Application for Renewal of Building Permit

If your project is not completed and finalized within the year, it is your responsibility to complete and submit a building permit renewal form, along with the applicable fee for every year the permit remains open.

Name of Property Owner.

Phone Number (999-999-9999)

Email Address

Property Address.

Postal Code

Mailing Address, if different than property address

Postal Code

Do you have your Building Permit Number? Do you have your Building Permit Number?

Yes

Please describe the work done over the last 365 days.

Please describe work intended to be completed this year.

Estimated completion date.

Submit your payment in the amount of $120.00 for this permit renewal application. If approved, a receipt will be issued. If your permit is revoked your payment will be refunded. The fee applies to each year the permit remains outstanding.

Before submitting this application (the “application”), I agree as follows:

I am 19 years of age or older, and am legally authorized and have all the required approvals necessary to make this application.
This application will be received and reviewed by Township staff and submitting this application does not mean that it will be accepted.
I freely accept and fully assume all risks, dangers and hazards associated with the application; and that I acknowledge my responsibility to properly insure and protect myself against risks associated with the application;
I waive all claims arising from this Application that I have or may have in the future against the Township, its elected officials, officers, employees, volunteers and representatives associated with the Application (hereinafter collectively referred to as the "Releasees");
I waive all claims arising from this application that I have or may have in the future against the Township, its elected officials, officers, employees, games officials, volunteers and representatives associated with my participation in the activity (hereinafter collectively referred to as the "releasees");
I release the releasees from any and all liability for death or any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer arising from this application or due to any cause whatsoever;
I indemnify the releasees from any and all liability for any businesses losses damage to property of or personal injury to, any third party, arising from my application including the rejection of this application;
I agree that this agreement is binding upon my heirs, next of kin executors, administrators, assigns and representatives in the event of my death or incapacity; that I have read this agreement and I understand its content; and that by signing it I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators and assigns may have against the releasees.

By inserting my name below, the date, and clicking “continue” I declare that I have understood the risks associated with the application and that I am giving up my right to sue the Township for damages if I am injured or suffer financial losses as a result of this application.

Signature of Property Owner.

Date

To print a copy for your records select the printer icon at the top of this form, then click 'submit' and your application will be processed.