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Building Permit Application

  1. HamptonTownLogoMedium

  2. Application for Building Permit

  3. 100 Winnacunnet Road Hampton, NH 03842

  4. Type of Construction

  5. Description of Property

  6. Leased Land: Is this property now or was this property ever leassed land? (if yes, attach a copy of the original Deed from the Town)

  7. Wetlands: Does the proposed project fall within the Town's 50-foot or 100-foot wetland buffer? (Questions? Contact Conservatikon Coordinator - 603-929-5808)

  8. Does the proposed project fall within the NHDES 250-foot wetland buffer?

  9. Flood Zone: Does this property fall within a Flood Zone? (If yes, indicate what zone)

  10. Where the Permit should be mailed:*

  11. PROCESSING FEE $35 PLUS $5 PER THOUSAND (OR ANY PART OF A THOUSAND) OF VALUE OF CONSTRUCTION TO BE SUBMITTED WITH APPLICATION

  12. Value of Construction: I hereby certify, under penalty of perjury, that all statements given hereon are truthful and accurate, and that the cost of construction, alteration or remodeling (including labor and materials is:

  13. I agree to comply with the Town of Hampton's Building and Zoning Ordinance and all work will be constructed in accordance with the New Hampshire State Building Code and related Codes as adopted and in accordance with the plans submitted.

  14. I, The Applicant, do also herby certify that the above project shall not in any way violate any deed restrictions, rights of way, or easements applicable to the property and that I, the Applicant, for myself and my heirs, successors and assigns , do hereby agree to indemnify and hold the Town of Hampton harmless in the event any such restrictions, rights of way, or easements are violated by this project.

  15. Please print:

  16. For Department Use Only

  17. Zoning Board Approval Required:

  18. Planning Board Approval Required

  19. Fire Department Approval Required

  20. Conservation Board Approval Required

  21. Deed Restrictions

  22. Application Approved

  23. Leave This Blank: