PERMIT TYPE: (fyi- OBC changes to 2015 in November, 2017)
Description of work:
To be signed by APPLICANT:
Lot Number & Subdivision:
The owner of this building and undersigned, do hereby covenant and agree to comply with all the
laws of the State of Ohio and the ordinances of this jurisdiction, pertaining to building and
buildings, and to construct the proposed building or structure or make the proposed change or
alteration in accordance with the plans and specifications submitted herewith, and to the best of
my knowledge, the information and statements given on this application, drawings and
specifications are to the best of their knowledge true and correct.
BUILDER/CONTRACTOR INFORMATION: (Company)
Hilliard Contractor Registration #:
Builder/Contractor Company Name:
Architect/Engineer Company Name:
Application for Plan Review
Incomplete applications will not be processed.
Separate permits are required for electric wiring, heating and ventilating,
plumbing, moving, wrecking, shoring, and sewer systems are needed. Building
permits shall not be issued until these permits have been obtained.
APPLICANT INFORMATION: (individual)
CERTIFIED ADDRESS INFORMATION:
Multi-Family 4+ (OBC 2011)
Revision/Response to Correction
Multi-Family 2-3 (RCO 2013)
Permit number assigned:
Inspection Line: 614-334-2466
Call by 2pm for next business day inspection.
Becomes a Building Permit when signed
Issuing Authorities Approval & Date
It is the responsibility of the homeowner to obtain any required Homeowner’s Association Approval.
3800 Municipal Way, Hilliard, OH 43026