Building Permit Application

    • 1

      Getting Started

    • 2

      Property Info

    • 3

      Proposed Work

    • 4

      Other Info

    • 5

      Signature

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    Getting Started

    After completion of this form, the applicant will be emailed a partially completed Building Permit Application. Afterward, it is the applicant's responsibility to make sure they have completed all items on the Building Permit Application Checklist (can be referenced in the partially completed application).

    Once the application is complete, please deliver it to Curtis O'Neil, curtiso@light-heigel.com, (570) 524-7742. If you prefer to complete the Building Permit Application by hand, please download the PDF version.

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    Property Information
    Property/Owner Information
    Contractor Information
    Architect/Designer/Engineer

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    Type of Work or Improvement

    Building/Site Characteristics

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    Building Dimensions
    Floodplain

    If selected yes, applicant must submit certification that lowest floor elevation is at or above the design 100-year flood elevation, as required in the National Flood Insurance Program and the Pennsylvania Flood Plain Management Act (Act 166-1978), specifically Section 60.3. All living spaces and mechanical equipment shall be placed above the 100-year flood elevation.

    Note: The National Flood Insurance Program recommends that residential and non-residential structures be elevated 1.5' above the 100-year flood elevation. Many municipalities have adopted all or part of these recommendations in their zoning ordinances, in which case the most restrictive regulation will apply.

    Construction Plans & Specifications
    Site Plan
    Worker's Compensation Insurance Coverage

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    Signature

    Application for a permit shall be made b the owner or lessee of the building or structure, the agent of either, or by the registered design professional employed in connection with the proposed work.

    The applicant certifies that all information on this application is correct and the work will be completed in accordance with the "approved" construction documents and PA Act 45 (Uniform Construction Code) and any additional approved building code requirements adopted by the Municipality.

    The property owner and applicant assume the responsibility of locating all property lines, setback lines, easements, right-of-way, flood areas, etc.

    Issuance of a permit and approval of construction documents shall not be construed as authority to violate, cancel, or set aside any provisions of the codes or ordinances of the Municipality or any other governing body.

    Authorized Agent Acknowledgement - I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as an authorized agent and agree to conform to all applicable regulations set forth by PA ACT 45.

    Pennsylvania Act 45, Sections 403.45 & 403.46 requires that a final inspection be performed. A building, structure or facility may not be used or occupied without a certificate of occupancy. Failure to arrange for your final inspection after the project is completed is a violation that will result in possible legal action from your municipality. This action may include a fine of not more than $1.000.00 in costs for each day the violation exists (Section 903).

    Failed/Additional inspections - Permit fees are calculated based on a set number of inspections. In the event that additional inspections are required due to failed inspections, not ready, lack of access, etc., the permit holder will be billed at the full rate for that type of inspection. A Certificate of Occupancy will not be issued until all fees have been paid.

    I certify that the code administrator or the code administrator's authorized representative shall have the authority to enter areas covered by such permit at any reasonable hour to enforce the provisions of the codes) applicable to such permit.


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