Fill and Sign the Personal Service Contract Invoice Form Ukyedu

VILLAGE OF CONVOY BUILDING PERMIT APPLICATION P.O. Box 310 Convoy, Ohio 45832 (419) 749-2266 LOCATION:_________________________________________________________LOT# __________________ ZONING ____ OWNER: ____________________________________________________________PHONE ____________________________ ADDRESS: _________________________________________________CITY _______________ STATE _______ZIP ______ The undersigned owner of real estate property within the Village of Convoy, Ohio, Van Wert County, acknowledges that they have acquainted themselves with the Zoning Regulations of the Village of Convoy, Ohio, and states that the improvements which will be made to the real property specified in this application will not change the use of the real property in such a way that there will result a violation or violations of said Zoning Regulations. DATE SIGNATURE OF OWNER SIGNATURE OF OWNER IS REQUIRED FOR ANY PERMIT TYPE OF IMPROVEMENT: ROOF  SIDING  WINDOWS  GUTTERS  DECK  SIDEWALK  DRIVEWAY  FENCE  SIGN  SHED  OTHER  NEW BUILDING OR ADDITION: Building Width __________________ Building Length _________________ Building Height _______________ Number of Stories ________________ Basement ______ Foundation _____ Square feet ____________ PROJECT DISCRIPTION: _________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ESTIMATED COST OF CONSTRUCTION $______________________ SITE PLANES MUST BE INCLUDED FOR ANY: BUILDING, ADDITION, OUT BUILDING, POOL, FENCE, DECK, SIDEWALK, SIGN, OR DRIVEWAY WORK BEING DONE BY OWNER YES NO IF “NO” IS CIRCLED THEN CONTRACTOR INFORMATION IS REQUIRED GENERAL CONTRACTOR NAME _________________________________________________ REGISTRATION NUMBER _____________________ ADDRESS ______________________________________________STATE ______________ ZIP _____________________ PHONE __________________________________ ALL CONTRACTORS MUST REGISTOR WITH VILLAGE ZONING COMMISSION LIST ALL SUB CONTRACTORS (NAME ADDRESS AND PHONE NUMBER) 1. _____________________________________________________________________________________________________ 2. _____________________________________________________________________________________________________ 3. _____________________________________________________________________________________________________ 4. _____________________________________________________________________________________________________ The undersigned hereby applies for the permits listed above. The undersigned states that they are well informed on and that all work covered by said permits will conform to the current building codes, laws and other ordinances and regulations of the Village of Convoy, Ohio, and the owner or contractor requesting these permits shall be responsible for the performance of any employees and sub contractors who may be used on the job. Permit fees based on dollar amount of project: Up to $1000 Permit Required, no fee $1,001 to 50,000 $50,001 to 150,000 $150,001 to 300,000 $300,001 up $10.00 $20.00 $30.00 $50.00 ANY CONSTRUCTION DONE WITHOUT A PERMIT IS SUBJECT TO PENALTIES AND FINES UP TO $100.00 PER DAY PLUS COSTS AND EXPENSES INVOLVED IN EACH CASE. SECTION XIV, P. VILLAGE ZONING REGULATIONS. DATE ______/_______/ 2009 SIGNATURE________________________________ THIS APPLICATION IS NOT A BUILDING PERMIT AND DOES NOT ALOW ANY WORK TO START. A BUILDING PERMIT MUST BE ISSUED BEFORE ANY CONSTRUCTION CAN BE STARTED. rev. 07/09 SITE PLAN Front Property Line IMPORTANT INFORMATION 1. Dimensions must be shown for all new and existing buildings 2. All lot lines must be shown. Dimensions from lot lines to all structures, both old and new, must be indicated. 3. Site inspection by the Village of Convoy must be made to check layout prior to any digging. 4. Property pins must be clearly visible when site inspection is made. 5. The property owner is responsible for any digging. SITE INSPECTION IS REQUIRED PRIOR TO ANY DIGGING. CALL AT LEAST 24 HOURS IN ADVANCE TO SCHEDULE YOUR SITE INSPECTION. For the property owner’s protection you should also call the Ohio Utilities Protection Service, 1-800-362-2764. You may call up to 10 days before, but not less than 48 hours before you dig. Property owner may be responsible for any damage to any underground utilities. Rev. 7-24-2009