Clone of Commercial Application

Bill To:

County:

Municipality:

Applicant Name:

Owner Name:

Site Address:

Owner Mailing Address:

Owner Phone:

Owner Fax:

Owner Cell:

Email:

Property Tax Map/Control #:

Building Name:

Building Use(s):

Contractor Name:

Contractor Address:

Contractor Phone:

Contractor Fax:

Contractor Cell:

Contractor Email:

Type of Construction:

Type of Project:

Other Explain:

Existing Occupancy/Use:

Group Number:

New Occupancy/Use:

Group Number

Total Square Feet of Project:

Estimated Construction Cost:

Street or Driveway Cut of Occupancy(if Obtained give(Municipal, County, or PennDot):

Other

Sewer Connection #

Other

Conservation District - More than 5000 sq. ft. of Land Disturbance #:

Other

Floodplain(Dep) #:

Other

County or Local Zoning #:

Other

Land use or Assessment #:

Other

Planning Commision #:

Other

Check if there are any lot lines or other structures within 30 Feet:

Describe Proposed project/work:

Directions To Site:

By Checking the Box Below I Certify I am the owner or authorized agent of the project for which this application is filed and I Certify that: 1. All information provided on this application is correct and true to the best of my knowledge. 2. The structure will not be used or Occupied until the required Certificate of Occupancy has been issued. 3. This Project will constructed in accordance with the Approved plans and the Uniform Construction Code standards as specified in 34 PA Code Chapter 401-405. 4. No error or omission in either the drawings and specifications or application, whether approved or not, shall permit or relieve me from constructing the work in any manner other than provided for in 34 PA Code Chapters 401- 405.

Detailed drawings with dimensions and calculations of the following work must be submitted and approved prior to permit being issued. All drawings must bear the sealed of a PA licensed Architect or Engineer.

Type of Drawing - Items to be Included on Drawing
Site Plan - Structure location on property and distance to other buildings, lot lines, utilities, steep banks, roads, right of ways, accessible route with elevations, etc.
Foundation - Type and size of all footing, walls, slab, drainage, etc. Note: Frost level is 42”TOF
Floor Plan - Must include all levels and area’s – Finished or Unfinished Structural Size, length, and spacing of all building elements
Electrical - Include every circuit location with receptacles, lighting, smoke detectors, and service, and wire sizes and types. Indicate Ground Fault Circuit Interrupters Plumbing Include location of all fixtures, drain, supply, and vent pipe size, type and length.
Mechanical - Include location and type of water heaters, heating & cooling systems, ventilation
Energy - Include type of insulation and R-value for all area’s
Accessibility - Include location and type of all accessibility features with detailed dimensions.
Fire Protection - Include location and type of all features.

Attach Plans for project:

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Upload a File

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Upload a File

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Upload a File

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Upload a File

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Upload a File