| All Permits subject to Town and County Regulations |
| Application for Permit exceeding $500 must be accompanied with sketch or blueprints |
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| Type of Permit : (*) |
Please select a type of permit. |
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| If other, please specify : |
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| Owner's Full Name : (*) |
Please enter the owner's full name. |
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| Owner's Address : (*) |
Please enter a valid address. |
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| Owner's City : (*) |
Please enter a valid city. |
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| Owner's State : (*) |
Please select a state. |
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| Owner's Zip (*) |
Please enter a valid zip code. |
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| Contractor's Full Name : (*) |
Please enter the contractor's full name. |
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| Contractor's Address : (*) |
Please enter a valid address. |
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| Contractor's City : (*) |
Please enter a valid city. |
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| Contractor's State : (*) |
Please select a state. |
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| Contractor's Zip Code : (*) |
Please enter a valid zip code. |
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| Street Address of Proposed Building : (*) |
Please enter a valid address. |
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| Block Number : (*) |
Please enter a valid block number. |
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| Lot Number : (*) |
Please enter a valid lot number. |
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| Intended Use of Building : (*) |
Please select an option. |
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| If Other, please describe : |
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| Dimensions of Building : |
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| Basement? |
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| Number of Stories : |
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| Number of Rooms : |
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| Number of Baths : |
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| Type of Construction : |
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| Type of Roof : |
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| If other, please describe : |
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| Type of Heat : |
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| Type of Fuel : |
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| Utilities : |
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| Size in Amps |
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| Estimated Cost : (*) |
Please enter a valid amount. |
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| Estimated Completion Date : (*) |
Please enter a valid date in the format of MM/DD/YYYY. |
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Building Permit Check List
Type of Work Being Performed |
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| Fence : |
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| Roof : |
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| Windows : |
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| Exterior Doors : |
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| Interior Doors : |
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| Interior Walls |
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| Exterior Walls : |
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| Electrical/Wiring : |
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| Plumbing : |
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| HVAC : |
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| Fire Protection : |
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| Garage : |
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| Shed : |
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| Shed Size : |
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| Shed Foundation : |
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| If other, please describe : |
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| New Construction : |
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| Demolition : |
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| Other : |
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| Please sign! |
| Please enter the characters : |
 Please enter the characters! |
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