Building Permit Application

Building Permit Application
Applicant and Property Information
Street Address
Owner
Owner Phone
Please enter a valid phone number.Format: (000) 000-0000.
Owner Mailing Address
City
State
Zip Code
Principal Contractor Information
Principal Contractor Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Fax
Email
example@example.com
Home Improvement Contractor’s (HIC) License Number
Work Description and Scope
Type of Work or Improvement
Describe the proposed work
Square Footage of Construction
Estimated Cost of Construction
Note: Construction value may be based on stated square footage value, or the ICC valuation charts as per the type of construction if a dispute arises.
Use and Occupancy
Residential Use Type
Non-Residential Specific Use
Non-Residential Use Group
Non-Residential Change in Use
If Yes, Indicate Former Use
Maximum Occupant Load
Maximum Live Load
Building/Site Characteristics
Number of Residential Dwelling Units - Existing
Number of Residential Dwelling Units - Proposed
Mechanical: Indicate type of heating/ventilating/air conditioning (electric, gas, oil,etc.)
Water Service
Sewer Service
Sewer Service Private Permit Number
Fireplaces - Number
Fireplaces - Type of Fuel
Fireplaces - Type of Vent
Elevator/Escalator/Lifts/Moving Walks
Sprinkler System
Pressure Vessels
Refrigeration System
Should be Empty:

Note: Construction value may be based on stated square footage value, or the ICC valuation charts as per the type of construction if a dispute arises.