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City of St. Marys, PA Code Enforcement Department (City of St. Marys)

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City of St. Marys, PA
Code Enforcement Department
COMMERCIAL BUILDING PERMIT APPLICATION
COMPLETE ALL APPLICABLE INFORMATION: Date:____________________________
Owner:____________________________________ Phone: _____________________
Owner Address:_______________________________Fax: _______________________
Worksite Address:_________________________________________________________
Architect/Design Professional: _________________________________________________
Architect/DP. Address: ______________________________________________________
Phone: _______________ Fax: _______________ Email: ____________________________
Description Of Work:_________________________________________________________________
[ ] New Building [ ] Addition [ ] Alteration [ ] Roofing [ ] Pool
[ ] Fence (Exceeds 6’) [ ] Sign [ ] Accessory Structure [ ] Demolition [ ] Other
New Building Area All Floors__________sq.ft. Estimated Building Cost: $__________________
Building Contractor:______________________________________ Phone: ____________________
Contractor Address:______________________________________ Fax: ______________________
Fed. Emp. No.________________________________ License No._____________________________
I certify that as the owner or authorized agent of the project all work will be done according to the PA Uniform
Construction Code and all approved plans or specifications. No error or omission in the drawings, whether approved
or not, shall relieve me from constructing the work in any other manner.
Signature:_____________________________________________ Date:________________________
11 LAFAYETTE STREET ST. MARYS PENNSYLVANIA 15857
PHONE (814) 781-1718 www.stmaryspa.gov FAX (814) 834-1304
Office
Use
Only
:
Permit No: ____________ Permit Fee: ____________ Date Issued:____________
Plan Review Date:_______ Approved:_____________ Not Approved:__________
Control Number:____________________ Application Number:_______________________
BUILDING SECTION
Description Of Work:____________________________________________________________________
[ ] New Service [ ] Service Upgrade [ ] New Wiring [ ] New Elec. Device/Appliance
[ ] Other ____________________________ Estimated Electrical Cost: $______________________
Electrical Contractor:__________________________________________ Phone: __________________
Contractor Address:____________________________________________ Fax: ___________________
Fed. Emp. No.___________________________________License No._____________________________
Electrical Service
__________ AMP ______________Volt ____Phase West Penn Power w.o.#__________________
___Overhead ___Underground Service Entrance Conductor size _____ Copper _____ Aluminum
___Permanent ___ Temporary Grounding Conductor size _____ Copper _____ Aluminum
Sub-Panels: __________ AMP ____________Volt ____Phase Conductor sizes/types________________
I certify that as the owner or authorized agent of the project all work will be done according to the PA
Uniform Construction Code and all approved plans or specifications. No error or omission in the drawings,
whether approved or not, shall relieve me from constructing the work in any other manner.
Signature:______________________________________________ Date:__________________________
Description Of Work:____________________________________________________________________
Type of Fuel: [ ] Natural Gas [ ] LP Gas [ ] Electric [ ] Other_____________________
Installation of New Equipment (check all that apply): Size/BTU:_________________________________
____ Forced Air Furnace ____ Boiler ____ Solid Fuel Appliance ____ Radiant Floor Heat
____ A/C Unit ____ Ductwork ____ Exhaust Fans ____ Kitchen Hood
____ Other______________________________ Estimated Mechanical Cost: $___________________
Mechanical Contractor:_______________________________________ Phone: ____________________
Contractor Address:__________________________________________ Fax: ______________________
Fed. Emp. No._____________________________________ License No.___________________________
I certify that as the owner or authorized agent of the project all work will be done according to the PA
Uniform Construction Code and all approved plans or specifications. No error or omission in the drawings,
whether approved or not, shall relieve me from constructing the work in any other manner.
Signature:______________________________________________ Date:__________________________
ELECTRICAL SECTION
MECHANICAL SECTION
Description Of Work:____________________________________________________________________
Installation of New Equipment/Fixtures (check all that apply): Water main size:___ Sewer main size:___
[ ] Water Closet [ ] Urinal [ ] Shower [ ] Sink [ ] Floor Drain
[ ] Hose Bibb [ ] Water Heater [ ] Grease trap [ ] Separator [ ] Interceptor
[ ] Backflow Preventer [ ] Dishwasher [ ] Sump Pump [ ] Stacks [ ] Water Service
[ ] Garbage Disposal [ ] Other___________________ Estimated Plumbing Cost: $______________
Plumbing Contractor:______________________________________________ Phone: _______________
Contractor Address:________________________________________________ Fax: ________________
Fed. Emp. No.___________________________________________License No.______________________
I certify that as the owner or authorized agent of the project all work will be done according to the PA
Uniform Construction Code and all approved plans or specifications. No error or omission in the drawings,
whether approved or not, shall relieve me from constructing the work in any other manner.
Signature:____________________________________________________ Date:____________________
Description Of Work:____________________________________________________________________
Fire Alarm Systems:
[ ] Detectors/Smoke [ ] Detectors/Heat [ ] Pull boxes [ ] Dampers
[ ] Audible Alarms [ ] Visual Alarms [ ] Other_________________________
Fire Suppression Systems:
[ ] Standpipes [ ] Sprinkler Heads [ ] Wet System [ ] Dry System
[ ] Chemical System [ ] Kitchen Hood Exhaust [ ] Other_________________________
Fire Separation:
[ ] Single Use [ ] Separated Uses [ ] Mixed Use [ ] Incidental Use
List Uses & Fire Separation/Hour (when applicable):_________________________________________
Fire Protection Contractor:___________________________________________Phone: ______________
Contractor Address:________________________________________________Fax: ________________
Fed. Emp. No._________________________________________License No.______________________
Estimated Cost Of Fire Protection Work:____________________________________________________
I certify that as the owner or authorized agent of the project all work will be done according to the PA
Uniform Construction Code and all approved plans or specifications. No error or omission in the
drawings, whether approved or not, shall relieve me from constructing the work in any other manner.
Signature:______________________________________________________ Date:_________________
PLUMBING SECTION
FIRE PROTECTION SECTION
BUILDING INFORMATION & CODE DATA
USE GROUP: (Check all that apply)
A-1 A-2 A-3 A-4 A-5 B
E F-1 F-2 H-1 H-2 H-3
H-4 H-5 I-1 I-2 I-3 I-4
M R-1 R-2 R-3 R-4 S-1
S-2 U
TYPE OF CONSTRUCTION: (Check all that apply)
IA IB IIA IIB IIIA IIIB
IV VA VB
OCCUPANT LOAD:_____________________________________________________
CODE EDITIONS USED: (Check all that apply)
2015 IBC 2015 IPC 2015 IMC 2014 NEC
2015 IECC 2015 IEBC 2015 IFGC 2015 IFC
Pennsylvania UCC Accessibility Requirements
2018 IBC Chapter 11 & Appendix E 2009 ANSI A117.1
ALTERATIONS: (Specify which Code alterations will comply with)
International Existing Building Code Level 1 2 3
Chapter 34 International Building Code
11 LAFAYETTE STREET ST. MARYS PENNSYLVANIA 15857
PHONE (814) 781-1718 www.stmaryspa.gov
FAX (814) 834-1304
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City of St. Marys, PA Code Enforcement Department (City of St. Marys)

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Completed 16 July 2020

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