APPLICATION FOR BUILDING PERMIT
INSPECTION AND CODE
COLUMBUS, GEORGIA
APPLICATION IS HEREBY MADE FOR A BUILDING PERMIT TO ACCOMPLISH THE WORK AS
HEREIN DESCRIBED IN ACCORDANCE WITH DUPLICATE PLANS AND/OR SPECIFICATIONS
SUBMITTED HEREWITH. IT IS AGREED THAT ALL CORRECTIONS IN PLANS AND/OR SPECIFICA-
TIONS NECESSARY FOR COMPLIANCE SHALL BE OBSERVED AND ALL REQUIREMENTS OF THE
BUILDING CODE. THE ZONING ORDINANCE AND ALL OTHER PERTINENT LAWS AND ORDI-
NANCES OF COLUMBUS, GA. REGULATING CONSTRUCTION SHALL BE COMPILED IN THE PUR-
SUIT OF THIS WORK WHETHER OR NOT SPECIFIED HEREIN.
PERMIT NUMBER ________________
FIRE DISTRICT ___________________
ZONE DISTRICT __________________
VALUATION $ ___________________
PERMIT FEE $ ____________________
STORAGE BOX # _________________
APPROVED ______________________
_______________________________________________________
NAME
_______________________________________________________________________
ADDRESS
_______________________________________________________________________
CITY,TOWN, RFD NO. STATE ZIP
___________________________________
PHONE
_________________________________
e-mail
__________________________________________________
STREET ADDRESS
LOT ____________ BLOCK______________MAP_____________
SUBDIVISION __________________________________________
DISTRICT __________
WORK CLASSIFIED
____NEW
CONSTRUCTION
____ ADDITION
____ ALTERATIONS
____ STRUCTURAL
REPAIR
____ DEMOLITION
____ SPRINKLER
____ OTHER
SIZE, ETC.
________________________ _________________
NUMBER OF STORIES MAX. LENGTH
______________________________ _____________________
MAX. WIDTH MAX. HEIGHT
AREA PER FLOOR LIVE LOAD CAP.
BASEMENT_________________ __________________
1ST FLOOR _________________ __________________
2ND FLOOR _________________ __________________
3RD FLOOR _________________ __________________
4TH FLOOR _________________ __________________
5TH FLOOR _________________ __________________
PENTHOUSE ________________ __________________
TOTAL
ALL FLOORS _______________ __________________
Provide same information for each additional floor on
reverse side of form or attached sheet and
include area in total.
TYPE CONSTRUCTION
TYPE 1 ____A ____ B
TYPE 11 ____ A ____ B
TYPE 111 ____ A ____ B
ORDINARY
TYPE IV ____ A ____ B
HEAVY TIMBER
TYPE V ____ A ____ B
WOOD FRAME
OTHER ____ A
(SPECIFY)
_______________________
_______________________
_______________________
OCCUPANCY
____ GROUP A ASSEMBLY
____ GROUP B
BUSINESS
____ GROUP E
EDUCATIONAL
____ GROUP F FACTORY INDUSTRIAL
_____
GROUP H HIGH HAZARD
____ GROUP I
INSTTUTIONAL
____ GROUP M
MERCANTILE
____ GROUP R
RESIDENTIAL
—— GROUP S
STORAGE
—— GROUP U
ACCESSORY STRUCTURE
Explain proposed use of building ___________
_______________________________________
FOR OFFICIAL USE ONLY
ELEVATION CERTIFICATE REQUIRED ____ YES ____ NO
SPECIAL INSPECTIONS REQUIRED ____ YES ____ NO
FIRE HYDRANT APPROVAL REQUIRED ____ YES ____ NO
TREE APPROVAL REQUIRED ____ YES ____ NO
BUFFER APPROVAL REQUIRED ____ YES ____ NO
LOT AND ZONING INFORMATION
LOT AREA (in square feet) ___________________________________
LOT FRONT ______
Front _________________ Rear _________________
LENGTH OF SIDES 1. _______________________ 2. __________________
NUMBER OF OFF STREET PARKING SPACES PROVIDED ____________
NUMBER OF OFF STREET PARKING SPACES REQUIRED ____________
NUMBER OF EMPLOYEES ON MAXIMUM WORKING SHIFT _________
ARE ANY STRUCTURES PRESENTLY LOCATED ON PLOT? __________
IF YES,
AREA OF BUILDING ON LOT _____________________________________
PERCENTAGE OF LOT OCCUPANCY ______________________________
NAME ____________________________________________________________________
ADDRESS _________________________________________________________________
CITY ___________________________________ STATE ________ ZIP _______________
PHONE ___________________________________________________________________
ADDITIONAL INFORMATION _________________________________________________________________________________
___________________________________________________________________________________________________________
PERMIT DENIED FOR NON-COMPLIANCE WITH ZONING REGULATIONS BECAUSE __________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
REFERENCE CASE NO. ____________________________________ BUILDING OFFICIAL ___________________________________
I HEREBY CERTIFY: THAT I HAVE READ THIS APPLICATION AND THAT ALL INFORMATION CONTAINED HEREIN IS TRUE
AND CORRECT: THAT I AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CON-
STRUCTION; THAT I AM THE OWNER OR AUTHORIZED TO ACT AS THE OWNERS AGENT FOR THE HEREIN DESCRIBED WORK;
AND, THAT THE TOTAL CONTRACT OR VALUATION IS
$ _____________________________________ NAME OF COMPANY _________________________________________
DATE ________________________________ SIGNATURE _________________________________________________
By owner or authorized agent
If Residential
No. Units
Existing _________
To Be
Added _________
Total _________
IS APPLICANT A
LICENSED CONTRACTOR
____ YES ____ NO
click to sign
signature
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