BoroughofCollegeville
491E.MainStreet
Collegeville,PA19426
610.489.9208610.489.6661(fax)
www.collegevillepa.gov
ELECTRICALPERMITAPPLICATION
1.ELECTRICALPERMITAPPLICATION
Street,City,State,Zip
ForBoroughUseOnly
ParcelNo.Block&Unit ZoningDistrict
2.IDENTIFICATION
PropertyOwner:__________________________________________________________________________________
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Address:________________________________________________________________________________________
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CellPhone:______________________________________OtherPhone:_______________________________
EMail:__________________________________________________________________________________________
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Tenant:_______________________________________________________________________________
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Address:_______________________________________________________________________________________
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CellPhone:_______________________________________OtherPhone:________________________________
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EMail:________________________________________________________________________________________
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Contractor:______________________________________________________________________________________
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Address:________________________________________________________________________________________
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CellPhone:______________________________________OtherPhone:_______________________________
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EMail:__________________________________________________________________________________________
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 BoroughofCollegeville
491E.MainStreet


3.TYPEOFELECTRICALWORK(Pleasecheckone)
NewAlterationOtherResidentialIndustrial

AdditionRepairSourceCommercial
TotalCostofElectricalWork:PermitFee:(SeeFeeSchedule)
DescriptionofWork:_______________________________________________________________________________
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________________________________________________________________________________________________
________________________________________________________________________________________________
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________________________________________________________________________________________________
Validation(ForBoroughUseOnly)
PermitNo.:PermitIssued: PermitFee:CheckNo.:
Bysigningthisapplication,thecontractor/applicantcertifiesthatallinformationgiveniscorrectandthepropertyownerhasauthorizedthe
work.DepositofcheckrepresentingfeesforthisapplicationdoesnotconstituteapprovaloforgrantingofsamebyCollegevilleBorough.
SignatureofContractor/Applicant__________________________________________________Date:___________________
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
BoroughofCollegeville
491E.MainStreet
Collegeville,PA19426
610.489.9208610.489.6661(fax)
www.collegevillepa.gov
PermitApplicationInstructions
ABuildingPermitisrequiredforallnewconstructionincludingrenovations,alterations,andinteriorand
exteriorstructuralrenovations.Alsoforaccessorybuildingsandshedsgreaterthan1000sq.ft.,decks,
pools,garages,rooforpatiocoverenclosuresoralterationsanddemolitionofanystructure.Please
completeALLsectionsofthepermitapplication.Thispermitapplicationwillnotbeaccepteduntilall
sectionsarecompletedproperly.Ifthesectionisnotapplicable,pleaseindicatethatontheapplication.
Whensubcontractorsarebeingused,pleasecoordinatewiththemandsubmitpermitapplicationsatthe
sametime.Contractor’sregistrationsarerequiredforallHVAC,Plumbing,andElectricalContractors.ALL
contractorsmustsubmitacertificateofinsurancelistingCollegevilleBoroughasanadditionalinsured.
Also,proofofWorkmen’sCompensationmustbesubmitted.
Allapplicationsmustbeaccompaniedwithasiteplandrawntoscaleindicatingtheplacementand
dimensionoftheproposedstructure,setbackstoallpropertylinesandtheplacementofallexisting
structuresontheproperty.Thepermitapplicationwillnotbeacceptedwithouttherequiredplansatthe
timeoftheapplication.
Allapplicationsmustbeaccompaniedwithtwo(2)setsofplansandspecifications.
AllpermitfeesmustbesubmittedwiththePermitapplications.
CalltheBoroughOfficeat610.489.9208atleast24hoursinadvancetoscheduleeachinspection.
Responsibilityfornotificationforinspectionsatthevariousstagesofconstructionlieswiththeapplicant
and/orcontractor.Iftheappropriateinspectionsarenotrequested,uninspectedworkwillnotbe
grantedfinalapproval.
PLEASENOTE:
HVACContractors:AllresidentialpermitsinvolvingHVACworkwhichwillaffecttheHVACsystem
(replacements,additions,finishedbasements,etc.)willrequireHVACLOADCALCULATIONStobe
submittedaspartofthepermitsubmittalpackage,inordertoshowcompliancewitheitherASTM193
orManualJCalculations,EnergyCompliance;IECC2009.AnHVACCertificationletter,byitself,isno
longeracceptable.PleasenotethatanyHVACpermitapplicationsreceivedthatdonothaveload
calculationsincludedwillberejected.
Thankyouinadvanceforyourcooperation!