Ashland City Fire, Building &
Life Safety Department
101 Court Street
Ashland City TN 37015
Fire & Life Safety: (615) 792-4531 – Building Codes (615) 792-6455
Permit No.____________
Approved by:_________
Date:________________
Application for Commercial Building Permit
Property
Location
Business Name: _________________________________________________________
Address: _______________________________________________________________
City/State/Zip: ________________________________County: ____________________
Permit
Type &
Proposed
Use
Designated Occupancy Classification per IBC Building Information Parking
___Assembly (A1-A5)
___Business (B)
___Education (E)
___Factory/Industry
___High Hazard (H1-H5)
___Institutional (I1-I14)
___Mercantile (M)
___Storage (S1, S2)
___Utility & Misc (U)
Total Sq Ft: _______
# of Stories:_______
# of Spaces ______
Enclosed: _______
Outdoor: ________
Construction Cost: ____________________
Flood Plain: (Circle one) YES NO *If yes, Certificate of Finished Floor Elevation required
Description of Work to Be Preformed:
____ Move/Relocation
____ Repair/Replacement
____ Addition:__________________________
____ New Construction
____ Alteration/Remodel
____ Wrecking/Demolition
____ Tenant Infill/Build Out
Building Characteristics:
Type of Frame: ____ Wood ____ Masonry ____ Structural Steel ____ Reinforced concrete ____ Other:______________
Type of Heating Fuel: ____ Gas ____ Electricity ____ Other: __________________________________
Type of Mechanical ____ Central Air Conditioning ____ Geothermal ____ Other: ________________________________
Type of Water Supply: ____ Public or Private Co. ____ Private (well) ____ Other: _______________________________
Type of Sewage: __
Public or Private Co. ____ Private (septic Tank) ____ Other:_____________________________
Special Building /Site Feature: Grease Trap size: _______ gallons Driveway concrete culvert size: ______ inches
_____ Medical Gas _____ Elevator _____ Fire Suppression System
Property
Owner
Name: ______________________________________________Phone:_______________
Address: ___________________________City/State: _______________ Zip: __________
Phone: ______________________ Email:_____________________________
Contractor
(License & Insurance
Required for jobs
$25,000 and above)
TN License # ____________ Insurance # _______________ Email: __________________
Name: ______________________________________________ Phone: ______________
Address: ________________________________City/State: ____________ Zip: ________
Required: 3 full sets of Construction Plans (print copies), 1 set emailed to jmcclain@ashlandcitytn.gov ,
including Contractor Licenses & Insurance.
_______________________________________
pplicant Si
nature Date
_______________________________________
Buildin
Inspecto
Si
nature Date
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signature
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