VILLAGE OF SPENCERVILLE

APPLICATION FOR BUILDING OR REMODELING

Please allow up to 30 days for the permit process. Any questions can be directed to Jim Rex at 419-647-5361.

Date:  ________________________________________________                                                                                  

Owner’s  Name: _______________________________________________________               Owner’s  Phone #:  ________________________________________

Owner’s Address:  ____________________________________________________                  Owner’s City:____________________________________________

Owner’s State:  _______________________________________________________                 Owner’s Zip Code:  ________________________________________

Location/Address that work is to be done at:  _____________________________________________________________________________________________

Parcel s  # :  ______________________________________________________________________________________________________________________

I hereby apply for a permit to:    

_____         Construct                          ___ __        Metal                                   Building Used For:   _____________________________________________________________

_____         Alteration                          _____         Wood                                 Size of Building :   _______________________________________________________________

_____         Repair                                  _____         Brick                                     Size of Lot :  ____________________________________________________________________

_____         Addition                            _____         Concrete                            Lot No.:  _______________________________________________________________________

______      Remove                              _____         Cement Block                  Zoning:  ____ ________________ __________________________________________________

Miscellaneous:    ______________________________________________________________________________________________________________________

Distance from Property Line:  _________________ ____________________               From Street Line:  ______________ ____________________________________

Estimated Cost of project:  $____________________________               Applied for by:  ______________________________________________________________

Please attach a plot plan for a building or remodeling permit.  Show location of the proposed building and give all distance to the lot lines.

I hereby agree that any construction location which is different from the information provided and which violates the zoning law will be corrected at my expense.

Owner’s Signature:  ____________________________________________________________________                Date:  __________________________________

Zoning Office Use

Plans Submitted :                                     YES                                      NO                                       Area:  ________________________________________________________________

Permit Fee:  $_________________________________________                 Date Paid:  ____________________________            Check #:  _______________________

Permit No.:     ___________________________________ _______________             Receipt No.: ___________________________________________________

BUILDING PERMIT INSTRUCTIONS

1.)        If this form is not filled out properly, it will be returned to you.  Construction cannot be started until the permit is issued.

2.)        Allow thirty (30) days after application for approval or denial of the Building Permit.

3.)        Clearly have distances between property lines and structure.

4.)        What type of structure?

5.)        Dimension of existing structure and construction project.

6.)        Lot Number

Mayor Lynn D. Cummins

If you have any questions on zoning, please contact Jim Rex at 419-647-6263 or e-mail at jrex@spencervilleoh.com.

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