2. Submit a Permit
4. The applicant/contractor agrees to execute the work in conformance with the plans attached to this application, and agrees to abide by the Building Codes and Ordinances of the Town of Bartonville. These plans (substantially) meet the minimum code requirements of the Town of Bartonville. Oversights and errors in plans DO NOT relieve the contractor or builder of the responsibility of complying with codes and laws in effect at time of issuance.
6. Date
   Date
8. Property Address for Permit*
9. Subdivision
11. Applicant Name*
12. Signature*
14. Contact Phone Number*
15. Email*
16. Applicant is

    1. Owner
    2. Contractor
    3. Other
18. Permit Request*
    -- Select One --New PermitPermit ExtensionPermit RevisionChange of ContractorOther

    Permit Request

19. Construction Type*
    -- Select One --CommercialResidential, Single-FamilyOther
20. Permit Type*
    -- Select One --New BuildingRemodel: New UseRemodel: Existing UseAccessory BuildingAccessory DwellingGrading DrainagePatio Cover / CarportFire Pit / FIre PlaceFinish OutPlumbingMechanicalElectricalFlatworkDriveway / CulvertDemolitionFood Plan ReviewSignFencePool / SpaIrrigation / SprinklerDeckWater WellPropane TankOther
22. Describe Type of Work to Be Done*
24. Project Valuation $*
25. Project AC Sq. Ft*
26. Project Non AC Sq. Ft*
27. Project Total Sq. Ft*
29. Responsible Parties
31. Owner /Tenant*
33. Owner/ Tenant Address*
34. City*
35. State
36. Zip
38. General Contractor
40. Plumbing Contractor
42. Electrical Contractor
44. Mechanical-HVAC Contractor
46. Additional Document 1

    You must attach a PDF of any plans/documents required by your permit application. Files must be less than 100 MB. Allowed file types: pdf jpg tif

48. Additional Document 2

    You must attach a PDF of any plans/documents required by your permit application. Files must be less than 100 MB. Allowed file types: pdf jpg tif

50. Additional Document 3

    You must attach a PDF of any plans/documents required by your permit application. Files must be less than 100 MB. Allowed file types: pdf jpg tif

52. Additional Document 4

    You must attach a PDF of any plans/documents required by your permit application. Files must be less than 100 MB. Allowed file types: pdf jpg tif

54. Additional Document 5

    You must attach a PDF of any plans/documents required by your permit application. Files must be less than 100 MB. Allowed file types: pdf jpg tif

56. Permit Number
57. Received By:
58. Date Received
60. Total Fee
61. Date Paid
63. Reviewed and Approved By:
64. Date:
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field