Please REFRESH or RELOAD this page if you have been here recently -
some changes may have been made.
These forms are placed on the website for your convenience - just download
the forms you need, fill out the forms and mail or bring them to the Township
Office. Please read the instructions for each permit so that your application
package is complete. Forms are presented in Microsoft Word and/or Adobe PDF
formats. Word forms are interactive and can be filled out on your computer and
then printed. You'll need to print the PDF forms and fill them out by hand. For
most applications drawings and/or plans are required. Permit fees are
established by resolution by the Board of Supervisors and will be calculated by
the permit officer after reviewing the submission.
All forms are available at the Township office and can be mailed to the
applicant upon request.
Right To Know Policy (.pdf)
Open
Records Request Form ).pdf)
Following is a list of those inspection agencies who have submitted the
required proof of certification to the Building Code Official:
Bob Bates
Inspections
Honesdale, PA tel. 570-493-1716
ALL permits must be obtained through the Township Office and
ALL fees shall be paid to the Township.
Bob Bates is the Building Code Official and the designated Building Code
(UCC) Inspector for the Township. As such, all inspections must be performed by
him or his designee or no Certificate of Occupancy will be issued. Other
third-party inspections are allowed, but all inspections must be observed or
accompanied by Bob Bates, and all fees established by the Township will be
due.
DO I NEED A PERMIT? (pdf) Check this handy chart to see
if you need to obtain a permit, and which type. If you are not sure or have any
questions, please contact the Township Office. We're here to help!
BUILDING CODE
REGULATIONS AND ASSOCIATED REQUIREMENTS
BUILDING PERMITS / BUILDING CODE
APPLICATIONS
BUILDING
PERMIT APPLICATION (UCC) (pdf)
BUILDING PERMIT APPLICATION (UCC) (Word Fill-In
Form)
EARTH DISTURBANCE FORM - NPDES (pdf)
NPDES
Self-Certification Letter (Required) (pdf)
NPDES Small Project Form (Required) (pdf)
NPDES Guidance for NPDES Project Form (Sample answers)
(pdf)
CONTRACTOR LIST (REQUIRED) (pdf) - A list of all
contractors who will be on-site must be provided.
WORKERS' COMPENSATION INSURANCE AFFIDAVIT (Required for UCC
applications where contractor does not carry Workers' Compensation Insurance,
and for homeowners doing their own work)(pdf) - This form must be
notarized.
BUILDING PERMIT REQUIREMENTS (pdf)
DECK PLAN
CROSS-SECTION (pdf)
HOUSE PLAN CROSS-SECTION (pdf)
BUILDING
PERMIT INFORMATION With sample drawings - (pdf)
ABOVE-GROUND POOL INFORMATION - (pdf)
BUILDING
DEMOLITION STANDARDS (pdf)
BUILDING
DEMOLITION PERMIT APPLICATION (pdf)
RECREATIONAL
CABIN EXCLUSION FORM (pdf) A Zoning Permit IS required and all Zoning
requirements must be met, but this type of application excludes your cabin from
UCC requlations, except for the presence of smoke detectors, carbon monoxide
detectors, and fire extinguishers. Please read this form carefully and consider
the implications of no construction inspections. There will be no construction
inspections, and no Certificate of Occupancy will be issued. The Township will
assume exactly no liability for construction methods and materials
for a recreational cabin. The Township will inspect only for smoke alarms,
carbon monoxide detectors and fire extinguishers after the structure is
completed. A Zoning Use Certificate and Certificate of Compliance for
Recreational Cabins will be issued following an inspection for Zoning
requirements and for the presence of smoke and carbon monoxide detectors and
fire extinguishers as of the date of the inspection.
ZONING AND USE PERMIT APPLICATIONS
ZONING
/ USE PERMIT APPLICATION (pdf)
ZONING / USE
PERMIT APPLICATION (Word)
ZONING
/ USE PERMIT APPLICATION (Word Interactive)
NPDES Self-Certification Letter (Required for any construction
with earth disturbance) (pdf)
CONDITIONAL
USE APPLICATION (PLANNING COMMISSION / SUPERVISORS) (pdf)
VARIANCE
APPLICATION (Zoning Hearing Board) (pdf)
POLITICAL (TEMPORARY) SIGN APPLICATION
(pdf)
OTHER APPLICATIONS AND FORMS
DRIVEWAY PERMIT
APPLICATION (Township Roads)(pdf)
ROAD OPENING PERMIT
APPLICATION (Township Roads - Road Crossing) (pdf)
COMPLAINT FORM (pdf) Use this form to register a
complaint against a property owner for violations of ordinances.
COMPLAINT FORM (interactive Word document) Use this
form to register a complaint against a property owner for violations of
ordinances.
OPEN RECORDS REQUEST FORM (pdf)
PAVILION/TOWNSHIP PROPERTY RENT AGREEMENT (pdf)
PAVILION/TOWNSHIP RENT RELEASE (pdf)
