Application for Demolition Permit
Property address _________________________________________________________________________________
Owner’s name ___________________________________________________Phone ___________________________
Owner’s address __________________________________________________________________________________
E-mail _________________________________________________ Application date ___________________________
Contractor _______________________________________________________________________________________
Contact person ___________________________________________ Contact phone ___________________________
E-mail address ________________________________________________________
Contractor’s address _______________________________________________________________________________
Applicant’s signature Print name Date
Street City State Zip
The above is a true description of the lot. The acceptance of the permit herein applied for shall constitute an agreement on my part to abide
by all conditions herein contained and also to comply with all ordinances set forth by Newburgh Heights , and the laws of the State of Ohio
relating to the work to be done thereunder and said agreement is a condition of said permit.
IMPORTANT NOTICE TO HOMEOWNERS: IF YOU OBTAIN THIS PERMIT ON THE BEHALF OF A CONTRACTOR YOU ARE
LIABLE FOR ALL WORK INCLUDING ANY VIOLATIONS OR UNCOMPLETED WORK. CONTRACTORS MUST BE CURRENTLY
REGISTERED.
In signing this application, the contractor or owner’s agent certifies that the work is authorized by the owner or record.
Hours of operation shall be between 7 a.m. to not later than 7 p.m., Monday through Saturday; in no event, demolition shall take place on
Sunday or a legal holiday.
Building Dept. inspections are required, prior start, after structure is COMPLETELY removed, & when completed.
All sewers shall be bulkheaded at the property line or as directed by the Engineering Dept. A street opening permit may be required from the
Engineering Dept. Bulkheading shall be inspected by the Engineering Dept. prior to commencement of demolition.
Demolition of the main structure shall also include the removal of all slabs, basements, walls, and floors, footers, sanitary sewer treatment tanks
and any other subgrade structures and including the demolition of all associated accessory buildings and uses under the same permit.
All concrete or hard surfaces, walks, drives, parking areas and other grade level hard surfaces, including sub-bases, and/or gravel shall be
removed from the premises.
Existing curb cuts on curbing shall be restored by the Newburgh Heights Building and Zoning Code.
Underground storage tanks and any contaminated soil located on the site shall be removed from the site. Removal of the tank shall be under
the supervision of the Fire Prevention Bureau.
ALL EXCAVATIONS RESULTING FROM DEMOLITION SHALL BE BACKFILLED WITH CLEAN SANDY FILL (SAND, CLAY
OR LOAM) TO EXISTING GRADE AND PLANTED WITH GRASS.
No excavation shall be made on the job side for the purpose of removing soil or burying debris.
All demolition debris shall be removed from the site.
The contractor shall comply with all federal, state and local environmental ordinances and regulations and shall cooperate with the owner to
obtain any required permits. The contractor shall obtain the necessary permits and comply with all reporting requirements required by such
federal, state or local environmental agencies. The contractor shall provide copies of all environmental permits to the City upon applying for a
demolition permit.
Noise levels shall be kept to a minimum.
Applicant is Owner Contractor Owner’s agent
Permit No. Date Received
Applicant to complete all parts. Incomplete applications will delay permit processing.
The Newburgh Heights Building Department does not enforce deed restrictions, covenants, or subdivision regulations.
Proposed demolition date _____________ Proposed completion date (not to exceed 14 days) ____________________
Village of Newburgh Heights Housing and Building Department
3801 Harvard Ave., Newburgh Heights OH 44105 Phone: 216-641-4654
DO NOTE WRITE BELOW THIS LINE (OFFICE USE ONLY)
Approval and Fees
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 #
closed
$ 0.00