Date:
Application #:
Permit # BP
Permit Fee:
Zoning
Fee:
BUILDING PERMIT APPLICATION
City of Newport News
Department of Codes Compliance
2400 Washington Avenue 3
rd
floor, Newport News, Virginia 23607
757-933-2311/757-926-8311 (fax) /codesclerical@nnva.gov (email)
www.nnva.gov/codes-compliance
Project Address: Unit: Parcel ID:
Applicant (
Check One) Owner Contractor Agent Design Professional
Property Owner
Tenant
Applicant Name
Phone #
Name
Address
Contractor Business Name
Phone #
City/State/Zip
Phone #
Fax #
Contractor State License #
Class
A
B
C
CID #
Email Address
Email/Other Contact Information
Work to be performed on:
I agree to perform the proposed work in conformance with the Virginia Uniform Statewide Building Code and the
Flood Zone:
First Floor Elevation:
ordinances and regulations of the City of Newport News.
[ ] Residential
Variance/Special Exception/
Print Name:
Date:
[ ] Commercial
Conditional Use Permit #
Signature:
[ ] Multi-Family
Proposed Value of Work:
Remarks:
The Following Fees and Permits Must be Paid or a
Waiver Approved Prior to Issuance of a Building
Permit
Type of Work
Description of Work
Mechanic’s Lien Agent
New Construction
Name
HRSD Receipt #
Accessory Structure
Address
City Sewer Receipt #
Alterations/Repairs
Right of Way Permit #
Addition
Land Disturbance #
Demolition
Phone #
Swimming Pool
Fence/Barrier
None Designated
Temporary Structure
______________________________________________________________________________________________________________________________________________________________________________________
Office Use Only
Remarks:
ASBESTOS CERTIFICATE
Cash:
Check:
Escrow:
[ ] YES [ ] NO
Customer ID #:
Approved By:
Date:
Year Built: _________
Cashier:
This application may be printed blank or
filled in online and then printed.
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