Building Permit Application Aug 2014 - aacounty.org

1 Building Permit ApplicationPermit NumberFeeDateTax Acct #--Perc #UA/PWA#Site AddressMapBlockParcelLot(s)CityZipSubdiv isionSuite #Tenant NameTenant LocationProperty Owner InformationContractor's InformationCompany NameLic Type & #Company NameNameNameMailing AddressMailing AddressCityZipCityZipTelephoneTelephoneE mailEmailApplicant InformationEngineer InformationCompany NameCompany NameNameNameMailing AddressMailing AddressCityZipCityZipTelephoneTelephoneE mailEmailArchitect InformationPermit Type-Check OneCompany NameNewSprinklersNameAdditionAccessory Structure-Mailing Address indicate heights of.

2 Alteration/RepairsCityZipPrincipal_____f t _____inSignTelephoneAccessory _____ft _____inEmailIs this Permit Application to resolve a violation? YesNoDescribe Proposed Work:revised 8/7/14 jprStateStateStatePermit Center2664 Riva RoadAnnapolis MD 21401 StateStateStateProperty DetailsConstruction DetailsCorner LotYesNoPublic WaterXTotal Sq. SewerUnfinished BasementXCritical AreaYesNoWellFinished BasementXBog AreaYesNoSeptic1st FloorXADC MapMayo System2nd FloorXZoning Classification3rd FloorXName of Waterway Garage/CarportXPorchXBuilding CharacteristicsXBldg Height:ShedXNumber of StoriesOtherNumber of BedroomsTotal Square FootageNumber of BathsTotal Finished Area- per ANSI Z765-2003 Smoke DetectorsCost of Work$Carbon Monoxide DetectorsGrading Permit #FireplaceProposed Work to Include (check all that apply).

3 Heating Fuel Type/ACSprinklersYesNoPlumbingYesNoElect ricYesNoHeating/ACYesNoUse GroupHeating FuelConstruction TypeNumber of StoriesExisting UseBuilding Height: Existing Proposed UseNumber of Fire AlarmsNumber of ElevatorsTotal Square FootageNumber of StandpipesSprinklered Area Square FootageSmoke DetectorsSignedDate:Print Name:LengthWidthCommercial Building Permit Application DetailsMany subdivisions and neighborhoods within Anne Arundel County have private deed restrictions or covenants regulating Building construction. AnneArundel County staff will not determine whether or not the work covered by a Permit satisfies these covenants.

4 Obtaining a Building Permit does not relievethe homeowner of his responsibility for determining the nature of applicable covenants and private deed restrictions and complying with covenants. It isrecommended that the Land Records Office of the Anne Arundel County Clerk of the Court's office be checked to determine whether or not covenants orrestrictions exist that regulate the proposed work. You may also wish to check with your Civic or Homeowner's Association to see if other restrictions apply. ProposedExistingProposedThe applicant hereby certifies as follows: 1) that he/she is authorized to make this Application ; 2) that all informationprovided by the applicant, whether on an original Application or on an Application for a revision, is true and correct, includingall information on any attachments hereto.

5 3) that, on an Application for revision and all attachments thereto, he/she hasbrought to the attention of the Permit Center all changes being made from the original Application and attachments theretoby highlighting those changes on this form and the attachments; 4) that he/she will comply with all regulations of AnneArundel County which are applicable hereto; 5) that he/she will perform no work on the above property not specificallydescribed in this Application ; 6) that he/she grants County officials the right to enter onto the property for the purpose ofinspecting the work permitted and posting Building Permit Application DetailsDeck