Construction Permit Application Page 2
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Building Section:
$___________
ESTIMATED COST OF BUILDING WORK (Contract Value)
Number of Residential Dwelling Units:
__________________Existing
_________________Proposed
Type of Structural Frame:
Wood
Masonry
Concrete
Pre-Manufactured Dwelling
Steel
Other; Explain:____________________________________
Does or will your building contain any of the following:
YES
NO
YES
NO
Elevator/Escalators/Lifts/Moving Walks:
Pressure Vessels:
YES
NO
YES
NO
Sprinkler System:
Refrigeration Systems
Fireplace(s):
Number____________
Type Fuel__________________
Type Vent______________
Bed Rooms (number)
Stories (number)
Street Frontage (feet)
Full Baths (number)
Building Area (sq/ft)
Front Setback (feet)
Partial Baths (number)
Living Area (sq/ft)
Rear Setback (feet)
Garages (number)
Basement Ares (sq/ft)
Left Setback (feet)
Garage Area (sq/ft)
Office/Sales (sq/ft)
Right Setback (feet)
Outside Parking (number)
Service (sq/ft)
Height Above Grade (feet)
Plumbing Section:
$___________
ESTIMATED COST OF PLUMBING Work (Contract Value)
Enter the Number and size of Fixtures Being Repaired, Replaced or installed
Tub/Showers
Laundry Tubs
Sewage Ejectors
Shower Stalls
Dishwashers
Back Flow Preventers
Lavatories
Garbage Disposals
Water Pumps
Toilets
Water heaters
Water Service
Urinals
Water Softeners
Sewer Connection
Sinks
Other
Water Service: (Check)
Public
Private
Sewer Service: (Check)
Public
Private (Septic Permit #)______________________________
Mechanical Section:
$___________
ESTIMATED COST OF MECHANICAL WORK (Contract Value)
Enter the Number and Size of Units Being Replaced or installed
Forced Air Furnace
Space Heater
A/C Compressor
Solid fuel Appliance
Unit Heater
Split A/C Unit
Heat Pump
Boiler
Coil Unit
Air Handling Unit
Gravity Furnace
Gas/Oil Conversion
Electric Furnace
Incinerator
Air Cleaner
Other:
Fuel Type:
Gas
Oil
L.P.
Electric
Coal
Wood
Other
Electrical Section:
$
ESTIMATED COST OF ELECTRICAL WORK (Contract value)
____________
Service Amps___________
Number of Circuits______________
Number of Service Outlets:_________110V______220V
List Devices
Qty
Load/Output
List Devices
Qty
Load/Output
List Devices
Qty
Load/Outp
ut
Switches
Dishwasher
Receptacles
Washer
Circuit Panel
Dryer
Lights
Spa/Hot Tub
Smoke Detectors
A/C Unit
Fire Protection Section:
ESTIMATED COST OF FIRE PROTECTION WORK (Contract Value) $_____________
Enter the number and size of equipment being replaced or installed
Sprinkler System
Hood Suppression System
Fire Alarm System
Stand Pipe
Fire Hydrants
Smoke Control System
Suppression System
Fire Pumps
Fire Detection System
Other:
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