Form Center

2. BUILDING PERMIT APPLICATION
3. Permit No.______________
5. Permit Applicant*

   1. Owner/Occupant

   1. Contractor

   1. Third Party
9. Customer Data
11. Name of Owner or Tenant*
13. Address*
15. City*
16. State*
17. Zip Code*
19. Phone Number*
20. Email Address*
24. Contractor Data
26. Company Name
28. Address
30. City
31. State
32. Zip Code
34. Phone Number
35. Email Address
39. Third Party Applicant
41. Name
43. Address
45. City
46. State
47. Zip Code
49. Phone Number
50. Email Address
54. Proposed Project Data
56. Construction Value*
    (Materials and Labor/Install Costs)
58. Description of Work*
    -- Select One --AdditionDeckDrivewayElectricalEV ChargingFenceFire AlarmFire SprinklerFire Suppression Wet ChemicalLand Development / Site ImprovementMechanicalNew BuildingOtherPatio / Stoop / SidewalkPlumbingRemodelRoofSewerShedSign - PermanentSign - TemporarySolarSwimming PoolTemporary TentWater HeaterWindows/Doors
60. Driveway Type
    -- Select One --AsphaltConcretePavers
61. Select Work Type(s)

    1. Patio
    2. Stoop
    3. Public Sidewalk
    4. Private Service Walk
62. Material Type
    -- Select One --ConcreteLandscape Pavers/Blocks
64. EV Charging Station Type
    -- Select One --Level 1 (120v)Level 2 (208v/240v)Level 3 (400v/900v)
65. EV Charging Station Location
    -- Select One --IndoorOutdoor
67. Fence Type
    -- Select One --Chain LinkMetalVinylWood
68. Fence Height
    -- Select One --3 Feet4 Feet5 Feet6 Feet
70. Description of Work
72. Mechanical Type
    -- Select One --Air Conditioner OnlyAir Conditioner and FurnaceFurnace OnlyKitchen HoodRoof Top Unit
74. New Building Type
    -- Select One --New Commercial BuildingNew Residential BuildingNew Accessory Structure
76. Description of Building
78. Shed Foundation
    -- Select One --Concrete SlabFramed Platform on Gravel/GroundShed Directly on Gravel/Ground
80. Sign Type
    -- Select One --MonumentWall Mounted
81. Sign Details
    -- Select One --IlluminatedNon-Illuminated
82. Sign Square Footage
83. UL Number
85. Swimming Pool Type
    -- Select One --Above GroundIn Ground
87. Start and End Dates
    Start and End Dates Start Date

    —

    Start and End Dates End Date
89. Plat of Survey

    Upload plat of survey indicating proposed work

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

    Upload scaled drawings/blueprints of proposed work

95. Cut Sheets

    Upload equipment cut sheets and specifications

97. Engineer's Estimated Cost of Construction

    Upload Engineer's itemized estimated cost of construction

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

     Please review the informational handouts related to your project as a general guide for code compliance.
108. Please note that additional information may be requested to complete your submittal. Incomplete submittals will not be reviewed until complete.
Leave This Blank:


110. 1. Receive an email copy of this form.
111. Email address

     This field is not part of the form submission.

112. Submit Submit and Print

* indicates a required field