Village of Warrensburg Building Permit Application

Permit number and fee to be completed by Village.

Building Inspector and Zoning Officer signatures to be completed at a later date.
Permit No.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Fee
(Name of Applicant)
(Address)
(Type of building)
Lot No.
Block No.
Lot Size
Subdivision
Estimated Cost of improvement
Zone District
Length
Width
Height
Cubic feet
Number of rooms
Number of apartments
Minimum setback: Front
Side
Rear
Materials: Foundation
Exterior walls
Architect
Contractor
Applicant
Building Inspector
Dated this

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
day of
Zoning Officer
Should be Empty: