Fillable City of Newport News Department of Codes Compliance (City of Newport News)

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City of Newport News Department of Codes Compliance (City of Newport News)

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BROWSE CITY OF NEWPORT NEWS (VA) FORMS

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City of Newport News
Department of Codes Compliance
2400 Washington Avenue, 3rd Floor
Newport News, Virginia 23607
CodesClerical@nnva.gov (email)
757-933-2311 (phone) /757-926-8311 (fax)
www.nnva.gov/codes-compliance (website)
Please submit the following for above ground pool applications:
• BUILDING PERMIT APPLICATION
• ELECTRICAL PERMIT APPLICATION (in compliance with National Electrical Code, Article 680)
• ACCESSORY STRUCTURE FORM
• CONTRACTOR EXEMPTION FORM (If homeowner is applying for permits)
• SURVEY TO SCALE; indicating pool placement and distance from
property line. (sample survey attached)
• MANUFACTURER POOL SPECIFICATIONS
• MANUFACTURER POOL LADDER SPECIFICATIONS
Please submit all completed documents at once to
CodesClerical@nnva.gov for processing.
Date:
Permit # _______________________________
Permit Fee: ______________________________
Invoice # _________________________________
BUILDING PERMIT APPLICATION
City of Newport News
Department of Codes Compliance
2400 Washington Avenue 3rd floor, Newport News, Virginia 23607
CodesClerical@nnva.gov (email)
757-933-2311(phone)/757-926-8311(fax)
www.nnva.gov/codes-compliance (website)
*Project Address: Unit: Parcel ID:
*Applicant (Check One)
Owner Contractor Agent Design Professional
Property Owner
Tenant
*Phone #
*Name
*Address
Phone #
*City/State/Zip
Phone #
Fax #
A
B
C
CID #
Email Address
*Applicant Name
*
Applicant Address
Contractor Business Name
Contractor Address
Contractor State License #
*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
*Signature:
[ ] Multi-Family
Conditional Use Permit #
*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
[ ] YES [ ] NO
Approved By:
Date:
Year Built: _________
This application may be printed blank or
filled in online and then printed.
Reset Form
✔
Date:
*Project Address:
Unit:
Parcel ID:
*Applicant (Check One)
Owner Contractor Agent Design Professional
Property Owner
Tenant
*Phone #
*Name
*Address
Phone #
*City/State/Zip
Phone #
Fax #
A
B
C
CID #
Email Address
*Applicant Name
*Applicant Address
Contractor Business Name
Contractor Address
Contractor State License #
*Email/Other Contact Information
*Work to be performed on:
*Type of work:
Residential New Structure Repair/Alt
Commercial Addition Other
Multi-Family
*Project Cost $___________________
I agree to perform above work in compliance with the ordinances & regulations of the
City of Newport News and the Virginia Uniform Statewide Building Code.
*Print name________________________________________
*Signature____________________________________Date______________
Remarks____________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
QUANTITY & TYPE OF DEVICES/EQUIPMENT
New Outlets
Central Heat
Central A/C
Heat Pump
Rooftop Unit
Baseboard Heat
Site Lights
Dishwasher (Commercial)
Dishwaher (Domestic)
Garbage Disposal
_______ Amps to ______Amps
Reconnect Manufactured Home
Increase Service from
New Single Phase Service
New Three Phase Service
Other:
Clothes Washer
Clothes Dryer
Water Heater
Generator
Range/Cooktop
Oven
Exhaust Fans
Range Hood
__________________________________________________________________________________________________________________________________________________________________________________________
Office Use Only
Remarks:
Approved By:
Date:
ELECTRICAL PERMIT APPLICATION
City of Newport News
Department of Codes Compliance
2400 Washington Avenue 3rd Floor, Newport News, Virginia 23607
CodesClerical@nnva.gov (email)
757-933-2311(phone)/757-926-8311(fax)
www.nnva.gov/codes-compliance (website)
Permit # :_________________________
Associated Building Permit # :_________________________
Permit Fee:_________________________
Invoice # :_________________________
______________________________________________________
______________________________________________________
________________________________________________
______
This application may be printed blank or
filled in online and then printed.
Reset Form
City of Newport News
Department of Codes Compliance
2400 Washington Avenue 3rd floor, Newport News, Virginia 23607
757-933-2311/757-926-8311 (fax)
CodesClerical@nnva.gov (email)
www.nnva.gov/codes-compliance
TO BE COMPLETED AND SUBMITTED WITH BULIDING PERMIT APPLICATION
Accessory Structure Certification
(POOLS, SHEDS, DECKS, DETACHED GARAGES ETC...)
A
s applicant for a permit to erect an accessory structure on the premises located at:
_
_________________________________________________________________________
I certify that the following height measurements are in accordance with the
Zoning Ordinance as stated below:
• Height of Building- The vertical distance measured from the established grade to the highest point
of
the roof surface for low sloped roofs; to the deck line of mansard roofs; and to the average
height between eaves and ridge for shed, gable, hip, and gambrel roofs.
1
-The height of the principal structure is ________ feet.
2-The ground floor area of the principal structure is __________square f
eet.
3
-The proposed accessory structure is to be used as ___________________________.
4-The proposed accessory structure is _______ f
eet in height.
5
-The proposed accessory structure has a total floor area of _______ square f
eet.
6
-Existing
accessory structure(s) (pools, sheds, decks, etc.) total floor area _______ square feet.
Total of
square footage (lines 5 & 6) of existing and proposed accessory structures floor area _______.
Property Owner(s) Name: ______________________________________________
Applicant’s Name (if not owner): ________________________________________
Applicant’s Signature: _________________________________________________
Date: ________________________
Contractor Licensing
Exemption Statement
Permit/Application # _________________
Prior to issuing a permit to construct, remove or alter any structure Section 108.4 of the Virginia
Uniform St
atewide Building Code (USBC) requires the applicant to either:
1. provide proof that he is duly licensed or certified under the terms of Chapter 11 of Title
54.1 of the Code of Virginia to manage, superintend or carry out the proposed work, or,
2. file a written statement that he is not subject to such licensure or certification.
Some exemptions from contractor licensing are listed below. Please indicate the applicable
exemption by checking the corresponding box.
The work does not involve a regulated trade AND the value of work (materials
and labor combined) does not exceed $1,000.00.
The work consists of the repair and/or improvement to an existing dwelling
which is my primary residence.
I am the owner of the property and the structure will be used as my primary
residence when completed. I have not constructed a primary residence in
Virginia during the last 24 months.
The work consists of the repair of and/or improvement to an existing
commercial, retail, industrial or manufacturing facility owned by me and is
occupied by me for my own use.
The work consists of repairs and/or improvements to one or more existing
residential dwelling units owned by me and subject to the Virginia Residential
Landlord and Tenant Act (§ 55-248.2 et seq).
I have no financial interest in the property or the structures for which the permit
is sought and will not benefit in any way should the property or structures be
sold. I am not being paid nor am I receiving anything of value in association
with the work involved in this project including discounts in rent or forgiveness
of any present or future debt.
Other: __________________________________________________________
________________________________________________________________
________________________________________________________________
Applicant Name: ____________________________________________ Date: ____________
Signature: _______________________________________________
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City of Newport News Department of Codes Compliance (City of Newport News)

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Completed 22 February 2021

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