Permit & Inspection Application

Today's Date*
Month
Day
Year
Property Information
Address*
Street Address Address Line 2 City State ZIP Code
Tax Parcel
Property change of ownership*
- Yes
- No
Change of Tenant Occupancy*
- Yes
- No
Occupancy Types*
- Single Family Dwelling
- Two Family Dwelling
- Multi-Family Dwelling
- Commercial
Applicant
Applicant Name*
Applicant Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Current Property Owner
Property Owner*
Property Owner Phone*
Address*
Street Address Address Line 2 City State ZIP Code
New Buyer / Tenant
New Buyer / Tenant Name*
New Buyer / Tenant Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Property Manager

(Person having access to the structure & property, per Borough Ordinance a local manager must be indicated if owner is out of the area)
Property Manager Name*
Property Manager Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Notice: All applications / inspections become void thirty (30) days from date of application / inspection. No structure may be occupied prior to the issuance of a Certificate of Occupancy.
Signature
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.
Signature of applicant*
Date*
Month
Day
Year
Fees: Residential Inspections $75.00 per unit. 1 reinspection follow up will be conducted within 30 days. All additional inspections and or inspections after 30 days will require a new application & $75.00 fee.
Incomplete applications or obsolete forms will be rejected. The submit button will not appear below unless you selected 15035 or 15112 for the property address zip code.
Updated Dec. 2022
Name
This field is for validation purposes and should be left unchanged.

Thank You
Corporate
Sponsor:

Turtle Creek Valley Council of Governments
2700 Monroeville Blvd
Monroeville, PA 15146
PHONE: 412.858.5115
FAX: 412.858.5118

Property Information

Applicant

Current Property Owner

New Buyer / Tenant

Property Manager

Notice: All applications / inspections become void thirty (30) days from date of application / inspection. No structure may be occupied prior to the issuance of a Certificate of Occupancy.

Signature

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.

Fees: Residential Inspections $75.00 per unit. 1 reinspection follow up will be conducted within 30 days. All additional inspections and or inspections after 30 days will require a new application & $75.00 fee.

Incomplete applications or obsolete forms will be rejected. The submit button will not appear below unless you selected 15035 or 15112 for the property address zip code.