Fillable Sign Permit Application Procedures 2017 0 (Borough of Collegeville)

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Sign Permit Application Procedures 2017 0 (Borough of Collegeville)

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U.S.A. forms for Borough of Collegeville

BROWSE BOROUGH OF COLLEGEVILLE (PA) FORMS

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8/15/17
BOROUGH OF COLLEGEVILLE
SIGN PERMIT APPLICATION
I. Location of Property
Address: _____________________________________________________________
Zoning District: _______ Parcel #: _______ Lot: _______ Block & Unit: ______
______________________________________________________________________
II. Ownership
Private Public Tenant Other _____________________
______________________________________________________________________
III. Identification – To be completed by all applicants
Owner Name: _________________________________ Phone: ______________
Address: _____________________________________________________
Email: _______________________________________________________
Contractor Name: ______________________________ Phone: ______________
Address: _____________________________________________________
Email: _______________________________________________________
______________________________________________________________________
IV. Type of Sign or Improvements
New Alteration/Renovation Repair/Replacement
______________________________________________________________________
V. Sign Details – Please check the following
Illuminated Neon Roof Advertising Trade Name
Free Standing Wall Landscape Directory
Sign Materials –
Please check the following
Plastic Wood Metal Glass Masonry Stone Brick
Total Area of Sign: _______________________________________________
______________________________________________________________________
Borough of Collegeville
491 E. Main Street
Collegeville, PA 19426
610-489-9208 610-489-6661 Fax www.collegeville-pa.gov
8/15/17
VI. Cost
Cost of Construction/Improvements $__________________________
Other Costs $__________________________
Total Cost of Project $__________________________
______________________________________________________________________________
VII. Signature
Deposit of check representing the fee for this application does not constitute approval of or
granting the same by Collegeville Borough. I hereby certify that the proposed work is
authorized by the owner of record and that I have been authorized by the owner to make this
application as his agent and we agree to conform to all applicable laws of Collegeville
Borough.
Signature of Owner: ______________________________________________________
Signature of Applicant: ____________________________________________________
Address: ________________________________________________________________
Date: ___________________________________________________________________
______________________________________________________________________________
VIII. Site or Plot Plan – Please provide or attach plot plan details. See attached.
______________________________________________________________________________
IX. Validation – For Department Use Only
Permit Number: ______________
Permit Issued: ________________
Permit Fee: __________________ Check No.: ____________ Date: ___________
______________________________________________________________________________
SCHEDULE OF FEES
(from Resolution 2017-01)
All Signs $ 50.00 up to 40 sq. ft.
$100.00 over 40 sq. ft.
Borough of Collegeville
491 E. Main Street
Collegeville, PA 19426
610-489-9208 610-489-6661 Fax www.collegeville-pa.gov
8/15/17
Borough of Collegeville
491 E. Main Street
Collegeville, PA 19426
610-489-9208 610-489-6661 Fax www.collegeville-pa.gov
8/15/17
SIGN PERMIT PROCEDURES
A sign permit is required for all new, renovated or relocating of any signs.
Part I – Location of Property – Address, Zoning District, Parcel Number, Lot &
Block must be provided on all applications.
Parts II through VI – Complete every section.
Part VI – Sign and date application – If property resident is not the owner of the
property, a notarized statement indicating the owner’s approval of the proposed
construction must be submitted with the application. Provide phone numbers
where property owner/resident and contractor may be reached. Contractors
making application must provide a Certificate of Insurance verifying coverage for
Worker’s Compensation and their Federal or State Employer Identification Number
(EIN).
VIII – Plot Plan – Show all dimensions of entire property (length x width and
square feet of entire lot). Identify streets adjacent to property. Place all buildings
with size dimensions (length and width) indicated, within property lines and
indicate whether existing or proposed. The property owner is responsible for the
accuracy of this plot plan. Any easements or deed restrictions must be indicated.
PLANS AND SPECIFICATIONS
Two (2) copies of all plans and specifications must be submitted with all
applications for sign permit.
ADDITIONAL INFORMATION
Fees – Permit fees must be submitted with the permit application.
Review – The application will be reviewed by the Code Enforcement and Zoning
Departments for compliance with all Borough Codes and Ordinances.
Permit Granted – Work may not start until a permit has been approved and
granted. The permit must be displayed so as to be visible from the street.
Borough of Collegeville
491 E. Main Street
Collegeville, PA 19426
610-489-9208 610-489-6661 Fax www.collegeville-pa.gov
8/15/17
WORKERS’ COMPENSATION INSURANCE COVERAGE INFORMATION
A. THE CONTRACTOR IS: (if the owner is doing the work, check NO and sign below)
A contractor within the meaning of the Pennsylvania Workers’ Compensation Law
YES NO
If the answer is “yes”, complete section B and C, as appropriate, and sign below.
________________________________________________________________________________________________
B. INSURANCE INFORMATION (if filling out this section, the CONTRACTOR must sign below)
Name of Contractor _______________________________________________________________
Federal or State Employer Identification No. ___________________________________________
Contractor is a qualified self-insurer for Workers’ Compensation
Certificate Attached
Name of Workers’ Compensation Insurer _____________________________________________
Workers’ Compensation Insurance Policy No. _________________________________________
Certificate Attached
Policy Expiration Date ______________________
________________________________________________________________________________________________
C. EXEMPTION (if filling out this section, the CONTRACTOR must sign below)
Complete Section C if the contractor is claiming exemption from providing Workers’ Compensation Insurance.
The undersigned swears or affirms that he/she is not required to provide Workers’ Compensation Insurance
under the provisions of Pennsylvania Workers’ Compensation Law for one of the following reasons, as
indicated:
Contractor with no employees. Contractor prohibited by law from employing
any individual to perform work pursuant to this building permit unless
contractor provided proof of insurance to the Borough.
Religious exemption under the Workers’ Compensation Law. Must be notarized.
________________________________________________________________________________________________
Signature: ___________________________________ Subscribed and sworn to before me this
Address: ___________________________________ ______ day of ______________ 20___.
County of: ___________________________________
Municipality of: ______________________________ ______________________________________
Signature of Notary
My Commission Expires: _______________
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Sign Permit Application Procedures 2017 0 (Borough of Collegeville)

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Completed 14 July 2020

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