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
r
Vanit
y
sinks
Water closet
Kitchen sink
Washin
g
Machine
Laundr
y
Tub
Dishwashe
r
Othe
r
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
g
nature
(
Owner or A
g
ent
)
Print Name Date
0
0
0
N/A
N/A
0
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signature
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