Camden County Planning Department
Permits & Inspections
Data Input Form: Single Family Dwellings - Stick Built House

I  M  P  O  R  T  A  N  T  !  !

This form IS NOT your application. This form is an input form designed to generate your application based on your inputs. After entering your information, you must click the 'Print Application' button to view and print your application. You may also print a blank application and fill it out by hand by clicking the 'Print Blank Application' button before filling in any fields. This form is used to produce the application for your House And Any Structures Attached Thereto (attached garage, attached deck, etc.). Detached Accessory Structures MUST be on Separate Permits.

This form is designed to be used with Internet Explorer, Mozilla Firefox, Google Chrome, and Safari browsers.   Margins Supported: 1" all around. To report form problems or to request blank forms via email, please email 'abarnett@camdencountync.gov'. Please describe any form problem and tell us which browser & version (i.e. Internet Explorer 7, 8, 9, etc.) you are using so that we may attempt to improve this form.

IMPORTANT: Please Perform Print Preview BEFORE Printing. If print preview does not look right, check your margins to make sure they are set to 1" or less all the way around. From within Print Preview in most browsers you can adjust the margins. Also make sure the Scale is set to 100% or less. We recommend no less than 90% and no greater than 100% for scale. Application will not print properly at any scale above 100%. You can also use "Shrink to Fit".

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* = Required Field

Owner Information
Owner Name:*
Owner Email:
Owner Phones:*Home:      Cell:     Fax:  
Owner Mailing Address: *
  * City:     * State:     * Zip:  
If Owner is a Busness Entity, also complete the following:
Owner Business Name:
Owner Business Address:
 City:     State:     Zip:  
Owner Business Phone and Ext:
Emergency Contact Information:Emergency Contact:    Emergency Phone:  
Permit Type:
 *
Property Information

Property Address (where project is built): *
 * City:     * State:     * Zip:  
 Project Township:  *    Is this a corner lot?  
 Lot Width(frontage):     Lot Depth (length):     Total:  
 Square Feet of Impervious Surfaces (Commercial Permit Only):  
 Does Property Owner own abutting property?  
Owner on Tax Records:
Project Information

Description/Proposed Use:*
Occupancy Type:* Other:  

Building Cost:*
 # Buildings:     # Dwelling Units:     # Off-Street Parking Spaces:  
Utilities:Water:     Sewer:  
 Electric:     Amperage:     Phase:     Voltage:  
Contacts                                                       Primary Contact  *    Billing Contact  *
** IS OWNER ACTING AS GENERAL CONTRACTOR ? **   *

General Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  Type of Business:   Other:  
  No. Employees:     License #:     License Class:  
  License Holder Name:     Expiration Date:  
 
Insurance Agents:
General Liability:                 Phone:  
Workers Compensation:     Phone:  
Auto Insurance:                  Phone:  
Bond Agent:                       Phone:  
Electrical Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  Type of Business:   Other:  
  No. Employees:     License #:     License Class:  
  License Holder Name:     Expiration Date:  
 
Insurance Agents:
General Liability:                 Phone:  
Workers Compensation:     Phone:  
Auto Insurance:                  Phone:  
Bond Agent:                       Phone:  
Mechanical Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  Type of Business:   Other:  
  No. Employees:     License #:     License Class:  
  License Holder Name:     Expiration Date:  
 
Insurance Agents:
General Liability:                 Phone:  
Workers Compensation:     Phone:  
Auto Insurance:                  Phone:  
Bond Agent:                       Phone:  
Plumbing Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  Type of Business:   Other:  
  No. Employees:     License #:     License Class:  
  License Holder Name:     Expiration Date:  
 
Insurance Agents:
General Liability:                 Phone:  
Workers Compensation:     Phone:  
Auto Insurance:                  Phone:  
Bond Agent:                       Phone:  
Insulation Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  Type of Business:   Other:  
  No. Employees:     License #:     License Class:  
  License Holder Name:     Expiration Date:  
 
Insurance Agents:
General Liability:                 Phone:  
Workers Compensation:     Phone:  
Auto Insurance:                  Phone:  
Bond Agent:                       Phone:  
Sprinkler Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  Type of Business:   Other:  
  No. Employees:     License #:     License Class:  
  License Holder Name:     Expiration Date:  
 
Insurance Agents:
General Liability:                 Phone:  
Workers Compensation:     Phone:  
Auto Insurance:                  Phone:  
Bond Agent:                       Phone:  
Construction Information for Stick Built Dwellings (Building Details)

DO YOU NEED A TEMP POLE ?    *

1.)  Structure Dimensions:   Length: *  X  Width: *  X  Height: *   Total SQFT:   *
       Construction Type:   Other:   Number Bathrooms:   Number Bedrooms: 
       Siding Type: 

2.)  Foundation Type: 
       Trench Footing Size:   Wide X   Deep;    Concrete Thickness:  Inches
       Pier Footing Size:  X   X   Deep;    Concrete Thickness:  Inches
       Block Size:   X   X   ;   Cap Block Size:   X   X 
       Maximum Pier Height:   Total # Rows of Piers ;   House Width: 
       Exterior Girder Size:   X   X   with a   Clear Span ;  Species 
       Interior Girder Size:   X   X   with a   Clear Span ;  Species 

3.)  Crawl Space:  Access Door Size    X   ;  Ground Vapor Barrier IS REQUIRED

4.)  Floor System:          
       1st Floor Joist Size   X   ,    Inches Off Center with a   Clear Span
                                            Lumber Grade 
       2nd Floor Joist Size   X   ,    Inches Off Center with a   Clear Span
                                            Lumber Grade: 
       3rd Floor Joist Size   X   ,    Inches Off Center with a   Clear Span
                                            Lumber Grade: 

5.)   Ceilings:  Joist Size  X   ,    Inches Off Center with a   Clear Span
                                            Lumber Grade: 

6.)  Roof System:  Slope   /     Type:     Other: 
        Trusses:   ;    Inches Off Center with a   Clear Span
        Ridge Board Size:    X 
        Rafter Size:    X   ,   Inches Off Center with a   Clear Span
                                            Lumber Grade: 

NOTE:  If all framing members (floor, ceiling joist and rafters) are not of the same size, then all rooms shall be listed on the back of printed permit application, specifying the above framing members sizes and clear spans for each room.

7.)  ATTIC  Area:    square feet ;                   Insulation:  
        Access:     If Access Hole, Specify Length:     X  Width:  
        Number Roof Vents:     with    Square Inches  Net Free Area / Vent
        Number Soffit Vents:    with     Square Inches Net Free Area / Vent
        Linear Feet of Continuous Soffit Ventilation   ,   with     Square Inches Net Free Area
        TOTAL Net Free Area of Attic Ventilation     Square Inches Provided

8.)  Structural Steel I-Beam?     ;   Size:  Length:   X   Width:  ,   with a    Clear Span

9.)  Attached Garage?     ;   Door Width:    ;   Header Size:     ,  Length:   X   Width: 
        Room Over Garage?     ;   Proposed Use:  
        Floor Joist Size:  Length:   X   Width:  ,    Inches Off Center with a  Clear Span
                                            Lumber Grade: 

10.)  Type of Heat:     Location of Unit     Number of Returns  

11.)  Type of Water Heater:     Location:  

12.)  Fireplace Type? (If no fireplace, select 'None')  
        Fire Place Opening:  Length:    X   Width:    ;   Flue Liner Size:  Length:    X   Width:  
        Hearth Extension:     If Other:  (  Specify Inches     )

13.)   Deck?    ;  Dimensions:  Length:     X  Width:     Height Above Grade:  
        Girder Size:    X     X     with a     Clear Span Between Posts
        Floor Joist Size     X     ,     Inches Off Center with a       Clear Span
                                            Lumber Grade: