Building Permit Application Form
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1
2APPLICATION FOR BUILDING PERMIT
MUNICIPALITY OF PENN HILLS
CODE ENFORCEMENT DEPARTMENT
12245 FRANKSTOWN ROAD
PENN HILLS , PA 15235
OFFICE # (412)798-2132 / FAX # (412)798-2160
Page # 1
Note: Please Print or Type This Application
IMPORTANT - Applicant to complete all sections.
LOCATION OF BUILDING
Start here:
(At location) (No.)
(Street or Road)
(Zoning District)
(Subdivision)
(Lot)
(Lot & Block)
TYPE OF IMPROVEMENT
PROPOSED USE FOR RESIDENTIAL
CHECK BLOCK FOR TYPE OF WORK BEING DONE.
(WRECKING MOST RECENT U
New building
one family
Addition (if residential enter No. of new housing units
two or more family-enter no. of units___________
added, if any in two or more family units.
Transient hotel, motel or dormitory enter
Alteration
number of units
Repair, Replacement
Garage
Wrecking (if multi-family residential enter no. of units
Carport
in building
Portable pools ($50 )
Moving or Relocation of building
Inground pool
Foundation only
Decks ($50)
Other-Specify
OWNERSHIP
NON-RESIDENTIAL
Private(individual, corporation, nonprofit institution etc.)
Amusement, recreational
Public (federal, state, or local goverment)
Church, other religious
Industrial
COST
Parking Garage
Cost of Improvement
$
Service Station,Repair garage
To be installed but not included in above cost.
Hospital
Electrical
$
Office, bank, professional
Plumbing
$
Public Utility
Heating
$
School, library, other educational
Other (elevator, etc.)$
Stores, mercantile
Tanks, towers
TOTAL COST OF IMPROVEMENT
$
Other-Specify
Decribe in detail proposed use of buildings, etc.
If addition location side yard, front yard, rear yard and size of addition.
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