TOWN OF LAYTONSVILLE

P.O. Box 5158, Laytonsville, MD  20882

(301) 869-0042    Fax (301) 869-7222

www.laytonsville.md.us

 

 

BUILDING PERMIT APPLICATION:

 

Permit Fee:

$

 

#

 

See Fee Schedule

 

 

Date Filed:

 

Fee Must accompany

 

 

Decision:

 

application

 

 

Date:

 

 

 

 

 

 

 

1.

Job Location

Lot:

          

Block:

     

Subdivision:

     

 

Parcel:

     

Street

Address:

     

 

 

 

2.

Total Cost of Improvements:

$     

 

 

3.

Applicant:

     

 

 

 

Address/Phone:

 

     

 

 

 

4.

Contractor:

     

 

 

 

Address/Phone:

 

     

 

 

 

5.

Architect:

     

 

 

 

Address/Phone:

 

     

 

 

 

6.

Engineer:

     

 

 

 

Address/Phone:

 

     

 

 

 

7.

Use of Building:

     

 

8.

Class of work:

New:

Addition:

Alteration:

Repair:

 

 

Move:

Remove:

Demolition

 

 

 

 

 

 

 

 

 

 

 

 

 

Continued on Next Page

 

9.

 

Principal type of frame:

 

 

Masonry:

 

 

 

 

Wood:

 

 

 

Structural Steel:

 

 

 

 

 

 

 

Reinforced concrete:

 

 

 

 

Other:

 

 

 

 

 

 

9.A

Principal type of siding

and roof

 

     

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Dimensions:

# of floors

above ground

level:

 

 

 

 

Basement:

 

 

Yes

 

 

      No:

 

 

__

 

 

 

 

 

 

 

 

 

 

 

Height of Construction:

 

     

 

Ft.

Total Floor

Area:

 

     

 

Sq. ft.

 

 

# of Parking Spaces:

     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

Garage:

Yes:

No:

Attached:

Yes:

No:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Residential:

Total

Rooms:

 

Bedrooms:

Baths:

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

Special Conditions:

     

 

 

 

Note:   All permits issued by the Town of Laytonsville are subject to obtaining all required Montgomery County/State required building, environmental and health approvals and permits.

Note:   Applications for other Town permits required for construction of fences and

            Swimming pools must be submitted separately.

Note:   Applications for driveway aprons, cutting of curbs, sidewalks and streets

            to install or connect underground gas, electric power, telephone must be

            submitted separately.  (See Driveway and Driveway Apron Ordinance.)

Note:   Site plans, set of blue prints must accompany application.

 

 

Continued on Next Page

 

Note:   Permits are not valid if construction work is not started within six (6) months from date permit is issued. Permit expires if work is not completed in one (1) year from date permit is issued.

Note:   No building shall be occupied until a Certificate of Occupancy has been issued by the Town of Laytonsville.  A valid Occupancy Permit issued by Montgomery            County must be presented before one shall be issued by the Town of Laytonsville.

            (Not applicable for single family detached dwelling used as residence.)

Note:   Please refer to Town’s Zoning Ordinance regarding required setbacks and related requirements for accessory buildings.

Note:   All demolition debris must be removed from the property and disposed of according to Montgomery County regulations.

Note:   Bond to cover restoration of any damage or loss of use to Town property or public rights-of-way in connection with or related to the construction authorized under the building permit will be required.

Note:   Application must comply with Homeowners’ Association guidelines if applicable.

Note:   Before a roadside tree within the right-of-way of a public road is trimmed or cared for in any way including removal, the  applicant must first obtain a permit from the Maryland           Department of Natural Resources Forest Service before the Town reviews the Building Permit application.   A permit is also needed to plant a tree within the public road right-        of way.  Any work (including removals) performed on a roadside tree, 20 feet or greater in height, must be done by a licensed tree expert.  If tree care or removal is performed           on a roadside tree without a permit, a fine or more severe actions may be assessed by the Maryland DNR Forest Service.  To obtain a permit from MD DNR:          www.dnr.state.md.us/download/060905rtp.doc;  Mail the completed form to:  Md Dept of Natural Resources, 2 S. Bond Street, Bel Air, MD  21014  Attn:  Tod Ericson

 

 

Signature of Applicants(s):

 

     

 

     

 

I certify that I have read and examined this application and know the same to be true and correct.  All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.  The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state, county, or local law regulating construction or the performance of construction.

 

Contractor (Name):

 

     

 

By:       

 

Date: