* For Remodeling, Alteration and New ... - Brook Park, Ohio



Completed Applications must be returned to the Building Dept. for processing

(Allow 3-5 days for processing) Permits will be sent, as designated below, once approved.

Work CANNOT begin on ANY project until the approved permit is on site

24 Hour Minimum Notice required for ALL inspections to be scheduled for first available.

* For construction projects, the Owner/Contractor must submit for review: Plot Plan showing all structures on the property and the location of the project in relation to the setback & property lines (with dimensions) & 3 sets of Construction Plans showing materials & details.

(1) For fence, pool, concrete/asphalt projects, the Owner/Contractor must submit for review: Plot Plan showing all property lines, structures and the location of the new fence/concrete/asphalt with dimensions.

|BUILDING PERMIT APPLICATION |

| |

|DATE: ___________________________________ PERMIT TYPE: ( Residential ( Commercial |

| |

|PROJECT ADDRESS: _________________________________________________________________________________ |

| |

|PROPERTY OWNER NAME(S): _______________________________________ PHONE #: _______________________ |

| |

|PROPERTY OWNER EMAIL: ____________________________________________________________________________ |

|WORK WILL | |

|BE |( PROPERTY OWNER (Must submit “Homeowner’s Permit Certification” along with this Application) |

|COMPLETED | |

|BY: |( CONTRACTOR / DBA NAME: _____________________________________________________________________ |

| | |

| |Address: _________________________________________________________________________________________ |

| | |

| |Contact Person: ___________________________________________________________________________________ |

| | |

| |Phone #: _____________________ ( Cell ( Office E-Mail: ________________________________________________ |

|SEND PERMIT TO: ( Property Owner ( Contractor SEND PERMIT VIA: ( Mail ( E-Mail |

|PROJECT | | |

|DETAILS: |( Concrete / Asphalt (1) ( FENCE (1) |Estimated PROJECT Cost: $ _______________________________ |

| | | |

| |( POOL (1) ( DECK * ( SHED * |Square Footage: ______________ Length: _______________ |

| | |(If applicable) |

| |( ADDITION / New HOME Construction * |Width: ________________ |

| | | |

| |( Demo ( Other: ______________________ |Height: _______________ |

| | |

| |DESCRIPTION OF PROJECT: _______________________________________________________________________ |

| | |

| |___________________________________________________________________________________________________ |

| | |

| |___________________________________________________________________________________________________ |

| | |

| |___________________________________________________________________________________________________ |

| | |

| |___________________________________________________________________________________________________ |

|The undersigned states that he/she is the owner of the property or authorized agent contracted by the owner of the property. This permit will be granted on |

|condition that all work done will be in accordance with the City of Brook Park Ordinances and all Building Code Laws of the State of Ohio. Failure to comply will |

|result in revocation of this permit and additional fines/penalties may be imposed. |

|SIGNATURE: | |

|S I T U A T I O N P L A N |

| |

|Please complete in INK and include the following: |

| |

|( Property lines ( All structures on property (house, garage, shed, pool etc.) |

| |

|( Clearly mark project / area of work and distance(s) from above item(s) |

| |

| |

|I ____________________ (INITIALS) hereby certify that as the property owner of _____________________________________ (ADDRESS) that I |

|personally will perform the work described on the permit application in lieu of securing the services of a registered professional to |

|complete the work, as provided for by the provisions of Section 1311.02 of the Codified Ordinances of the City of Brook Park, Ohio. |

| |

|I understand, that ALL Electric, HVAC & Plumbing permits must be obtained by a State of Ohio licensed contractor and that, as the permit|

|holder, it is my responsibility to: |

|Obtain all required Building Permits and Approvals |

|Comply with all applicable Building Codes, Zoning Codes and other Specifications |

|Obtain all required Inspections |

|Assume responsibility for correcting any deficiencies detected during inspection(s) |

| |

|I further understand that any misrepresentations or falsifications on a Permit Application or this Certificate, may cause a suspension |

|or revocation of any Permit issued, as provided in the Section 1311.07 of the City of Brook Park Building Code, and may be subject to |

|the penalties provided in Section 1311.99. |

|SIGNATURE: ___________________________________________________ DATE: __________________ |

| |

|PRINTED NAME: __________________________________________________________________________ |

-----------------------

OFFICE USE ONLY

Fees: __________

__________

__________

%: __________

TOTAL = $

City of Brook Park Building Department

Thomas J. Coyne Mayor

6161 Engle Road

Brook Park, Ohio 44142

P (216) 433-7412 vð ðF (216) 433-4117

: __________

TOTAL = $

-----------------------

City of Brook Park Building Department

Thomas J. Coyne Mayor

6161 Engle Road

Brook Park, Ohio 44142

P (216) 433-7412 ϖ F (216) 433-4117

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