100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
Page 1 of 7
OLDHAM COUNTY RESIDENTIAL
BUILDING APPLICATIONS
YOU MUST PROVIDE written documentation that you have met ALL APPLICABLE requirements or permissions
to build. Documentation will not be returned.
PLEASE NOTE: THE FOLLOWING APPROVALS ARE NOT NECESSARY FOR ALL BUILDING PERMITS.
PLEASE CHECK WITH STAFF TO VERIFY WHICH APPROVALS APPLY.
NOTE: May be subject to deed restrictions and/or covenants, conditions and restrictions (CCRs).
_______________ ________________________________________ ___
Sewer/Septic Approval: All building permits on lots served by a septic system must obtain approval from the Oldham
County Health Dept. Only new buildings on lots served by a Sewer District must obtain approval and
paid “Sewer Tap” fee.
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.
Oldham County Encroachment Form is available in our 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 flood plain must have:
“Stream Construction Permit” from the Kentucky State Division of Water & Approval of Local Flood
Plain Coordinator.
Oldham County Flood Plain Coordinator 502-222-1476
Kentucky State Division of Water 502-564-3410
Plot Plan: Survey/Plot plan must show shape of property and location of proposed building,
actual distance to all four (4) property lines, driveway location, any other structures on property and all
easements.)
Workers Compensation Affidavit: Per KRS Chapter 342, We must have a copy of the contractor’s Workers Compensation Certificate of
Coverage or signed Affidavit of coverage which is available at the 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 Control: Best Management Practices (BMP’s) must be properly installed, operational and maintained throughout
construction project until final soil stabilization is complete. SILT FENCE AND CONCRETE WASHOUT
AREA MUST BE INSTALLED BEFORE CONSTRUCTION COMMENCES
O.C Storm Water & Erosion Control 502-222-1476
Construction Plans: 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.
Please see page 4 for more information.
Plumbing Affidavit: Plumbing affidavit stating if the building project will or will not include plumbing. This is a requirement of
the Oldham County Health Department to insure proper plumbing permits are acquired.
Energy Efficiency Code Compliance: All projects permitted on or after October 1, 2012 must meet the new code!
Received by__________
Not Applicable
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Not Applicable
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Not Applicable
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Not Applicable
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
Page 2 of 7
Oldham County Planning and Development Services
Residential Building Permit Application
Date Received: ____________________
Applicant/Builder: Property Owner:
Name _______________________________________ Name ___________________________________
Address _____________________________________ Address _________________________________
City, ST Zip _________________________________ City, ST Zip ______________________________
Phone: ______________________________________ Phone: __________________________________
Signature: __________________________________ Signature: _______________________________
Email Address:______________________________ Email Address:___________________________
Property Address: _____________________________ Subdivision Name: ________________________
City, ST Zip _________________________________ Lot _____________________________________
****Applicant/Builder must provide proof of insurance or sign affidavit.****
___________________________________________________________________________________________________________________________________________________________________________________
Type of Improvement and use (Check all that apply)
New Building
Demolition
Shed
Crawl Space
Addition
Modular
Pool
Basement
Remodel
Farm Building
Basement Finish
Walk-Out
Single Family
Multi-Family
Deck/Porch
No. of Units
Two-Family Duplex
Garage
Other Structure
Size of building _______________________________________
Construction Type (Check One)
Modular Home
Miscellaneous
Steel Frame Construction
Is right-of-way encroachment permit required? Y / N If yes, check one: County___, State____, or City____.
Will this building be served by an on-site sewage disposal system such as a septic tank? Y /N
If yes, certificate of approval from the Health Department must be attached. If not, a certificate from the Sewer
District must be attached.
Is property located in a Historical District? Y / N If yes, written approval & stamped plans from them must be
submitted.
Soil & Erosion: Best Management Practices (BMP’s) must be properly installed, operational and maintained
throughout construction project until final stabilization is complete. SILT FENCE AND CONCRETE WASHOUT
AREA MUST BE INSTALLED._______ (Must be initialed by applicant.)
Actual distances of proposed building to property lines:
(Do not measure setbacks from edge of pavement)
Front Yard ________________ (Survey[Plot] plan must show shape of property and location
Left Side Yard _____________ of proposed building, actual distance to all four (4) property lines,
Right Yard________________ driveway location, any other structures on property and all easements.)
Rear Yard _________________ Square feet:
Corner Lot Y / N First Floor ________________________
Number of Bedrooms __________ Second Floor ______________________
Number of Bathrooms _________ Garage ___________________________
Construction Cost __________________ Basement _________________________ (if finished)
Total _____________________________
Parcel No. ___________________________ Zoning _______________________
Flood Plain Zone: ____________________
Permit fee: $ ___________________________ Method of Payment: ________________________
For Employee Use
100 West Jefferson Street, Suite 3 ~ LaGrange, Kentucky 40031
Ph: 502-222-3967 Fax: 502-222-3213
www.oldhamcountyky.gov
Page 3 of 7
Permit Number: _________________________ Date Issued: ______________________________
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
Page 4 of 7
RESIDENTIAL 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.
________________________________________________________________
You must provide a complete set of building plans (blueprints) which includes the following:
* front, side and rear elevations
* foundation plan
* foundation wall thickness & height (including brick drop) w/ rebar spacing
* footing thickness & width w/ rebar spacing (include grade beams and piers)
* girder beam/header size & spacing (include engineering on manufactured products)
* floor joist size and spacing (include engineering on TJI’S or Floor Trusses)
* floor plan including layout of walls, windows [mark egress size] and doors
* stair details, tread/riser configurations
* ceiling joist size & spacing (vaulted cathedral ceilings must include self supporting ridge)
* rafter framing details, size & spacing of rafters, purlins etc.
all trusses must have engineering provided (load calculations)
* wall cross section from footings to roof rafters
You must provide an accurate and detailed plot plan which includes the following:
* shape of property, existing structures and the location of proposed structure
with the distances to all property lines and to existing structures clearly defined
You must provide a Kentucky Architect or Engineer’s “Sealed Approval” on the following:
* All Construction Methods not specifically prescribed within the Adopted Code
(KRC 301.1.2) including Log Cabins, Steel Framed Structures
(Trusses pursuant to KRC 802.10 are Exempt from this Requirement.)
* Retaining Walls over 4’ tall (KRC 404.1.3) or 4” thick brick drops over 2’ tall
* Footings poured on expansive soil or fill (disturbed soil)
_____________________________________________________________________________
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).
________________________________________________________________
Company Name
Certification Number
(Required)
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
Page 5 of 7
________________________________________________________________
APPLICABLE CODES AND REQUIRED INSPECTIONS
APPLICABLE CODES: 2013 KENTUCKY RESIDENTIAL CODE
DESIGN CRITERIA: 15 lb. Ground Snow Load
24” min. Footing Depth (frost line)
4550 Heating Degree Days/1301 Cooling Degree Days (65 degree base)
Seismic Zone B
_____________________________________________________________________________
REQUIRED BUILDING INSPECTIONS:
FOOTINGS INSPECTION: (CALL 24 hrs in advance to schedule approximate inspection time)
Inspection is performed after footer is dug or formed, the steel rebar in place and the thickness clearly defined. Inspection
is ALWAYS prior to placing concrete. DO NOT cover any portion of footing bottom with gravel without PRIOR approval.
A grounding electrode (20’ long rebar rod encased in concrete) should be protruding from footing for electrician to connect
the grounding conductor. All footings must rest on undisturbed soil of sufficient bearing capacity to meet loads imposed
upon it and shall exceed the minimum bearing requirements and the footing sizes spelled out in the Kentucky Building
Code. Geo-Technical Soil Condition Reports and/or “As Built” Engineered Reports may be required. Footings poured
without inspection or those located on engineered, disturbed or expansive soils shall require an engineer’s sealed letter
stating that footings have been designed and built according to accepted engineering practices, are in substantial
compliance with the KBC and will withstand loads imposed by permitted structure.
FRAMING AND ROUGH IN INSPECTION: (Applicant is responsible to call for Rough In Inspection)
BEFORE DRYWALL OR INSULATION IS HUNG! Inspection is performed after all framing is completed, all fire blocking is
in place, all concealed mechanicals, gas lines, vents and ventilation rough in work is completed. This Inspection is to
verify, to the best of the field inspector’s ability, that the permitted structure is in substantial compliance with the structural
and mechanical requirements covered under applicable codes and in substantial compliance with manufacturer’s listing
and installation instructions. All listed products shall be labeled and any installation instructions and/or design engineering
shall be on site to verify that all listed components and engineered framing components including Tji’s, Lvl’s or Glu Lam
Beams, have been installed as per design.
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. If corrections are required, written details will be left at front
junction box. On some projects phased approvals may be required, contact the inspector for more details.
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).
FINAL BUILDING INSPECTION: (Applicant is responsible to call for Final Building Inspection)
AFTER ALL ENCROACHMENT, DRAINAGE, PLUMBING AND ELECTRICAL INSPECTIONS HAVE BEEN APPROVED.
Inspection is performed at the completion of the project to verify that substantial compliance with the applicable codes and
ordinances has been achieved. All fire protection systems shall be operable (NFPA 72/NFPA 13); means of egress
completed including: accessible entrances, exit signage and emergency lighting, handrails and guardrail; street address
posted; final approval of Local Fire Marshal; grading to direct water to the approved drainage plan; energy conservation
requirements met; and all HVAC systems operational. An approval sticker will be applied on the electrical panel,
however, you must call the office to request the release of the Certificate of Occupancy granting permission to occupy.
PURSUANT TO KRS 198 and O.C. ORDINANCE 91-300.351.3, A CERTIFICATE OF OCCUPANCY IS REQUIRED!
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
Page 6 of 7 Revised 2/8/2018
REQUIRED ELECTRICAL INSPECTIONS:
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
Page 7 of 7 Revised 2/8/2018
BE ADVISED!
Best Management Practices must be properly installed and
operational prior to any earthwork [i.e. driveways, basements,
footers, etc.] and maintained throughout the construction
project until final stabilization is complete.
-An Erosion Control Inspection will take place prior to any and
all Required Building Inspections.
-A failed Erosion Control Inspection will result in a failed
Building Inspection.
-A failed Building Inspection will require a scheduled re-
inspection and fee.
-All erosion control issues must be addressed and completed
prior to scheduling a re-inspection.
Failure to Comply may result in further enforcement actions that
may include Citations, Stop Work Orders and Fines of $75.00 to
$150.00 for each day that the property is found to be in violation.
Oldham County is an MS4, Phase II community and mandated by
the Environmental Protection Agency as part of the Federal
Water Pollution Act (33 USC Sec 1251 et.seq.). This program is
overseen by both the Kentucky Division of Water and the EPA.
In order for Oldham County to comply with this mandate, strict
enforcement of the Construction Site Runoff ordinance is
required.