Planning and Development Services
240-314-8240 / 240-314-8265 (Fax)
www.rockvillemd.gov/isd
Residential Building Permit Application
PLEASE PRINT
CLEARLY OR
TYPE
PROPERTY ADDRESS
NUMBER, STREET & ZIP CODE
SUBDIVISION NAME
NAME
MAILING ADDRESS: NUMBER, STREET, CITY, STATE & ZIP CODE
CONTACT
APPLICANT
(REQ)
COMPANY
LAST FIRST
EMAIL/PHONE
d
PROPERTY
OWNER
(REQ)
LAST FIRST
EMAIL/PHONE
CONTRACTOR
(REQ)
COMPANY
PHONE
LAST FIRST
MD State MHIC License # Exp. Date
EMAIL
d
ARCHITECT
COMPANY
PHONE
LAST FIRST
MD State Reg. # Exp. Date
EMAIL
d
ENGINEER
COMPANY
PHONE
LAST FIRST
MD State Reg. # Exp. Date
EMAIL
d
PROVIDE INFORMATION REQUESTED. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED
TYPE OF IMPROVEMENT OTHER REQUIRED PERMITS NEW CONSTRUCTION SIZE
Shed (S) Demolition (DEM) Width __________ ft
Alteration (AA) Plumbing (PMB) Except for WSSC Depth __________ ft
Addition or Deck (AA) Mechanical (MEC) equipment, ducts, diffusers Height __________ ft
Garage (G) or Carport (CP) Electrical (ELE) # of Stories __________
Demolition Gas (MEC)
Repair structural/fire damage Fire protection (FPS) residential sprinklers BASEMENT
Other: __________________ Unfinished Finished None
SETBACKS FROM PROPERTY LINE TO NEW
STRUCTURE AREAS
PRINCIPAL TYPE OF FRAMING Front __________ ft Total existing floor __________ ft
Masonry Left __________ ft Total new floor __________ ft
Wood frame Right __________ ft Total altered (under const) __________ ft
Other: __________________ Side street __________ ft Total land __________ ft
Rear __________ ft Roof __________ ft
BUILDING OWNERSHIP
Private taxable (PVT) EXISTING BUILDING SPRINKLERED? Yes No ESTIMATED COST
Private tax exempt (PVE) Construction $___________
Public federal (FED) PROJECT DESCRIPTION __________________ Electrical $___________
Public state (ST) ______________________________________ Plumbing $___________
Public county (CO) ______________________________________ Mechanical/HVAC $___________
Public city (CTY) ______________________________________ Total $___________
TYPE OF HEAT
Gas Electric Geothermal
New ductwork to be installed? Yes No
ORIGINAL SIGNATURE REQUIRED
Applicants Name (please print)
Signature of Applicant
Title
Date
ALL FEES ARE NON-REFUNDABLE
OFFICE USE ONLY
Application date: _____ / _____ / _____
BLD20 ______ - _________________
Is this property owner occupied? Yes No
Variance/Special Exception required? Yes No
Application (for above): ____________________
I hereby certify that I have the authority to make the foregoing application, that the application is correct, and that the construction shall conform
to the regulations in the Rockville City Code, and all other codes and regulations or private building restrictions, if any, which may be imposed
on the above property by deed. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other
state or local law regulating construction or the performance of construction. I have read and understand the “Permit Conditions” listed on the
back of this page.
Revised 02/25/20
PERMIT CONDITIONS
1. APPROVED PLANS, WITH COMMENTS, MUST BE RETAINED ON THE JOB UNTIL THE FINAL INSPECTION HAS BEEN
MADE. NO BUILDING OR SPACE SHALL BE OCCUPIED UNTIL ALL REQUIRED FINAL AND OCCUPANCY INSPECTIONS HAVE
BEEN MADE WHERE APPLICABLE. NO INSPECTION WILL BE MADE WITHOUT THE APPROVED PLANS ON THE JOB SITE.
2. This permit conveys no right to occupy any street, alley or sidewalk or any part thereof, either temporarily or
permanently. The City must approve encroachments on public property not specifically permitted under the building code.
Street or alley grades as well as depth and location of public sewers may be obtained from the Department of Public Works.
The issuance of this permit does not release the applicant from the conditions of any applicable subdivision restrictions.
3. The City of Rockville reserves the right to reject any work which has been concealed or completed without first having
been inspected and approved for compliance to various codes by the Inspection Services Division.
4. Any deviation from the approved plans must be authorized by the approval of revised plans subject to the same
procedure established for the examination of the original plans. This revision approval must be obtained prior to the
proposed changes being made in the field.
5. Permits become invalid if construction work is not started within six months from date the permit is issued. If work does
not continue to progress, the permit will become invalid six months after the last inspection approval is made.
6. All items noted on the job inspection record must be approved and signed by the appropriate agencies and the City. It
will be the owner and/or contractor's responsibility to see that the various inspections are called for and approved.
7. Approval of these plans and/or specifications by the Inspection Services Division SHALL NOT necessarily mean that these
plans or specifications, are in full compliance with the City of Rockville Building Code, Fire Code, and other Laws or
Ordinances.
8. The ARCHITECT/DESIGNER or ENGINEER certifying these plans is charged with responsibility for the compliance of the
plans with the Building Code, Fire Code, and other Laws and Ordinances. Issuance of a permit does not constitute a waiver
or variance from any law or ordinance governing this construction.
9. The issuance of a permit shall not prevent the Inspector from thereafter requiring a correction of error or violation in
plans or construction. The architect or engineer shall file a verified report at completion of construction that the structure
has been erected in accordance with the approved plans and all applicable ordinances. All reports shall bear the seal signed
by the Architect/Engineer. (No photocopy).
10. Approval of application and issuance of a permit does not supersede any required approvals by an architectural review
committee for residential properties with restrictive covenants.
11. The applicant, owner, and/or operator of the property address under this permit, hereby consents to all necessary
inspections made by the City of Rockville to enforce all existing codes, ordinances, and/or regulations of the City of
Rockville.
12. This permit does not relieve the owners, or any person in possession or control of the building, from obtaining such
other permits or licenses as may be prescribed by law for the uses or purposes for which the building is designed or
intended; nor from complying with any lawful order issued with the object of maintaining the building in a safe or lawful
condition.
Any individuals with disabilities who would like to receive the information in this publication in another form may contact
the ADA Coordinator at 240-314-8316; TDD 240-314-8137.
Cualquier persona incapacitada que desea recibir la información de esta publicación en alguna otra forma puede
comunicarse con el coordinador de ADA en el teléfono 240-314-8316; TDD 240-314-8137.
Revised 02/25/20
..
ADDITIONAL
GUIDELINES FOR
RESIDENTIAL DEVELOPMENT
Impervious Surface Limit in Front
Yards
The Zoning Ordinance imposes a limit on the amount of impervious surface that is allowed in the
fro
nt
yard of a single-family house. The percentage of impervious area
al
l
owe
d
is dependent on the zone
the property is located in. These limits are as fo
ll
ows:
R-40
-
R-60
R-75
R-90
-
45%
40%
35%
30%
R-150
-
R-200
-
R-400
-
25%
20%
10%
The front yard is that portion of the lot between the front wall of the house and the front property
l
ine,
and between the two side lot lines. The impervious surface limit is that percentage of the front yard
occupied by impervious area. This normally would include driveways and front porches
.
See the
diagram below.
.,
lllll
)
lo
f'
!i
-'
>-
'C
£
l
·
·
··
·
·····
·
··
··
··
...,_.,...
...oll
.......
AREA OF
FRONT
YARO
IMPERVIOUS
SURFA C
E
---.-
LIMIT
I'
RO
i'<
i
YARD
-
·
-
·
-
·
-
·
-· -·
Property
Line
.
..&..
·
-·-·-
·
-
S
TREET
As an example, a lot in an R-60 zone might have a front yard that measures 25 feet deep and 60 feet
wide. It has a driveway 10 feet wide, and a front porch that measures 5 x 10
feet
.
The calculation
i
s
as
follows:
25 X 60 =
1
0 X 25
=
5 X 10
=
I
,500 square feet (area of front yard)
250 square feet (area of driveway in front
yar
d)
50 square feet (area of front porch extending into front yard)
PLEASE
NOTE:
When front
yard
improvements are
being proposed
include
250 + 50 = 300 square feet of impervious area (Driveway and
P
o
rch)
300
I
1,500
=
20% total impervious area
these
calculations
(existing and
proposed)
with the
building
permit
application.
Revised
02/25/2020