Building Permit Application Form Page 2
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1
2OFFICIAL USE ONLY
PLAN REVIEW FEE :
$_______________________
WATER TAP FEE :
$_________________
BUILDING PERMIT FEE : $_______________________
WATER PLANT FEE : $_________________
USE TAX :
$_______________________
SEWER TAP FEE :
$_________________
OTHER :
$_______________________
SEWER PLANT FEE : $_________________
TOTAL FEES :
$_______________________
OCCUPANCY GROUP : _______________________ CONSTRUCTION TYPE : _______________________
TOTAL SQ. FT. _____________ STORIES :_______________OCCUPANT LOAD :____________________
USE ZONE : ________________ PARKING : _______________
APPROVALS
REQUIRED
RECEIVED
DATE
ZONING
____________
____________
____________
FIRE DEPARTMENT
____________
____________
____________
ENGINEERING
____________
____________
____________
SOIL REPORT
____________
____________
____________
HEALTH DEPARTMENT
____________
____________
____________
FLOOD PLAIN
____________
____________
____________
OTHER
____________
____________
_____________
INSPECTIONS
TYPE
DATE
COMMENTS
INSPECTOR
FOOTING
________
________________________________________
___________
STEM WALL
________
________________________________________
___________
UNDER FLOOR ________
________________________________________
___________
FRAMING
________
________________________________________
___________
WALLBOARD ________
________________________________________
___________
MASONRY
________
________________________________________
___________
FINAL
________
________________________________________
___________
C of O
________
________________________________________
___________
12/09
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