Application for Residential Siding Permit
Address of construction ____________________________________________________________________________
Owner’s name ___________________________________________________Phone ___________________________
Owner’s address __________________________________________________________________________________
Contractor ______________________________________________ Business phone ___________________________
E-mail address ________________________________________________________
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 Received
2-family 3-family
Village of Newburgh Heights Housing and Building Department
3801 Harvard Ave., Newburgh Heights OH 44105 Phone: 216-641-4654
