BASEMENT RENOVATION APPLICATION R "d t" I Please fill in the highlighted areas and include es len I a construction drawings Building Permit Application Please Note: PLANS - Full construction drawings are to be kept on file in the Township office

FEES - Must be paid at time of permit issuance SEWAGE PERMIT - Copy to be presented with application DRIVEWAYS - Permits for all road encroachments must be secured

A Building Pemit issued pursuant to this application is valid only for 6 months: Provided that construction is commenced within such period, the permit shall be valid for five years. In no event will the permit issued hereunder be valid for more than five years. Version 1·25·07

Applicant's Name

Address: ________________________________________________________ _

Phone #: Home ( )------ Work (

Owner's Name

Address:

Phone #: Home ( ) Work (

Job Site Location

Subdivision Name

Lot Size

Type of Improvement (Check one or all that apply)

New Building D Addition D Demolition D Moving D If other is checked above, then describe the type of improvement:

Proposed Use (Residential)

One Family D

Shed D Two Family D Garage D

If other is checked above, then describe the type of residential use:

Contractor's Information

Contact Person

Address

)-----------------

)

Phone #

Lot #

Alteration D Other D

Agriculture D Other D

Building Planning Table R301.2(1)· Climatic and Geographic Design Criteria· Local Conditions

Ground Wind Seismic Subject to Damage From

Winter Ice Shield Flood Air Mean Under·

Snow Speed Design Weatherin Frost line Termite Decay

Design layment Hazards Freezing Annual Load (mph) Factor Depth Temp Required Index Temp

30 pst 90 mph B Severe 36 inches ~~~~~ S~~~t I 10° F Yes See FEMP 900 51° F d. Maps

Use Group It other than R-3, please

Construction Type Type Vb is assumed

submit a non·residential unless otherwise application specified

Cost of Improvement Principle Type of Construction

Building Masonry (Wall Bearing) 0 Electrical Wood Frame 0 Plumbing Steel Structure 0 Heating I Air Reinforced Concrete 0 Other

Floor Area (ot proposed finished basement area)

TOTAL COST $ Total Sq. Ft. of Living Space

Type of Sewage Disposal Sq. Ft. of unfinished Basement Community System 0 Sq. Ft. of attached Garage Private (On·Lot System) 0

Sq. Ft. of Porch or Decks Type of Water Supply

Sq. Ft. of detached accessory Community System 0 bldgs. including sheds, garages, Private (Well) 0 and similar structures

Principal Type of Heating Size of Building

Gas 0 Oil 0 Electric 0 Number of Stories

Other (Describe) Width

Central Air Conditioning Yes 0 NoO Length

Facilities Height · from finished grade to highest point of structure

# of Proposed Bedrooms # of Existing Bedrooms Number of Off-Street Parking Spaces

# of Proposed Bathrooms Enclosed Outdoor # of Existing Bathrooms

Type of basement egress to be provided

Is the site located within an identified flood prone area? Yes 0 NoD

Will any portion of the flood prone area be developed? Yes 0 NoD

The information shown on this application is to supplement the review of the construction drawings and is not intended to replace them. Any applicant that is unable to submit the appropriate drawings and complete the application should seek the advice of an architect or other design professional.

Complete this page for all wood frame construction. I. Footings

A. Size B. Size of Support Column Footer 1. Width 1. Size

2. Height 2. Height

3. Depth Below Grade

C. Is there an elevation change that will require a step in the footing? Yes D No D II. Foundation

1. Poured Concrete ..... Wall Thickness

2. Concrete Block ...... .. Wall Thickness

3. Other (specify)

III. Sill Plate

1. Size .. ... 2x6 D 2x8 D Other

4. Maximum Height of Unbalanced Backfill ___ _ (Unbalanced fill is measured from the concrete floor to outside grade elevation)

2. Type .... . Pressure Treated 0 Untreated 0 3. Anchors ... . 1/2" Lag Bolts D Steel Straps 0 Spacing

(spacing 6' minimum) (spacing per manufacturer specs)

B. What is the minimum measurement from the sill plate to the finished grade? (The Building Code requires a measurement of at least 6 inches between the final grade -----­and all wood surfaces.)

IV. Girder A. Steel .. .. .... ........... Size _____ _

B. Wood ...... .. .. ... ..... Size _____ _

C. Other (explain)

V. Floor Joists

A. First Floor B. Second Floor

1. Lumber Size 1. Lumber Size __ _

2. Spacing

3. Max. Span

VII. Ceiling Height . A. Basement

B. First Floor

C. Second Floor

D. Third Floor

2. Spacing

3. Max. Span

Spacing of support columns

Spacing of support columns

VI. Type of Roof

A. Engineered Truss D (submit specs)

--- B. Built on Site 0 1. Length of Rafter ___ _

2. Lumber Size

3. Spacing

4. Rafter Slope

IX. Chimney

A. Type ..... Steel 0 Masonry 0

VIII. Exterior Wall Studs (for basement perimeter walls) B. Type of Appliance Gas D Oil 0

Solid Fuel (wood, coal, etc.) 0 1. Size 2. Spacing ---3. Bracing .. . Diagonal D Plywood 0 Other 0 X. Submit separate energy compliance

statement. (R-value of insulation)

Location of Improvements Floor plan of all spaces in basement, including mechanical equiilment and eQress. Also Include pen meter wall construction diagram with appropriate fireblocklng.

Submit a plot plan of the boundary of the property, to scale, showing the following improvements: 1) Location of all existing and proposed structures and buildings. 2) Septic Systems (tanks and drain fields) 3) All public and private roads that border the property. 4) All streams, ponds, etc .. . 5) Driveways and parking, loading areas, etc ... 6) Anv easements or riQht of ways

I hereby certify that the proposed work is authorized by the owner of record and that I am or have been authorized by the owner to make this application as his or her authorized agent and that we agree to conform to all applicable laws of jurisdiction. I also certify that I have read the supplemental forms outlining inspection requirements and procedures and agree to comply.

Signature ______________ _ Date