to Barkeyville Zoning Permit Application Forms
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BARKEYVILLE BOROUGH, 5404 Pittsburgh Road, Harrisville, PA 16038 Telephone: (814) 786-7280 Ben Breniman, 484 Breniman Road, Shippenville, Pa 16254 Permits office Phone: 814.221.1135 • Permits office E-mail: bbreniman@hotmail.com barkeyvilleboro@zoominternet.net ZONING PERMIT APPLICATION SINGLE-FAMILY STRUCTURES & ADDITIONS New impervious surfaces of more than 1,000 square feet are regulated by the Borough’s Storm water Management Ordinance; additional documentation and/or storm water controls may be required. Location of property___________________________________________ Parcel #_________________ Nearest cross streets/intersections________________________________________________________ Owner name, address________________________________________________Phone_____________ Contractor name, address_____________________________________________Phone_____________ Description of project_____________________________________________________________________ ________________________________________________________________________________________ Documentation to be submitted to zoning officer _____ One copy of this application _____ Two copies of a plan showing the size and location of the new construction, proposed or existing curb cuts, driveway access, driveways, sidewalk, accessory buildings and other new impervious surfaces on the site and the structures’ distances from lot lines, all stormwater management structures and floodplain elevation and protection measures as applicable. If the construction involves demolition, the site plan must indicate construction that is to be demolished and the size and location of existing structures and construction that will remain on the site or plot. _____ Estimated cost • Zoning permit fee • Notes___________________________________________________________________________________ __________________________________________________________________________________________ Applicant acknowledgement and signature I hereby acknowledge that I understand the rules and regulations of Borough of Barkeyville, that all information I submit in connection with the above-referenced project is true and correct, and I hereby agree that all applicable ordinances of the Borough of Barkeyville and the laws of the Commonwealth of Pennsylvania will be complied with. ____________________________________________ Signature ____________ Date __________________________________ Print name ______________________________ Title BARKEYVILLE BOROUGH, 5404 Pittsburgh Road, Harrisville, PA 16038 Telephone: (814) 786-7280 Ben Breniman, 484 Breniman Road, Shippenville, PA 16254 Permits office Phone: 814.221.1135 • Permits office E-mail: bbreniman@hotmail.com barkeyvilleboro@zoominternet.net ZONING PERMIT APPLICATION DECKS Location of property___________________________________________ Parcel #_________________ Nearest cross streets/intersections________________________________________________________ Owner name, address________________________________________________Phone_____________ Contractor name, address_____________________________________________Phone_____________ Description of project___________________________________________________________________ Documentation to be submitted to zoning officer _____ One copy of this application _____ Two copies of a plan showing the proposed deck and its outside dimensions, the distances to the front, side and rear property lines and storm water management and floodplain management elements. _____ Estimated cost _____ Zoning permit fee Notes_____________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Applicant acknowledgement and signature I hereby acknowledge that I understand the rules and regulations of Borough of Barkeyville, that all information I submit in connection with the above-referenced project is true and correct, and I hereby agree that all applicable ordinances of the Borough of Barkeyville and the laws of the Commonwealth of Pennsylvania will be complied with. ____________________________________________ Signature ____________ Date __________________________________ Print name ______________________________ Title BARKEYVILLE BOROUGH, 5404 Pittsburgh Road, Harrisville, PA 16038 Telephone: (814) 786-7280 Ben Breniman, 484 Breniman Road, Shippenville, PA 16254 Permits office Phone: 814.221.1135 • Permits office E-mail: bbreniman@hotmail.com barkeyvilleboro@zoominternet.net ZONING PERMIT APPLICATION FENCES Location of property___________________________________________ Parcel #_________________ Nearest cross streets/intersections________________________________________________________ Owner name, address________________________________________________Phone_____________ Contractor name, address_____________________________________________Phone_____________ Description of project__________________________________________________________________ Documentation to be submitted to zoning officer _____ One copy of this application _____ Two copies of a site plan showing the proposed fence location and height, plus the distances to the front, side and rear property lines _____ Estimated costs _____ Zoning permit fee Notes __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Applicant acknowledgement and signature I hereby acknowledge that I understand the rules and regulations of Borough of Barkeyville, that all information I submit in connection with the above-referenced project is true and correct, and I hereby agree that all applicable ordinances of the Borough of Barkeyville and the laws of the Commonwealth of Pennsylvania will be complied with. ____________________________________________ Signature ____________ Date __________________________________ Print name ______________________________ Title BARKEYVILLE BOROUGH, 5404 Pittsburgh Road, Harrisville, PA 16038 Telephone: (814) 786-7280 Ben Breniman, 484 Breniman Road, Shippenville, PA 16254 Permits office Phone: 814.221.1135 • Permits office E-mail: bbreniman@hotmail.com barkeyvilleboro@zoominternet.net ZONING PERMIT APPLICATION RESIDENTIAL ACCESSORY STRUCTURES New impervious surfaces of more than 1,000 square feet are regulated by the Borough’s Storm water Management Ordinance; additional documentation and/or storm water controls may be required. Location of property___________________________________________ Parcel #_________________ Nearest cross streets/intersections________________________________________________________ Owner name, address________________________________________________Phone_____________ Contractor name, address_____________________________________________Phone_____________ Description of project__________________________________________________________________ Documentation to be submitted to zoning officer _____ One copy of this application _____ Two copies of a plan showing the proposed building location and size, plus the distances to the side and rear property lines and storm water management and floodplain management requirements. _____ Estimated costs _____ Zoning permit fee Notes __________________________________________________________________________________________ __________________________________________________________________________________________ Applicant acknowledgement and signature I hereby acknowledge that I understand the rules and regulations of Borough of Barkeyville, that all information I submit in connection with the above-referenced project is true and correct, and I hereby agree that all applicable ordinances of the Borough of Barkeyville and the laws of the Commonwealth of Pennsylvania will be complied with. ____________________________________________ Signature ____________ Date __________________________________ Print name ______________________________ Title BARKEYVILLE BOROUGH, 5404 Pittsburgh Road, Harrisville, PA 16038 Telephone: (814) 786-7280 Ben Breniman, 484 Breniman Road, Shippenville, PA 16254 Permits office Phone: 814.221.1135 • Permits office E-mail: bbreniman@hotmail.com barkeyvilleboro@zoominternet.net ZONING PERMIT APPLICATION SIGNS Location of property___________________________________________ Parcel #_________________ Nearest cross streets/intersections________________________________________________________ Owner name, address________________________________________________Phone_____________ Contractor name, address_____________________________________________Phone_____________ Description of project___________________________________________________________________ Documentation to be submitted to zoning officer _____ One copy of this application _____ Two copies of a plan showing the proposed sign location, dimensions, height from grade and distances to the front, side and rear property lines _____ Estimated costs _____ Zoning permit fee Notes __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Applicant acknowledgement and signature I hereby acknowledge that I understand the rules and regulations of Borough of Barkeyville, that all information I submit in connection with the above-referenced project is true and correct, and I hereby agree that all applicable ordinances of the Borough of Barkeyville and the laws of the Commonwealth of Pennsylvania will be complied with. ____________________________________________ Signature ____________ Date __________________________________ Print name ______________________________ Title BARKEYVILLE BOROUGH, 5404 Pittsburgh Road, Harrisville, Pa 16038 Telephone: (814) 786-7280 Ben Breniman, 494 Breniman Road, Shippenville, PA 16254 Permits office Phone: 814.221.1135 • Permits office E-mail: bbreniman@hotmail.com barkeyvilleboro@zoominternet.net ZONING PERMIT APPLICATION COMMERCIAL OR MULTI-FAMILY Return a signed copy of this page to the zoning officer with other required documentation. Location of property___________________________________________ Parcel #_________________ Nearest cross streets/intersections________________________________________________________ Owner name, address________________________________________________Phone_____________ Description of project__________________________________________________________________ Contractor name, address____________________________________________Phone______________ Documentation to be submitted to zoning officer (as applicable) ____ Two copies of a site plan showing, as applicable, lot lines, structure sizes and locations, setbacks, lot access/curb cuts, landscaping/screening, sidewalks and other impervious surfaces, size and location of parking spaces and other parking and access features; travel lanes; and lighting. ____ Two sets of storm water management plans, with calculations, specifications and erosion and sedimentation control measures. The storm water management/drainage plan must be prepared by a professional engineer or other qualified person and meet the Borough’s storm water management ordinance. State and Venango Conservation District regulations must be followed as required. Any changes to building or parking drainage or other site work involving drainage must also be submitted and approved prior to construction. ____ Two sets of floodplain management plans, including elevations and flood protection measures. The lowest floor of any building must be at or above the base flood elevation. An elevation certificate showing lowest floor level is required if there is a new building or substantial renovations to existing buildings. Obtain the base flood elevation from the zoning officer unless it’s an unnumbered zone. In that case, a surveyor or professional engineer must determine the elevation and submit for review. ____Zoning permit and storm water management reviews: Per fee schedule Applicant Acknowledgement and signature I hereby acknowledge that I understand the rules and regulations of Borough of Barkeyville, that all information I submit in connection with the above-referenced project is true and correct, and I hereby agree that all applicable ordinances of the Borough of Barkeyville and the laws of the Commonwealth of Pennsylvania will be complied with. ____________________________________________ Signature _____________________________ Date __________________________________ Print name ______________________________ Title
