Residential Building Permits

2. Site Address*

3. Subdivision

4. Type of Building

   1. Single Family
   2. Duplex
   3. Muilt-Family

   1. Alteration
   2. Addition
   3. Repair

6. Was this property built prior to 1978?

   1. Yes
   2. No

7. If yes, you are required by the U.S. EPA's Renovation, Repair, & Painting rule to be a Lead Safe Certified Firm with the U.S. EPA if performing work that will disturb a painted surface in homes, child care facilities and pre-schools build before 1978.

9. Lot

10. Block

11. # of Units

12. # of Stories

14. Property Owner's Name*

15. Address

16. Phone #

18. Contractor's Name*

19. Physical Address

20. Mailing Address

22. Office #*

23. Contact Person

24. Contact Phone

25. Email Address

27. Heated SQ Feet

28. Garage

29. Total SQ Feet

30. Approximate Construction Cost*

32. Plumber

33. Electrician

34. Heating & Air-Conditioning

35. Job Description*

37. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
38. Electronic Signature*

40. *Note
    You will be contacted once permit has been approved. Must come into our office to pay and sign for permit. Please visit our main Building Department page for additional information. For new construction, you must also fill out the Erosion Control Plan, which can be located in Forms & Documents on our main page.

    You will be contacted once permit has been approved. Must come into our office to pay and sign for permit. Please visit our main Building Department page for additional information. For new construction, you must also fill out the Erosion Control Plan, which can be located in Forms & Documents on our main page.

42. For Office Use Only

44. Inspector Approval

45. Approval Date

46. Zoning

47. Setbacks

49. Electric Utility Co.

50. Map #

51. F.F.E.

52. Notes

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field