Permit & Inspection Application - Turtle Creek Valley Council of Governments

Today's Date*

Property Details

Please Select Town*

Hidden

CHA - Chalfant Town

Hidden

EMB - East McKeesport

Type of Application*

Street Number*

Street Name*

Apartment Unit Number

Property Address

City State Zip

Was the property constructed before 1978?*

Yes
No

Owner Details

*As per the current owner and the proposed owner.

Current Owner Name*

Current Owner Phone*

Current Owner Email*

Current Owner Address*

Street Address Address Line 2 City State Zip

Is the applicant a different person than the owner?*

Applicant / Alternative Contact Information

Please provide all contact information if applicant is different from the owner

Contact / Applicant Name

Contact / Applicant Phone

Contact / Applicant Email

Contact / Applicant Relation

Owners consent to be attached if not the owner applicant.*

Max. file size: 1 GB.

Occupancy Details

Project Details

Please describe the type of sign to be installed (size, type, etc.).*

Type of Sign*

Please note: a temporary sign can be issued under this application because no further action is required. However, in other signs, additional permitting is/may be required.

Please describe the electrical work.*

Contractor Name*

First Last

Contractor Phone*

Contractor Email*

Please indicate what your zoning permit application is for.*

Please describe "other" zoning permit use.*

Please describe the current building use.*

What is the proposed building use?*

Reason for Permit*

Proposed use of the property?*

Please describe "Other" use.*

Property Managers / Agent Information

Please provide all contact information for your property manager / agent.

Property Managers / Agent Name*

Property Managers / Agent Phone*

Property Managers / Agent Email*

Property Managers / Agent Relation*

New Owner/Tenant Name*

New Owner/Tenant Phone

New Owner/Tenant Email

New Owner/Tenant Mail Address*

Street Address Address Line 2 City State Zip

Date of Closing/Occupancy*

If date is unavailable, please use 00/00/0000.

Lease Start Date

If date is unavailable, please use 00/00/0000.

Lease End Date

Is your lease month to month?*

Number of occupants age 17 and younger?*

Number of occupants age 18 and older?*

List all occupants age 18 and older

Occupant #1 Name

Occupant #1 Employer

Occupant #2 Name

Occupant #2 Employer

Occupant #3 Name

Occupant #3 Employer

Occupant #4 Name

Occupant #4 Employer

Occupant #5 Name

Occupant #5 Employer

Occupant #6 Name

Occupant #6 Employer

Certification

By typing my name in the block below, I attest that all information provided in this application is true and correct to the best of my knowledge.*

First Last

Please provide your email for a confirmation.*

I plan to erect a new sign at my location ( as declared in the application above) in accordance with Borough Ordinances. The application is non refundable. A sign permit application package will be sent to the following email.*

I plan to have electrical work done at my location ( as declared in the application above) in accordance with Borough Ordinances. The application is non refundable. An electrical permit application package will be sent to the following email.*

File attachment - for any document needed to process this application.

Drop files here or

Max. file size: 1 GB, Max. files: 5.

Name

This field is for validation purposes and should be left unchanged.