Construct,Repair or Renovate Permit - Residential

CITY OF HAVERHILL
BUILDING DEPARTMENT

APPLICATION FOR PERMIT TO CONSTRUCT, REPAIR, 
RENOVATE THE FOLLOWING:

Prior to leaving the office taxes, water, sewer bills, and ownership will be checked.

PLEASE PRINT LEGIBLY                                       DATE:___________________

Project location:__________________________________________________________
Single Family_______ Two-Family_____ Multi-Family_____ Condo_____
Owner’s Name:___________________________________________________________
Owner’s Address:_________________________________________________________
Owner’s Tel.#_________________________________________

Contractor’s Name:________________________________________________________
Contractor’s Address:______________________________________________________
Contractor’s HIC Registration #_____________________ Expiration Date____________


Contractor’s Supervisor’s License #__________________ Expiration Date___________
Contractor’s Tel.#______________________________

COPIES OF SIGNED CONTRACTS MUST BE PROVIDED PRIOR TO ISSUANCE OF PERMITS – ALL CONTRACTS MUST COMPLY WITH THE REQUIRED CONTRACT TERMS REQUIRED BY THE OFFICE OF CONSUMER ADFFAIRS & BUSINESS REGULATION

INTERIOR REMODEL/ALTERATION:

Description of proposed project:______________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Cost of Project:_______________________________

Debris Location:__________________________________________________________

 

PLEASE NOTE: PROPERTIES WITH PRIVATE SEWAGE DISPOSAL SYSTEMS MUST BE APPROVED BY A HEALTH INSPECTOR PRIOR TO SUBMITTING THIS APPLICATION FOR ADDITIONS, INTERIOR RENOVATIONS TO CREATE NEW LIVING SPACE,SHEDS, DECKS, POOLS, AND GARAGES. HEALTH INSPECTORS WILL INITIAL THE PLOT PLAN.

ADDITION:  City Plot Plan – Room 300 ___________ Conservation Dept – Room 300_______
                        Size:_______________   Stories:____________ Height:______________
                        Drawings:___________________   Heated Space Energy Report:_____________
                        Use:______________________________________________________________


                        Cost:_______________________

  
SHED:      City Plot Plan - Room 300________ Conservation - Room 300__________
                 Size:_______________   Height:_____________ Cost:_____________


                 Construction Type:___________________________________

FENCE:   City Plot Plan - Room 300 _______ Conservation - Room 300________
                  Length:_____________  Height:______________ Cost:_____________
                  Construction Type:___________________________________

 

 

DECK:     City Plot Plan – Room 300_______ Conservation – Room 300________
                  Size:_____________ Roofed _________ Open__________ Cost:_________
                  Construction Type:___________________________________

 

 

SWIMMING 
POOL:     City Plot Plan – Room 300________Conservation – Room 300__________
                  Size:_____________ Height:___________ Electrical Permit #___________
                Above Gound:_____________ Inground:___________ 
                  Fencing:____________________________  Railings:__________________


                  Cost:___________________________

 

ROOFING:  Strip:________ Go Over:__________ Pitched:________ Flat:_______


                      Material:__________________________ Debris Location:____________________
                      Cost:_____________________

 

SIDING:      Electrical Permit #:___________________ Material:_________________________
                     Cost:______________________ Debris Location:______________________

                      Is Asbestos siding being covered and/or removed?_____________________

 

SOLID FUEL BURNING STOVE:

                  Fuel Type:___________________       U.L. Approved__________                            
                   Room Location:_________________       
                  Cost:________________________

                          

GARAGE: City Plot Plan – Room 300 _____________ Conservation -Room 300__________

                   Size:__________________      Attached:_________         Detached:________

                   Height:____________              Stories:    _________                 Drawings:_______         

                    Cost:________________

 Please complete the above information and attach the plot plans, drawings, etc. to this application. Applications will be date and time stamped, and reviewed by the Building Inspector in the order received. THE REVIEW PERIOD COULD BE AS LONG AS THIRTY DAYS. Upon review, permit applications will then be typed in the computer and the owner/contractor will be called to come in and sign, pay for and pick up the permit. All computerized applications for permit must be signed by the owner or by the licensed contractor conducting the work.

WORK CANNOT BE STARTED UNTIL PERMIT IS POSTED ON THE JOB SITE.    

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