work should be installed by a licensed electrician.
************************************************************************************
Measurements
Height above sidewalk: ___________
Distance from paved road or curbing: ______________
Height: _________
Width: __________ Total Area (Sq. Ft.)_____________________________
Maximum letter height ______________
Maximum symbol height ___________
width ________
************************************************************************************
Dates of display for Temporary Sign: Begin date _________
End Date __________ (max. 60 days)
Does another sign have to be removed? Yes
No
Replacement
Total square footage of existing signs _____________________
************************************************************************************
Drawing or Blueprint
Sketches drawn to scale showing all dimensions and inscriptions of sign and its location on lot or building
must accompany the application.
A drawing or blueprint fully describing the construction of such sign and including:
a) The size, coloring and area of all lettering and graphic material.
b) The location, wattage, intensity and lighting distribution of any illuminating devices; and
c) The location and support of such sign with respect to any building, structure, adjoining property, street or highway.
********************************************************************************************
APPLICANT CERTIFIES THAT LIABILITY INSURANCE WILL BE CARRIED COVERING BOTH ERECTION
AND MAINTENANCE OF SIGN, AND THAT ALL REQUIREMENTS OF ORDINANCE ARE MET.
Signature of applicant: ___________________________________
(Agent, contractor, owner or attorney)
I HEREBY CONSENT TO THE ERECTION OF THE SIGN DESCRIBED ABOVE
Property Owner’s signature: _____________________________
Sign Permit Appl Form: 8 Jan 10
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