C N O D S & P: Building Permit Application

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CITY OF NEW ORLEANS

DEPARTMENT OF SAFETY & PERMITS


Building Permit Application
Date: ___________________

Tracking Number:______________________

Applicants Name (Please Print):_______________________________________________________________________


Permit Address:____________________________________________________________ Suite/Unit:_____________
Owner Name: ___________________________________________________________________________
Owner Address:____________________________ City: ________________ State:_____ ZIP: ________
Owner Telephone No.:_______________________ Secondary Telephone No.:______________________
Contractor Name:____________________________________________ Telephone: _________________
Contractor Address:______________________________________________ Suite/Unit:______________
City: __________________ State:______ ZIP: _________ License Number:________________________
Resident Status Number: ____________________ Expiration Date: _____________
Existing Use: ______________________________ Proposed Use: ________________________________
Description of proposed work: _____________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Value of proposed work: $________________ Related Permit(s): ________________________________
Number of Buildings: _____ Number of Units: _____ Number of Floors: ______
Foundation Type: Slab /

Pier | Sprinklers: Yes / No | Building Condition: Good / Average

For new construction and commercial permits, please fill out both pages of this application.
By signing below, I understand that no refunds will be granted once the Department of Safety&
Permits has accepted payment for this permit:
Applicant Signature:_____________________________
SAFETY & PERMITS USE ONLY
Tax Bill Number: _____________________ Square Number: __________ Lot Number: ___________
Lot Size: _____________________________ Corner Lot: Yes / No |
Zoning District: _________ HDLC / VCC
FIRM Zone: ____________
Rev. 9/08 / JM

Waterfront: Yes / No

BZA#:____________ Ordinance Number: ___________

Elevation Required: ______________


Permit Analyst:__________________________________

Building Information:
SBCCI Construction Type:_____________________

Number of Existing Electric Meters: _________

Number of Floors: ______


Single-Family and Two-Family Building Information
Square Footage of Dwelling:____________ Number of Bedrooms: _____ Number of Bathrooms:____
Square Footage of Garage: ________ Central A/C and Heat: Yes / No | Fireplaces: Yes / No
Multi-Family and Commercial Building Information
Number of Residential Units: ________
Efficiency Units: ______, 1 Bedroom: ______, 2 Bedrooms:______, 3 or more Bedrooms: ______
Number of Elevators: ________ (Passenger Elevators: ____ Freight Elevators: ____ )
Number of Escalators: _______
Number of Boilers: _______

Number of A/C units: ______

HP Boilers: _______

HWHs: _______

Total Tonnage: ________


Gas Meters: _______

ABO License Number: _______________________


Tenant Name: ___________________________________________________________________________
Architect/Engineer Name:______________________________________ Telephone: ________________
Architect/Engineer Address:______________________________________________ Suite/Unit:_______
City: __________________ State:______ ZIP: _________ License Number:________________________
Company Name: ______________________________________________
Helpful Telephone Numbers:
Department of Safety & Permits:
Directors Office
658-7200
Plan Processing
658-7115
Zoning Administration
658-7125
Building Inspections
658-7130
Electrical Inspections
658-7145
Mechanical Inspections
658-7153

Orleans Parish Board of Assessors


New Orleans City Council
City Planning Commission
Historic District Landmarks Comm.
Fire Prevention
State Health Department
State Fire Marshall
FEMA

658-1300
658-1000
658-7000
658-7040
658-4770
568-7970
219-4600
1-800-820-1125

SAFETY & PERMITS USE ONLY SPECIAL APPROVALS


Approval Type / Reason: _________________________________________________________________________
_______________________________________________________________________________________________
Signature: ________________________________________ Date: ____________ Department: _______________
Approval Type / Reason: _________________________________________________________________________
_______________________________________________________________________________________________
Signature: ________________________________________ Date: ____________ Department: _______________

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