Construct New Residential Permit

CITY OF HAVERHILL
BUILDING DEPARTMENT

APPLICATION FOR PERMIT TO CONSTRUCT NEW RESIDENTIAL DWELLING (S)

PLEASE PRINT LEGIBLY

Project Location:_________________________________ # of Units______________

Applicant/Owner:
Owner's Name:___________________________________________________________
Owner's Address:_________________________________________________________
Owner's Tel.#_________________________________________

Applicant/Contractor:
Contractor's Name:________________________________________________________
Contractor's Address:______________________________________________________
Contractor's Supervisor's License #__________________ Expiration Date___________
Contractor's Tel.#______________________________

Description of proposed project:______________________________________________
________________________________________________________________________
Debris Location:__________________________________________________________
Construction Type:___________________________________________________ 

Certified Plot Plan: Completed Energy Report: Foundation Size:
Gross Square Feet Gross Square Feet *Valuation:
Habitable Space: Non Habitable Space: House Style:
Conservation Approval: Fire Sprinklers: Height:
# Dwelling Units: # Stories: # Baths:
# Bedrooms: # Full Baths: # Rooms 2nd fl:
# Baths: # Rooms 1st fl: Finished Attic:
Garage: Att.____ Det.____ Finished Basement: Carrying Partitions:
Garage Size: Distance on Center: Floor Timbers 3rd fl:
Floor Timbers 1st fl: Floor Timbers 2nd fl: 2nd fl flooring:
Size of sills: 1st fl flooring: Stairway location:
3rd fl flooring: # Stairways: Solid Fuel Burning Stove:
Wall Covering: Chimney/Fireplace: Insulation Values:
Heating: Gas___ Oil___ FHA______ FHW_______  
Deck: Porch:  
     


* Valuation will be determined by the BOCA Code Standard, based on habitable and non- 
habitable living space.

Please complete the above information and attach the certified plot plans (stamped by Conservation if applicable) to this application.

Applications will be date and time stamped, and reviewed by the Building Inspector in the order received. Upon review, permit applications will then be typed in the computer and the applicant will be called to come in and sign, pay for and pick up the permit.

Incomplete applications will not be date and time stamped.

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