Town of St. Albans

TOWN OF ST. ALBANS NOTIFICATION OF INTENTION TO BUILD

APPLICANT INFORMATION 1. Name of Property Owner :______2. Property Owner’s Address :______3. Telephone Number :______4. Name of Applicant(if different) :______5. Applicant’s Address :______6. Telephone Number :______Note – If property owner and applicant are different, attach owner’s signed authorization. PROPERTY INFORMATION 1. Physical Address :______2. Tax Map & Lot Number :______3. Size of Lot :______4. Zoning District :______(If property is located in a Shoreland Zone district, attach copy of valid Shoreland Zone permit.) 5. Attach copies of any and all previous permits issued for this property (federal, state or local) including plumbing permits. A valid Septic Design is Necessary. 6. Attach a sketch plan showing the location, size and layout of proposed structure(s) and any existing structure(s), including distances to any and all property line boundaries, and the location of all wells and subsurface wastewater disposal systems either existing or proposed. 7. Existing Structures List any existing structures to be removed. (If this is a notice of removal only, there is no fee). PROPOSED CONSTRUCTION OR REMOVAL:

APPLICANT’S SIGNATURE ______THIS SPACE IS FOR OFFICE USE ONLY $5.00 FEE

Date Received : ______Received By : ______

Fee Paid : ______Expected Date of Occupancy: ______

Accepted ______Denied ______

CODE OFFICER’S SIGNATURE ______Note to Applicant-You are required to obtain a “Certificate of Occupancy” before allowing any occupancy of the structure(s) described on this form. Failure to obtain such Certificate may result in a fine of from $100 to $2500. A “Certificate of Occupancy” may be obtained from the C.E.O. CODE ENFORCEMENT OFFICE HOURS: Tuesday & Friday 8:00 A.M. TO 12:00 P.M.

TOWN OF ST. ALBANS (207) 938-4568

The applicant is required to notify the Town Office when the construction outlined in the attached Notification of Intention to Build has been completed.

When the construction outlined in the Notification of Intention to Build is complete, contact the Town Office to schedule the necessary inspections, and return this form to the Town Office.

All construction must have the Certificate of Completion / Occupancy signed by the St. Albans Code Enforcement Officer.

CERTIFICATE OF COMPLETION / OCCUPANCY

Property Owner : ______Property Address : ______Tax Map & Lot # : ______Name of Occupant :______No. of Occupants :______“Notification of Intention to Build” filed on :______Septic System installed in compliance with State of Maine Plumbing Code______

This certifies that all structures on the above property have been constructed in Accordance with the Town of St. Albans Building Notification and Occupancy Ordinance.

This certifies that all structures to be used as dwelling units on the above property have been constructed in accordance with the Town of St. Albans Building Notification and Occupancy Ordinance and all other applicable state or local regulations.

Code Enforcement Officer : ______Date : ______

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