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2. BUILDING PERMIT APPLICATION
4. Permit Applicant*

   1. Owner/Occupant

   1. Contractor

   1. Third Party
6. If Applicable, Issue Bond Refunds To:*

   1. Owner/Occupant

   1. Contractor

   1. Third Party
10. Customer Data
12. Name of Owner or Tenant*
14. Address*
16. City*
17. State*
18. Zip Code*
20. Phone Number*
21. Email Address*
25. Contractor Data
27. Company Name
29. Address
31. City
32. State
33. Zip Code
35. Phone Number
36. Email Address
40. Third Party Applicant
42. Name
44. Address
46. City
47. State
48. Zip Code
50. Phone Number
51. Email Address
55. Proposed Project Data
57. Construction Value*
    (Materials and Labor/Install Costs)
59. Description of Work*
    -- Select One --AdditionDeckDrivewayElectricalEV ChargingFenceFire AlarmFire SprinklerFire Suppression Wet ChemicalLand Development / Site ImprovementMechanicalNew BuildingOtherPatio / Stoop / SidewalkPlumbingRemodelRoofSewerShedSign - PermanentSign - TemporarySolarSwimming PoolTemporary TentWater HeaterWindows/Doors
61. Driveway Type
    -- Select One --AsphaltConcretePavers
62. Select Work Type(s)

    1. Patio
    2. Stoop
    3. Public Sidewalk
    4. Private Service Walk
63. Material Type
    -- Select One --ConcreteLandscape Pavers/Blocks
64. Area of Work
    -- Select One --Driveway OnlyApron OnlyDriveway and ApronOther (Describe Below)
66. Driveway Width

    Note: Most driveways are limited to a maximum width of 20 feet.

67. Apron Width

    Note: Most aprons are limited to a maximum width of 20 feet that can "flare" to a maximum width of 24 feet.

69. Description of Work

    Provide any additional information relevant to this work.

71. EV Charging Station Type
    -- Select One --Level 1 (120v)Level 2 (208v/240v)Level 3 (400v/900v)
72. EV Charging Station Location
    -- Select One --IndoorOutdoor
74. Fence Type
    -- Select One --Chain LinkMetalVinylWood
75. Fence Height
    -- Select One --3 Feet4 Feet5 Feet6 Feet
77. Description of Work
79. Mechanical Type
    -- Select One --Air Conditioner OnlyAir Conditioner and FurnaceFurnace OnlyKitchen HoodRoof Top Unit
81. New Building Type
    -- Select One --New Commercial BuildingNew Residential BuildingNew Accessory Structure
83. Description of Building
85. Shed Foundation
    -- Select One --Concrete SlabFramed Platform on Gravel/GroundShed Directly on Gravel/Ground
87. Sign Type
    -- Select One --MonumentWall Mounted
88. Sign Details
    -- Select One --IlluminatedNon-Illuminated
89. Sign Square Footage
90. UL Number
92. Swimming Pool Type
    -- Select One --Above GroundIn Ground
94. Start and End Dates
    Start and End Dates Start Date

    —

    Start and End Dates End Date
96. Plat of Survey

    Upload plat of survey indicating proposed work

98. Contract / Scope of Work/ List of Materials*
    Upload contract or written scope of work
100. Plans

     Upload scaled drawings/blueprints of proposed work

102. Cut Sheets

     Upload equipment cut sheets and specifications

104. Engineer's Estimated Cost of Construction

     Upload Engineer's itemized estimated cost of construction

106. Location of Sewer Work*
     -- Select One --Within 5 feet of the buildingMore than 5 feet from the building
107. Sanitary Check Valve Program?*
     -- Select One --NoYes
109. Description of Work*
113. Informational Handouts
     Guides & Publications

     Please review the informational handouts related to your project as a general guide for code compliance.
115. Acknowledgement of Informational Handout*

     1. I have downloaded and reviewed the informational handout relevant to my permit type.
117. Please note that additional information may be requested to complete your submittal. Incomplete submittals will not be reviewed until complete.
Leave This Blank:


119. 1. Receive an email copy of this form.
120. Email address

     This field is not part of the form submission.

121. Submit Submit and Print

* indicates a required field