Commercial Construction Permit Application

THIS IS NOT A CONSTRUCTION PERMIT DO NOT START CONSTRUCTION UNTIL PERMIT IS ISSUED City of Lincoln Commercial Construction Permit Application Rev. 4-14 Page 1

Commercial Permit Application THIS IS NOT A PERMIT DO NOT START CONSTRUCTION COMMERCIAL BUILDING PERMIT If you are constructing a new commercial structure, an addition or a renovation of a commercial structure, you are required to complete all sections of the attached Commercial Building Permit Application prior to start of commencing any work. Once completed, return the Application Package to the Building Department along with all drawings in accordance with current International Building Codes as adopted by the City. Unless there are unusual circumstances surrounding the application, all completed should be approved and ready to pick up within 5 business days after submittal. All permit fees will be due at the time you recieve your permit. The total fees due upon collection of the permit will generally include all permit/impact fees due from Building Inspection, Planning and Zoning, Engineering and Water Department. The fees do not include Business License fees. A Business License can be obtained through the Revenue Department at City Hall. Date of Application: City Limits ( ) Police Jurisdiction ( ) Project Street Address: ZIP: Parcel No.: Project Name: Owner/Tenant: Address: City: State: Zip: General Contractor: Address: City: State: Zip: City License Number: State License Number: Architect Name: Address: City: State: Zip: State License Number: Engineer Name: Address: City: State: Zip: State License Number: If you have any questions, please do not hesitate to contact City Hall at 205-763-4005. Gross Job Cost: Building Use: *includes all labor & materials NOTE TO APPLICANT: Applications will not be processed until all required information is provided and applicant signs application. This permit becomes null and void if authorized work or construction has not begun within six (6) months of issuance of the permit, or if work is not completed within one (1) year. Class of Work: TO BE COMPLETED BY BUILDING INSPECTOR New ( ) Addition ( ) Alteration ( ) Repair ( ) Accessory ( ) Storage ( ) Square Footage: No. of stories: Total Heated Area: Basement: Total Heated Area: Demo ( ) Total Unheated Area: Total Unheated Area: Accessory Structures: Y / N Total SQ FT: Specify Accessory: Occupancy Group: Occupancy Load: Circle Construction Type IA IB IIA IIB IIIA IIIB IV VA VB Foundation: Slab on Grade ( ) Monolithic ( ) Crawl Space ( ) Sewer Service: City ( ) Septic Tank ( ) Water Service: City ( ) Rural - please specify Rev. 4-14 Page 2

Commercial Permit Application (continued) Setbacks: Front Setback: Left Side Setback: Rear Setback: Right Side Setback: Please choose Diagram A or B and complete the following: Dimension/length of property lines, distance from structure to property lines, show any easements, sketch driveway location, etc. If neither A or B is applicable please supply additional diagram. Proposed Structure Proposed Structure NOTICE - PROPOSED CONSTRUCTION SHALL MEET ALL APPLICABLE CODES I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of law and ordinances governing this work shall be complied with whether specified herein or not. The granting of this 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 the construction. I also hereby agree to adhere to the erosion and sediment control plan approved by the City for this project for the entire period of the project including regular maintenance of erosion control devices. I understand the Engineering Fee is an estimate only; actual fees will be due as invoiced by the city's contracted engineering firm. I understand that violations may result in fines, imprisonment, and/or legal action against me. All correspondence, notice and citations will be received by me at the above address. Signature of Contractor of Authorized Agent Date Signature of Owner Date On behalf of the entire city, we appreciate the opportunity to assist you throughout the permitting and building process. Please contact us with questions or if you need additional information. Chris White Building Inspector 205-763-4005 Rev. 4-14 Page 3

Subcontractors Schedule Permit Number: A complete copy of this schedule must be presented to the Building Department within 15 days of the issuance of the Building Permit. Should the builder add any subcontractor to the project, the builder will submit the subcontractor's name, address and phone number to the City Building Department within three (3) working days of hiring. It is the contractor's responsibility to notify the BUILDING DEPARTMENT of any changes from the original schedule. ALL SUBCONTRACTORS MUST HAVE A CITY OF LINCOLN BUSINESS LICENSE BEFORE WORK IS TO COMMENCE. Type of Subcontractor Cost/Value of Work Name & Address Phone Number SITE GRADING $ FOOTINGS $ CONCRETE $ * SEPTIC TANK $ BLOCK/BRICK $ OTHER MASONRY $ EIFS $ FRAMER $ TRIM WORK $ * ELECTRICAL (PERMIT) $ * PLUMBING (PERMIT) $ * HVAC (PERMIT) $ SHEETROCK/DRYWALL $ ROOFER $ INSULATION $ CABINETS $ CERAMIC/NATURAL TILE $ PAINT/WALLPAPER $ GLASS $ FLOORCOVERING (ALL) $ * LANDSCAPING (PERMIT) $ GARAGE DOOR $ * ALARM SYSTEM(PERMIT) $ SIDING/GUTTERS $ WATERPROOFING $ * PEST CONTROL $ OTHER $ * Requires Alabama State License Rev. 4-14 Page 4

Applicant Name: Project Address: Contact Phone Number: Contact Email: Planning: FOR OFFICE USE ONLY Commercial Construction Permit Master Permit # Cell Number: Fee: Zone: Site Plan Reviewed: Yes ( ) No ( ) Date Approved: Right-of-Way Permit Required: N/A ( ) City ( ) County ( ) State ( ) Approved By: Engineering: *Flood Hazard: Yes ( ) No ( ) FFE: (MSL) Basement: Yes ( ) No ( ) *If YES, requires FEMA Permit Cut: Yes ( ) No ( ) Fill: Yes ( ) No ( ) Fill Amount: Estimated Cost of Erosion Control: Comments: Fee: Approved By: Building Inspector: Grading/Excavat. $ paid Electrical: $ paid Building: $ paid Plumbing: $ paid Mechanical: $ paid Pool: $ paid Demolition: $ paid Landscaping: $ paid Fee: Completed By: Total Building Permit Fees: $ Water & Sewer Fees: Water Impact Fee: Sewer Impact Fee: Water Tap Fee: Sewer Tap Fee: Water Road Bore: Sewer Road Bore: Irrigation Meter: Service Deposit: Service Charge Water Meter Charge: Meter Size Vault Fee: (includes Water Meter) Size Other Fee: Completed By: Total Water & Sewer Fees: $ GRAND TOTAL: $ Rev. 4-14 Page 5