Application Form For A Building Permit - Warren County
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1
2WARREN COUNTY
WARREN COUNTY
WARREN COUNTY
WARREN COUNTY
APPLICATION FOR A BUILDING PERMIT
APPLICATION FOR A BUILDING PERMIT
APPLICATION FOR A BUILDING PERMIT
APPLICATION FOR A BUILDING PERMIT
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Fire Prev. & Bldg. Code Enf.
For Office Use Only
1340 State Rt. 9
Date_________________________
Lake George, NY
12845
W.C. Permit No.______________
(518) 761-6542
Fee $________________________
Fax (518) 761-6564
E-MAIL:
fpbc@warrencountyny.gov
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ALLOW A MINIMUM OF TWO WEEKS FOR THE PLAN REVIEW PROCESS
BEFORE PERMIT CAN BE ISSUED
SECTION I – PROPERTY APPLICANT AND OWNERSHIP INFORMATION
1.1.
Print name of applicant_____________________________
Home Phone_______________________________________
Mailing address___________________________________________
Business Phone___________________________________
__________________________________________________________
Cell Phone_______________________________________
__________________________________________________________
Email Address____________________________________
1.2.
Check whether applicant is owner____, lessee____, agent____, architect____, engineer____, or builder____
1.3.
If Commercial or Industrial—name of business __________________________________________
Name and address of owner of premises if different than applicant______________________________________________
__________________________________________________
__________________________________________________
1.4.
If owner or applicant is a corporation, give name and title and signature of duly authorized officer.
_______________________________________________
__________________________________________________
Name and Title of Corporate Officer
Signature
SECTION II – SITE INFORMATION
2.1.
LOCATION (address of proposed work)______________________________________________________________________
Brief DIRECTIONS to location___________________________________________________________________________________
Town or Village_________________________________Section________Block________Lot________
2.2.
Please Check One
OCCUPANCY
_____A—Assembly
_____I—Institutional
_____B—Business
_____M—Mercantile
_____E—Educational
_____R—Residential
_____F—Factory
_____S—Storage
_____H—Hazard
_____U—Utility and Miscellaneous
SECTION III – DESCRIPTION OF PROPOSED WORK
3.1. Please Check One
_____Construction of a New Building
_____Demolition to a Building
_____Addition to a Building
_____Other work
_____Alteration to a Building
Estimated cost of Project_________________________
3.2.
Brief description of scope of project:
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
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Parent category: Business