Enter project zoning district (Code Officer Use Only)
Your answer
Between streets: *
Your answer
Type of Improvement *
Required
Sidewalks: check the box if YES
YES
NO
Does your sidewalk run parallel to a state route?
If so, have you filed for a Highway Occupancy Permit through PENNDOT?
YES
NO
Does your sidewalk run parallel to a state route?
If so, have you filed for a Highway Occupancy Permit through PENNDOT?
Fencing: check the box if YES
YES
NO
Is there a fence standing there currently
Are your property lines clearly defined by surveyor's stakes or a physical object
Have you spoken to your neighbors that could be affected by your project?
YES
NO
Is there a fence standing there currently
Are your property lines clearly defined by surveyor's stakes or a physical object
Have you spoken to your neighbors that could be affected by your project?
Describe your project: *
Your answer
Is the property being worked at PRIVATE or PUBLIC *
Proposed Use
Single Family
Multiple Family
Garage/Carport
Recreational
Religious
Industrial
Commercial
Other (specify following)
Residential
Non-Residential
Single Family
Multiple Family
Garage/Carport
Recreational
Religious
Industrial
Commercial
Other (specify following)
Residential
Non-Residential
Clear selection
Describe Other
Your answer
Do you have off-street parking *
Sewage: *
Water Supply: *
Projected Project Costs (enter: Electrical, Plumbing, HVAC, Other and TOTAL cost) *
Your answer
Property Owner *
Your answer
Physical Address *
Your answer
Phone Number *
Your answer
Contractor Name
Your answer
Contractor Business Address
Your answer
Contractor Phone
Your answer
Contractor Fax Number
Your answer
PA Contractor License Number (PA# is REQUIRED to process permit application if a contractor is used)
Your answer
BY TYPING MY NAME BELOW (WHICH IS MY ELECTRONIC SIGNATURE) I HEREBY STATE THAT I WILL COMPLY WITH ALL REQUIRED LOCAL, STATE AND FEDERAL LAWS AND HAVE PAID ALL REQUIRED FEES. (Type your name below) *