Building Permit Application

1Applicant & Property

2Permit Details

3Project Professionals

4Project Details

5Documents

6Certification & Signature

Applicant Information

Applicant Name(Required)

First Last

Applicant Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant Phone Number(Required)

Applicant Email Address(Required)

Property Information

Project Site Address(Required)

Street Address Address Line 2 City State ZIP Code

Tax Map Number

If unknown, check with local assessor.

Lot Length

Enter the lot length in feet.

Please enter a number greater than or equal to 0.

Lot Width

Enter the lot width in feet.

Please enter a number greater than or equal to 0.

Lot Area

Enter the total lot area in acres.

Please enter a number greater than or equal to 0.

Is the parcel a corner lot?(Required)

Yes

Is the property located in a sewer district?(Required)

Yes

Architect / Engineer Information

Complete this section if an architect or engineer is involved with the proposed project.

Architect / Engineer Name

First Last

Architect / Engineer Address

Street Address Address Line 2 City State ZIP Code

Architect / Engineer Phone Number

Contractor Information

Complete this section if a contractor will be performing the proposed work.

Contractor Name

First Last

Contractor Address

Street Address Address Line 2 City State ZIP Code

Contractor Phone Number

Estimated Project Cost(Required)

Enter the estimated total cost of the proposed project in dollars.

Please enter a number greater than or equal to 0.

Total Dwelling Units

Enter the total number of dwelling units, if applicable.

Please enter a number greater than or equal to 0.

Proposed Project

Please provide the type and dimensions of the proposed structure.

Type of Proposed Project(Required)

Height

Enter the proposed height in feet.

Please enter a number greater than or equal to 0.

Length

Enter the proposed length in feet.

Please enter a number greater than or equal to 0.

Width

Enter the proposed width in feet.

Please enter a number greater than or equal to 0.

Square Feet

Enter the total proposed square footage.

Please enter a number greater than or equal to 0.

Height

Enter the proposed height in feet.

Please enter a number greater than or equal to 0.

Length

Enter the proposed length in feet.

Please enter a number greater than or equal to 0.

Width

Enter the proposed width in feet.

Please enter a number greater than or equal to 0.

Square Feet

Enter the total proposed square footage.

Please enter a number greater than or equal to 0.

Height

Enter the proposed height in feet.

Please enter a number greater than or equal to 0.

Length

Enter the proposed length in feet.

Please enter a number greater than or equal to 0.

Width

Enter the proposed width in feet.

Please enter a number greater than or equal to 0.

Square Feet

Enter the total proposed square footage.

Please enter a number greater than or equal to 0.

Height

Enter the proposed height in feet.

Please enter a number greater than or equal to 0.

Length

Enter the proposed length in feet.

Please enter a number greater than or equal to 0.

Width

Enter the proposed width in feet.

Please enter a number greater than or equal to 0.

Square Feet

Enter the total proposed square footage.

Please enter a number greater than or equal to 0.

Height

Enter the proposed height in feet.

Please enter a number greater than or equal to 0.

Length

Enter the proposed length in feet.

Please enter a number greater than or equal to 0.

Width

Enter the proposed width in feet.

Please enter a number greater than or equal to 0.

Square Feet

Enter the total proposed square footage.

Please enter a number greater than or equal to 0.

Other — Project Type

Please specify the type of proposed project.

Height

Enter the proposed height in feet.

Please enter a number greater than or equal to 0.

Length

Enter the proposed length in feet.

Please enter a number greater than or equal to 0.

Width

Enter the proposed width in feet.

Please enter a number greater than or equal to 0.

Square Feet

Enter the total proposed square footage.

Please enter a number greater than or equal to 0.

Description of Project and Use

Please provide a detailed description of the proposed project and its intended use.

Certification & Signature

I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances covering this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.

Applicant Certification(Required)

I have read and agree to the certification statement above.

Applicant Signature(Required)

Type your full legal name as your electronic signature.

Signature Date(Required)

Are you the property owner?(Required)

Yes

Property Owner Information

Please provide the property owner's information and authorization.

Property Owner Name(Required)

First Last

Property Owner Phone Number(Required)

Property owner's primary contact number.

Property Owner Signature(Required)

Property owner: type your full legal name as your electronic signature and authorization of this application.

Owner Signature Date(Required)

Applicant Information

Property Information

Permit Information

Architect / Engineer Information

Contractor Information

Proposed Project

Supporting Documents

Certification & Signature

Property Owner Information