MASON COUNTY JOINT PLANNING COMMISSION



Building Permit Application for

Construction of, or additions/remodels to One or Two Family Dwellings

Instructions to applicant: Complete all applicable information in full. Building plans and a permit fee must accompany this application. The more information provided in the plans, the less chance of problems being discovered during construction. The minimum plans required are:

1. Site plan showing all lot corners and lot dimensions, a footprint of the house with the setback dimensions indicated, any utility easements, location of water and sewer laterals, driveway width and length, fences, etc.

2. Floor plan with all rooms labeled as to use, dimensions of all rooms and hallways, stairways, locations of smoke detectors, furnace, water heater, etc.

3. Cross section through a typical bearing wall, from footer to roof deck. Indicate dimension and size of footing, foundation wall, anchor bolts, plates and sills, studs, sheathing, etc.

4. Floor framing and roof framing plan indicating size and spans of floor joists and rafters. If trusses will be used, provide the truss specs.

The application will be processed as soon as possible, and your permit will be issued only when all required information has been submitted and reviewed (normally within one week of application). Work shall not begin until the permit is issued.

All contractors/subcontractors are required by State law to provide Worker’s Compensation and Unemployment Insurance.

All property lines must be located and staked. All structures must be designated and constructed in accordance with International Building Code.

Property Address ___________________________________________________________ Lot # _______

TYPE OF IMPROVEMENT AND USE: (Check all that applies)

Use Group Type of Construction

θNew Building θUse Group Change θ Assembly θ1A θ4B

θAddition θOther ____________ θBusiness θ1B θ5A

θInterior Alteration θHood Suppression θEducational θ2A θ5B

Range Hood θState Jurisdiction θFactory θ2B

θFire Alarm #________________ θInstitutional θ3A

θFire Suppression θMercantile θ3B

θSign θMixed Use

θSwimming Pool θStorage

Residential Use Group

Multi-Family θApartment θCondominium

Number of Stories: ________ θNumber of Units: __________

θSquare Footage: ___________________________

COST OF CONSTRUCTION: $_______________________________

DESCRIBE PROPOSED CONSTRUCTION: ______________________________________________________________________________________________________________________________________________________________________________

Property owner _______________________ home phone _______________ daytime phone ___________

Address ________________________________________________________________________________

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I hereby certify that I am the owner or authorized agent of the owner of the property described herein, and that all information provided in this application and attachments hereto are true and accurate, and that any misrepresentation or misstatement of facts shall be grounds for denial or revocation of the permit. I hereby state that pursuant to KRS Chapter 198B.060(10) and KRS Chapter 342, all contractors and subcontractors employed in any activity covered by this permit shall be in compliance with the Commonwealth of Kentucky requirements for Worker’s Compensation Insurance and Unemployment Insurance.

____________________________________________________________ __________________

Signature of Applicant Date

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General Contractor__________________________ Contact Person________________Phone____________

Address___________________________________________________________ Cell Phone____________

Architect/Engineer ______________________________________________________ Phone____________

Address_______________________________________________________________ Fax______________

Building Setbacks: (From Property Line) Floor Area:

Front ______ft. (Right-of-Way Line) 1st Floor _______sq. ft.

Left Side ______ft. 2nd Floor_______sq. ft.

Right Side ______ft. Garage:________sq. ft. __Attached __ Detached

Rear ______ft. Basement_______sq. ft. __Finished __ Unfinished

Electric: __ KU __ City of Paris __ Bluegrass Energy __ Clark Energy Service Size: ________amp

Heating Fuel: __ Natural Gas __ Electric __ Geothermal __

Water Heater: __ Electric __ Gas Sewage: __ Public __ Septic System

Footing: Concrete psi ______ Thickness ______ Width ______ Depth Below grade ______ Rebar Y N

Foundation: Thickness _____ Height _________ Masonry __ Concrete __ PSI ______ Rebar Size ____

Vertical Rebar Spacing _____ Horizontal rebar spacing _____ Dampproofing material ______________

Plate anchors: Y N Bolt Diameter ____ Length ____ Spacing ____ Strap Y N Other ______________

Bearing Wall Studs: Size _!4>?@Gfghi…³e ƒ „ … £ `ae£ôùúY

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