Value of Work: $ __________________ Date Received: _________________ Permit No.: ____________________
Fee Received: ____________________ Zoning District: _________________ Effective Date: _________________
By: _____________________________ Expiration Date: ________________
Impervious Area Modifications: Yes No Mapping Required: Yes No
The undersigned hereby applies for a permit to build or erect according to the following specification(s) and may apply for a
Certificate of Occupancy when said building has been completed and duly inspected.
Name and address of owner: __________________________________________________________________________
_________________________________________________________________________________________________
___________________________________________________________ Phone: _______________________________
Property Location: _________________________________________________________________________________
_________________________________________________________________________________________________
Name and Address of Builder: ________________________________________________________________________
_________________________________________________________________________________________________
___________________________________________________________ Phone: _______________________________
Proposed building includes (check all that apply):
New Principal Building Erect Sign Demolition of Existing Building
Altered Principal Building New Accessory Building Other: ______________________________
Mobile Home Altered Accessory Building
Use of principal building: Residential/No. of dwelling units _______ Other: ______________________________
Use of accessory building: Garage Other: ________________________________________________________
Height of Building: Feet _________ Stories: _________ Is there a basement or cellar? _____________
Type of Construction: _______________________________________________________________________________
Foundation Material: ______________________________ Wall Material: ________________________________
Description of work (proposed building, alterations, additions, etc. including the project dimensions): ______________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Attach a Site Development Plan (or drawing) identifying the following:
1. Lot size (showing width and depth);
2. Any existing buildings;
3. Location of proposed construction/size of proposed structure; and,
4. Distance proposed construction will be located from all property lines.
Estimated construction dates: Starting: _________________________ Completion: ________________________
Applicant shall contact a Borough approved building code agency to determine if a building permit is required. (Approved
list available at the Borough office or at www.greencastlepa.gov
.)
________________________________________________ __________________________________________
Applicant Signature Date
Permit granted: Yes No If denied, reason for denial: _________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________ __________________________________________
Zoning Officer Date
Borough of Greencastle
60 N. Washington Street
Greencastle, PA 17225
717-597-7143/FAX: 717-597-1022
www.greencastlepa.gov
Application for Zoning Permit and/or
Impervious Area Modification
Franklin County, Pennsylvania