Fillable Village of Newburgh Heights Housing and Building Department (Village of Newburgh Heights)

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Village of Newburgh Heights Housing and Building Department (Village of Newburgh Heights)

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File type: PDF

U.S.A. forms for Village of Newburgh Heights

BROWSE VILLAGE OF NEWBURGH HEIGHTS (OH) FORMS

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Village of Newburgh Heights Housing and Building Department
3801 Harvard Ave., Newburgh Heights OH 44105 Phone: 216-641-4654
Application for Residential Building Permit/Approval
Address of construction ____________________________________________________________________________
Owner’s name ___________________________________________________ Phone ___________________________
Owner’s address __________________________________________________________________________________
Contractor ______________________________________________ Business phone ___________________________
E-mail address ________________________________________________________
Contractor’s address _______________________________________________________________________________
Estimated cost of Project $
Date
Street City State Zip
Section 1 – General Information
PLEASE PRINT OR TYPE
Section 2 – Description of Property and Construction
Permit No. Date Received
Structure Type
Single Family
Two Family
Three Family
Exterior
Window Replacement (Printed
photos required)
Same style yes no
Same size yes no
Same color yes no
Steps (Printed photos required)
Location:
Front Rear
Other:
Existing type:
Wood Masonry
Proposed type:
Wood Masonry
Other:
Deck (Site plans
required & zoning
approval)
Shed (Site plans
required & zoning
approval)
Drawings, brochures or
photos
Interior
Remodel bathroom
Remodel kitchen
Remodel
Move/remove walls (plans required)
Drywall only (sq. ft. )
Support Post
specify location
Other
specify details
Type of Work
New structure
Alteration (specify details)
Repair (specify details)
Rehabilitation (Scope of work letter req.)
Fire repairs (specify details)
Demolition (specify details)
Porch
New (plans required)
Floor repairs (specify details)
Repairs (specify details)
Railings (specify details)
Porch enclosure
Other
Foundation
location:
Repair
New (plans required)
Retaining Wall
New
Existing
Repair (specify details)
Height
Addition (plans required)
specify location
Chimney
Repair
Rebuild
Swimming pool
Above ground
In ground
New roof material
Reroof material
Other
Work Location
Exterior
Basement
1st Floor
2nd Floor
3rd Floor
Garage
Demo
Floor only (specify details)
New (plans required)
Siding (garage only)
Repairs (specify details)
Roofing
Please complete page 2 ➡
Applicant’s signature Print name Date
Contractor is required to schedule a rough-in inspection before any concealment.
ALL PLANS SUBMITTED SHALL REVEAL SUFFICIENT INFORMATION TO DETERMINE FULL COMPLIANCE WITH THE MINIMUM
REQUIREMENTS OF THE OHIO BASIC BUILDING CODE. 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
Section 3 – Additional Requirements (to be filled out by staff)
DO NOTE WRITE BELOW THIS LINE
Section 4 – Approval and Fees
Section 5 – Payment
Building Official __________________________________Date of Approval ___________________________________
Permit Fee
State Fee
Surcharge Amount
Total Amount
Credit Card
Card #
Name on card
Exp. date CVS
Cash
Check #
OTHER APPROVALS
Architectural Board of Review Project No. Zoning
Separate permits required for: Electrical Plumbing Heating/Ventilating Other
Certificate of compliance is: required not required for this project
Repair work shall be specific to the repairs—include a scope of work letter and plans detailing the project.
$ 0.00
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Village of Newburgh Heights Housing and Building Department (Village of Newburgh Heights)

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Completed 19 January 2021

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