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Borough of Lehighton 1 Constitution Avenue Lehighton, PA 18235 Phone (610) 377-4002
LEHIGHTON BOROUGH
ZONING PERMIT APPLICATION PACKET
Submission Checklist
Applicable Fees Payable to Lehighton Borough
Application completed in ink and signed by applicant and property owner if the applicant is not the property owner or provide
written authorization from the owner to act as their agent.
Completed plot plan with all required information attached. (Please refer to sample provided)
Building Plans, as applicable. Include a floor plan and elevation plan for all new construction, including additions and decks.
Ground Coverage Percentage for new primary structures and/or additions to primary structures (impervious coverage divided
by lot area), if applicable
Contractor Certificate of Insurance naming LEHIGHTON BOROUGH as certificate holder
Height and size of structure specified on application where indicated.
Parcel ID number and property address
Contact person and phone number
Copy of recorded deed (if required)
Copy of Septic Permit if required)
Copy of Water Supply Approval/Permit (if required)
Copy of Driveway Permit (if required)
Highway Occupancy Permit (if required)
County Conservation District Approval (if required)
Copy of Storm Water Approval/Permit (if required)
Copy of Elevation Certificate (if required)
All Property lines and proposed location of structure(s) must be marked on the site prior to submitting the application.
Lehighton Borough Zoning Officer
1 Constitution Avenue
Lehighton, PA 18235
610- 377-4002
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If you are erecting a new structure, creating a new use for the property, changing the use of the property or creating a new point
of access to your property, you will need to secure approval for access into the adjoining road or street.
If the road is a state highway, you will need to secure approval of a highway occupancy permit from PennDOT.
If the road is a borough road, you will need to secure approval of a driveway permit from Lehighton Borough.
YOUR ZONING PERMIT CANNOT BE PROCESSED WITHOUT IT.
If you are grading/excavating or filling a site, provide the following information:
Area of:
Excavation (sq. ft.) __________
Fill (sq. ft.) __________
Type of Fill Material ___________________________________________________________________
Depth at deepest point of either fill or excavation (ft.) _________________
Proposed Times of Operation (day, start time, finish time) ____________________________________
IF YOU ARE PROPOSING AN EARTH DISTURBANCE ACTIVITY THAT INVOLVES ONE (1) ACRE OR MORE, AN EROSION AND
CONTROL PLAN WILL BE REQUIRED FOR THE PROJECT THAT WILL NEED TO BE REVIEWED AND DEEMED ADEQUATE BY
THE CARBON COUNTY CONSERVATION DISTRICT (CCCD). YOU SHOULD CONTACT THE CCCD AT 610-377-4894 PRIOR TO
COMMENCING THE EARTH DISTURBANCE ACTIVITY.
#1-INITIAL __________ OVER ONE (1) ACRE OF EARTH DISTURBANCE.
#2-INITIAL __________ UNDER ONE (1) ACRE OF EARTH DISTURBANCE.
IF #1 IS INITIALED NO BUILDING OR ZONING APPLICATION WILL BE ACCEPTED BY LEHIGHTON BOROUGH WITHOUT
PROPER DOCUMENTATION.
The payment for the Zoning Application is a separate payment from the Building Permit.
Any additional zoning fees due are payable to LEHIGHTON BOROUGH upon issuance of permit.
Should you have any questions please call 610-377-4002
THE OWNER/APPLICANT IS RESPONSIBLE TO OBTAIN ALL NECESSARY APPROVALS REQUIRED BY THE
DEVELOPMENT IN WHICH THE PROPERTY IS LOCATED.
Applications must be completed in ink. Return the original completed application and application fee along with
all applicable documents to:
Lehighton Borough Zoning Officer
1 Constitution Avenue
Lehighton, PA 18235
610- 377-4002
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** OFFICE USE ONLY **
Date Received:
Zoning District:
Tax Parcel No.:
Zoning Permit No.:
APPLICATION FOR ZONING PERMIT
Application is hereby made for a permit in conformity with requirements of the Pennsylvania Municipalities Planning Code, Current Local Zoning
Ordinance and any amendments thereto for the following described work:
I. PROPERTY INFORMATION
Residential Non-Residential
Municipality:
Development:
Lot:
Section:
Tax Parcel ID:
Lot Width:
Lot Depth:
(Acres or Sq.ft.)
Lot Size:
Property within Floodplain Yes No
If Yes, Market Value of Property:
Do you have an elevation certificate Yes No
If Yes, please attach a copy with submission
Property located in Historic District Yes No
If Yes, also complete the Application for COA
II. CONTACT INFORMATION
Applicant:
email:
Mailing Address:
City:
State:
Zip:
Phone:
Phone:
Fax:
(If different than Applicant)
Property Owner:
email:
Mailing Address:
City:
State:
Zip:
Phone:
Phone:
Fax:
Contractor:
email:
Mailing Address:
City:
State:
Zip:
Phone:
Phone:
Fax:
III. CONSTRUCTION
Erect a Structure Principal Accessory
Size (length, width and height) i.e. 20 L, 15’ W, 12 H:
Add to a Structure Principal Accessory
Size (length, width and height) i.e. 20’ L, 15’ W, 12’ H:
Change of Use
Existing:
Proposed:
Erect a Fence
Height:
(feet)
Install a Swimming Pool In-ground Above-ground
Erect a Sign (Provide sign proof along with plot plan) Sign Copy Change (Provide sign proof)
Type:
Wall Mounted Ground Roof Other (Please Specify):
Height (distance from top of sign to ground):
(feet)
Size (length and height of sign face) i.e. 6’ L x 18” H:
Off-street Parking Area or Parking Lot Establish a Home Occupation
Other (Please Specify):
Code Services
Lehighton
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IV. PROJECT DESCRIPTION Provide a narrative which explains the proposed project based upon the items checked in the previous section (III)
Cost of Construction:
Street Access:
Municipal State Other
Sewage Disposal:
Public Sewer On-Lot
Water Supply:
Public Sewer On-Lot
V. PLOT PLAN
PLEASE INCLUDE THE FOLLOWING:
1. Indicate the length of all property lines
2. Show all existing and proposed structures on property and the distance from the structure to the property lines
3. Indicate name of streets abutting property
4. Identify all bodies of water and show distance to proposed structure(s)
5. Show septic, well, driveway locations and distance from new structure to septic
6. Label distances from principal structure to proposed accessory structure(s)
7. Physically mark property lines & proposed location of structure onsite prior to submitting zoning application
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IMPERVIOUS COVERAGE
Proposed:
(Sq.ft.)
Existing:
(Sq.ft.)
Address:
N
PLOT PLAN
* A survey or other prepared plot plan can be attached, in lieu of this sketch sheet.
Approved by:
Date:
Permit No.:
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I hereby authorize the Municipality Staff to perform inspections related to this application as may be required between the hours of 8 AM and
8 PM. The applicant understands and agrees to comply with the Pennsylvania Municipal Planning Code and Zoning Ordinance, as
amended. All information supporting this application shall become part of the records of the Municipality, cannot be returned and may be
examined by the public at any time during the normal working hours of the Municipal Office.
Application is hereby made for a permit to erect or alter a structure which shall be located as shown on the attached diagram/plot plan and/or
to use the premises for the purposes herewith. The information which precedes, together with the plot plan/diagram, is made part of this
application by the undersigned. It is understood and agreed by the applicant that any error, misstatement or misrepresentation of material,
fact, either with or without intention on the part of this applicant, such as might or would operate to cause a refusal of this application or any
change in the location, size or use of structure or land made subsequent to the issuance of this permit without approval of the Zoning Officer,
shall constitute sufficient ground for the revocation of this permit.
Applicant Signature:
Date:
Owner Signature:
Date:
BOTH SIGNATURES ARE REQUIRED IF APPLICANT IS DIFFERENT THAN OWNER
** OFFICE USE ONLY **
Meeting Dates (if applicable)
Historic: Approved: Yes No
ZHB: Approved: Yes No
Planning: Approved: Yes No
Other: Approved: Yes No
PA UCC Construction Permit Required: Yes No
Action Taken: Approved Denied
Zoning Fee: Application Fee Paid:
Balance Due: Date Paid:
Zoning Officer Signature: Date:
If the permit is denied, the zoning officer shall note the applicable sections/basis of denial below:
A copy of the zoning officer’s official letter of denial shall be attached to this application.
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