CITY OF O'NEILL
APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT

NAME:_________________________________________________________________
ADDRESS:________________________________ Phone Number:_______________
I. Location of Building:___________________________________________________
Legal Description:______________________________________________________
The undersign makes application for a permit to build within the jurisdiction of the city of O'Neill and hereby agrees to build said building in accordance with the ordinances of O'Neill and the plans and specifications set forth below. Furthermore the applicant acknowledges sole responsibility for compliance with all restrictive covenants; issuance of a building permit will not supersede any restrictive covenants that may be on the real estate. Covenants may have greater set back requirements. All Commercial buildings need the plans filed with State Fire Marshall's office.

II. Type and cost of Building:

A. Type of Improvement
___New Building ___ Demolition
___ Addition ___ Repair, Replacement

B. Ownership
___ Private (individual, corporation, nonprofit institution, etc.)
___ Public (Federal, State, or local government)

C. Architect/Contractor
Name__________________________
Plumber
Name__________________________ License Number_____________________
Electrician
Name__________________________ License Number_____________________
(A copy of the Plumber and Electrician's license needs to be on file at the city office.)

D. Cost
Cost of Improvement $____________

To be installed but not included in above cost
a) Electrical $____________
b) Plumbing $____________
c) Heating, air conditioning $____________
d) Other (Elevator, etc.) $____________

 

 

E. Proposed Use (for demolition mark most recent use)
Residential Nonresidential
___ One family ___ Amusement, recreational
___ Two or more families ___ Church, other religious
Number of Units______ ___ Industrial
___ Transient hotel, motel ___ Service station, repair garage
or dormitory ___ Institutional
Number of Units ______ ___ Office, bank, professional
___ Garage ___ Public utility
___ Carport ___ School, library, educational
___ Other - specify ___ Stores, mercantile
______________________ ___ Tanks, towers
______________________ ___ Other - specify

Nonresidential: Describe in detail the proposed use of the buildings:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

NOTE: ALL COMMERCIAL BULDINGS MUST COMPLY WITH AMERICANS WITH DISABILITES ACT (ADA) REGULATIONS

III. Selected Characteristics of Building

A. Principal Type of Frame
___ Masonry (wall bearing) ___ Wood Frame ___ Structural Steel
___ Reinforced Concrete ___ Other - specify ___________________

B. Principal Type of Heating Fuel
___ Gas ___ Oil ___ Electricity
___ Coal ___ Other - specify ___________________

C. Type of Sewage Disposal
___ Public or private company ___ Private (septic tank, etc.)

D. Type of Water Supply
___ Public or private company ___ Private (well, cistern)

E. Type of Mechanical
Will there be central air conditioning ___ Yes ___ No
Will there be an elevator? ___ Yes ___ No

F. Dimensions
Height _____________
Width and Length _____________
Total area, square feet _____________

IV. Sidewalk ($10 per running foot)
No. of running feet _____________
Deposit _____________

 

Permit Fee $________________
Date Paid ________________

 

 

_____________________________ __________________
Applicant Signature Date

_____________________________ __________________
Zoning Administrator Signature Date

_____________________________ __________________
Building Inspector Signature Date

 

 

 

 

 

 

 

V. Site or Plot Plan
Please draw in size, shape, and placement of building to be constructed in reference to adjoining property lines. Plans must be submitted with all new construction and major additions.