Municipal Form 6
Building Permit Fee Calculation Form
This form must be completed in order to calculate permit fees associated to the
proposed renovations or new construction.
Building Type: ___________________________ No. of Bedrooms: ______________
(i.e. Single Family Dwelling, Accessory Building, Agricultural Building)
Construction Type:
(i.e. New Construction, Renovation/Alteration)
Heating System: Primary: __________________________________________________
Secondary: ________________________________________________
Building Size:
Basement:
Main Floor:
Second Floor:
Detached /Attached Garage:
Fixtures: (incl. roughed-in plumbing)
Fixtures related to the proposed renovation or new construction
New Construction Renovation Sq. Ft
Description
Fixture Count
Bathtub
Showe
Vanit
sinks
Water closet
Kitchen sink
Washin
Machine
Laundr
Tub
Dishwashe
Othe
Total Fixtures
BP #
No. of Solid Fuel Burning Woodstoves /
Fireplaces:
Deck / Porch / Veranda Size:
Water Meter & Trench Inspection
Engineered Lot Grading
_______________________
Sq. Ft.
Sq. Ft.
I certify the above information is correct and corresponds with the permit drawings and documents, and
acknowledge I shall notify the Chief Building Official of all revisions.
Si
nature
Owner or A
ent
Print Name Date
click to sign
signature
click to edit