Village of Newburgh Heights Building Department
3801 Harvard Ave., Newburgh Heights OH 44105 Phone: 216-641-4654
Application for Residential Siding Permit
Address of construction ____________________________________________________________________________
Owner’s name ___________________________________________________Phone ___________________________
Owner’s address __________________________________________________________________________________
Contractor ______________________________________________ Business phone ___________________________
Contractor’s address _______________________________________________________________________________
Estimated cost
of Project $
Applicant’s signature Print name Date
Street City State Zip
Section 1 – General Information
PLEASE PRINT OR TYPE
Section 2 – Description of Property and Project
SUBMISSION REQUIREMENTS (Synthetic - other than wood)
Photos
Four photographs - one of each side of house
One close-up photograph of the existing siding
Is there more than one type of siding on the house? (additional photos)
Proposed siding brochure
New siding brochure: who is the manufacturer?
Type of structure
Single
Other (describe)
Type of work
Siding over wood siding
Type of material?
Other
Measurements
Height measurement of the existing clapboard, shingle or lap siding
Height measurement of the proposed synthetic siding
(a difference in siding height requires an approval from ABR)
Contractor is required to schedule a rough-in inspection before any concealment.
By signing the application, the applicant certifies that the installation will comply with the regulations of the Newburgh Heights
Building Code and State Codes.
TO THE BUILDING COMMISSIONER: This application is submitted for a permit to erect, add to, alter or repair a structure as described
in this application and any drawings which accompany it. The acceptance of the permit shall be considered an agreement on the part of the
applicant or his agents to comply with the Building and Zoning codes of the City of Newburgh Heights, or other orders, requirements or
specifications slated in the permit.
In signing this application, the contractor or owner’s agent certifies that the work is authorized by the owner or record.
Applicant is Owner Contractor Owner’s agent
DIRECTIONS: Please supply information in Section 1 and check off boxes in Section 2 which describes your submission requirements.
Permit No. Date Issued
Building Department Hours
9am to 5:30pm Monday through Friday
216-641-2716
Section 3 – Additional Requirements (to be filled out by staff)
DO NOTE WRITE BELOW THIS LINE
2-family 3-family
Section 4 – Approval and Fees
Building Official __________________________________Date _____________________________________________
Amount ________________________________________Cash/Check # _____________________________________
OTHER APPROVALS
Architectural Board of Review Zoning
The applicant has applied for the Architectural Board of Review
(date)
ATTENTION
AS THE CONTRACTOR, YOU ARE REQUIRED
BY LAW TO CLOSE THIS PERMIT AFTER YOUR
WORK IS COMPLETED CALL 216-641-2716 TO
SCHEDULE A FINAL INSPECTION.
