City
of
Brook Park Building Department
Thomas
J. Coyne Mayor
E
OFFICE
USE ONLY Fees:
__________
__________
__________
1%
/ 3%:
_________
TOTAL
= $
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Cash
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#______________
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Visa
- MC
- Disc
Work CANNOT begin on ANY project until the approved permit is on site
Completed Applications must be returned to the Building Dept. for approval.
Allow 4-5 days for processing; approved permits are mailed to the Applicant completing work.
24 Hour Minimum Notice required for ALL inspections
Date: __________________ Permit Type: Residential Commercial Estimated Cost: $_____________
PROJECT ADDRESS: ___________________________________________________________________________
PROPERTY OWNER NAME(S): __________________________________ PHONE #: ____________________
WORK TO BE COMPLETED BY: |
- PROPERTY OWNER (Must submit copy of State License & the “Homeowner’s Permit Certification”)
- CONTRACTOR: DBA NAME: _____________________________________________________________________________________________________________________
ADDRESS: ___________________________________________________________________________________________________________________________________________
CONTACT PERSON: _________________________________________________ PHONE #: ____________________________________________ -Cell -Office
EMAIL: ______________________________________________________________________________________________________________________________________________
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RESIDENTIAL PROJECT
* DRAWINGS MUST ACCOMPANY PERMIT APPLICATIONS
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COMMERCIAL PROJECT
* DRAWINGS MUST ACCOMPANY PERMIT APPLICATIONS
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Square footage: ___________________
New Home, Condo, Apt, Cluster *
Addition / remodel (up tO 400 sq. ft) *
Addition / remodel (OVER 400 sq. ft) *
fire restoration *
Other: _____________________________________
temp / PERMANENT SERVICE - uP TO 100 AMPS
101-200 AMPS
OVER 200 AMPS
G.F.C.I. OUTLET(S) - sWIMMING POOL *
HOT TUB *
OTHER: __________________
Other: __________________________________________
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Square footage: ____________________
* JOB SIZE - Up to 5,000 sq. ft 5,000 -100,000 sq. ft 100,000+ sq. ft
Warehouse / Parking garage
* Electric Signs - Up to 100 sq. ft. 100-500 sq. ft. 500+ sq. ft.
* Outside Pole Lighting - # of poles: _________________
* low voltage wiring - Up to 20,000 sq. ft 20,000+ sq. ft
Fire Alarms Security Speakers Coaxial Communications Temp. Control
State Fire Alarm Cert. #: ________________________________________________________
Panel/Dist. Center - Up to 200 amps 201-400 amps 400+ amps
motors - Up to 15 hp 16-100 hp 100+ hp
transformer/generator - up to 30 KVA 31-75 KVA 75+ KVA
* MISCELLANEOUS - Equipment Machines CRANES Temp. Wiring
Indicate # for above work: _________________
Other: ____________________________________________________ |
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BRIEF DESCRIPTION OF PROJECT: __________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________ |
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Romex (N.M.C.) prohibited in commercial/industrial buildings Aluminum wire under 100 amp capacity prohibited All overhead services must be installed in metal conduit 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.
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SIGNATURE: |
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6161
Engle Road
Brook
Park, Ohio 44142
P
(216) 433-7412 F
(216) 433-4117
230 ADMINISTRATION BUILDING STONY BROOK NY 117941188 TEL 6316326536
3 DAVID WEST PHOTO 1 2 BROOK ROAD LYTHAM
5 401 7E AVENUE NORD SHERBROOKE (QUÉBEC) J1E 2S1
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