FOR OFFICE USE ONLY
PERMIT #:______
PLAN #:______
CENSUS TRACT:______
WARD #:______
BUILDING 
HOUSING 
FIRE 
MULTI FAM 
COMM DEVELOPMENT:
______
FRAME  MASONRY 
PERMIT COST
_____X____= $ ______
_____X____= $ ______
_____X____= $ ______
LATE FEE = $ ______
C.O. = $ ______
TOTAL = $ ______

CITY OF EAST CLEVELAND

DEPARTMENT OF COMMUNITY DEVELOPMENT

DIVISION OF BUILDING & HOUSING

PERMIT APPLICATION FOR

Residential Buildings & Structures

IMPORTANT – APPLICANT TO COMPLETE ALL ITEMS IN SECTIONS I-V

I. PROJECT ADDRESS Address______

FLOOR______SUITE______AKA______

II. A. NATURE OF JOB

 New Foundation Only Change of use

 Alteration Demolition Correct Violations

 Addition Use Other ______

B. Accessory use ______

C. Dimensions

Width _____Length______No. stories or Height______Floor Area______

III. Construction costs

General ______

Plumbing______

HVAC______

Electrical______

Other______

Total ______

  1. DESCRIPTION BY APPLICANT (Describe in Detail Proposed Work and Use of Property)

V. IDENTIFICATION

Name / Address City State / Zip Code / Tel. No.
Property Owner
Lessee
Contractor
Eng. / Architect
Architect
Contact Person

I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all laws of this jurisdiction

______

Signature of Applicant DateContractors Registration Approved By

VI. PROJECT DESCRIPTION (Describe in Detail Proposed Work & Use of Building)

BY PLAN EXAMINER (Included in permit)

NOTES

IV. A TABLE OF DATA REQUIRED (FOR ALL BUILDINGS)

STORIES / B / 1 / 2 / 3 / 4 / 5 / 6 / 7 / TYPICAL / ROOF
DESIGNED LIVE LOAD (USE)

POPULATION

# OF PERSONS OCCUPYING

VII. B. SPECIAL INSPECTOR

 STEEL
 CONCRETE
 OTHER
 OTHER

VIII. Fire Protection

Fire Suppression system
Fire Alarm
Stand Pipe
IX. C. SEWAGE DISPOSALStorm______Sanitary______

X. OHIO BOARD OF BUILDING APPEAL (STATE)

VARIANCE REQ’D YES___ NO ___ / GRANTED YES ___ NO ___ / DOCKET ______

XI. EAST CLEVELAND BOARD OF BUILDING CODE

VARIANCE REQ’D YES___ NO ___ / GRANTED YES ___ NO ___ / DOCKET ______

ENGINEERING SITE DESCRIPTION

  1. LOCATION AND DESCRIPTION OF LOT

Project Address______Sub Lot No.,______

Permanent Parcel No.______AKA______Side of Street______

Between______Street or Ave and______Street or Ave______

Being______Feet Front and______Feet deep on the______Side______

Being______Feet Front and______Feet Deep on the______Side______

See Setbacks BelowConsolidation/Split Req.Appr. Map No

XIII. ZONING ORDINANCE

Sanborn Map. Vol______Page______Zoning Map Sht______Zoning Use______Area______Height______

Proposed Use______Lot Area______

Accessory Use______Floor Area______

YARDSFrontRearSideSide

Required______

Provided______

LANDSCAPINGFrontRearSideSide

Required______

Provided______

Existing

Off Street Parking Provided______Credit______Required______

XIV.B.O.Z.A. Variance Required  Yes  No Granted  Yes ___ No ___Calendar #______

XII. OVERLAY DISTRICTS Required Granted
/

CALCULATIONS

Architectural Review Board    
Landmarks Approval    
Planning Commission Approval    
  1. VIOLATIONS

NOTES & COMMENTS

PLAN /PROJECT APPROVAL SHEET

I HAVE EXAMINED THE DATA FURNISHED BY

THE APPLICANT AND SAME IS APPROVED

ADDRESS AND/OR ROOM NO. COMMENTS SIGNATURE/DATE

Examiner of Plans______

Elevators______

Zoning______

Building Records (Violation/Existing)______

Fire Department______

Police Department ______

Fire Damage/Condemnation______

Dept. of Comm. Development______

City engineer______

Div. of Water ______
Landmarks Commission______

Water Pollution Control______

Dept. of Health______

Div. of Air Pollution______

Chief Building Official ______

Other______

Other______

Other______