City of Danville   

                                          Building Permit Application

Application for Plan Examination & Building Permit.

IMPORTANT - Applicant to complete all items in sections: I, II, III, and IV. Incomplete applications will not be accepted.

I. LOCATION OF BUILDING

II. Type and Cost of Building - All applicants complete parts A - D

A. TYPE OF IMPROVEMENT

1. New Building      5. Wrecking (If multifamily residential, enter number of units in building in Part D, 13)
2. Addition (If residential, enter number of new housing units added, if any, in Part D, 13)  6. Moving (relocation)
3. Alteration (See 2 above) 7. Foundation only
4. Repair, replacement  

B. OWNERSHIP

8. Private (individual, corporation, nonprofit institution, etc.) 9. Public (Federal, State or Local Government)

C. COST

10. Cost of improvement  $ Omit cents

    To be installed but not included in the above cost:

    a. Electrical b. Plumbing c. Heating, Air Cond. d. Other (elevator, etc.)

Nonresidential - describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant.  If use of existing building is being changed, enter proposed use:

D. PROPOSED USE - for "wrecking" most recent use

RESIDENTIAL NONRESIDENTIAL
12. One Family 18. Amusement, recreational
13.  Two or more family - enter number of units  19. Church, other religious
14.  Transient Hotel, motel, or dormitory  - enter number of units  20. Industrial
15.  Garage 21. Parking Garage
16.  Carport 22. Service Station, repair garage
17.  Other - Specify: 23. Hospital, Institutional
  24. Office, Bank, Professional
  25. Public Utility
  26. School, Library, other educational
  27.  Stores, mercantile
  28. Tanks, towers
  29. Other - Specify

III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;  for wrecking, complete only Part J, for all others skip to IV.

E. PRINCIPAL TYPE OF FRAME

30. Masonry (wall bearing) 33. Reinforced Concrete
31. Wood Frame 34. Other - Specify
32. Structural  steel  

F. PRINCIPAL TYPE OF HEATING FUEL

35. Gas 38. Coal
36. Oil 39. Other - Specify
37. Electricity  

G. TYPE OF SEWAGE DISPOSAL

40. Public or Private company 41. Private (septic tank, etc.)

H. TYPE OF WATER SUPPLY

42. Public or private company 43. Private (well, cistern)

I. TYPE OF MECHANICAL

Will there be central air conditioning   44. Yes   45. No                        Elevator?     46. Yes  47. No

J. DIMENSIONS

48.  Number of Stories     

49. Total square feet of floor area, all floors, based on exterior dimensions

50. Total Land area, square feet

K. NUMBER OF OFF-STREET PARKING SPACES            51. Enclosed          52. Outdoors

L. RESIDENTIAL BUILDINGS ONLY     53. Number of Bedrooms           54. Number of Bathrooms   FULL   PARTIAL

IV. IDENTIFICATION - To be completed  by all applicants

Name

Mailing Address - Number, Street, City, & State

Zip Code

Telephone Number
1. Owner or Lessee
2. Contractor
3. Architect or Engineer

I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to confirm to all applicable laws of this jurisdiction.

Warning! By checking this box, Under the laws of perjury, I verify that, to the best of my knowledge, the above information is true and correct . (Box must be checked to process application)

Signature of Applicant:     Address:

Date: mm/dd/yyyy        Email Address of Applicant:

City of Danville Copyright © 2008. All rights reserved.
Revised: 06/09/08