2010 TOWN OF CHARLESTOWN
APPLICATION FOR MAJOR CONSTRUCTION ZONING/BUILDING PERMIT


Directions:
 1.Enter your information in the spaces provided.
 2.Click on "Continue".
 3.Print the next web page.
 4.Bring a copy of the completed application along with four copies of scaled site plan to:

Charlestown Town Hall
Charlestown, Maryland 21914
 Applicant:
  Name:
  Address:
  Street
City State Zip Code
  Phone No:  
  E-Mail:
 Property Owner:
  Name:
  Address:
  Street
City State Zip Code
  Phone No:  
 Building Contractor:
  Name:
  Address:
  Street
City State Zip Code
  Phone No:  
 Construction Site Information
  Address/Location of Construction Site:
  Deed obtained from Deed Date
  Subdivision Parcel # Lot #
  Dimensions of Lot Acres Square Ft
  Present Use Intended Use
  Public Water Service    Yes   No  Public Sewer Service    Yes   No 
  Brief Description of ALL Proposed Work (Attach materials list)
 
  Width        Length        No. of Stories        Estimated Building Cost  
  Foundation         Basement         Roofing  
  No. of Rooms        Water        Heat        Light  
  Nature of & Square Footage of Grading to be done  
  Soil Conservation Permit Obtained? Yes   No   N/A 
  Are you within the Critical Area? Yes   No 
  Are you in the Flood Plain? Yes   No