Façade and Streetscape Improvement Application

Façade and Streetscape Application

Applicant Information

First Name

Last Name

Applicant is:

Preferred Email Address

Preferred Phone Number

Preferred Mailing Address

Address

City

State

Zip Code

Project Information

Location of Proposed Project

Business (If Applicable)

Municipality (Streetscape Program)

Proposed Project Includes (Check All That Apply):

Please detail the current condition of the following as applicable to the project:

Building

Signage

Site

Proposed Scope of Work

Anticipated Impact of the Project

Photos are encouraged to illustrate current condition.

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Cost Estimates

The Façade Program requires two cost estimates to be submitted for all work to be completed. Please list all work to be completed in the table below, indicate a total of each estimate. The lowest estimate should be used to compile your total project cost and grant request.

Click the plus (+) sign on the right to add as many rows as needed.

Work to be completed	Estimate #1	Estimate #2	Lowest Estimate

Total Estimated Project Cost

Total of lowest estimates.

Grant Request

75% of Total Project Cost.

Applicant's Matching Funds

Project cost minus grant request.

Applicant Eligibility

Are you a property owner and/or business with mixed-use or commercial buildings located in a hamlet or village in Lewis County?

Yes

Unsure

Have you contacted your Village to inquire about required building permits and/ or signage permits?*

Yes

Unsure

Are your Village, County, Town and School taxes current?*

Yes

Unsure

Application Attachments

The following items may be required to accompany your application. Please contact Megan Krokowski before applying to confirm which items apply to your project:

Two cost estimates for all work to be completed or items to be purchased. Estimates submitted should match the information listed above in the cost estimates table.
Current Photograph(s) showing existing condition of project building or project site.
Annotated photograph(s) of project building or site identifying location(s) of improvements to be made.
Images/ specs of items to be purchased:
- For façade projects, this may be an architect’s rendering of the work to be completed including paint colors/swatches, doors, windows and/or awning selections.
- For lighting projects, this may be online or catalog images of the fixtures and specs for the bulbs.
- For signage projects, this may be a sign maker’s rendering including dimensions of signage, location of signage, materials, colors, and description of mounting hardware and brackets.
- For public art projects, this may be a rendering of the work to be completed, or if not yet designed, the résumé of the artist and samples of past work.
- For streetscape projects, this may be online or catalog images of items to be purchased.

Upload additional attachments here.

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Certification

I am eighteen years of age or older.

I have read the program guidelines and understand its contents, agree to comply with program requirements, and understand that if my project involves a historical structure, I will need to receive approval from Lewis County Historical Society before beginning work.

I hereby certify that to the best of my knowledge, all of the information provided in this application is true and correct. I understand that any willful misstatement of material fact will be grounds for disqualification. Lewis County is hereby authorized to verify any of the above information in any appropriate matter, and to inspect the property prior to grant approval and following work completion.

I understand that any contract for improvements to be paid for, in part, by the Program shall be between the contractor and myself, and that I should not sign any contract for work under this program until authorized to do so in writing. I understand that the grant payment is subject to satisfactory completion of the approved work.

I also understand that Lewis County is not responsible or liable for any breach of contract, faulty workmanship, accident, liability, or damage, which might arise from (my/our) relationship with the contractor.

If renderings and scope of work package have been prepared by InSite Architecture, I have utilized the rendering and scope of work in the formulation of this application.

I hereby grant Lewis County and the Lewis County IDA the unrestricted right to use, for any lawful purpose, photographs taken of the property listing herein, which I own and/or for which I have the authority to grant such permission, and to use my name in connection therewith if it so chooses. I release and discharge Lewis County and the Lewis County IDA from any and all claims or causes of action arising from the use of such photographs, including, without limitation, claims for libel or invasion of privacy.

I hereby grant Lewis County the permission to post temporary signage at the project location(s) identifying the participation in the Façade and Streetscape Improvement Program and, furthermore, installing a permeant plaque, provided by Lewis County, of the program participation at the completion of the project.

Entering your name below serves as a digital signature, and you are attesting to the accuracy of the information you are submitting.

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Façade and Streetscape Improvement Application

Applicant Information

Project Information

Please detail the current condition of the following as applicable to the project:

Cost Estimates

Applicant Eligibility

Application Attachments

Certification

Official websites use .gov.

Secure .gov websites use HTTPS.

Community Development

Interested in FREE Internet?

General Services

Human Services

Public Safety

Public Works

Façade and Streetscape Improvement Application

Applicant Information

Project Information

Please detail the current condition of the following as applicable to the project:

Cost Estimates

Applicant Eligibility

Application Attachments

Certification