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____________
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 214 ___________ Conservation Dept – Room 210_______
Size:_______________ Stories:____________ Height:______________
Drawings:___________________ Heated Space Energy Report:_____________
Use:______________________________________________________________
SHED: City Plot Plan - Room 214________ Conservation - Room 210__________
Size:_______________ Height:_____________ Cost:_____________
FENCE: City Plot Plan - Room 214 _______ Conservation - Room 210________
Length:_____________ Height:______________ Cost:_____________
Construction Type:___________________________________
DECK: City Plot Plan – Room 214_______ Conservation – Room 210________
Size:_____________ Roofed _________ Open__________ Cost:_________
Construction Type:___________________________________
SWIMMING
POOL: City Plot Plan – Room 214________Conservation – Room 210__________
Size:_____________ Height:___________ Electrical Permit #___________
Above Gound:_____________ Inground:___________
Fencing:____________________________ Railings:__________________
ROOFING: Strip:________ Go Over:__________ Pitched:________ Flat:_______
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:________________________
Size:__________________ Attached:_________ Detached:________
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.