Application of Zoning Appeal

Please select the Appeal that applies

Uniform Construction Code (UCC)

International Property Maintenance Code (IPMC)

Date Appeal Submitted

Property Address

Street Address City State ZIP Code

Property Owner

Property Owner Address

Street Address City State ZIP Code

Lot & Block #

Property Owner Phone

Property Owner Email

Property Owner Fax

Applicaion Made by

Owner

Agent Name

Design Prof.

Other (specify)

If Other than Owner: Name

If Other than Owner: Address

Street Address City State ZIP Code

If Other the Owner: Phone

Requesting

Requesting a Variance from UCC or IPMC

Requesting Reconsideration of a UCC/IPMC Official determination/decision

Requesting a definition of the UCC/IPMC section

Other

If Other, please specify

YOU MUST ESTABLISH THAT THE PERFORMANCE OF THE ITEM OR PART OF THE BUILDING OR STRUCTURE FOR WHICH THE APPEAL IS SOUGHT DOES NOT SUBSTANTIALLY DEVIATE FROM THE PERFORMANCE REQUIRED BY THE BOROUGH CODE

Method Outline

Outline the method you will use to establish that what you are proposing will not deviate from the performance required by the UCC/IPMC.

Signature

Please type your full name below to serve as your electronic signature.

Signed & Sealed Plans (if applicable)

Signed and sealed plans (if applicable), and a check payable to the “Borough of Oakmont” in the amount of $750.00 MUST accompany this Appeal form for the application to be considered as complete.

Accepted file types: pdf, doc, Max. file size: 50 MB.

Total number of pages included in the plans uploaded below

Please attach the information page for each violation/code requirement to be appealed. You may attach extra pages if necessary.

Information pages

Drop files here or

Accepted file types: pdf, doc, Max. file size: 50 MB, Max. files: 10.