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2. Office Use Only:

   Permit # associated: __________________________________________

4. All contractors need to be registered with the city

   Call the office with any questions.

6. The contractor shall schedule an underlayment flashing and a final inspection with the City's Building Department
10. Applicant Name:*
11. Applicant Email:*
12. Applicant Phone Number::*
14. Site Address1*
15. Property Owner:*
17. Building Use:*
    -- Select One --1, 2, or 3 Family4 or more FamilyCommercialIndustrial
19. Description of Existing Roof:*

    1. Shingles
    2. Rolled Roofing
    3. Slate
    4. Metal Panel
    5. Gravel
    6. Other
20. Current Number of Layers:
21. Underlayment Weight:
23. Description of Other::
24. Type of Decking ( Sheathing):*
    -- Select One --PlywoodOSBWood PlankingMetalConcreteOther
25. Description of Other:
27. Slope of Roof:*
    -- Select One --FlatPitched
28. If Pitched - Slope is:

    In. per 12 inches

29. Number of Stories:*
31. Total Square Foot: *
33. DESCRIPTION OF PROPOSED WORK:

    *Type of work to be performed: Fill in all the applies

    *Attach manufacturer's installation specification sheet to each roofing data sheet. Installation instructions to include screw patterns and type of fastener, wind uplift 

35. Roof Classification:*
    -- Select One --ABC

    Specified by RCO Section R902 and OBC Section 1505

36. Repair only (patch or flash) sq. ft
37. Installing new shingles over old shingles:

    If yes: How may layers

39. New shingles

    Specify: Manufacturer & Product Identification

40. Underlayment; Specify type
42. Repair or replace decking?

    Indicate thickness to be installed

43. Ice protection

    (RCO Table R301.2 (1) requirement and OBC Section 1507.1.2)

44. Self-adhering polymer modified bitumen sheet?
46. Rolled Roofing:

    EDPM and Insulation thickness

47. Metal Roof Panels:

    Standing Seam & Gauge 

    Specify: Manufacturer & Product Identification:

49. Built-up:

    Specify: Manufacturer & Product Identification:

    Kind and thickness of insulation:

    Type of base and cap flashing and method of application:

51. Signature: *
52. Date:*
    Date:
54. UPLOAD ANY SUPPORTING DOCUMENTS:

    Or email plans to buildingsubmittal@ci.lancaster.oh.us or building@ci.lancaster.oh.us

Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field