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City of Piedmont
Permit Application
All Building Permits require staff review therefore we are unable to issue building permits on an immediate basis. Building permits require
extensive review and will be completed in a timely basis. Residential: One set of plans (paper and electronic) with plot plans are to accompany
the completed building permit for review. Non-Residential: Two paper sets and one electronic copy of dimensioned plans are to accompany
the completed building permit for review. Staff will contact you when your building permit has been issued and is ready for pick up.
PLEASE NOTE: ALL FEES ARE TO BE PAID BEFORE A PERMIT CAN BE ISSUED. THE CITY OF PIEDMONT’S FEE SCHEDULE CAN BE FOUND ON THE CITY
WEBSITE. FEES ARE SUBJECT TO CHANGE. NO CONSTRUCTION IS TO BEGIN WITHOUT AN AUTHORIZED BUILDING PERMIT.
☐ Residential or ☐ Non-Residential?
Building Type (One per application):
☐ New Construction
☐ Remodel
☐ Add-on
☐ Accessory Building
Type of Permit (One per application):
☐ Building Permit
☐ Plumbing
☐ Electrical
☐ Roofing
☐ Driveway
☐ Drainage/Earthwork
☐ Generator
☐ Fence (See Back)
☐ Demolition
☐ Sprinkler
☐ Oil Well
☐ Road Bore (See Back)
☐ Mechanical
# of Units: __________
☐ Pool
☐ Above Ground
☐ In Ground
☐ Commercial Marijuana
Establishment (See Back)
☐ Sign (See Back)
☐
Other: _______________
_________________________________________________________
Project Owner’s Name
_________________________________________________________
Project Address
_________________________________________________________
Legal Description of Property (Ex. NW/4, Sec. 32, T14N,
R5W)
_________________________________________________________
Project Mailing Address (If Different)
_____________________________ $_____________________________
Phone Number Estimated Value
__________________________________________________________
Project Housing Addition (If Applicable)
__________________________________________________________
Building Contractor’s Name
__________________________________________________________
Address
__________________________________________________________
City, State, Zip Code
__________________________________________________________
Mailing Address (If Different)
__________________________________________________________
Phone Number
__________________________________________________________
E-Mail Address for Permit and Inspection Results
_____________________________________________________________________
Intended Use (Required for all Residential and Non-Residential Permits
Basement: ________
1
st
Floor: ________
3
rd
Floor: ________
2
nd
Floor: ________
Garage: ________
Covered
Porch/Patio: ________
Total: ___________
Lot Number: ____________
Size of Lot: ___________ Acres
City Water? ☐ Yes ☐ No
City Sewer? ☐ Yes ☐ No
*Note: Cross connections between public and private water supplies are illegal. Public water and sewer connections ARE ILLEGAL without the City of Piedmont’s permission.
Will the construction alter or change the flow of water drainage on the property? ☐ Yes ☐ No
ALL CONTRACTORS MUST BE LICENSED THROUGH THE CITY OF PIEDMONT
____________________________________________________________________________
Plumbing Contractor and Phone Number
____________________________________________________________________________
Mechanical Contractor and Phone Number
____________________________________________________________________________
Electrical Contractor and Phone Number
____________________________________________________________________________
Fence Contractor and Phone Number
____________________________________________________________________________
Sprinkler Contractor and Phone Number
____________________________________________________________________________
Other Contractor and Phone Number
FENCE PERMIT INFORMATION
Front Yard Fence
Length: ________________
Height: ________________
Type of Fence: ________________
Rear Yard Fence
Length: ________________
Height: ________________
Type of Fence: ________________
Side Yard Fence
Length: ________________
Height: ________________
Type of Fence: ________________
ROAD BORE PERMIT INFORMATION
Road Bore Size:
Length in Linear Feet: ________________
SIGN PERMIT INFORMATION
Sign Size in Square
Feet:
☐ Portable
☐ 0-100 sq. feet
☐ 101-200 sq. feet
☐ 201-500 sq. feet
☐ 501 sq. feet and more
COMMERCIAL MARIJUANA ESTABLISHMENT INFORMATION
Engineered
construction
drawings must
also include the
following. Plans
will go to the Fire
Marshalls office
for review (at
applicants cost):
□ Site Plan: drawn and printed to scale, showing the location of all structures on the property,
roads, fire hydrants, etc.
□ Floor Plan: Drawn and printed to scale, with room names.
□ Elevation Plan
□ Electrical Plan that also show the emergency lights and exit signs
□ Bulk tank installations over 2,000 pounds will require an engineered structural foundation
with a separate tank installation permit. Two complete sets of structural drawings,
specifications and analysis (calculations) shall be provided and shall bear the seal of a
licensed Oklahoma professional engineer.
□ Code Analysis Sheet
□ HVAC plans that include fire/smoke dampers (if required)
□ Electronic copies of all documents.
The applicant attests that all improves shall meet or exceed International Residential Codes (IRC) and/or International Building Code (IBC) and conform to the Piedmont
Zoning Ordinance, Subdivision Regulations, and all other applicable ordinances. All improvements shall be null and void if the foundation is not completed within six (6) months
or the improvement does not meet or exceed the above requirements or if any application information is incorrect.
Signature: __________________________________________________________________________________ Date: ____________________________________________
Printed Name: ___________________________________________________
City Use Only
Permit #: 2020- ___________________________
Parcel #: __________________________________
Zoning District: ___________________________
Flood Zone: ___________________
Address: ____________________________________________________________________________________
☐
Paid
☐
Unpaid
Amount: $__________________________________
Receipt Number: __________________________
☐
Cash
☐
Check
Check Number: ___________________________
New Builds Only:
Water Service Application Completed?
☐
Yes
☐
No
☐
N/A
Sewer Service Application Completed?
☐
Yes
☐
No
☐
N/A
Received Digital Copies:
☐
Yes
☐
No
☐
N/A
______________________________________________
City Inspector Approval
______________________________________________
Date
______________________________________________
Community Development
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Completed 14 July 2020

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