City of Alexandria, VA - Code Enforcement Forms Instruction for Completion of the Web Site

Code Enforcement Forms
Instructions for Completion on the Web Site

CONSTRUCTION APPLICATION: (revised 4.2/2000)

Only simple applications can be submitted via the on line applications.
Construction Applications requiring the submission of drawings can not be created on line. They must be processed at City Hall, 301 King Street, Room 4200, Code Enforcement Bureau.
Ensure that you have the correct street number, name, suite, apartment or floor number on your application.
The contractor's State license number, business license number, master or journeyman registration number and/or home improvement contractor license number must be on the permit application. Plumbing, Electrical, and Mechanical applications must be signed by the master tradesman.
Permits obtained by the property owner must be accompanied by a completed Property Owners Affidavit. Affidavits must be notarized if they are not completed and witnessed in the Code Enforcement Bureau.
Be sure to note the use of the building - residential, office, mercantile, warehouse, factory, etc., on the permit application.
Give a brief, yet complete, description of the work to be done. "See Attached" is not an acceptable work description.
If your application requires approval from the Health Department (838-4880) or the Board of Architectural Review (838-4505), your application will be processed more rapidly if these approvals are obtained prior to submitting them to Code Enforcement. Requirements for Site Plans, Special Use Permits (SUPS) and the Board of Zoning Appeals BZA) must be met before the application can be processed.
The cost of the construction is the cost to the property owner, not to the contractor. The cost must reflect a "bottom line" figure that includes labor, material, overhead and profit. It is not important how the costs are broken down.
If there are costs attributable to mechanical, electrical or plumbing work, they must be listed separately. If new construction and repairs/alterations are combined on one application, the costs for each must be listed separately as the permit fee is calculated differently for each.
Application for retaining walls and/or swimming pool permits is made on a building permit application.
Repairs or Alterations - these may or may not require a plot plan or approval from other agencies. You will need to contact the relative department for information.

Please fill in only the numbered blocks and the AFFIDAVIT.

Blocks: (click a # to view the instructions for that block)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1.	Project Name: This is the name of the construction project or housing project that has been assigned by the Planning and Zoning Department of the City of Alexandria. This is a mandatory field with a length of
2.	Project Address: This is the complete address of the property that will have the construction work accomplished. The address must include the street number, street name and the type of street (Avenue, Street, Circle, Road, Parkway, etc) and the unit or apartment number as applicable.
3.	Date Applied: This is the date that the application is submitted to Code Enforcement. It must be in the format of MM/DD/YYYY. Example, 01/01/2001.
4.	Owner: This is the complete name of the owner. It should be first name, middle Initial and Last Name. If a suffix is used, please place it after the last name.
5.	Phone:This is the owners phone numbers. Home:...Owner's home phone number in the format of (703) 838-4360. Work:...Owner's work number if the same format as the home number. FAX:....Owner's fax number in the same format as the home number if available.
6	Owner's Mailing Address: (If Different from project address)...This is the mailing address of the owner. Please include the street number, street name, type of street, and unit number if applicable. Please include the city, state and zip code even if the address is in Alexandria, Virginia.
7.	Work Done By: (check one) Check the box that is applicable. If the owner will doing the work aand if the person that will be held responsible for the work to be performed in accordance with the applicable building code for the City of Alexandria. Check only one box. Owner Contractor
8.	Mechanic's Lien Agent? This is indicate that there is or is not a mechanic's lien to be registered for this work. Check only one box. None Designated Yes:
9.	Contractor Name: If a contractor is to perform the work described on this application, the full name of the contractor is required. This means the first, middle and last name in full. If a suffix is used that also must be included.
10.	Phone: This is the full number of the contractor that will be performing the work described on this application. The number should be supplied in the following format. (703) 838-4360. Fax: The is the full fax number of the contractor that will be performing the work described on this application. The number should be supplied in the following format. (703) 838-4360.
11.	Business License Number: This is a mandatory field. If a contractor will be performing the work described in this application, the City of Alexandria business license must be supplied.
	Reciprocity: If the contractor does not have a City of Alexandria business license, the contractor must be register with the city as a Reciprocity contractor so the amount of dollars that have been contracted in the city has not exceeded the allowed dollar amount indicating no license is required. Indicate this by checking only one of the following boxes.
	Yes No
12.	Business Address: This is the business address of the contractor that will be performing the work described in this application. The full address is required. Street number, Street Name, Street Type and unit number if applicable. This will also include the City and State and Zip Code of the contractor.
13.	State Contractor License Number: This is a mandatory field. If a contractor will be performing the work described in this application, the contractor state contractor license number must be included here. Without this number no processing of the application can take place.
14.	Project Description: Describe the work to be performed in some detail.Provide separate cost estimates for the new work and renovation work (Please provide in separate lines the totals for the new and renovation work to be performed as part of this application. Special Instructions requested: This is a mandatory indicator. The No or Yes box must be checked.
	No Yes - Prepared Statement Attached
15.	Estimated Cost (including overhead & profit) This is the break down of the totals relative to the new and renovation work described in block #14.
	a. Construction $___________ b. Electrical $___________ c. Plumbing $___________ d. HVAC/Mech $___________ e. Other $___________ TOTAL $________________
16.	Type of Work: Check each box that is applicable to the work to be performed in this application. This is a mandatory field. New: Addition: Alteration: Repair: Replacement: Other Interior Exterior
17.	Existing Use: If existing space is involved with the work described in this application, it is mandatory to indicate the use for which the space was approved.
18.	Proposed Use: If changes to the existing space or if new space will alter the use of existing space, it is mandatory to indicate the proposed use of the space. If new space will not change the use of the existing space but the new space is to have a use it is mandatory to indicate what that use will be.
19.	Number of Dwellings? It is mandatory to indicate the number of dwelling that now exist and the number that will exist after the proposed work is performed. Existing ____________ Proposed ____________
20.	Construction Type: It is mandatory to place the type of material that will be used during the construction or what material is the dwelling now constructed of.
21.	Code Edition: This block is where the code edition for the described work will be indicated. This code indicated the code edition for only that space that will be affected by the work described in this application.
22.	Use Group: Code Enforcement would like to have the use group of the code section that is applicable to the work to be performed placed in this block.
23.	Occupant Load: What is the present or in the case of new construction, what is the occupant load desired by the applicant.
24.	Modification? This is the block where the applicant will indicated if this is a modification of an existing application previously submitted. If the Yes box is checked, please indicate which code section will be used for the modification. No Yes-Code Section___________
25.	Accessibility: Full______ Partial_______
26.	Building Height:___________feet. This is a mandatory field. This is the height of the dwelling from the ground to the tallest structural peak.
27.	Number of Stories:_________. This is a mandatory field. This is the true number of stories and not what is approved as an appearance factor.
28.	Parking Spaces: This is the number of spaces of each type of parking space. This is a mandatory field. Regular ________ Accessible ________
29.	Building Area: Gross SF__________________ Altered SF_________________ New SF___________________
30	Fire Alarm: Existing _____ Alterations _____ Proposed _____
31.	Sprinklers: Existing _____ Partial _____ Full _____
32.	Standpipes: Yes ___ No ____ AFFIDAVIT: I hereby certify that I have the authority to make the foregoing application and that the application, to the best of my knowledge, is complete and correct and that the permitted construction will conform to the regulations in the Uniform Statewide Building Code and all applicable ordinances. Signature of Owner:_______________ Printed Name of Person Applying for Permit_________________ Address______________________ Phone Number___________________ Pager Number___________________ FAX #_________________________

Complete Online Form

Read and Print Form

The documents ("Complete Online Form" and "Read and Print Form") above require Adobe Acrobat Reader

Please note: There is an intermittent synchronization problem between Internet Explorer 5.x and Adobe Acrobat / Acrobat Reader, versions 4.x and 5.x. The problem occurs when Acrobat is set up as a "plug-in" to Internet Explorer (AOL browser also) and can result in incomplete PDF file opening or even browser lock up. The only workaround at this time is to turn off Web Browser Integration and view the PDF file in Acrobat.

Choose Edit > Preferences > Options (Acrobat 5.0 or Acrobat Reader 5.0) or choose File > Preferences > General (Acrobat 4.x or Acrobat Reader 4.x). In the Options section, deselect Display PDF in Browser (Acrobat 5.0 or Acrobat Reader 5.0) or deselect Web Browser Integration (Acrobat 4.x or Acrobat Reader 4.x)