* = Required Field

Facility Alteration Permit Application

Application Type *
Requested By (Name) *
Company *
Address *
Phone Number *
Email Address *
Location of Work Area (Civic Address or Area) *
Details of Work *
Map Location

Double click on the map to select a location. Double click a marker to remove it.

Is your work being conducted in the Airport Terminal Building (ATB)? *
Estimated Value of Work
Proposed Start Date *
Proposed Finish Date *
Has your design drawings been stamped/certified by: (check all that apply) *
Will you be hiring a contractor for this work? *
Will there be the installation of signage during the construction period? *
Will any of your work involve the handling of or storage of hazardous materials? *
Will any of your work include disposal of hazardous materials? *
Will there be grading, stripping or stockpiling of materials? *
Does this work require excavating or digging? (Permit required) *
Have you received, or are you planning to receive, underground utility locates? *
Does this work require a crane? *
Will any of your work include paving or concrete activities? *
During the project, could the workspace or surrounding areas be affected by dust, noxious/toxic fumes, odors, flammable gases, noise, etc.? *
Will you be connecting to any utilities or Services (i.e., gas, water, sewer)? *
Will you be installing an antenna or dish that is capable of transmitting or receiving? *

Applicant or Proponent signature *
Please attach any documents, plan drawing, or photos *