Residential Construction Building Permit Application

User ID# (if applicable):         
Subject: 

Property Owner Information
* First Name:                 
* Last Name      
(This e-mail address will receive electronic notifications, it does not have to belong to the property owner)   
* E Mail:          
* Phone        
* Address1               
   Address2      
* City:                 * State  
* Zip             

Occupants Name if Different Than Above:

Applicant & Location Of Proposed Construction Information (if different from above)
First Name 
Last Name 
E-Mail       
Phone        
Address1               
Address2       
City                 State    
Zip

Contractor Information (if applicable)
Company Name (if any)
Installer's Name 
Installer's E-Mail
Installer's Phone
Street Address       
City:                 State      
Zip

Permit Information
Type of Improvement:                 Please Select New Building Addition Demolition Fence Alteration (Interior) Alterations (Exterior)   
 List ALL Alterations:


Proposed Use After Completion: 

Cost of Improvements: 
Type of Frame :  Please Select Masonry Structural Steel Wood Other (Please Specify)
Other :
Type of Foundation: Please Select Full Basment Concrete Full Basement Concrete Block Concrete Slab Frost Wall Concrete Frost Wall Concrete Block Post Wood Other (Please Specify)
Foundation Other:   
Type of Sewer:  Please Select Public Private (Septic Tank, Etc.) None
Type of Water:  Please Select Public Private Well None
Type of Heating: Please Select Oil Electricity Wood or Coal Other (Please Specify) None Other:

Plot Plan For Building Permit Application
Building is to be Ft. wide by Ft. Long
Number of Stories:
Square Ft. of first floor:    Square Ft. of second floor:
Square Ft. of garage, outbuilding(s) 

Please give lot dimensions
Rear Lot Line (ft.)
 
                                     
                                  
                                     

Front Lot Line (ft.)