This application form is for
One and Two-Family Dwellings only.

(Projects regulated by the 2003 International Residential Code®
portion of the 2005 Connecticut State Building Code)

 Sample Application:

1. All costs for project-related electrical, plumbing and HVAC must be included in the Estimated Job Value line on the application.
    
2. Structural drawings and energy conservation calculations must be submitted with an application for additions and new structures.
    
3. Include an email address for receiving updates on the progress of your application.
    
4. Shaded areas are for official use only.

Download and Print a Blank Application Form

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