This form contains 145 fields organized into 24 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Building Information (Square Footage)
Renovation Square Feet Number
Enter the total square footage of the area being renovated for this project.
New Square Feet Number
Enter the total square footage of any new construction being added as part of this project.
Contractor Information - Building
Building Contractor Name Text
Enter the full name or business name of the contractor responsible for the building work on this permit.
Building Contractor Email Text
Enter the contractor's primary email address for correspondence about this project.
Building Contractor Address Text
Enter the contractor's business or mailing address, including street, city, state, and ZIP code.
Building Contractor NC License # Text
Enter the contractor's North Carolina license number as issued by the state licensing authority.
Building Contractor Phone Text
Enter the contractor's primary phone number (include area code) for contact regarding the permit.
Contractor Information - Site/Zoning/Other
Contractor (Site/Zoning/Other) Name Text
Enter the full name or company name of the Site/Zoning/Other contractor responsible for this project.
Contractor (Site/Zoning/Other) Email Text
Enter the primary email address for the Site/Zoning/Other contractor for permit correspondence.
Contractor (Site/Zoning/Other) Address Text
Enter the mailing or business address (street, city, state, ZIP) for the Site/Zoning/Other contractor.
Contractor (Site/Zoning/Other) NC License # Text
Enter the contractor’s North Carolina license number as issued by the state licensing authority.
Contractor (Site/Zoning/Other) Phone Text
Enter the primary phone number (include area code) for the Site/Zoning/Other contractor.
Cost Information (Construction & Electrical Costs)
Total Construction Cost Number
Enter the total construction cost for the project as a numeric amount.
Total Electrical Cost Number
Enter the total electrical cost for the project as a numeric amount.
Electrical Contractor Information
Electrical Contractor Name Text
Enter the full legal name of the electrical contractor or contracting company responsible for the project.
Electrical Contractor Email Text
Enter the primary email address for the electrical contractor or company for permit correspondence and notifications.
Electrical Contractor Address Text
Enter the contractor's full mailing address including street, city, state, and ZIP code.
Electrical Contractor NC License # Text
Enter the North Carolina electrical contractor license number assigned to this contractor or company.
Electrical Contractor Phone Text
Enter the contractor's primary telephone number (include area code) for contact regarding the permit.
Electrical Service (Voltage Options)
Over 600 Checkbox
Check this box if the project's electrical service will be over 600 volts.
600 or less Checkbox
Check this box if the project's electrical service will be 600 volts or less.
Low Voltage Checkbox
Check this box if the project uses low-voltage service (for example communications, security, or other low-voltage systems).
Conditional Service Checkbox
Check this box if the electrical service is a conditional service that requires special terms or restrictions.
First Stub Row - Water
First Stub Row - Size: 3/4 inch Checkbox
Check this box when the requested stub size for the water service is 3/4 inch.
First Stub Row - Size: 1 inch Checkbox
Check this box when the requested stub size for the water service is 1 inch.
First Stub Row - Size: Other Checkbox
Check this box when the requested stub size for the water service is not one of the listed sizes and you will specify the other size.
First Stub Row - Water Size Text
Enter the size of the water stub for the first (water) row as a short text value (for example: 3/4 inch, 1 inch, 4 inches, or Other).
First Stub Row - Choose Type: Water Checkbox
Check this box when the stub being requested or installed is a water service (select the Water type). Fill only if 'First Stub Row - Water Size' is 'Yes'.
First Stub Row - Is this stub in the right-of-way?: Yes Radiobutton
Check this box if the water stub is located within the public right-of-way. Fill only if 'First Stub Row - Water Size' is 'Yes'.
First Stub Row - Is this stub in the right-of-way?: No Radiobutton
Check this box if the water stub is not located within the public right-of-way. Fill only if 'First Stub Row - Water Size' is 'Yes'.
General Information (Project Contact & Property Owner)
Project Contact Name Text
Full name of the primary project contact who will serve as the main point of contact for this permit application.
Application Date Date
Date the application is being submitted.
Project Contact Email Text
Email address of the project contact where notifications and correspondence about the application will be sent.
Project Contact Phone Text
Phone number for the project contact, including area code, for direct contact about the application.
Property Owner Name Text
Full legal name of the property owner for the project site.
Property Owner Email Text
Email address for the property owner to receive correspondence about the project.
Property Owner Phone Text
Phone number for the property owner, including area code, for direct contact regarding the property or project.
Mechanical - Type of Heating & AC Size
Type of Heating - Electrical Checkbox
Check this box if the property's heating system is electric (e.g., electric resistance or electric heat pump).
Type of Heating - Gas Checkbox
Check this box if the property's heating system uses gas (natural gas or propane).
Type of Heating - Hot Water Checkbox
Check this box if the property's heating is a hot water (boiler) system.
Type of Heating - Oil Checkbox
Check this box if the property's heating system is oil-fired.
Type of Heating - Other Checkbox
Check this box if the heating type is not listed and write the specific type on the provided 'Other' line.
Other Heating Type Text
If the 'Other' option is chosen for Type of Heating, enter the specific heating system or fuel type here (for example: 'heat pump', 'geothermal', 'wood pellet').
Air Conditioning Size (tons) Number
Total cooling capacity of the air conditioning system in tons.
Mechanical - Work Includes (checkboxes)
Appliances Checkbox
Check this box if the mechanical work includes installation, replacement, or servicing of appliances (e.g., water heaters, furnaces, etc.).
Ducts Checkbox
Check this box if the mechanical work includes ductwork installation, modification, or repair.
VIMS/Radon Checkbox
Check this box if the mechanical work includes VIMS systems or radon mitigation measures.
Fuel Piping Checkbox
Check this box if the mechanical work includes fuel piping installation, alteration, or repair.
Conditional Service Checkbox
Check this box if the work is conditional service or limited/service-only work as defined for this project.
Other (specify) Checkbox
Check this box if the mechanical work includes a type of work not listed above and specify that work in the adjacent blank field.
Mechanical Work - Other (specify) Text
Enter a short description of any other mechanical work not listed in the checkboxes (use this field to specify the 'Other' scope of work).
Mechanical Contractor Info
Mechanical Contractor Name Text
Enter the full name or business name of the mechanical contractor responsible for the work.
Mechanical Contractor NC License # Text
Provide the contractor's North Carolina license number issued for mechanical work.
Mechanical Contractor Email Text
Enter the primary email address for the mechanical contractor or contracting business.
Mechanical Contractor Phone Text
Provide the contractor's primary phone number, including area code, for contact regarding the job.
Mechanical Contractor Address Text
Enter the contractor's full mailing or business address (street, city, state, and ZIP).
Other Contractor Info (right column)
Other Contractor Name Text
Enter the full name or business name of the 'Other' contractor responsible for this work.
Other Contractor Email Text
Enter the contractor's email address for correspondence and contact.
Other Contractor Address Text
Enter the contractor's mailing or street address (street, city, state, ZIP) for contact or billing.
Other Contractor NC License # Text
Enter the contractor's North Carolina license number as shown on their licensing documents, if applicable.
Other Contractor Phone Text
Enter the contractor's primary phone number for direct contact.
Plumbing - Other (header)
Other (Plumbing) - description Text
Enter a brief description of the 'Other' plumbing work being performed (for example: fuel piping, VIMS/Radon, or any other nonstandard plumbing task).
Plumbing & Mechanical Changeout Questions
Same type as existing? — Yes Checkbox
Check this box if the replacement equipment is the same type as the existing equipment (e.g., both are the same kind of A/C unit or water heater).
Same type as existing? — No Checkbox
Check this box if the replacement equipment is not the same type as the existing equipment.
Same size or smaller than existing? — Yes Radiobutton
Check this box if the replacement equipment is the same size or smaller than the existing equipment.
Same size or smaller than existing? — No Radiobutton
Check this box if the replacement equipment is larger than the existing equipment.
Located in same location as existing? — Yes Radiobutton
Check this box if the replacement equipment will be installed in the same physical location as the existing equipment.
Located in same location as existing? — No Radiobutton
Check this box if the replacement equipment will be installed in a different location than the existing equipment.
Plumbing Contractor Info
Plumbing Contractor Name Text
Enter the full name of the plumbing contractor (company or individual) responsible for the plumbing work.
Plumbing Contractor Email Text
Enter the contractor's email address to be used for correspondence about the plumbing work.
Plumbing Contractor Address Text
Enter the contractor's business or mailing address, including street, city, state, and ZIP code.
Plumbing NC License # Text
Enter the contractor's North Carolina license or registration number exactly as issued (include any letters or prefixes).
Plumbing Contractor Phone Text
Enter the contractor's primary phone number for contact, including area code.
Plumbing Utility Contractor Information
Plumbing Contractor Name Text
Enter the full name of the plumbing contractor or company responsible for the plumbing utility work.
Plumbing Contractor Email Text
Enter the plumbing contractor's contact email address.
Plumbing Contractor Address Text
Enter the plumbing contractor's mailing or business address, including street, city, state, and ZIP code.
Plumbing Contractor NC License # Text
Enter the contractor's North Carolina license number for plumbing or utility work.
Plumbing Contractor Phone Text
Enter the plumbing contractor's primary phone number, including area code, for contact regarding the project.
Project Information (Address, Primary Work Type, Description)
Project Address Text
Enter the full street address of the project site (number, street name, unit/suite if applicable, city and ZIP) as it should appear on the permit.
Accessory Structure less than 12 ft. in any dimension Checkbox
Check this box when the primary work is constructing or installing an accessory structure that is under 12 feet in any dimension (for example, a small shed).
Change of Use Checkbox
Check this box when the primary work involves a change in the use or occupancy classification of the building or space.
Changeouts Checkbox
Check this box when the primary work is a changeout—replacement of existing equipment or components (for example replacing a system or fixture).
Single Trade Permits Checkbox
Check this box when you are applying for a permit that covers only a single trade (for example only electrical, plumbing, or mechanical work).
Retaining Walls Checkbox
Check this box when the primary work involves construction, alteration, or repair of retaining walls.
Water/Sewer Service Checkbox
Check this box when the primary work involves water or sewer service work such as new service, connections, or repairs.
Other Checkbox
Check this box when the primary work type is not listed among the options; then describe the work in the provided blank.
Primary Work Type — Other Text
If you selected 'Other' for the primary type of work, briefly enter the specific work type or trade that best describes the project. Fill only if 'Accessory Structure less than 12 ft. in any dimension' equals 'Other'.
Detailed Project Description Text
Provide a clear, detailed description of the proposed work, including scope, materials, dimensions, and any relevant project details that reviewers need to understand the permit request.
Second Stub Row - Irrigation
Second Stub Row — Irrigation Size Text
Enter the size of the irrigation stub for the second stub row (e.g., 1, 3/4) as it appears on the utility stub size line.
Second Stub - Irrigation (Choose Type) Checkbox
Check this box when the stub being described is an irrigation stub (i.e., the stub type is irrigation).
Second Stub - Size 3/4 inch Checkbox
Check this box when the size of this irrigation stub is 3/4 inch. Fill only if 'Second Stub Row — Irrigation Size' is 'Yes'.
Second Stub - Size 1 inch Checkbox
Check this box when the size of this irrigation stub is 1 inch. Fill only if 'Second Stub Row — Irrigation Size' is 'Yes'.
Second Stub - Size Other Checkbox
Check this box when the size of this irrigation stub is not listed and you will provide the other size in the adjacent field. Fill only if 'Second Stub Row — Irrigation Size' is 'Yes'.
Second Stub - Is this stub in the right-of-way? Yes Radiobutton
Check this box if this irrigation stub is located in the right-of-way. Fill only if 'Second Stub Row — Irrigation Size' is 'Yes'.
Second Stub - Is this stub in the right-of-way? No Radiobutton
Check this box if this irrigation stub is not located in the right-of-way. Fill only if 'Second Stub Row — Irrigation Size' is 'Yes'.
Signature - Applicant Info
Applicant Name Text
Enter the applicant's full name as it should appear on the application.
Applicant Email Text
Enter the applicant's email address for official contact regarding this application.
Applicant Phone Text
Enter the applicant's daytime phone number including area code for contact about the application.
Applicant Signature Date Date
Enter the date when the applicant signed this application.
Site Information (Impervious, Overlay, Water Service, Transit)
Will impervious surface change? Yes Radiobutton
Check this box if the project's impervious surface area will change from existing conditions (any increase or decrease in impervious surface).
Will impervious surface change? No Radiobutton
Check this box if the project's impervious surface area will remain the same as the existing conditions (no change in impervious surface).
Frequent transit development option? Yes Radiobutton
Check this box if the project qualifies as a frequent transit development option per the applicable local criteria (i.e., located and designed to meet frequent transit standards).
Frequent transit development option? No Radiobutton
Check this box if the project does not qualify as a frequent transit development option.
Existing Impervious Surface Number
Provide the existing impervious surface area for the site. Fill only if 'Will impervious surface change? Yes' is 'Yes'.
Overlay District Text
Enter the applicable overlay district code or name that applies to the property.
Need New Water Service? Yes Checkbox
Check this box if the project requires a new water service connection (for example, a new meter or a new connection to the water system).
Need New Water Service? No Checkbox
Check this box if the project does not require a new water service connection.
Total Disturbed Area Number
Provide the total area of the site that will be disturbed by construction or grading.
Proposed Total Impervious Surface Number
Provide the proposed total impervious surface area after the project. Fill only if 'Will impervious surface change? Yes' is 'Yes'.
Third Stub Row - Sewer
Third Stub Row - Sewer: Size (Other) Text
Enter the sewer stub size or diameter for the third stub row (e.g., a numeric value or text such as "1" or "1 inch") that describes the proposed sewer stub size.
Third Stub - Service Type: Sewer Checkbox
Check this box when the third stub you are requesting is a sewer service (select 'Sewer' as the service type). Fill only if 'Third Stub Row - Sewer: Size (Other)' is 'Yes'.
Third Stub - Size: 4 inches Checkbox
Check this box when the proposed size of the third sewer stub is 4 inches. Fill only if 'Third Stub Row - Sewer: Size (Other)' is 'Yes'.
Third Stub - Size: Other Checkbox
Check this box when the proposed size of the third sewer stub is not listed and you will specify a different size in the 'Other' field. Fill only if 'Third Stub Row - Sewer: Size (Other)' is 'Yes'.
Third Stub - Right-of-Way: Yes Radiobutton
Check this box if the third sewer stub is located in the public right-of-way. Fill only if 'Third Stub Row - Sewer: Size (Other)' is 'Yes'.
Third Stub - Right-of-Way: No Radiobutton
Check this box if the third sewer stub is not located in the public right-of-way. Fill only if 'Third Stub Row - Sewer: Size (Other)' is 'Yes'.
Utility: Meter - Tap / Contact / Address
Will this be a city-installed tap? – Yes Checkbox
Check this box if the tap for this permit will be installed by the city (i.e., the city is responsible for installing the tap).
Will this be a city-installed tap? – No Checkbox
Check this box if the tap for this permit will NOT be installed by the city (i.e., the contractor or property owner will handle the tap installation).
Tap Contact Text
Enter the full name of the person to contact regarding the meter/tap.
Tap Contact Email Text
Enter the contact's email address for meter/tap notifications and correspondence.
Tap Contact Phone Text
Enter the contact's phone number for questions or scheduling related to the meter/tap.
Tap Service Address Text
Enter the street address (including city, state, and ZIP as needed) where the meter/tap service will be located.
Utility: Meter - Type / Size / Service
Meter Type — Individual Text
Enter any additional details for the Individual meter (for example meter count, identifier, model, or brief note) to clarify the selected meter type.
Meter Type — Individual Checkbox
Check this box when the permit request is for an individual (single) meter.
Meter Size (Individual) — 5/8 inch Checkbox
Check this box when the individual meter being requested or installed is 5/8 inch.
Meter Size (Individual) — 1 inch Checkbox
Check this box when the individual meter being requested or installed is 1 inch.
Meter Size (Individual) — Other Checkbox
Check this box when the individual meter size is not listed and enter the specific size in the adjacent 'Other' field.
Meter Type — Irrigation Text
Enter any additional details for the Irrigation meter (for example meter count, identifier, model, or brief note) to clarify the selected meter type.
Meter Type — Irrigation Checkbox
Check this box when the permit request is for an irrigation meter.
Meter Size (Irrigation) — 5/8 inch Checkbox
Check this box when the irrigation meter being requested or installed is 5/8 inch.
Meter Size (Irrigation) — 1 inch Checkbox
Check this box when the irrigation meter being requested or installed is 1 inch.
Meter Size (Irrigation) — Other Checkbox
Check this box when the irrigation meter size is not listed and enter the specific size in the adjacent 'Other' field.
Service Type — Water Checkbox
Check this box when the service requested for the parcel is water.
Service Type — Sewer Checkbox
Check this box when the service requested for the parcel is sewer.
Service Type — Irrigation Checkbox
Check this box when the service requested for the parcel is irrigation.
Service Type — Split Checkbox
Check this box when the parcel will have split service (a combination or split configuration of services).
Meter Type — Other Checkbox
Check this box when the meter type is not listed (Other) and specify the meter type in the adjacent blank.
Meter Type — Other (specify) Text
Provide the specific meter type or brief description when 'Other' is selected (for example custom type, special service, or identifying information).
Meter Size (Other) — 5/8 inch Checkbox
Check this box when the meter of the 'Other' meter type is 5/8 inch.
Meter Size (Other) — 1 inch Checkbox
Check this box when the meter of the 'Other' meter type is 1 inch.
Meter Size (Other) — Other Checkbox
Check this box when the meter size for the 'Other' meter type is not listed and enter the specific size in the adjacent 'Other' field.
Utility: Stub - Contractor Info
Contractor Name (Utility Stub) Text
Enter the full name of the contractor responsible for the utility stub work.
NC License Number Text
Enter the contractor's North Carolina license number exactly as it appears on their license.
Contractor Email Text
Enter the contractor's email address for correspondence about the stub permit.
Contractor Phone Text
Enter the contractor's phone number, including area code, for contact regarding the stub.
Contractor Address Text
Enter the contractor's mailing or business address associated with this utility stub application.