APPLICATION FOR BUILDING PERMIT
City of DeRidder200 South Jefferson StreetDeRidder, Louisiana 70634 (337) 462-8900 Fax 462-8908 city@cityofderidder.org
Name of Owner_____________________________________________________
Address___________________________________________________________ Construction Address______________________________________________ Legal Description of Lot__________________________________________ I. FILL IN THE FOLLOWING BLANKS a. Zoning class of your property (from Code of Ordinances)________ b. Yard Requirements (from DeRidder Code of Ordinances) 1. Front Yard_____________________________________________________ 2. Rear Yard______________________________________________________ 3. Side Yard______________________________________________________ c. Yard Requirements (from Subdivision Restrictions) 1. Front Yard_____________________________________________________ 2. Rear Yard______________________________________________________ 3. Side Yard______________________________________________________ d. I understand the Subdivision restrictions.___Yes___No e. Has property been surveyed?___Yes___No.If yes, by whom and date _______________________________________________________________ f. Building Contractor's Name/Address_____________________________ _______________________________________________________________ State Licensed___Yes___No #_______________________________________ II. BUILDING PERMIT FEE a. Cost of Construction - Fee_____________________________________ b. Square Footage_________________________________________________ ___Residential___Commercial c. Class of Work___NEW___ADDITION___ALTERNATION___REPAIR III. PLUMBING PERMIT Plumbers Name/Address_____________________________________________ City License___Yes___No___= One Time Job Fee______________________ ___Inside City Limit___Outside City Limit Rough In__________________________________________________________ Final/Topout______________________________________________________ Gas_______________________________________________________________ Sewer_____________________________________________________________ Number of Fixtures___X 2.00 = $___________________________________ Size of Water Service___/$________________________________________ Valve Charge______________________________________________________ Deposit___________________________________________________________ Boring Fee________________________________________________________ Cutting Fee_______________________________________________________ Sewer Tap_________________________________________________________ Water Tap_________________________________________________________ IV. ELECTRIC PERMIT Electricians Name/Address_________________________________________ City License___Yes___No=One Time Job Fee__________________________ Temporary Pole____________________________________________________ Rough In__________________________________________________________ Meter Loop________________________________________________________ Final_____________________________________________________________ V. MECHANICAL PERMIT Contractors Name/Address__________________________________________ City License___Yes___No=One Time Job Fee__________________________ Inspection Fee____________________________________________________ Repairs over $500-$15 00__________________________________________ AC/H 3 Ton-$13.00_________________________________________________ AC/H 3 1/2 Ton-$15.00_____________________________________________ AC/H 4 Ton-$17.50_________________________________________________ AC/H 5 Ton-$19.50_________________________________________________ AC/H over 5 Ton-$ 3.90 per/T______________________________________ VI. TOTAL BUILDING AND PERMIT FEES________________________________ VII. CONSTRUCTION SITE ___Is___Is Not in a flood hazard zone. If so, base flood elevation is____________________________________ Owner has been informed___Yes ___No VIII. INSTRUCTIONS TO OWNER/CONTRACTOR For your own protection, this application must be filled out completely and approved, before construction begins on property located inside the City Limits. The Owner/contractor is responsible to insure that the construction is according to the 2006 International Building Code, 2006 Residential Building Code and the building on the property
is in compliance with all zoning regulations.
The Owner or Contractor must attach a plot plan to this application, drawn to scale, showing the following: • Length and width of lot • Location of Lot, showing streets • Diagram of building or addition to building • Distance from curb to front of houses adjacent to your property • Distance of back property line to proposed structure • Distance of side property line to proposed structure • Distance of front property line to proposed structure. IX. SPECIAL INSTRUCTIONS
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