Document Morgancountyga_doc_d6d30ebf1f

Agricultural Permit Application (ALL APPLICATIONS HAVE TO BE FILLED OUT COMPLETELY IN ORDER TO BE PROCESSED) MORGAN COUNTY PLANNING AND DEVELOPMENT Post Office Box 1357 150 East Washington Street, Suite 200 Madison, Georgia 30650 (706) 342-4373 Office (706) 343-6455 Fax Property Owner’s Name: Cell phone#: Address: Home phone#: City: State: Zip Code: Email Address: Property Owners Information Project Name: Jurisdiction: Property Address: City: State: Zip Code: Nearest Intersection or Address: Name of Subdivision: Lot#: (if applicable) Property Location All Contractors Must Provide a copy of State Contractor’s and Business License Contractor’s Name: Cell phone Contractor’s Address: Office Fax City: State: Zip Code: Email Address: State Certification Expiration date: Occupational Tax Issuing County: Project Managers Name: Telephone Contractors Information Type of Building Permit Requested: (Check all that apply)  Addition & Remodel  Grain Silo  Implement Shed  Retaining Wall  Addition  Hay Barn  Livestock Barn  Other (Explain)  Animal Arena  Hog Polar  Pole Barn  Dairy Barn  Horse Barn  Poultry House  Permit Renewal  Horticultural Structure  Remodel Explanation: ---PAGE BREAK--- Building Information: (Please fill in all pertinent information) Total cost of construction: $ (cost should be estimated to Fair Market Value) Structure will have:  Electrical  HVAC  Plumbing Building Dimensions (Foot print): Total square footage of building: Heated: Unheated: 1st Floor Heated/Unheated: 2nd Floor Heated/Unheated: Living Quarters and/or Bathrooms: (if applicable) Bedroom(s) Half bathroom(s) Full bathroom(s) Kitchen(s) Office _______Total number of rooms Foundation:  Basement  Basement/Crawlspace  Basement/Slab  Crawlspace  Crawlspace/Slab  Monolithic Slab Foundation Material:  Dirt  Wood  Poured Concrete  Gravel/Stone  Block  Brick Structure Material/Support:  Wood  Steel  Concrete  Block  Brick  Poles  Combination Exterior Materials/Covering: (Please check all that apply):  Aluminum Siding  Brick  Stone  Block  Concrete  Hardi-Plank/Hardboard Siding  Vinyl  Fiber Cement Siding  Wood/Plywood Siding  Metal  Stucco/Masonry Veneer  Particleboard Siding Other Explain Roof Construction:  Steel Truss  Structural Steel  Wood Truss  Dimensional Lumber  Engineered Lumber  Heavy Timber  Steel Joist  Combination Roof Covering:  Asphalt/Fiberglass Shingles  Concrete Tile  Mineral-Surfaced Roll Roofing  Wood Shingles/Shake  Metal Roof Panel  Metal Roof Panel Shingle  Single-ply Membrane Roof  Slate  Terracotta Tiles  Built up Roof Covering  Other Explain Fireplace:  Insert  Masonry  Pre-fabricated  Wood Stove Garage:  Attached  Carport  Detached  No Garage ---PAGE BREAK--- Type of Heating System (if applicable):  Electric  Heat Pump  Gas  Duel Fuel  Solar  Geo - thermal Power Company :  Georgia Power  Walton EMC  Central Georgia EMC  Snapping Shoals EMC  Rayle EMC  Tri County EMC Water Supply:  Private Well  City of Bostwick  Private Water System  City of Rutledge  Morgan County  Town of Buckhead  City of Madison Sewage (if applicable):  Private Septic  City of Madison  Private Sewage System  City of Rutledge Environmental: Is the building within 200 feet of State Waters?  Yes  No Are there wetlands on the property?  Yes  No Is there flood plain on the property?  Yes  No Is the property in Conservation Use Program?  Yes  No All information is true and accurate to the best of my knowledge. Applicant Date Occupancy Classification and Group: (Check all that apply)  Assembly  A-1  A-2  A-3  A-4  A-5  Business  B  Mercantile  M  Educational  E  Factory – Industrial  F-1  F-2  Residential  R-1  R-2  R-3  R-4  High Hazard  H-1  H-2  H-3  H-4  H-5  Institutional  I-1  I-2  I-3  I-4  Storage  S-1  S-2  Utility & Miscellaneous  U  Single Family Dwelling  Two Family Dwelling