Commercial Building Permit Application Form (Page 2 of 2) in pdf

BUILDING DIMENSIONS:

Existing Building Area: _____________________ sq. ft.

No. of Stories Existing: ____________

Proposed Building Area: ____________________ sq. ft.

No. of Stories Proposed: ____________

Total Building Area: ________________________sq. ft.

Height of Structure above Grade: ________

Gross Area of Grade Level Floor: ___________________sq. ft.

THIRD PARTY CODE REVIEW AND INSPECTION AGENCIES-SELECT ONE

Associated Building Inspections (courier)

Barry Isett & Associates Inc (must transport)

Bureau Veritas North America Inc (must transport)

Code Administrators, Inc (courier)

The applicant certifies that all information on this application is correct and the work will be completed in

accordance with the “approved” construction documents and PA Act 45 (Uniform Construction Code) and any

additional approved building code requirements adopted by the City of Lancaster. The property owner and

applicant assume the responsibility of locating all property lines, setback lines, easements rights-of-way, flood

areas, etc. Issuance of a permit and approval of construction documents shall not be construed as authority to

violate, cancel or set aside any provisions of the codes or ordinances of the City of Lancaster or any other

governing body. The applicant certifies he/she understands all the applicable codes, ordinances and regulations.

Application for a permit shall be made by the owner or lessee of the building or structure, or agent of either or

by the registered design professional employed in connection with the proposed work.

I certify that the code administrator or the code administrator’s authorized representative shall have the

authority to enter areas covered by such permit at any reasonable hour to enforce the provision of the code(s)

applicable to such permit.

I understand that the property/building/tenant space cannot be used at the completion of the project until all

special stipulations have been complied with.

_____________________________________

___________________________________

Signature of Owner or Authorized Agent

Print Name of Owner or Authorized Agent

_______________________________________

___________________________________

Phone Number

Date

Notice to taxpayer. By Ordinance No. 15-2009, you may be entitled to exemption from tax on your contemplated improvements by

reassessment. A LERTA application for exemption may be secured from the Bureau of Code Compliance and Inspections and must

be submitted with permit application.

Bureau Reviews and sign off’s

Date/Signature

Planning ……………………More Info needed [ ]

_________/____________________________________

Storm Water…...……………More Info needed [ ]

_________/____________________________________

Zoning ……………………...More Info needed [ ]

_________/____________________________________

HARB (Historical District)…More Info needed [ ]

_________/____________________________________

Health Department …………More Info needed [ ]

_________/____________________________________

Public Works Official………More Info needed [ ]

_________/____________________________________

Public Water and Sewer Line Connections require separate approvals.

OFFICE USE ONLY

Code Compliance Office Review/Approval: _______________________________ Date: _______________

Permit # ________________

Permit Fee:

$___________

State Education Fee $4.00

Total: $________________

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Commercial Building Permit Application Form Page 2

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