Fillable BuildingSubcodeApp Layout 1

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BuildingSubcodeApp Layout 1

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U.S.A. forms for City of Allentown

BROWSE CITY OF ALLENTOWN (PA) FORMS

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BUILDING SUBCODE
TECHNICAL SECTION
A. IDENTIFICATION - APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGING
CONTRACTORS, NOTIFY THIS OFFICE. CALL PA ONE CALL 8-1-1 OR 1-800-242-1776 BEFORE DIGGING.
Work Site Location ______________________________________________________________________________
______________________________________________________________________________________________
Owner in Fee: __________________________________________________________________________________
Tel. _______ ________________________ Email ________________________________________________
Address _______________________________________________________________________________________
street municipality zip code
Contractor: _______________________________________________ Tel. _______ ______________________
Address _________________________________________________ Email ______________________________
______________________________________________________________________________________________
Builder Registration No. ______________________ Exp. Date ____________________
Home Improvement Contractor Registration No. Exemption Reason (if applicable): ____________________________
CIty of Allentown Business License No. _______________________________ Exp. Date ____________________
B. BUILDING CHARACTERISTICS
Use Group Present _______ Proposed _______ Constr. Class Present _______ Proposed _______
No. of Stories ______________________________ If Industrialized Building:
Height of Structure __________________________ ft. State Approved ________ HUD ________
Area - Largest Floor _________________________ sq. ft. Est. Cost of Bldg. Work:
New Bldg. Area / All Floors ____________________ sq. ft. 1. New Bldg. $ ___________________
Volume of New Structure _____________________ cu. ft. 2. Rehabilitation $ ___________________
Max. Live Load _____________________________ 3. Total (1 + 2) $ ___________________
Max. Occupancy Load _______________________
C. CERTIFICATION IN LIEU OF OATH
I hereby certify that I am the (agent of) owner of record and am authorized to make this
application.
_________________________________________________________
Applicant’s /Contractor’s Signature
D. TECHNICAL SITE DATA
DESCRIPTION OF WORK:
TYPE OF WORK FEE (Office Use Only)
[ ] New Building $__________________
[ ] Addition __________________
[ ] Rehabilitation __________________
[ ] Roofing __________________
[ ] Siding __________________
[ ] Fence ___________ Height (exceed 6’) __________________
[ ] Sign ____________ Sq. Ft. __________________
[ ] Pool __________________
[ ] Retaining Wall __________ Sq. Ft. __________________
[ ] Asbestos Abatement __________________
[ ] Lead Haz. Abatement __________________
[ ] Other _____________ __________________
[ ] Demolition __________________
Archive Fee $ ___________________
Certificate of Occupancy $ ___________________
State Permit Surcharge Fee $ ___________________
TOTAL FEE $ ___________________
JOB SUMMARY (Office Use Only)
PLAN REVIEW Date Initial INSPECTIONS Dates (Month / Day)
[ ] No Plans Required ____ ____ Type: Failure Failure Approval Initial
[ ] All ____ ____ Footing _______ _______ _______ _______
[ ] Footings/Foundations ____ ____ Footing Bonding _______ _______ _______ _______
[ ] Structural/Framework ____ ____ Foundation _______ _______ _______ _______
[ ] Exterior ____ ____ Slab _______ _______ _______ _______
[ ] Interior ____ ____ Frame _______ _______ _______ _______
Joint Plan Review Required: Barrier-Free _______ _______ _______ _______
[ ] Elec. [ ] Plumb. [ ] Fire [ ] Elevator Insulation _______ _______ _______ _______
Finishes-Base Layer _______ _______ _______ _______
SUBCODE APPROVAL for PERMIT Finishes-Final _______ _______ _______ _______
Date: _______________________________ Energy _______ _______ _______ _______
Approved by: _________________________ Mechanical _______ _______ _______ _______
SUBCODE APPROVAL for PERMIT TCO _______ _______ _______ _______
[ ] CO [ ] CCO [ ] CA Other _______ _______ _______ _______
Date: _______________________________ Final _______ _______ _______ _______
Approved by: _________________________ Barrier-Free _______ _______ _______ _______
Master Permit #
Permit #
click to sign
signature
click to edit
PROGRESS REPORT
Address: ________________________________________________________ Permit No. ________________
Date By
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Completed 10 July 2020

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