Application For Sign Erection Or Alteration
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1APPLICATION FOR SIGN ERECTION OR ALTERATION
Property Address: ___________________________________________________________
Date: _______________________
Parcel ID: _________-_______-_________
Zoning District: ________ Ward: _________
Owner’s Name (as deeded): ___________________________________________________
Phone: (
)_______________
Mailing Address: ____________________________________________________________ State:______ Zip Code: _____________
Owner of Sign: Name/Address __________________________________________________________________________________
City: ______________________________ State: ______ Zip: ___________ Phone: (
) ____________________
Installer:
Name/Address __________________________________________________________________________________
City: ______________________________ State: ______ Zip: ___________ Phone: (
) ____________________
DESCRIPTION
PURPOSE OF SIGN
TYPE OF SIGN
ELECTRICAL
Erect
[
]
Business ID
[
]
Wall- Flat
[
]
Double Face
[
]
Internal Illumination [
]
Alter
[
]
Directional
[
]
Wall- Projecting [
]
V- Type
[
]
External Illumination [
]
Repair
[
]
Advertising
[
]
Pole
[
]
Canopy
[
]
(SEPARATE PERMIT
Painted Wall [
]
Real Estate
[
]
Ground
[
]
REQUIRED)
DESCRIPTION OF PROPOSED SIGN(S)
NO. OF SIGNS
TYPE (WALL,
HEIGHT
WIDTH
AREA IN
PROJECTION
FEET FROM STREET
GROUND, ETC.)
SQ. FT.
FROM WALL
RIGHT-OF WAY
1. __________
___________
______
______
_______
___________
__________________
2. __________
___________
______
______
_______
___________
__________________
3. __________
___________
______
______
_______
___________
__________________
TOTAL SQ. FT. AREA =
_______
ESTIMATED COST: $______________
Building Height: ___________ stories
Height above grade (for free standing signs only)………Grade to bottom of sign: ___________ Grade to top of sign: ___________
Lineal feet of frontage occupied by building: _________________ feet
Exposed portion of wall on which sign will be displayed: ________________ sq. ft.
Lettering on sign states: _____________________________________________________________________________________
Is this application for an existing sign?
Yes _____ No _____
I the undersigned owner or agent for the above referenced property, certify that all statements and data furnished with this application are true and
correct.
_________________________________________________________
______________________
Signature of applicant
Date
(Borough use only)
(
)
This application is DISAPPROVED for Zoning by: ______________________________
Date: ___________________
(
)
Zoning Hearing Board Variance No. _______________
(
) approved
(
) denied
Date: ___________________
(
)
Historic Architectural Review Board No. ____________
(
) approved
(
) denied
Date: ___________________
(
)
This Application is APPROVED for Zoning
Use Reference Section No. __________________________
THIS OCCUPANCY IS FOR: _________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
FEES
Building Permit No. ______________
Sign Permit
$ __________
Document Storage $ ________
Occupancy Permit No.____________
Occupancy Permit $ __________
Scanning Fee
$ ________
__4.00_
Invoice No. _____________________
Plan Review Fee $ __________
PA UCC Fee
$
Check No. ______________________
Grand Total
$ ________
Approved by: _________________________________________________________
Date: ______________________
Building Code Official
(revised 9/15)
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