Build/Zoning Permit Application
PEQUEA TOWNSHIP
1028 MILLWOOD ROAD
WILLOW STREET, PA 17584
É(717) 464-2322
Ê(717) 464-4098
~ pequeatw@comcast.net ~
APPLICATION FOR A BUILDING/ZONING PERMIT
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Please Include the Following: Application fee - see calculation on p. 3 Three sets of building plans T Stor Stormwater management plan (if adding more than 500 square feet of new impervious area) Plot plan showing lot lines and new construction Driveway permit application (if new driveway) Proof of workman’s compensation insurance Sewage disposal permit (if new dwelling) Residential disclosure statement (if new dwelling) SCS-approved Erosion and Sedimentation Control plan if necessary Select building inspector from page 3. Sign the application on p. 2
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For Township Use:
Received:
Approved: Permit Number__________
Denied: Section___________________ |
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Please allow 15 days for processing! |
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1. Applicant’s name_______________________________________________________________
2. Applicant’saddress:______________________________________________________________
______________________________________________________________________________
3. Applicant’s telephone: (day)___________________________(after-hours)_____________
4. Owner’s Name Signature:______________________________________________________
(I authorize the applicant to make this application)
5. OwnerAddress:_____________________________________________________________
6.Address and location worksite :___________________________________________________________
7. What is being proposed by this application?:_________________________________________________________
8. Contractor:_______________________________________________________
Contractor’s phone number: ______________________
9.Cost (market value): $_____ 10. Square feet of new construction:______________
11. Workman’s Insurance carrier:_________________________________________________________________
AUTHORIZATIONS AND NOTIFICATIONS:
The issuance of a building or zoning permit is based on the information and representations made in this application. A permit may be revoked if the use and/or the structure for which it has been issued violates any applicable Township, County, State or Federal law or regulation or if it has been issued in error or if it has been issued based on any misrepresentation or substantial errors contained in the application or otherwise made by the applicant.
Pequea Township (“the Township”) does not guarantee or give opinions relating to the adequacy of any proposed construction or design related to this permit and does not warrant compliance with any law or regulation by the issuance of this permit. The applicant bears all responsibility for insuring compliance with all applicable laws and regulations during and at completion of the work authorized by this permit, including but not limited to compliance with the Township Stormwater Management Ordinance, the Lancaster County Subdivision and Land Development Ordinance, Uniform Construction Code, and Property Maintenance Codes. The applicant acknowledges that he has not relied upon any oral or written statements of any Township officials in making this application. The applicant is aware that he cannot begin excavation or construction or change the use of the property until a permit has been issued by the Township.
The applicant authorizes the Township to investigate, inspect, and examine the property described herein, including land and structures, and all supporting plans and designs, to determine compliance with the Township Zoning Ordinance, building codes and other applicable laws and regulations, and to determine the accuracy of the statements contained herein. The applicant shall be responsible for paying inspection and review fees charged by Township inspectors. The applicant acknowledges that the Township requires that a final inspection may be performed and that a Certificate of Use and Occupancy may be required to be issued prior to occupancy or use of the structure or land use that is the subject of this application. It is the applicant’s responsibility to insure that applicable inspections are scheduled. The applicant acknowledges that, if the structure is occupied or used prior to the final inspection and issuance of a Certificate of Use and Occupancy, that work may need to be removed and reconstructed in order that an adequate inspection may be performed. If the Township is required to perform such an additional inspection, additional inspection fees may be charged.
Nothing in this application shall be construed to relieve or limit the obligations of the applicant to comply with all applicable provisions of the Township Zoning Ordinance and other applicable Township laws and regulations, or to limit the ability of the Township to act against violations of the Zoning Ordinance or other applicable Township laws and regulations.
By signing this application, the applicant certifies that all facts in the application and all accompanying documentation become part of this application and that all such materials are true and correct. This application is being made by the applicant to induce official action on the part of the Township, and the applicant understands that any false statements made herein may be subject to penalties relating to unsworn falsification to authorities.
APPLICANT’S SIGNATURE: __________________________________________Date:_______
Please allow 15 days for processing!
TOWNSHIP REVIEW FEES: Two, separate review fees will be charged by the Township and the Building Inspector. Fees paid to Pequea Township are as follows:
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Township Fee Schedule |
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Fair market value of new construction: |
Fee paid to the Township:
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$0.00 - $5000 |
$25.00 |
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$5001 - $50,000 |
$25.00 plus $1.50 for each $1000 or part thereof over $5001 |
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$50,001 - $10,000 |
$100 plus $1.50 for each $1000 or part thereof over $50,001 |
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$100,001 - and over |
$175 plus $2.00 for each $1000 pr part thereof over $100,001 |
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At-grade decks, patios, signs, fences, detached garages without utilities, garden sheds, and non-habitable agricultural structures |
$25.00 |
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Add $4.00 State-mandated surcharge to all applications |
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BUILDING INSPECTOR REVIEW FEES: The selected building inspector will charge fees according to his schedule. Contact the inspector for his fee schedule.
List of Authorized Building Inspectors
Only these inspectors are authorized to perform official inspections in relation to the issuance of a permit pursuant to this application. These inspectors will charge a review fee in addition to the Township fee. Building inspector fees shall be paid by the applicant directly to the building inspector.
Select one:
Commonwealth Code Inspection Service, Inc. 176 Doe Run Road, Manheim, PA 17545. Contact Peter Schilling, 717-664-2347
Building Code Inspections, LLC P.O. Box 10482, Lancaster, PA 17605 Robert W. Osborne 717-330-3378
Please call Township Codes Officer Wes Bruckno with any questions at
717-464-2322
Please allow 15 days for processing!