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Department of Public Works and Environmental Services forms are available in PDF format. In order to view the forms you will need to have Adobe Reader installed on your computer.
Building Construction
Sewer
Site Development
Solid Waste Collection, Recycling &
Disposal
Stormwater
Wastewater
Building Construction Forms
Fire Marshal Forms
General Forms
Inspection Forms
- Ejector/Grinder Pump Request Form*
- Electrical Inspection Report and Certification Form*
- Elevator/Escalator Certificate of Compliance
- Sewer and/or Water Service Connection Agreement
- Statement of Special Inspections*
- Swimming Pool Electrical Inspection Report and Certification*
Permit Forms
- Affidavit for Construction of a Single Family Dwelling on an Existing Foundation
- Affidavit for Demolition of Accessory Structures*
- Affidavit of Permit Authorization*
- Annual Permit Report and Certification*
- ANSI Square Footage Certification
- Asbestos Certification
- Asbestos Inspection Exemption
- Asbestos Removal Certification
- Bond for Demolition of Building: Residential | Commercial
- Commercial Annual Permit Application*
- Conservation Agreement* **
- Conservation Agreement Information for Owners of Individual Lots
- Fax Permit Program
- Industrialized Building / Manufactured Home Affidavit*
- Modified Processing Request Form
- Owner/Developer Affidavit*
-
Permit Applications:
- Building (sample only) | Instructions
- Electrical**
- Elevator
- Household Appliance
- Mechanical**
- Plumbing**
- Property Ownership Affidavit*
Plan Review Forms
- Accessibility Compliance Form*
- Building Information Form*
- Building Plan Routing Form (for Building Plan Review)
- Cover Sheet for Townhouses and Single Family Dwellings**
- Deck Attachment Certification*
- Electrical Energy Certification Form
-
Energy Calculations Worksheets:
- Trade-off Worksheet (Method 1): Printable | Interactive
- Percent Glazing (Method 2): Printable | Interactive
- Alternative for Additions and Sunrooms (Method 3)
- Instructions
- Expedited Building Plan Review Program Routing Form
- Permission to Edit Construction Documents
- Residential Heat Loss and Heat Gain Certification (for forced air systems): Printable** | Interactive** | guidelines**
- Residential Heat Loss and Heat Gain Certification (for hot water heating)**
- Statement of Special Inspections*
- Truss Plan Cover Sheet*
| +This form is provided for informational purposes only; an original is required for submission. |
| * May be filled-out online prior to printing. |
| ** Form is required to be printed on legal sized paper, 8 1/2" x 14". |
Sewer Forms
Site Development Forms
- Big Tree Registry-Big Tree Nomination Form*
- Builder's Application for Temporary Waiver*
- Buildable Lot Validation Request Form
- Final Subdivision Plat Checklist*
- Innovative BMP Tracking Form* | Guidelines
- Minor Site Plan Application Form*
- Modified Processing Request Form
- Parking Tabulation Form
- Post Submission Conference Request Form
- Priority Rating Form for E&S Control* | Descriptions
- Proposed Amendment to the Public Facilities Manual
- Proposed Site Plan Use and Parking Tabulation Revision
- Record Plat Checklist
- Request for Residential Use Permit*
- Request for Waiver/Modification of the Provisions of Article 13 of the Fairfax County Zoning Ordinance*
- Request for Records (FOIA)
- Responsible Land Disturber Certification*
- Simple Subdivision Eligibility Checklist
- Waste Stream Calculation for Multifamily Properties*
- Waste Stream Calculation for Nonresidential Uses*
Bonds and Agreements
- Certificate of Insurance+
- Completion Agreement * **
- Conservation Agreement - Cash * ** ***
- Conservation Agreement - Letter of Credit * ** ***
- Development Agreement * ** ***
- Development Agreement Supplemental Form * **
- Development Construction Schedule +
- Extension Request * **
- Future Construction Agreement * **
- Letter of Credit
- Letter of Credit - Extension Verification
- Letter of Credit - Tree Replacement Agreement
- Performance Bond (Corporate Surety) * ** ***
- Performance Bond - Verification Certificate
- Pro Rata Share Agreement * ** ***
- Sanitary Sewer Agreement * ***
- Set-Aside Letter
- Set-Aside Letter - Bank Extension
- Site Inspection Fee Computation
- Stormwater Management Agreement * ** ***
- Street Acceptance Checklist
- Streets Into the State System Request Form (Form 1): XLS**
- Surety Value Estimate **
- Tree Replacement Agreement **
Site Inspections
Chesapeake Bay Preservation Ordinance Forms
- Exception Request Form & Water Quality Impact Assesment-Minor Additions
- Exception for Public Hearing (RPA)
- Chesapeake Bay Preservation Ordinance Waiver/Exemption/Exception Request Form
| + This form is provided for informational purposes only; an original is required for submission. |
| * May be filled-out online prior to printing. |
| ** Form is required to be printed on legal size paper, 8 1/2" x 14". |
| *** Form must be original copy, printed double-sided at time of submission. |
Solid Waste Collection, Recycling & Disposal Forms
Please note! All of the Refuse Collection, Recycling & Disposal documents require that a W-9 "REQUEST for TAXPAYER IDENTIFICATION NUMBER and CERTIFICATION" be on file with the Fairfax County Division of Solid Waste Disposal & Resource Recovery. This form can be obtained from the IRS or from their FAXBACK service at 703-368-9694, TTY 711. The form number is 10231 and the instruction sheet is form 20479.
- Application for Certificate to Operate, Collect, Transport and Dispose of MSW - Solid Waste Collectors*
- Application for Disposal Permit - NON-Solid Waste Collector*
- Application for Tire Disposal Permit*
- Application for Commercial Cash Permit*
- Waste Delivery Disposal Agreement*
*Print out and fill-in.
Stormwater Forms