FRANKLIN TOWNSHIP BUILDING PERMIT APPLICATION

IMPORTANT - Applicant instructions: For all applications complete and or mark parts 1, 2, 3, 4, 5, 6 and 7. Parts 8, 9 and 10 are for department use only.

App. Date _______________ Permit Number _______________________ Type of permit;  □ building, 

□ other (explain) ________________________________________________________________________________________________

Parcel Number __________________________________  Building Type   □ residential,  □ commercial

Part # 1 PROPERTY INFORMATION

Street Address ______________________________________________________________________

City ______________________________________________ State ______ Zip __________________

Part # 2 OWNER INFORMATION

First Name _____________________ Last name or Business name ____________________________

Street address _________________________ City _______________ State _____ Zip _____________

Part #3 CONTRACTORS INFORMANTION

Architect/Engineer __________________________________________________________________

Address ________________________ City ___________________ Phone # ____________________

General Contractor ______________________________________ Pa. Reg Number ______________

Address ________________________ City ___________________ Phone # _____________________

Electrical Contractor ______________________________________ Pa. Reg Number _____________

Address ________________________ City ___________________ Phone # _____________________

Part # 4 IMPROVEMENT TYPE

□ New construction   □ Addition   □ Alteration   □ Repair/replacement 

New projects include construction information, drawings with measurements.    (see example) 

 □ Change of use (explain) __________________________  □ other  (explain) _______________________

 Building improvements Value $ _________________        □ Actual      □ Estimated

Part # 5 PROPOSED USES

 □ Residential   □ Storage   □ Business   □ Assembly    □ Factory    □ Educational   □ Institutional   □ Other

Living area _____________sq.ft.   Garage area ___________sq.ft.   Building area ______________sq.ft.

Part # 6 TRADE INSPECTIONS REQUIRED

Building:   □ Y  □ N    Structural type___________________________  Number of rooms _____________

Electrical:  □ Y  □ N     Service size __________________________________________________________

Plumbing:  □ Y  □ N    Number of bath rooms_________________________________________________

 Mechanical:   □ Y  □ N   Type of heating_____________________________________________________

Other:   □ Y   □ N   Type _________________________________________________________________

Part # 7 CERTIFICATION

I certify that I am the owner of record of the named property, or that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make application as there authorized agent and I agree to conform to all the applicable laws of the State of Pennsylvania and the local municipality. In addition if a permit for the work described in this application is issued, I certify that the code official or the code official’s authorized representative shall have the authority to enter areas covered by such permit during normal business hours to enforce the provisions of the Pennsylvania Uniform Construction Code Act, # 245 of 1999 and any appendix amendments.

Signature of applicant ___________________________________________ Date: __________________

Address ______________________________________________________________________________

Phone number, land line ____________________________   Cell  _______________________________

Part # 8 PROJECT DOCUMENTS SUBMITTED

Architectural ( ) Structural ( ) Mechanical ( ) Electrical ( ) Job Specifications  Sprinkler ( ) Other ( )

Part # 9 PROJECT DOCUMENTS SIGNED AND SEALED

Architectural ( ) Structural ( ) Mechanical ( ) Electrical ( ) Job Specifications Sprinkler ( ) Other ( )

Part #10 VALIDATIONS

Total sq.ft. Of living area __________________________________________

Building : ---------------------------------------------------------------------------------  $ _________________________

Electrical : ---------------------------------------------------------------------------------$_________________________

Plumbing: --------------------------------------------------------------------------------- $ _________________________

Mechanical: ------------------------------------------------------------------------------$ _________________________

Township: -----------------------------------------------------------------------------------$ _________________________

 State UCC fee: --------------------------------------------------------------------------$ ________________________

Total Fees: --------------------------------------------------------------------------------- $ _________________________

Approved By: _________________________________________________ Title: ___________________

Approved Date: _____________________________