Date
Application For An
Appeal
of A Building Code Decison
Phone Number
Fax Number
email
Zip CodeStateCityApplicant Address
Signature
Applicant Name
The owner of a building or structure, the owner's agent or any other person involved in the design or construction or use of
a building or structure may appeal a decision of the code official concerning the application of the USBC to such building or
structure and may also appeal a refusal by the code official to grant a modification to the provisions of the USBC pertaining to such
building or structure. The applicant shall submit a written request for appeal to the Local Board of Building Code Appeals (LBBCA)
within 30 calendar days of the receipt for the Virginia Construction Code, within 14 days of receipt for the Virginia Maintenance
Code, and within 14 days of receipt for the Virginia Amusement Device Regulations, of the decision being appealed.
The application shall contain the name and address of the owner of the building or structure and in addition, the name and
address of the person appealing, when the applicant is not the owner. A copy of the code official's decision shall be submitted along
with the application for appeal and maintained as part of the record.
The application shall be marked by the LBBCA to indicate the date received. Failure to submit an application for appeal
within the time limit established by this section shall constitute acceptance of a building official's decision.
Relationship
Owner Name
email
Fax Number
Phone Number
Zip CodeStateCityOwner Address
Description of
Appeal
(Attach additional
sheets if necessary)
Written Copy of Code Official's Decision
Must Be Attached To This Appeal
Application Received By
Date Received
Date of Code Official's Decision
$75 Appeal Fee Received
A $75 Appeal Fee Must Be Included With This Application
Owner Owner's Agent
Planning Building & Development
215 Church Ave., SW, Room 170
Roanoke, VA 24011
Phone:
(540) 853-1090 Fax: 853-1594
www.roanokeva.gov
permitcenter@roanokeva.gov
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