Town of Fremont
Fremont Center, New York
Application for Building Permit
The undersigned hereby makes application for a BUILDING PERMIT pursuant to the TOWN OF FREMONT BUILDING PERMIT ORDINANCE on the site described herein, and agrees to comply to said ordinance, also to be in accordance with all the applicable laws, ordinances, regulations and requirements of the TOWN OF FREMONT, the COUNTY OF SULLIVAN, and the STATE OF NEW YORK.
(PLEASE PRINT)
Full name of Owner Date
Address City State Zip
Telephone (with area code)
Description of Building: (Circle One) Erected, Relocated, Altered or Other___________________
__________________________________________________________________________
__________________________________________________________________________
Location of proposed building: Tax Map ID. #_____________________
__________________________________________________________________________
__________________________________________________________________________
Description of Proposed building (or attached plan):_________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Total Cost of described work $_________________________
Type of Structure: ( ) Residential ( ) Non-Residential
_____________________________________
Signature of Owner
Official Use Only
Proposed Building Site is in the:
( ) Flood Way District
( ) Flood Plain District
( ) Special Flood Hazard Area District
( ) Permit NOT Necessary Section 3.1 (B)
( ) Building Permit can be Issued Pursuant to Section 3.3 (D)
Permit Issued: Date___/___/___ By ___________________________________
Town Code Enforcement Officer
Fremont Center, New York
Application for Building Permit
The undersigned hereby makes application for a BUILDING PERMIT pursuant to the TOWN OF FREMONT BUILDING PERMIT ORDINANCE on the site described herein, and agrees to comply to said ordinance, also to be in accordance with all the applicable laws, ordinances, regulations and requirements of the TOWN OF FREMONT, the COUNTY OF SULLIVAN, and the STATE OF NEW YORK.
(PLEASE PRINT)
Full name of Owner Date
Address City State Zip
Telephone (with area code)
Description of Building: (Circle One) Erected, Relocated, Altered or Other___________________
__________________________________________________________________________
__________________________________________________________________________
Location of proposed building: Tax Map ID. #_____________________
__________________________________________________________________________
__________________________________________________________________________
Description of Proposed building (or attached plan):_________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Total Cost of described work $_________________________
Type of Structure: ( ) Residential ( ) Non-
Signature of Owner
Official Use Only
Proposed Building Site is in the:
( ) Flood Way District
( ) Flood Plain District
( ) Special Flood Hazard Area District
( ) Permit NOT Necessary Section 3.1 (B)
( ) Building Permit can be Issued Pursuant to Section 3.3 (D)
Permit Issued: Date___/___/___ By ___________________________________
Town Code Enforcement Officer
