Grading Permit

MUNICIPALITY OF PENN HILLS
CODE ENFORCEMENT DEPARTMENT
12245 FRANKSTOWN ROAD
PENN HILLS , PA 15235
OFFICE # (412)798-2132 / FAX # (412)798-2160

I

Owner of Property (required)

Email Address (required)

Phone # (required)

Address (required)

II

Project Contractor (required)

Contractor Phone # (required)

Contractor Address (required)

III

Project Engineer (required)

Engineer Phone # (required)

Engineer Address (required)

IV Description of Property and Work

Property Location

Purpose of Grading

Brief description of project

Size of site in square feet

Most severe slope on site before starting

Most severe slope on site after completion

Distance from grading work to nearest property line

Excavation in cubic yards

Location of site for disposal of waste

Maximum depth of excavation

Number of cubic yards of fill

Location of source of fill

Maximum height of fill

Estimated starting date

Type of structure to be built on site

V

Plot plan/survey prepared by

Plans/specifications prepared by

Permit fee amount

Performance bond

VI

The undersigned hereby makes application for a grading permit and agrees as a condition of the issuance of such a permit to abide with the terms and conditions of Penn Hills Subdivision and Land Development Ordinance #2136

Date (required)

Signed (required)

FEE'S ARE UNDER ORD.#2146