HomeMy WebLinkAbout20241037 500 Union Regent Signage ApplicationCity of Saratoga Springs
BUILDING DEPARTMENT
474 BROADWAY - SUITE 32
SARATOGA SPRINGS, NY 12866
PHONE 518-587-3550 EXT. 2511
BUILDING.OFFICE@SARATOGA-SPRINGS.ORG
APPLICATION FOR SIGN PERMIT
Location Information
JOB SITE ADDRESS _____________________________ TAX MAP ID # _________________________
ARCHITECTURAL REVIEW DISTRICT YES NO HISTORIC REVIEW DISTRICT YES NO
ZONING DISTRICT ______________________________ D.R.C. DECISION DATE __________________
(PLEASE ATTACH COPY OF DECISION)
PROPERTY OWNER INFORMATION
OWNER’S NAME _______________________________ PHONE ______________________________
ADDRESS ____________________________________ EMAIL _______________________________
____________________________________ ____________________________________
OWNER’S SIGNATURE DATE
APPLICANT INFORMATION
APPLICANT’S NAME _____________________________ PHONE ______________________________
ADDRESS ____________________________________ EMAIL _______________________________
____________________________________ ____________________________________
APPLICANT’S SIGNATURE DATE
SIGN CONTRACTOR INFORMATION
COMPANY NAME _______________________________ CID# ____________________
ADDRESS ____________________________________ PHONE _______________________________
____________________________________ EMAIL _______________________________
___________________________________
CONTRACTOR’S SIGNATURE DATE
FOR STAFF USE ONLY:
FILE # _________________________ DATE ____________________ RECEIVED BY ___________________
APPLICATION # _____________________ PERMIT # ____________________________ DATE ISSUED ___________________
The Individual filing this application, to the fullest extent provided by law, shall
indemnify and save harmless the City of Saratoga Springs, its Agents and Employees
(hereinafter referred to as “City”), from and against all claims, damages, losses and
expense (including, but not limited to, attorneys’ fees), arising out of or resulting from
the performance of the work covered by this building permit application, sustained by
any person or persons, provided that any such claim, damage, loss or expense is
attributable to bodily injury, sickness, disease, or death, or to injury to or destruction
of property caused by the tortious act or negligent act or omission of Applicant, its
contractor or its employees or anyone for whom the Contractor is legally liable or
Subcontractors. ______ INITIAL
REVISED 5-5-2022
500 Union Ave 180.4-24
PUD
9N Medical Building
18 Division St. Ste. 401
Saratoga Springs NY 12866
Adirondack Sign Co. for Brookmere
500 Union Ave Saratoga Springs NY 12866
Adirondack Sign Co. LLC.
42 Ballston Ave.
Saratoga Springs NY 12866
518-409-7446
Susan@adksignco.com
SM
Regent Wall Sign
REVISED5-5-2022
SIGN FABRICATION AND ERECTION INFORMATION
Complete all information regarding fabrication and erection of sign.
SIGN INFORMATION
SIGN HEIGHT ___________ SIGN LENGTH _____________ AREA (SQ. FT.) _____________
IS SIGN ILLUMINATED? YES NO HOW _________________________________
MAXIMUM HEIGHT OF LETTERING OR LOGO ________ COST INCL. ERECTION ____________________
SIGN MATERIALS ______________________________________________________________________
HOW IS SIGN SECURED TO BUILDING?_______________________________________________________
WALL SIGN FACADE AREA OF ESTABLISHMENT TO WHICH SIGN IS ATTACHED __________
_________________________________________________________
ROOF SIGN FACADE AREA OF ESTABLISHMENT TO WHICH SIGN IS MOUNTED __________
_________________________________________________________
WINDOW SIGN AREA OF WINDOW WITHIN WHICH SIGN IS PLACED ____________________
AWNING GRAPHICS AREA OF EXTERIOR SURFACE OF THE AWNING _______________________
FREESTANDING HEIGHT OF SIGN ABOVE GRADE _________________________________
SPEED LIMIT OF ROAD FRONTAGE WHERE SIGN IS ERECTED _____________
OTHER EXPLAIN __________________________________________________
1.APPLICATION MUST BE FILLED OUT COMPLETELY, including signatures of the property owner, the
applicant and the sign erector. NOTE: Use additional form(s) if more than one sign is to be erected.
2.To-scale drawings, with dimensions must accompany application: (a) drawing of the building
facade(s) of the establishment to which the sign will be attached (include the shape and accurate
location of the sign), if a wall or roof sign, or if awning graphics; (b) detailed drawing of the sign
face(s), including any sign support structure (height above grade, etc., and a site plan with location) if
a freestanding sign; (c) detailed drawing of the sign profile, including any sign support structure.
3.The sign permit fee of $180.00/sign (check made payable to Commissioner of Finance), must
accompany application.
4.Liability insurance coverage:
(a)For sign contractors acting in the capacity of a sign contractor: a Certificate of Insurance on
an ACCORD form with Commercial General Liability Insurance of One Million Dollars
($1,000,000) per occurrence aggregate naming the City of Saratoga Springs as an Additional
Insured and Certificate Holder;
(b)For business owners acting in the capacity of a sign contractor for the project: The Business
General Liability insurance may be used.
(c)All applicants must provide proof of NYS Statutory Workers Compensation (form C105.2) and
Disability Insurance (form DB120.1) or a waiver of same as determined by the NYS Workers
Compensation Board (Homeowners – form BP-1; Contractors – form CE-200).
Regent Wall Sign
16"97"10.78
16"
3/4" PVC Dimensional lettering painted with Sherwin Williams paints.
Stud mounted onto facade