Accessory / Detached Building Permit Application

Sheds, Detached Garages, Pole Barns, Carports, Gazebos & Pavilions – 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. Permit Type

Permit Type

New Construction

Alteration

Add-On

Repair

Replacement

Other

Check all that apply.

Other Permit Type

4. Building Project Data

Building Classification*

Shed

Detached Garage

Pole Barn / Post-Frame

Carport

Gazebo

Pavilion

Dwelling

Other

Check all that apply.

Other Building Classification*

Proposed Use of Building*

Building Frame Material*

Wood

Steel

Concrete

Masonry

Stone

Other

Check all that apply.

Other Building Frame Material*

Foundation Type*

Slab

Stone

Posts / Piers

Crawlspace

Full Basement

Other

Other Foundation Type*

Post / pier foundation. Include the wood preservative or other treatment for posts embedded in or in contact with the ground, and a footing location plan with footing diameter and depth and the design for uplift protection.

Foundation Wall Type*

Wood

Block

Poured

Pre-Cast

Stone

Other

Other Foundation Wall Type*

Foundation Wall Width (in)*

Footers?*

Yes

Concrete Slab Floor?*

Yes

Footer Depth (in)*

Footer Width / Diameter (in)*

Utilities / Work Planned*

Electrical

Plumbing

Mechanical / Heating

Insulation

None

Other

Check all that apply.

Other Utilities / Work Planned*

Plumbing plan. Include a plumbing plan showing fixture and trench locations, trench depth, pipe sizing, and freeze protection.

Floor Area (sq. ft.)*

Building Height (ft)*

Number of Stories*

Distance to Property Line (ft)*

Distance to Nearest Building (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

5. Roof Project Data

Roof Framing*

Trusses

Rafters

Skylights?*

Yes

Truss designs required. Include roof truss designs from a design professional: individual truss details, installation plan, bracing, and manufacturer’s erection instructions.

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*

6. 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.

7. Submittal Checklist

Check Included or N/A for each item.

Plot plan showing the building location on the property, with dimensions and distances to property lines and other structures

Included

N/A

Scope of work and complete design: overall dimensions, doors, windows, interior walls, wiring, plumbing, and other components

Included

N/A

Structural design: construction details, member sizes, spans, fasteners, connections, bracing, supports, and purlin or girt details

Included

N/A

Roof truss designs from a design professional: individual truss details, installation plan, bracing, and manufacturer’s erection instructions

Included

N/A

Roof design and connection details, including whether the roof is a floating design or acts as a horizontal diaphragm transferring loads to end and shear walls

Included

N/A

Footing location plan with footing diameter and depth, and design for uplift protection

Included

N/A

Wood preservative or other treatment for posts embedded in or in contact with the ground

Included

N/A

Floor design, including vapor barrier and insulation details for the structure and slab

Included

N/A

Interior wall locations and design

Included

N/A

Plumbing plan: fixture and trench locations, trench depth, pipe sizing, and freeze protection

Included

N/A

Storm water drainage design directing water away from the structure

Included

N/A

Details for future electric, plumbing, heating, or other planned items

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 proposed building, existing structures, property lines, and driveways, with distances (in feet) from the building to each property line and to other structures. Include a cross section if applicable. 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.

8. 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.

9. 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

Person Responsible for the Work – Signature

Type the full name of the person responsible for the work to sign electronically.

Title

Phone / E-mail