100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
OLDHAM COUNTY COMMERCIAL
BUILDING APPLICATIONS
YOU MUST PROVIDE written documentation that you have met ALL APPLICABLE requirements/permissions
to build. These may include the following Written Approvals and documentation will not be returned.
NOTE: May be subject to deed restrictions and/or covenants, conditions and restrictions (CCRs).
State Building Case Number: If Applicable, Approval from State Building Code Enforcement.
The Office of Housing Building and Construction (OHBC) may have jurisdiction □
over building code enforcement on some projects because of occupant load and
building size (see Kentucky Building Code sections 104.2 & 104.1)
OHBC in Frankfort, KY 502-573-0373
Sewer/Septic Approval: Approval and Paid “Sewer Tap” fee from Sewer District or
Approval from Oldham County Health Dept. for Septic Systems.
Required for All New Buildings. (Select MSD Sites are Prepaid.)
Oldham County Sewer District 502-225-9477
City of LaGrange Utilities 502-222-9325
MSD (Crestwood) 502-587-0603
Oldham County Health Department 502-222-3516
Road Encroachment: Written Approval to add a driveway onto City, County or State Road.
Required for All Applications where new entrance created.
Oldham County Encroachment Form is available at Inspections Office.
City of Pewee Valley 502-550-2581
City of LaGrange 502-222-1433
Kentucky State Road Department 502-222-9009
Flood Plain Construction Permit: ALL Construction located in 100 year floor plain must have:
“Stream Construction Permit” from the Kentucky Division of Water &
Approval of Flood Plain Coordinator.
Oldham County Flood Plain Coordinator 502-222-1476
Kentucky State Division of Water 502-564-3410
Workers Comp. Affidavit: Per KRS Chapter 342, We must have a copy of the contractor’s Workers Compensation of
Coverage or signed Affidavit (at desk).
Historic District Approval: Written Approval and Stamped Plans required in Historic District.
Required if you are in the LaGrange Historic District. 502-222-1433
Soil Erosion & Drainage: Best Management Practices (BMP’s) must be properly installed, operational and maintained
throughout construction project until final soil stabilization is complete.
O.C Storm Water & Erosion Control 502-222-1476
Planning and Zoning Approval:
Planning and Zoning must review all commercial applications to ensure compliance with all
Zoning Ordinances (including landscaping review).
Oldham County Planning and Zoning 502-222-1476
Storm Water Approval: County Engineer must approve storm water plan for sites over 1 acre.
Oldham County Engineer 502-222-1476
Fire Department Approval: Approval from Fire District stating they will provide fire protection.
Required for All New Buildings.
LaGrange Fire and Rescue 502-222-1143
North Oldham Fire District 502-228-1447
South Oldham Fire District 502-241-8992
Ballardsville Fire District 502-222-1593
Worthington Fire District 502-241-9366
Harrods Creek Fire District 502-228-1351
Westport Fire Department 502-222-7078
Pewee Valley Fire Department 502-241-0025
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
Received by__________
Not Applicable
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
Lands Plan App. Y / N
Site Plan App. Y / N (For multi-family development of 10 units or more)
Engin. Office App. Y / N
A. PROJECT ADDRESS________________________________CITY, ST, ZIP________________
B. PROJECT NAME___________________________________LOT/BLDG NO.______________
C. IDENTIFICATION OF RESPONSIBLE PARTIES
***Contact email address:_________________________________________________
NAME
ADDRESS (include city/st./zip)
PHONE
Owner
Contractor
Architect
Engineer
Other Applicant
D. TYPE OF IMPROVEMENT (check type of work) USE GROUP (as defined in KBC)
New Building
HVAC
Assembly
Addition
Hood Suppression
Business
Remodel/Alteration
Sign
Educational
Tenant Finish
Use Group Change
Factory
Demolition
Other
Institutional
Fire Alarm NFPA 72
Mercantile
Fire Suppression NFPA 13
Residential
Storage
Square Feet: ___________________ Construction Cost:___________________
Zoning Classification:____________ Parcel No. (PVA #):__________________
Flood Plain: ____________________
E. REQUIRED APPROVAL CHECKLIST (more details on approval process attached)
1. State Approval May Be Required Per KBC 104.2 CASE #: __________________________
2. County___, State____, or City____ right-of-way encroachment permit required-new entrances
3. Project must be served by an approved sewage disposal system such as a sewer or septic tank
If SEPTIC include a certificate of approval releasing construction from O.C. Health Department.
If SEWER include a certificate of approval releasing construction from Sewer District’s Office.
4. Oldham County Planning and Zoning must Approve Project-including Landscaping Plan Review
5. Oldham County Engineer must Approved Storm Water Runoff for Projects over 1 acre.
6. Soil & Erosion Control: Best Management Practices (BMP) must be properly installed, operational and
maintained throughout construction project until final stabilization is complete.
7. If property located in a flood zone per FEMA, State and O.C. Floodplain Approvals are required.
8. If property is located in a Historical District, written approval & stamped plans must be submitted.
9. All New Buildings require Fire Department Approval of Plans and Fire Hydrant Placement.
10. Workers Compensation Affidavits or Proof of Insurance must be Provided (Available at Office)
___________________________________________________________________________________________________________
(Oldham County Government Use Only-Do not write below Line)
O.C. P&Z Approval: _________________ O.C. Engineer Approval: _______________
Landscaping Plans Approval: _________________ Site Plan Approval: _____________
Eng. Rev. Approval: ______________ Inspection Approval: _________________
Oldham County Planning and Development Services
Commercial Building Permit Application
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
________________________________________________
APPLICANT STATES AND ACKNOWLEDGES THE FOLLOWING:
1. Additional Permits may be required for State Building Code Enforcement (KBC 104.1), Road Encroachments,
Site Disturbance, Storm Water Management, Electric, Plumbing, Sewage Disposal, or HVAC Installations.
2. This Permit will become null and void if work or construction is not commenced within 6 months, or if work
is suspended or abandoned for a period of 6 months any time after work is commenced. A Permit Renewal Fee of $100.00 will
be required if permit is allowed to expire. The Permit Fee is non-refundable after 30 days and the Permit is not transferable to
other parties or to other parcels of property.
3. THE STRUCTURE WILL NOT BE OCCUPIED UNTIL A CERTIFICATE OF OCCUPANCY IS GRANTED.
Before occupation of any structure permitted by the Building Official and Office of Building Inspections, there
must be issued, on official stationary of the Office, a signed ‘Certificate of Occupancy.’ Occupation of any structure permitted by
the Office without a proper Certificate of Occupancy is a violation of state statute, KRS 198B.990, punishable by a penalty of $10
to $100 per day of violation.
4. THE APPLICANT AGRESS TO COMPLY FULLY WITH ALL PROVISIONS OF APPLICABLE CODES, LAWS,
REGULATIONS AND ORDINANCES GOVERNING THIS TYPE OF WORK, WHETHER SPECIFIED HEREIN OR NOT. “The
Office of Building Inspections and Building Official have no authority to determine compliance with other regulatory
agencies or obligations under private contract. The applicant may not rely on the issuance of any permit from this
Office as evidence of the applicant’s compliance with any other regulations or permitting requirements from any other
regulating or private entity. Oversight or mistake on the part of the Building Official or an agent of the Office during the
performance of their duties does not relieve the applicant from adherence to the applicable regulatory standards.
5. This Office, its Employees and the Building Official have the right to enter into the construction premises at will during
reasonable working hours to verify compliance. Applicant states that they are the lawful property owner, or have the secured the
authorization of said property owner before making this application, and does grant this Office and its employees permission to
enter onto the property and premises in conjunction with this application and permit. Access shall be provided to the job at all
times and the Applicant agrees to provide a safe means of egress in order for this Office to perform its responsibilities. State
Statute KRS 198.B140 provides “that no person shall hinder an inspector performing his lawful duties under KRS 198.
6. The Building Permit Fee entitles you to Three (3) Inspections. Failure to have the work completed in a satisfactory manner
consistent with code requirements and according to the attached page titled APPLICABLE CODES AND REQUIRED
INSPECTIONS will result in additional inspections. Re-inspection Fees of $50.00 per inspection shall be billed to the Applicant.
No Certificate of Occupancy will be granted until all fees associated with this permit (including Electrical or Building Re-
Inspection Fees due to Oldham County) are paid in full.
7. The Applicant agrees that the information contained on this application and the drawings and specifications submitted are
accurate, complete and correct. Further, the intent and purpose of said project have been accurately represented. The Applicant further
agrees that any error, omission, misrepresentation of fact whether intentional or not on their part, would cause refusal of application or
revocation of permit. Any alteration or change in plans made without the approval of the Building Official subsequent to issuance of
building permit shall be cause for the revocation of such permit.
FAILURE TO COMPLETE APPLICATION, TO PROVIDE APPROVALS AND COMPLETE SET OF PLANS WILL
RESULT IN APPLICATION BEING RETURNED. PAYMENT IS DUE AT TIME OF APPLICATION
Applicant Signature: X Date:
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
___ CONSTRUCTION PLAN REQUIREMENTS:
YOU MUST PROVIDE a complete set of legible building documents for review to assist you in correcting code
violations and/or problems before they occur. Documents will not be returned as they will become public
record. Please maintain an identical set of documents on site at all times.
________________________________________________________________
You must provide a complete set of building plans which include the following:
Approval of Site Development Plan from Planning and Zoning
Contact O.C. Planning and Zoning for more information 502-222-1476
Planning and Zoning Commission Approval (if required)
Exterior signage including free-standing signs
Building height to adjoining grade
Parking lot Layout including coverage areas, entrances and spaces available
Lighting plan
Landscaping Plan Approved by Local Landscape Architect
Life Safety Items Clearly defined: including means of egress and exit discharge, corridors, emergency
lighting and exit signage, fire alarm notification device locations, etc.
All Rated Assemblies listed on plans including UL Number
front, side and rear elevations
foundation plan
floor plan (complete with all pertinent details)
wall cross section from foundation to roof
any pertinent engineering (soil reports, engineered structures etc)
You must provide an accurate and detailed plot plan which includes the following:
general shape of property
all existing structures on property
the location of proposed structure with distances to all property lines and other structures
_____________________________________________________________________________
IT IS THE APPLICANT’S RESPONSIBILITY for COMPLIANCE with:
ALL PLANNING & ZONING, FEDERAL, STATE, COUNTY, and/or CITY ORDINANCES/STATUTES
and ALL APPLICABLE BUILDING CODES (including REFERENCED STANDARDS.)
LICENSED CONTRACTOR REQUIREMENTS:
PLEASE LIST THE Licensed Sub-Contractors who will be performing work (if applicable).
Electrical Contractor
Mechanical
Contractor
Plumbing Contractor
_____________________________________________________________
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
TEMPORARY POLE PERMIT: Builder must apply for Service with Utility Company and the correct street address must be provided so we can
fax a Cut-In Request to the Utility Company. Pole must be secure in ground. Not all construction will require a TP permit/inspection. Some contractors
may use existing TP or a generator.
ROUGH ELECTRIC IN INSPECTION: (Electrician is responsible to call for Rough-In Inspection)
BEFORE DRYWALL OR INSULATION IS HUNG! Inspection is performed after all rough wiring is pulled, boxes installed and joints completed. All Listed
products shall be Labeled.
Two rough in stickers are required in order to cover with insulation or otherwise conceal. Typically stickers are placed inside the nearest
junction box to front door (or basement stairs if basement finish) If corrections are required, written details will be left at front junction box.
1) Rough Electrical inspection which is called in by the Electrician and inspected by Electrical Inspector
2) Rough Structural/Mechanical inspection which is called in by the General Contractor/Builder
and inspected by the Building Inspector (covering building and mechanical codes).
TEMPORARY ON THE MAIN: (Electrician is responsible to call for Temp on Main Inspection)
This is the inspection performed to authorize the Utility Company to connect the meter for electric service. If corrections are required they will be left on
panel box. This inspection may be performed at same time as rough if work is ready.
A sticker will be left on electric panel authorizing connection.
FINAL INSPECTION REQUIRED BEFORE OCCUPANCY.
FINAL ELECTRICAL INSPECTION: (Electrician is responsible to call for Final Electrical Inspection)
Inspection is performed at the completion of the project to verify that substantial compliance with the electric code has been achieved. All disconnects,
lights, switches, outlets, fixtures, switch/outlet covers, breakers, arc faults and ground faults operational and installed to code. An approval sticker from
Electrical Inspector left on the electrical panel tells you that final electrical inspection has passed or notice of corrections left to comply.
RE-INSPECTION FEES IN THE AMOUNT OF $50.00 PER TRIP WILL BE CHARGED
TO THE APPLICANT FOR INSPECTIONS THAT DO NOT MEET CODE!
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
OLDHAM COUNTY ENGINEERING
Application for Storm Water Quality Management
And Erosion Control Permit
Commercial, Industrial, Multi-Family, and Residential Subdivision
GENERAL INFORMATON: (Please fill out the entire application)
Date of Application: _________________________________________
Project Name: ______________________________________________
Project Address: ____________________________________________
City: _____________________________________________________
Section/Phase Number: _______________Lot Number: __________Tax Parcel Number: ___________________
PROPERTY OWNER INFORMATION:
Name: ______________________________________________________________________________________
Address: ____________________________________________________________________________________
City: _____________________ State: ________________ Zip Code: ______________________________
Phone: ___________________ Fax: _________________ Email Address: __________________________
APPLICANT INFORMATION: (if other than owner):
Name: _____________________________________________________________________________________
Address: ___________________________________________________________________________________
City: _____________________ State: ________________ Zip Code: _______________________________
Phone: ___________________ Fax: _________________ Email Address: ___________________________
ENGINEER OF RECORD FOR EROSION CONTROL PLAN
Name: _____________________________________________________________________________________
Address: ___________________________________________________________________________________
City: _____________________ State: ________________ Zip Code: ________________________________
Phone: ___________________ Fax: _________________ Email Address: ____________________________
For Staff Use Only:
Date Received: _________________________ Amount of Fee
Paid_______________________
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
PROJECT INFORMATION:
Type of Development:
Total Area of Parcel (Acres):
Total Area of earth disturbance anticipated during construction: (Acres)
Anticipated Start Date: Estimated Completion Date:
ADDITIONAL INFORMATION:
Will project include any work within the 100 year flood plain?
Will project include any work within a lake or stream?
If yes to above questions:
Has Kentucky Division of Water Stream Construction Permit been Approved/Granted?
Has Army Corp of Engineers, Department of the Army Permit been Approved/Granted?
PERMIT FEE CALCULATIONS:
Single Family Residential: (Subdivision)
a. Total number of lots x $100.00 per Lot = $
TOTAL PERMIT FEE: $
Commercial, Industrial, and Multi-Family:
b. Total Area of parcel (acres)
x $100.00 per acre = $
*** Maximum Commercial, Industrial and Multi-Family Permit Fee is $2,500.00 ***
TOTAL PERMIT FEE: $
SECURITY BOND
The Project Engineers estimated cost of construction is required with the submission of this application.
A Security Bond in the amount of one hundred and thirty percent [130%] of the Project Engineer’s probable cost estimate
for the Approved Stormwater control devices and Erosion Control measures must be posted before any land-disturbing
activities occur.
Acceptable Sureties include Cash, Bond, Certified Check or Irrevocable Bank Letter of Credit from an approved financial
institution within the Commonwealth of Kentucky.
The Security Bond will cover all of the soil erosion and sediment control devices, detention/retention basins and
stormwater facilities and all related construction.
The Security Bond shall remain in full force and effect until the termination activities have been recognized as complete
and “Approved” by the County Engineer.
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
APPLICANT SIGNATURE (or agent):
I as Property Owner/Agent and Stormwater and Erosion Control Permittee understand that it is my responsibility to utilize
a Qualified Professional to perform maintenance inspections on all control measures, at least every seven [7] calendar
days and within twenty four [24] hours of a one-half [0.5] inch rain event.
The Permittee shall document all maintenance inspections in writing.
Inspection Reports shall be made available upon written request by the County.
If the permitted project exceeds 36 months [3 years], the Storm Water Quality Management and Erosion Control Permit is
subject to review and revision by the County Engineer.
Failure to complete and/or abandonment of the permitted project shall cause the Security Bond to be forfeited and the
matter turned over to the County Attorney.
I have read the application instructions in its entirety and understand that proper Erosion Control and Soil Stabilization
Measures must be installed and maintained operational throughout the duration of the construction project, until final
stabilization is established.
Submittal Checklist
_____ Completed Permit Application
_____ One set of Construction Plans (site plan only)
_____ Application Fee (over a 1 acre tract)
_____ Project Engineer’s Probable Cost Estimate for determining Secutity Bond Amount (over a 1 acre tract)
Print Name:
Signature and Date:
Staff Use Only:
SECURITY BOND AMOUNT: $
(Security Bond Amount to be completed by the Oldham County Engineer)
Permit Review Status: Approved _________ Denied _________ Date ____________________
