Fillable 20294 - MISC Permit

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20294 - MISC Permit

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  • 16 check-boxes
  • 37 other fields

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File type: PDF

U.S.A. forms for City of Gahanna

BROWSE CITY OF GAHANNA (OH) FORMS

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PAGE 1 of 3 | BUILDING PERMIT APPLICATION | REV. 3.6.2018
BUILDING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
Phone: 614-342-4010
Fax: 614-342-4117
building@gahanna.gov
www.gahanna.gov
PERMIT NO. __________________________
MP No. ______________________________
☐ No Master Permit
RECD. BY _________ DATE: _____________
INTERNAL
MISCELLANEOUS PERMIT APPLICATION
TO REQUEST AN INSPECTION, CALL 614-342-4010 & PRESS 1, OR SCHEDULE ONLINE AT HTTPS://OHGA.ONLAMA.COM/
JOB SITE ADDRESS:
PARCEL ID NO(S).
Estimated Cost of Entire Project:
Square Footage for Project Scope of Work:
Occupancy Description: (reference Use Group table) - commerical only Type of Construction: (reference Construction Type table)-commerical only
DESCRIPTION/SCOPE OF WORK:
PROPERTY OWNER Name:
Property Owner Address:
Property Owner E-mail:
Property Owner Phone No.:
CONTRACTOR Name:
Contractor Address:
Gahanna Contractor Registration No.
Contractor E-mail:
Contractor Phone No.:
REGISTERED DESIGN PROFESSIONAL Name:
☐architect ☐designer
☐engineer ☐other: ____________________________
Registered Design Professional Address:
State License No.
Registered Design Professional E-mail:
Registered Design Professional Phone No.:
CERTIFICATION
I certify that I am the property owner or the authorized agent representing the owner, and that the information
on this application is complete and accurate to the best of my knowledge, and that the information contained on
drawings and text are a true and accurate representation of the dimensions and facts applicable to this request,
and that there are no deed restrictions that prohibit this work.
Name: ______________________________________________________ Title: ___________________________________________
Signature: ___________________________________________________ Date: ___________________________________________
THIS FORM IS AVAILABLE TO BE SUBMITTED ONLINE: HTTPS://OHGA.ONLAMA.COM
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PAGE 2 of 2 | BUILDING PERMIT APPLICATION | REV. 3.6.2018
BUILDING DIVISION
200 S. Hamilton Road
Gahanna, Ohio 43230
Phone: 614-342-4010
Fax: 614-342-4117
building@gahanna.gov
www.
g
ahanna.
g
ov
PERMIT NO. __________________________
MP No. ______________________________
☐ No Maste
r Permit
RECD. BY
_________
DATE:
_____________
INTERNAL
MISCELLANEOUS PERMIT APPLICATION CONTINUED
TO REQUEST AN INSPECTION, CALL 614-342-4010 & PRESS 1, OR SCHEDULE ONLINE AT HTTPS://OHGA.ONLAMA.COM/
☒
This application is NOT a permit. No work may begin until a permit is issued.
☒
When each phase of work is complete, an inspection is required. To request inspection, call 614-342-4010 &
press 1, or schedule online at https://ohga.onlama.com/
☒
4 sets of construction documents for commercial; 2 sets for residential to be submitted. If submitted with Master Permit
Application, do not resubmit with this application.
☒
1 PDF digital copy of construction documents to be submitted. If submitted with Master Permit Application, do not resubmit
with this application.
☐
Check box if project includes use of an industrialized unit.
☐
Check box if project includes use of an assembly of individually listed or labeled products.
FEES TYPE OF WORK (check all that apply)
$500
☐ BLEACHERS (includes 3 inspections)
$300
☐ MOVING STRUCTURE (includes 2 inspections)
$100
☐ SHORING OF BUILDINGS (includes 2 inspections)
$ SOLAR ENERGY SYSTEM (May also require and electrical permit)
☐residential - $100 (includes 1 inspection)
☐commercial/multi-family (4 or more units) - $500 (includes 2 inspections)
$250
☐ WAREHOUSE RACKING (includes 1 inspection)(May also require a fire sprinkler permit)
$150/ea. =
☐ ADDITIONAL INSPECTIONS: _______ no. of additional inspections purchased (only the specified
included number of inspections are allotted with the permit; all additional inspections must be purchased prior
to scheduling inspections.) NOTE: there will be no refunds for unused inspections.
$
TOTAL FEES - payment due at time permit is issued; includes BBS fees.
reference: Building & Zoning Fee Schedule
INTERNAL USE: PAID ☐
PAYMENT: ________________________
RECD. BY/DATE: ___________________
☒
If scope of work is determined to be more extensive than represented on this application, additional fees may be required.
THIS FORM IS AVAILABLE TO BE SUBMITTED ONLINE: HTTPS://OHGA.ONLAMA.COM
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20294 - MISC Permit

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Completed 12 July 2020

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