Please complete the form below. All required fields are marked with an asterisk (*).

Building Permit Application

*Please select one:
Residential Commercial
*Address:
City:
State:
Zip Code:
Map:
Lot:
Zoning District:
Site Plan:
Subdivision Plan:

Check appropriate box if any of the following apply:

Flood Plain District
Stream Bank District
Airport District
Historic District
Contain Toxic Waste
Nothing

Check all that apply and indicate whether property is residential or commercial:

Addition Alteration Carport Condo
Conversion Deck Demolition Duplex
Garage Hospital/Medical Industrial/Warehouse Manufactured/Mobile Home
Modular Home Multiple Family Dwelling New Building Office/Bank/Prof
Renovation Repair/Replacement Restaurant School
Shed Single Family Dwelling Store Swimming Pool
Townhouse Utility Other

Check below all that apply if work includes or is limited to:

Construction Electrical Mechanical Plumbing Other

General description of work and use:

  1. Include dimensions of structure.
  2. List number of bedrooms and bathrooms if structure is a new home or addition.
  3. Describe proposed use if use of existing structure is being changed.
  4. If applicable, include building plans/specs, plot or site plans.

Total cost of project:
Include all applicable costs associated with project
$

Check appropriate box and/or fill in appropriate blanks if request entails:

Establishment of additional dwelling units Expansion of use Change of Use
Indicate past use:
Square footage:
Footprint:
Renovated added:
Number of stories:
Living area:
Total area:

Fire suppression:
Check the appropriate box
Fire alarm Sprinkler system
Other (indicate type):

A Certificate of occupancy will not be issued until all departments of Public Works permits have been issued and fees have been paid


Owner/Agent

Owner/Agent name:
Owner/Agent address:
Owner/Agent city:
Owner/Agent contact phone:
*Owner/Agent email:

Architect/Contractor/Engineer

Architect/Contractor/Engineer name:
Architect/Contractor/Engineer address:
Architect/Contractor/Engineer city:
Architect/Contractor/Engineer contact phone:
*Architect/Contractor/Engineer email: