Application Form For Building Permit Vt printable pdf download

Town of Shrewsbury, VT

APPLICATION FOR BUILDING PERMIT

No construction may start before permit is issued

**Permit is subject to 15 days appeal period**

Location of Project: ____________________________________________ Parcel ID #_________________________

Name of Owner/Applicant: ___________________________________________________ tel. #: ________________

Mailing Address: __________________________________________________________________________________

Name of Co-Applicant:____________________________________________________ tel. #: ____________________

Mailing Address:___________________________________________________________________________________

Description of Project (please include changes, if any, to the number of bathrooms and/or bedrooms in

the structure): ____________________________________________________________________________________

________________________________________________________________________________________________

Dimensions of Structure(s):__________________________________________________________________________

Setback From Edge of Road (in feet): ___________________________________________

Setback From Side Property Lines (in feet): ______________________________________

Setback From Rear Property Lines (in feet): ______________________________________

Please draw a detailed sketch of your lot and the location of the proposed structure on the back of this application. Please

include all dimensions and the interior layout of the structure; all lot dimensions; setbacks from the proposed structure to the side,

rear, and front property lines; proposed or present location of your sewer and water; any existing structures on your lot; and a North arrow.

It is understood and agreed that I will abide by the Shrewsbury Zoning Regulations as last adopted by the Town

of Shrewsbury or as hereinafter from time to time amended. This permit is voided in the event of

misrepresentation or failure to undertake construction within the time period prescribed in Article III Sec. 332

and Sec. 333.

I hereby certify that this parcel of land is in compliance with the Town of Shrewsbury Subdivision and Zoning Regulations.

Signature of Owner/Applicant ____________________________________________________ Date______________

Signature of Co-Applicant _______________________________________________________ Date_______________

The Applicant is Responsible for any State Permits Required

Please contact Rick Oberkirch, State Permit Specialist at 786-5907 with questions.

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Administrative Use Only

Zoning District of Lot: _____________________________

Fee Received: ______________ Fee Due: _______________

Approved: ___________ Denied: _____________ Reasons for Denial: __________________________________________

_______________________________________________________________________________________________________

Notes:__________________________________________________________________________________________________

_______________________________________________________________________________________________________

Signed__________________________________________________________________

Date __________________

Application No. _________________________________________ Date Received __________________________

Application Form For Building Permit Vt