Construction Permit Application

ADVERTISEMENT

Code Inspections, Inc.
1
CONSTRUCTION PERMIT APPLICATION
Note: Read page four (4) in its entirety prior to completing this application
County: ____________________________ Municipality: _____________________________________
Application Date:
Approval Date:
Permit Number:
________________
__________________
________________
______________________________________________________________________________________________________
LOCATION OF PROPOSED WORK OR IMPROVEMENT
Site Address:
Tax Parcel #
_____________________________________________
____________________________
Lot #________ Subdivision/Land Development:_______________________ Phase:___________Section:_______
______________________________________________________________________________________________________
New Building
Addition
Alteration
Repair
Demolition
Relocation
Foundation Only
Change of Use
Plumbing
Mechanical
Electrical
Other
Describe the proposed work:_______________________________________________________________________________
______________________________________________________________________________________________________
Owner:________________________________________________ Phone#_______________________ Fax#____________
Mailing Address:__________________________________________________________
E-Mail:________________
______________________________________________________________________________________________________
Contractor Information
Name
Address
Phone #
License #
Applicant
Design Professional
Principal Contractor
Excavation
Masonry
Concrete
Carpentry
Plumbing
Sewer
Electrical
Mechanical
Roofing
Drywall or Lathing
Sprinkler
Paving
Fire Alarm
TOTAL ESTIMATED COST OF CONSTRUCTION
(reasonable fair market value) $______________________________________
x
x
Permit fees are not based on construction costs
______________________________________________________________________________________________________
DESCRIPTION OF BUILDING USE
(Check One)
RESIDENTIAL
One-Family Dwelling (R-3)
Two-Family Dwelling (R-3)
NON-RESIDENTIAL
Specific Use: __________________________
Change in Use:
YES
NO
Use Group:
_________________________
If YES, indicate Former:
_________________
Maximum Occupancy Load: ______________
Maximum Live Load:
_________________
______________________________________________________________________________________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 5