PERMIT COVER PAGE. Site Address. Other. Other. Other

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1 PERMIT COVER PAGE Site Address Prject/Applicatin Type(ex.rf, sewer lateral, deck etc) Prject Name(if any) Plans (list type) Applicatin Specificatins (list type) Other Other Other

2 BOROUGH OF LANSDALE BUILDING PERMIT APPLICATION PROCEDURES *PLEASE MAKE SURE ALL CHECKLIST ITEMS ARE COMPLETE BEFORE SUBMITTAL* All sectins f applicatin cmpleted Applicatin signed and dated Building Permit Checklist Site/Plt Plan (unless sealed by design prfessinal plans are required) with all dimensins 2 cpies f plans and specificatins (Plans must include structural, electrical, mechanical, and plumbing details.) 3 cpies f plans and specificatins (Fire prtectin) 1 digital cpy f plans and specificatins fr any size exceeding 11 x 17 Cpy f certificate f insurance fr all cntractrs/subcntractrs (Fax t ) Ntes: Wrk may nt start until a permit has been apprved and granted. The permits are t be displayed s as t be visible frm the street. Final apprval shall nt be granted until all fees are paid in full. INSPECTIONS Call the Brugh ffice ( ) at least 24 hurs in advance t schedule each inspectin. Ntificatin fr inspectins at the varius stages f cnstructin is the respnsibility f the applicant and/r cntractr. If the apprpriate inspectins are nt requested, they will nt be perfrmed and uninspected wrk will nt be granted final apprval. All Subdivisin and Land Develpment apprvals must be cmplete befre submitting building permit. Twnship requires stamped plans if any structural materials (i.e.: steel, trusses, bnd beams r manufactured beams) are being used in the cnstructin f structure.

3 FEES Residential - One and Tw Family Dwelling Area calculatins shall be made using utside dimensins f cnstructin Building New Cnstructin: $330 First 1,500 square feet f flr area including garage and full basement $110 Each additinal 500 square feet r fractin theref including garage and basement Additins / Alteratins: $110 Base fee plus $0.25 Each square ft f grss flr area Accessry Structures Including, but nt limited t, shed, garage, swimming pl with enclsure, etc: $75 Fr the first $3,000 f cst r part theref $35 Each additinal $1,000 f cst r part theref Electrical $55 Fr the first $3,000 f cst r part theref $25 Each additinal $1,000 f cst r part theref ** NOTE: Service, rugh and final electrical wrk must be inspected by a PA Labr & Industry apprved third-party electrical inspectr. Certificatins f each inspectin must be submitted t the Brugh. ** Mechanical (HVAC) $55 Fr the first $3,000 f cst r part theref $25 Each additinal $1,000 f cst r part theref Plumbing $ 55 Base fee (applied t all applicatins) $ 25 Per new fixture (new rugh-in) $ 35 New / replacement sewer lateral $ 35 New / replacement water service $190 Fire suppressin system *This schedule is fr infrmatinal purpses nly. Users are advised t see applicable rdinances.

4 FEES Residential (3 r mre dwellings), Cmmercial, Prfessinal Office, Industrial Area calculatins shall be made using utside dimensins f cnstructin. Building New Cnstructin: $800 First 1,000 square feet f flr area $100 Each additinal 500 square feet r fractin theref Additins / Alteratins: **Amended by Brugh Cuncil Reslutin dated March 18, 2009** $335 Base fee plus $0.35 Each square ft f grss flr area Electrical $ 55 Fr the first $3,000 f cst r part theref $ 25 Each additinal $1,000 f cst r part theref ** NOTE: Service, rugh and final electrical wrk must be inspected by a PA Labr & Industry apprved third-party electrical inspectr. Certificatins f each inspectin must be submitted t the Brugh. ** Mechanical (HVAC) $110 Fr the first $3,000 f cst r part theref $ 25 Each additinal $500 f cst r part theref $250 Replacement f existing equipment Plumbing $110 Base fee (applied t all applicatins) $ 25 Per fixture with new rugh-in $ 35 New / replacement sewer lateral $ 35 New / replacement water service $ 4.50 Fee assessed per Cmmnwealth f PA Fire Sprinkler System $275 Fr the first $3,000 f cst r part theref $ 35 Each additinal $1,000 f cst r part theref Fire Standpipe $80 Per riser Accessibility Permit & Review Fee $ *This schedule is fr infrmatinal purpses nly. Users are advised t see applicable rdinances.

5 BOROUGH OF LANSDALE * PLEASE MAKE SURE ALL CHECKLIST ITEMS ARE COMPLETE BEFORE SUBMITTAL* Accessibility Submissin Requirements A cmpleted applicatin. 2 sets f site/plt plans. 2 sets f cmplete signed and sealed plans and specificatins. 1 digital cpy f plans (ver 11" x 17" in size) Site Plans must include: Size and lcatin f all new and existing structures n the site Lcatin f any recreatinal facilities (ex. athletic curts, pl ) Accessible parking, all lcatins f public access t the facility, accessible exterir rutes and lcatins f accessible entrances. Recgnized street grades and prpsed finished grade. Architectural and specificatins must include: Descriptin f uses and the prpsed ccupancy grup(s) fr all prtins f the building. The design apprach fr mixed-uses (as applicable). Fully dimensined drawings t determine areas and building height. Adequate details and dimensins t evaluate accessible means f egress, including ccupant lads fr each flr, exit arrangement and sizes, crridrs, drs, stairs, ramps, handrails, areas f refuge, etc. Adequate details and dimensins t evaluate the accessible rute t areas required t be accessible, including crridrs, drs, prtruding bjects, maneuvering clearances, clear flr space at fixtures and cntrls, etc. Accessibility prvisins including but nt limited t access t services, seating, dining, listening systems, accessible fixtures, elevatrs, wrk surfaces, etc. Accessible plumbing facilities and details. Visual and tactile signage prvided. Details f required fire prtectin systems and user cntrls. All accessibility plan reviews are based n the applicable editin f ICC? ANSI A117.1, Accessible and Usable Buildings and facilities in reference t the applicable Internatinal Building Cde (IBC). Ntes: Wrk may nt start until a permit has been apprved and granted. The permits are t be displayed s as t be visible frm the street. Final apprval shall nt be granted until all fees are paid in full. INSPECTIONS Call the Brugh ffice ( ) at least 24 hurs in advance t schedule each inspectin. Ntificatin fr inspectins at the varius stages f cnstructin is the respnsibility f the applicant and/r cntractr. If the apprpriate inspectins are nt requested, they will nt be perfrmed and uninspected wrk will nt be granted final apprval.

6 REQUIREMENTS FOR NEW ELECTRIC SERVICES 1. ALL WORK OVER $50 REQUIRES A PERMIT, AND MUST BE INSPECTED BY AN ELECTRICAL UNDERWRITER. 2. YOU MUST USE A RINGLESS SOCKET WITH BYPASS HORNS FOR RESIDENTIAL SERVICE AND LIGHT DUTY COMMERCIAL. 3. FOR HEAVY DUTY COMMERCIAL SINGLE-PHASE AND THREE-PHASE USE RINGLESS SOCKET WITH BYPASS LEVER. PLEASE CONTACT THE ELECTRIC SERVICE BUILDING AT (215) FOR TYPE OF SOCKET TO BE USED. THANK YOU FOR YOUR COOPERATION IN THESE MATTERS. ELECTRICAL UNDERWRITERS ATLANTIC INLAND INSPECTIONS PO BOX 967 SOUTHEASTERN PA CODE INSPECTIONS 605 HORSHAM ROAD HORSHAM PA LEHIGH VALLEY ELECT INSPECTION PO BOX 361 OREFIELD PA MIDDLE ATLANTIC ELECTRICAL INSPECTIONS 302 E PENNSYLVANIA BOULEVARD FEASTERVILLE PA MUNICIPAL INSPECTION CORP KENTWOOD STREET PHILADELPHIA PA UNDERWRITERS INSPECTION SERVICES INC. PO BOX 416 ROYERSFORD PA UNITED INSPECTION AGENCY PO BOX 3361 AMBLER, PA OTHER MIDDLE DEPART INSPECTION AGENCY INC 1542 BRISTOL PIKE BENSALEM PA

7 Cde Enfrcement Office One Vine Street Lansdale, PA P: F: Applicatin Date / / BOROUGH OF LANSDALE BUILDING PERMIT APPLICATION Permit# Fr Office Use Only I. Prperty Infrmatin: Site Address Tax Map Parcel # Residential Cmmercial Single Family Multi-Family Lt#_ Zning II. Prperty Owner: Preferred frm f cntact Phne Name Phne #(Hme) (Mbile) Mailing Address III. Cntractr Infrmatin: Same as Owner Preferred frm f cntact Phne Cmpany Name Phne #(Business) (Mbile) PA License (HIC)# Mailing Address IV. Applicant: Same as Owner Same as Cntractr Preferred frm f cntact Phne Name Phne#(Hme) (Mbile) (Business) Mailing Address Primary Cntact Persn: Prperty Owner Cntractr Applicant V. Building: Type f applicatin: Additin Alteratin New Residential Building New Cmmercial Building Other Descriptin f Wrk: Est. Start Date / / Est. Finish Date / / Est. Jb Cst $ Applicant Signature Include cpy f written prpsal/cntract. Cntact#

8 Prpsed Use: Residential: Nn Residential: One Family Religius Hspital, Institutinal Tw r Mre Family Industrial Office, Prfessinal Garage Parking Garage Schl, Library Carprt Service Statin Retail Other Other Structural Frame: Steel Cncrete Wd Masnry Other Exterir Walls: Wd Masnry Cncrete Steel Other Rf Cnstructin: Rafter Wd Truss Steel Truss Other Rf Cvering: Asphalt/Fiberglass Shingles Metal Built-Up Other Dimensins: Number f Stries: Frnt Setback Industrial Area Ttal Sqft f Flr Area: Rear Setback Cmmercial Area Ttal Land Area, sqft: Left Setback Building Area Ttal alteratin/additin, sqft: Right Setback Living Area Number f Off Street Parking Spaces Enclsed: Building Height Outdrs: Garages Residential buildings nly Garage Area N. f bedrms N. f Bathrms Full Full Partial Half Building Value $ VI. Electric: Permit # Cntractr(Cmpany) Name Phne #(Business) (Mbile) PA License (HIC)# Mailing Address Pwer Devices/Lad Pwer Devices/Lad Service Amps: Ttal # f Mtrs: Number f Outlets: 110 vlt 220 vlt Number f Circuits: 2 wire 3wire 4 wire Descriptin f Wrk: Est. Jb Cst $

9 VII. Plumbing: Permit# Cntractr(Cmpany) Name Phne #(Business) (Mbile) PA License (HIC)# Mailing Address Fixture Type #Fixtures Fixture Type #Fixtures Fixture Type #Fixtures Tub/Shwers Water Heaters Drinking Funtains Shwer Stalls Water Sfteners Inside Dwnsputs Lavatries Water Pumps Back Flw Preventers Tilets Sump Pump Swimming Pls Urinals Sewage Ejectrs Standpipes Sinks Flr Drains Fire Sprinklers Laundry Tubs Parking Lt Drains Other Dishwashers Bidets Garbage Dispsals Rf Openings Ttal # Fixtures Public Water (Y/N) Public Sewer (Y/N) Water Service Size IN Water Meter Size IN Descriptin f Wrk: Est. Jb Cst $ VIII. Mechanical: Permit# Cntractr(Cmpany) Name Phne #(Business) (Mbile) PA License (HIC)# Mailing Address Type # Type # Units Type # Units Type # Units Units Biler Gas/Oil Cnversin Electric Furnace A/C Cmpressr Frced Air Furnace Space Heater Cil Unit Air Handling Unit Heat Pump Incineratr Windw A/C unit Air Cleaner Unit Heater Slid Fuel Appliance Split System A/C Gravity Furnace Type f heating fuel: Gas Oil Electric Cal Wd Other Descriptin f Wrk: Est. Jb Cst $

10 IX. Accessibility: Permit# Existing/Previus Use/Occupancy type: IBC Use Grup: Restaurant Religius Hspital, Institutinal Mercantile/Stre Industrial Office, Prfessinal (Medical ) Tavern/Bar Educatinal Strage Garage Utility Other Existing/Previus Use/Occupancy classificatin: A1 E H4 M S2 A2 F1 H5 R1 U A3 F2 I1 R2 R4 A4 H1 I2 R3 Adult Care A5 H2 I3 R4 B H3 I4 S1 Descriptin: Prpsed Use/Occupancy type: IBC Use Grup: Restaurant Religius Hspital, Institutinal Mercantile/Stre Industrial Office, Prfessinal (Medical ) Tavern/Bar Educatinal Strage Garage Utility Other Prpsed Use/Occupancy Classificatin: A1 E H4 M S2 A2 F1 H5 R1 U A3 F2 I1 R2 R4 A4 H1 I2 R3 Adult Care A5 H2 I3 R4 B H3 I4 S1 Type f Cnstructin (IBC): IA IB IIA IIB IIIA IIIB IV VA VB Descriptin:

11 X. Plt Plan: 2014 Vertex42 LLC