Zoning Permit Application

Applicant/Owner Information

Name

Address

Street Address City State ZIP Code

Phone/Cell

Is the project address the same as above?

Yes

Address where work will be completed

Street Address City State ZIP Code

Contractor Information

Company Name

Contractor Name

Contractor Email

Contractor Phone/Cell

Website

Contractor Address

Street Address City State ZIP Code

PA HIC #

Construction Information

Type of Construction

Please check one

Shed

Deck

Fence

Detached Structure

Detached Structure Type

Carport

Garage (under 1000 Sq. Ft.)

Greenhouse

Gross Footage Area/Size

Estimated Cost

Contractor or Sub-Contractor Information

All applicants must submit proof of Workman’s Compensation or an approved and NOTARIZED affidavit waiving the right to Workman’s Compensation. If the General Contractor (GC) does not have Workman’s Compensation, all sub-contractors must submit proof of insurance

Applicant’s Certification

I herby certify that the proposed work is authorized by the owner of record and that I am said owner or that I have been authorized by the owner to file this application as the authorized agent and I agree to abide by the Zoning Code of the Borough of Oakmont and to conform to all applicable ordinance, regulation, and laws of the municipality and of the Commonwealth of Pennsylvania.

Signature of Applicant

Please type your full name above to serve as you electronic signature.

Oakmont Borough Office

Zoning Permit Application

Applicant/Owner Information

Contractor Information

Construction Information

Contractor or Sub-Contractor Information

Applicant’s Certification

Borough Use Only

Borough Office

Office Hours