Building Addition Permit Application

Residential & Commercial Additions – Zoning & UCC Building Permit

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Comments

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Today's Date*

Municipality*

County*

1. Applicant Information

Applicant Name*

First Name Last Name or Business Name

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

E-mail Address*

Is the Owner the Applicant?*

Yes

If No, list the property owner's name and phone below.

Owner Name*

Owner Phone*

2. Property Information

Property Street Address*

City*

ZIP Code*

0 of 10 max characters

Parcel / PIN Number

Lot No. / Subdivision

Zoning District

Is the Property in a Floodplain?

Yes

Is the Property in a Floodway?

Yes

Elevation Certificate required. Because the property is in a floodplain, an Elevation Certificate is required. Include it with your submittal.

Parcel Type

Residential

Commercial

Industrial

Agricultural

HARB (Historic District)

Other

Check all that apply. Select HARB if the property is in a Historic District.

Other Parcel Type

Historic District (HARB) approval required. HARB approval is required if the property is in a Historic District. Include the HARB approval with your submittal.

3. Addition Project Data

Use of Addition*

Residential

Commercial

Mixed Use

Industrial

Garage

Other

Other Use of Addition*

Sealed plans required for commercial projects. All commercial drawings shall be sealed, signed, and dated by a design professional (licensed architect or engineer).

Use of Principal Structure on the Property*

Residential

Commercial

Mixed Use

Industrial

Other

Other Use of Principal Structure*

Construction Material*

Wood

Steel

Concrete

Masonry

Stone

Other

Check all that apply.

Other Construction Material*

Foundation Type*

Slab

Crawlspace

Full Basement

Piers

Other

Other Foundation Type*

Foundation Wall Type*

Wood

Block

Poured

Pre-Cast

Stone

Other

Other Foundation Wall Type*

Foundation Wall Width (in)*

Footers?*

Yes

Footer Depth (in)*

Footer Width (in)*

Work Planned for the Addition*

Mechanical

Plumbing

Electrical

Ventilation

Insulation

Fireproofing

None

Other

Check all that apply.

Other Work Planned*

Mechanical, plumbing & electrical plans required. Mechanical, plumbing, and electrical plans are required when this work is planned. Include them with your submittal.

Existing Systems Needing Upgrades Before the Addition*

Mechanical

Plumbing

Electrical

Ventilation

Fireproofing

None

Other

Check all that apply.

Other Existing System Upgrades*

Addition Area (sq. ft.)*

Existing Structure Area (sq. ft.)*

Stories Above Grade*

Stories Below Grade*

Addition Height (ft)*

Distance to Property Line (ft)*

Estimated Cost ($)*

Electrical*

New

Existing

Amp Change

Will the Project Include Plumbing?*

Yes

Will the Project Include Mechanical?*

Yes

Heating, cooling or ventilation.

Estimated Start Date

Estimated Completion Date

4. Roof Project Data

Roof Framing*

Trusses

Rafters

Skylights?*

Yes

Stamped truss designs required. Roof truss designs, stamped by the designer, are required when trusses are used. Include them with your submittal.

Roof Style*

Gable

Hip

Gambrel

Flat

Lean-To

Other

Other Roof Style*

Roof Pitch (__ in 12)*

Roof Height (ft)*

Overhang / Eave (in)*

Roofing Material*

Rafter / Truss Size*

Rafter / Truss Span (ft)*

Rafter / Truss Spacing (in. O.C.)*

Ceiling Joist Size & Span*

Truss Bottom Chord Used for Storage or Living Space?*

Yes

Purlins?*

Yes

Dormers?*

Yes

Purlin Dimension*

Purlin Spacing (in. O.C.)*

Number of Dormers*

5. Contractor Information

Who Will Perform the Work?

Contractor

Owner is doing the work

Contractor / Company Name

PA Home Improvement Contractor Reg. # (HIC)

Contractor Address

Contractor Phone

Contractor insurance certificate. Include the contractor’s insurance certificate with your submittal.

6. Submittal Checklist

Check Included or N/A for each item.

Site plan showing the addition, existing structures, and distances to property lines

Included

N/A

Foundation plan and footing details

Included

N/A

Floor plan(s) with room uses and dimensions

Included

N/A

Framing plans: floor, wall, and roof framing sizes, spans, and spacing

Included

N/A

Building elevations and wall section

Included

N/A

Roof truss designs, stamped by the designer (if trusses are used)

Included

N/A

Mechanical, plumbing, and electrical plans (if work is planned)

Included

N/A

Energy code compliance documentation (e.g., REScheck / COMcheck)

Included

N/A

Plans sealed by a licensed design professional (commercial projects)

Included

N/A

HARB approval (required if property is in a Historic District)

Included

N/A

Elevation Certificate (required if property is in a floodplain)

Included

N/A

Contractor insurance certificate

Included

N/A

Site Sketch & Documents

Show the addition, the existing structure, other structures, property lines, and driveways, with distances (in feet) from the addition to each property line. Draw your sketch with north at the top of the page.

Upload Site Sketch & Supporting Documents

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, tif, tiff, doc, docx, Max. file size: 1 GB, Max. files: 10.

Upload your site sketch and the other checklist items you marked Included. Reminder: the actual construction plans must be mailed, emailed (info@codesassessmentpros.com), or dropped off at our office.

7. General Requirements

The actual construction plans must be mailed, emailed (info@codesassessmentpros.com), or dropped off at our office.

All residential drawings must be neatly drawn with clean, crisp lettering and must remain legible after reduction for printing. Computer-generated vicinity maps from web-based services are acceptable as long as roadway and street names are legible and will remain so after reduction. Photographs (including digital) submitted to show building elevations must be in focus and correctly exposed.

All commercial drawings shall be sealed, signed, and dated by a design professional (licensed architect or engineer). The only exception is when both of the following apply:

The proposed work only involves maintenance of an existing building or structure; and
The proposed work does not change the building’s structure or means of egress.

Although some checklist items may not apply to every project, all applicants are asked to work through the entire checklist. If an item is not necessary, mark it N/A (“not applicable”). This greatly speeds review and approval.

All required fees must be paid before any work begins.

Failure to provide all information will result in the application being deemed incomplete, returned to the applicant and not reviewed. Plan review time will start with a completed application submittal.

Invoice & Payment

Where should we send the invoice?*

Enter the name and the mailing address or email address the invoice should go to. Payment can be made by check (mailed or dropped off at our office) or by card.

8. Applicant Certification

NOTE: THE BUILDING PERMIT AND THE CERTIFICATE OF OCCUPANCY FOR THIS BUILDING OR STRUCTURE WILL BE ISSUED TO AND IN THE NAME OF THE PERSON LISTED BELOW.

Certification

I have read and agree to the certification statement below.

As the owner or the authorized agent of the project for which this application is filed, I certify that:
1. The estimated construction cost and all other information provided as part of this application for a building permit is correct.
2. The building or structure described in this application will not be occupied until all known code violations are corrected and a Certificate of Occupancy has been received from the code official.
3. This project will be constructed in accordance with the approved drawings and specifications (including any required non-design changes) and the Uniform Construction Code standards as specified in 34 PA Code Chapters 401–405.
4. Any changes to the approved documents will be filed with the code official.
5. If the licensed architect or engineer in responsible charge of this construction should change, written notice of the change will be provided to the code official.
6. When required, up to 20% of the total cost of any work performed on an area of primary function in an existing building will be expended to provide an accessible route to the area of primary function.
7. 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.
8. All setback and safety requirements will be met in accordance with applicable local and state zoning laws.

Applicant Signature

Type your full legal name to sign this application electronically.

Date

Printed Name

Title / Relationship to Owner