Permit Application

TYPE OF STRUCTURE *

• COMMERCIAL
• RESIDENTIAL

WORKSITE ADDRESS: *

PROPERTY OWNER NAME *

First

Last

PROPERTY OWNER ADDRESS *

PHONE NUMBER *

CELL PHONE NUMBER

EMAIL ADDRESS *

Email

Confirm Email

TYPE OF WORK *

• ADDITION
• ALTERATION
• MOVE
• NEW CONSTRUCTION
• NEW INSTALL
• REPAIR
• REPLACEMENT

PRINCIPLE USE *

• BUSINESS
• RESIDENTIAL
• CHURCH
• DAYCARE
• EDUCATIONAL
• INSTITUTIONAL
• MERCANTILE
• RESTAURANT

IF RESIDENTIAL, HOW MANY NUMBER OF UNITS?

TYPE OF JOB *

• DEMOLITION (ord. 550.020)
• CARPORT (ord. 510.160)
• DRIVEWAY (ord. 545.010)
• GARAGE (ord. 510.060)
• PORCHES/DECKS (ord. 510.060)
• ROOF (ord. 505.400)
• UTILITY STORAGE (ord. 510.060)
• ROOM
• FENCE (ord. 520.010)
• OTHER

IF YOU SELECTED "ROOM" OR "OTHER", PLEASE SPECIFY:

IF YOU SELECTED "FENCE", DOES YOUR FENCE HAVE 50% CLEAR VISION? *NOTE: Ordinance #520.010; FENCES (Definition Section) Privacy fence must have clear vision in horizontal direction through fence material.

• YES
• NO

COST OF JOB: *

JOB START DATE: *

JOB END DATE: *

CONTRACTOR INFORMATION *

CONTRACTOR PHONE *

CONTRACTOR ADDRESS *

CITY *

STATE *

ZIP *

CONTRACTOR'S NAME *

First

Last

LICENSE NUMBER

DESIGN PROFESSIONAL'S NAME

First

Last

DESIGN PROFESSIONAL PHONE

DESIGN PROFESSIONAL ADDRESS

CITY

STATE

ZIP

SIGNATURE OF APPLICANT *

Submit

NOTE: NORTHWOODS BUILDING COMMISSIONER WILL APPROVE INITIAL DRAWING AND INSPECT JOB DURING CONSTRUCTION.

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 THEIR AUTHORIZED AGENT AND WE AGREE TO CONFORM TO ALL APPLICABLE LAWS OF THIS JURISDICTION.