DATE OF APPLICATION *

JOB NAME *

ADDRESS*

HISTORIC DISTRICTS

Washington St. District Franklin St. District

Elston Grove District

If your property is located in a Historic District, a “Certificate of Appropriateness “must be obtained for any exterior work before a building permit application can be processed.

Submitted Plans include:*

Lightweight Roof Trusses Lightweight I joists Second Floor

Lightweight I joists First Floor

I, ______________________ (printed name) verify that the information provided is true and correct to the best of my knowledge.*

PLANS REQUIRED: SITE PLANS - CONSTRUCTION PLANS
Site Plan - Floor plans – Section Dwg. – Structural Dwg. – Electrical Dwg. - Mechanical Dwg. – Plumbing Dwg. – Truss
Specifications – Energy Conservation Study (REScheck)

Description of work: *

New Residence Residential Addition Residential Remodel Pole Construction New Porch/Deck/Balcony

Addition to Porch/Deck/Balcony Rebuild Porch/Deck/Balcony Garage/Storage Building Swimming Pool

Description of other work : *

A BUILDING PERMIT DOES NOT INCLUDE ELECTRICAL, MECHANICAL AND/OR PLUMBING WORK. (Separate permits are required for each.)

** Important Note ** Energy Conservation Study (REScheck) Must be submitted for:
New Residence • Residential Addition • Residential Remodel • Pole Construction

Owners Information:

Owners Name*

Owners Mailing address*

Owners Telephone #*

Estimated Cost of Construction:*

CONTRACTOR INFORMATION:

Contractor’s Name *

Contractor’s Company Name*

Contractor’s Registration No.*

Contractor’s Address *

Contractor’s Telephone #*

Contractor’s Email *

SEPARATE PERMITS to be obtained for the following:

Electrical work to be done by:*

HVAC work to be done by:*

Plumbing work to be done by: *

Sewer work (if applicable) to be done by: *

The applicant affirms that said building when construction is completed will be as herein described and further, that construction has not started as of this date.
Please note that City setback requirements are minimum requirements. Individual covenants or deed restrictions may contain requirements that are more restrictive.