RESIDENTIAL BUILDING PERMIT CHECKLIST

Transcription

1 VILLAGE OF ROCKVILLE CENTRE BUILDING DEPARTMENT Applicants Name: Owner s Name (if different than abve) Residential Prperty RESIDENTIAL BUILDING PERMIT CHECKLIST Cmpleted & Ntarized Applicatin Frm Cmpleted Applicatin Entry Frm Initial Applicatin Fee $ Permit fees (amunt t be determined based n the scpe f the prject) t be made payable t the Village f Rckville Centre upn issuance f permit. Cmpleted Architect s / Engineer s Certificate f Cmpliance If electrical wrk is t be perfrmed; an Electrical Inspectin Applicatin must be filed/underwriter s A cpy f the electrician s current RVC Electrical License Affidavit f n electrical (if applicable) Cpy f cntractr s Nassau Cunty Hme Imprvement License Prper wrkmen s cmpensatin, liability and disability (if applicable) insurance fr cntractr Tw (2) cpies f an accurate and legible survey f prperty Tw (2) detailed cnstructin drawings, stamped by a New Yrk State architect r engineer New Yrk State Energy Cde calculatins Affidavit f n plumbing, if applicable) r Plumbing Permit with wrkmen s cmpensatin, liability and disability (if applicable) insurance and fees When applicable, New Yrk State regulatins and an Affidavit f Asbests must be submitted Zning Affidavit Site Plan (shwing cnstructin fencing) Truss ntificatin fr any/all residential structures TO BE SUBMITTED ONLINE ONLY at Cnfirmatin f submissin required. Reviewed By: Date: Updated 6/1/2016

2 INCORPORATED VILLAGE OF ROCKVILLE CENTRE BUILDING DEPARTMENT THIS APPLICATION MUST BE FILED DIRECTLY WITH THE RESIDENTIAL INSPECTOR BETWEEN 8 AM 9 AM OR 11:30 A.M.-12:45 P.M. RESIDENTIAL BUILDING PERMIT A Building Permit is required in Rckville Centre when yu are making any additin, alteratin, r repair t residential prperty, r fr new cnstructin n residential prperty. After yu have retained a NYS licensed architect r engineer wh has prepared plans fr the prpsed wrk, and hired a cntractr, the items yu will need in rder fr us t prcess this applicatin are as fllws: REQUISITES FOR PERMIT Cmpleted RVC Building Applicatin Frm with ntarized statements frm Building Department. Nte: when applicable, separate permits are required fr fire sprinkler, HVAC, plumbing and lawn sprinkler. Cmpleted zning affidavit frm btained frm Building Department. Cmpleted Building Permit Applicatin Entry Frm (AEF 8/10). In all cases, when an applicatin affects a frnt yard n an interir lt, average set back distances f all structures n same side f street is required.. Cmpleted Architect's/Engineer's Certificate f Cmpliance - frm btained frm Building Department. Cpy f cntractr s Nassau Cunty Hme Imprvement License. Tw (2) cpies f an accurate and legible survey t scale f yur prperty nt lder than five years. Tw (2) detailed cnstructin drawings f the wrk t be dne, stamped by a New Yrk State architect r engineer. These plans must include the New Yrk State Energy Cde calculatins effective 1/1/2010. If electrical wrk is t be dne, an Underwriter s Applicatin must be filed by a RVC licensed electrician and submitted with the applicatin. Prper wrkers cmpensatin, liability & disability insurance fr cntractr (requirements at Building Department). Affidavit f n plumbing (if applicable) frm btained frm Building Department. Affidavit f n electrical (if applicable) frm btained frm Building Department. Any prject wherein asbests material is remved must be dne in cnfrmance with applicable New Yrk State regulatins and an Affidavit f Asbests must be submitted frm btained frm Building Department. A separate permit (frm Dept. f Public Wrks) is required fr any dumpster t be placed in the street. Fees:* Upn submissin f a building permit a check fr the applicatin fee is required. If the permit is a cnstructin building permit and the fee must be calculated, the applicant will be cntacted by the Building Department with the amunt f the check. An additinal check fr the Certificate f Occupancy r Letter f Cmpletin, as deemed applicable, will als be required when the permit fee is submitted. * See fee schedule. IMPORTANT The fllwing cnditins will cause a prject t require Exterir Design Review: 1. Any prject with a ttal cst f greater than $300, An increase in ttal square ftage f 1000 square feet r greater. INCORPORATED VILLAGE OF ROCKVILLE CENTRE BUILDING DEPARTMENT Last updated 6/22/2011 Building Department Office hurs 8;00 a.m. 4:30 p.m. (Mn.-Fri.)

3 Cnditins f Building Permit. A. A building permit shall be effective t authrize the cmmencing f wrk in accrdance with the applicatin, plans and specificatins n which it is based fr a perid f three mnths after the date f its issuance and actively cntinue cnstructin until cmpletin. A lapse f cnstructin f mre than 60 days shall cnstitute an abandnment unless extended by the Building Official. Fr gd cause, the Building Official may allw a maximum f tw extensins fr perids nt exceeding three mnths each. B. The issuance f a building permit shall cnstitute authrity t the applicant t prceed with the wrk in accrdance with the apprved plans and specificatins and in accrdance with the applicable building laws, rdinances r regulatins. All wrk shall cnfrm t the apprved applicatin, plans and specificatins. C. Building permit card shall be displayed prminently n the jb site at all times during the prgress f cnstructin s as t be readily seen frm adjacent thrughfares Revcatin f Permit. The Building Official may revke a building permit previusly issued in the fllwing instances: A. Where he finds that there has been any false statement r misrepresentatin as t a material fact in the applicatin, plans r specificatins n which the building permit was based. B. Where he finds that the building permit was issued in errr, and shuld nt have been issued, in accrdance with applicable laws. C. Where he finds that the wrk perfrmed under the permit is nt being prsecuted in accrdance with the prvisins f the applicatin, plans r specificatins. D. Where the persn t whm a building permit has been issued fails r refuses t cmply with a stp rder issued by the Building Official Stp Orders Whenever the Building Official has reasnable grunds t believe that wrk n any building r structure is being prsecuted in vilatin f the prvisins f the applicable building laws, rdinances r regulatins, r nt in cnfrmity with the prvisins f an applicatin, plans r specificatins n the basis f which a building permit was issued, r in an unsafe and dangerus manner, he shall ntify the wner f the prperty, r the wner's agent, r the persn perfrming the wrk, t suspend all wrk, and any such persns shall frthwith stp such wrk and suspend all building activities until the stp rder has been rescinded. Such rder and ntice shall be in writing, shall state the reasn fr the stp rder and the cnditins under which the wrk may be resumed, and may be served upn the persn t whm it is directed either by delivering it persnally t him, r by psting the same upn a cnspicuus prtin f the building under cnstructin r being wrked upn and sending a cpy f the same by certified mail t said persn Abandnment f Prject. In the event f the abandnment f any building prject, it shall be the duty f the hlder f the permit r the wner f the premises, his agent r duly authrized representative, t backfill any pen excavatin up the street r grund level. In case the cnstructin f the building r structure has prceeded beynd the cellar excavatin, all incmplete structures r penings shall be cmpletely barded up in a manner satisfactry t the Building Official s as t prevent access t the building r structure, in rder t limit and prevent danger t persns r prperty and pssible fire hazards and t present a neat appearance. Last updated 6/22/2011 Building Department Office hurs 8;00 a.m. 4:30 p.m. (Mn.-Fri.)

4 REV. 01/15 INCORPORATED VILLAGE OF ROCKVILLE CENTRE BUILDING DEPARTMENT BUILDING PERMIT APPLICATION ENTRY FORM TO BE COMPLETED BY APPLICANT: DATE: LOCATION ST #: STREET NAME: ZONE SEC: BLOCK: LOTS: APPLICANT: CITY: STATE: ZIP: OWNER NAME: PHONE: ( ) - ADDRESS: CITY: STATE: ZIP: RVC ELECT. NAME: LIC# RVC PLMR. NAME: LIC # GEN. CONTRACTOR: H I L #: EXP: CONTACT NAME: CONTACT PHONE: ( ) - ST ADDR: CITY: STATE: ZIP: ARCHITECT/ ENGINEER: PHONE: ( ) ADDRESS: CITY: STATE: ZIP: FOR OFFICE USE ONLY: TYPE OF IMP: Repair Imp REVIEW DATE: ISSUE DATE: USE: OCC. USE: C/O L/C SHORING / FENCING REQ: YES NO FINAL SURVEY REQ: YES NO EST. COST: PERMIT FEE: FOUNDATION SURVEY REQ: YES NO ADD SQ. FT. X % PORTABLE FACILITY REQ: YES NO PLUMBING PERMIT REQ: YES NO SIDEWALK BRIDGE/SCAFFOLDING REQ:YES NO PROJECT: REVIEWED BY: APPROVED BY: ASSIGNED INSPECTOR #

5 INCORPORATED VILLAGE OF ROCKVILLE CENTRE BUILDING DEPARTMENT INSURANCE REQUIREMENTS All cntractrs, plumbers, electricians and sign installers wrking in the Village f Rckville Centre must have the fllwing insurance: 1. Liability Insurance in the amunt f $1,000,000, cmbined single Limit bdily injury and prperty damage, naming the Incrprated Village f Rckville Centre as an additinal insured and als as certificate hlder (P.O. Bx 950, Rckville Centre, NY 11570). 2. Wrker s Cmpensatin Insurance will nly be accepted n Frms C f Frm U-26-3 (New Yrk State Insurance Frm). If yu d nt emply utside help and are nt required t have Wrker s Cmpensatin insurance, yu must cmplete Frm CE-200 (which replaces frm C-105.2). Frm BP-1 must be submitted if yu are a hmewner acting as the general cntractr. 3. Disibility Benefits Insurance will nly be accepted n Frms WC/DB 100 (replaces Frm C.105.2), DB and DB-155. This insurance is necessary fr all cntractrs and plumbers (including demlitin wrk). Nte: Acrd frms will nly be accepted as prf f liability insurance. Prper insurance dcumentatin must be submitted with each applicatin. We d nt keep insurance papers n file. Last Updated 7/10 Building Department Office Hurs 8:00 a.m. 4:40 p.m. (Mn. Fri.) Telephne N

6 BD - 13 UPDATED 11/2004 INCORPORATED VILLAGE OF ROCKVILLE CENTRE P.O. BOX 950 ROCKVILLE CENTRE, NY PHONE: NO PLUMBING AFFIDAVIT OF NO PLUMBING WORK DATE: RE: (ADDRESS): This is t certify that I,, wner f the abve premises, applying fr a Building Permit, being duly swrn, depse and say that there will be n plumbing wrk f any nature whatsever. I realize that I must apply fr a Plumbing Permit in the event plumbing wrk is installed at a future date. Signed: OWNER SWORN TO BEFORE ME THIS DAY OF, 20. NOTARY STAMP NOTARY SIGNATURE

7 BD - 12 UPDATED 11/2004 INCORPORATED VILLAGE OF ROCKVILLE CENTRE P.O. BOX 950 ROCKVILLE CENTRE, NY PHONE: NO ELECTRIC AFFIDAVIT OF NO ELECTRIC WORK DATE: RE: (ADDRESS): This is t certify that I,, wner f the abve premises, applying fr a Building Permit, being duly swrn, depse and say that there will be n electrical wrk f any nature whatsever. I realize that I must file an applicatin fr an Electrical Underwriter s inspectin in the event that electrical wrk is dne at a future date. Signed: OWNER SWORN TO BEFORE ME THIS DAY OF, 20. NOTARY STAMP NOTARY SIGNATURE

8 Village f Rckville Centre BUILDING DEPARTMENT P.O. Bx 950 Rckville Centre, NY Phne: 516) Fax (516) AFFIDAVIT OF ABSENCE OF ASBESTOS Date: Re: Demlitin/Building Permit Applicatin N. I, being a New Yrk State Licensed and/r Certified Asbests Inspectr, n behalf f the wner f the premises knwn as (street), New Yrk, (zip) and/r Sectin, Blck,, Lts(s), have cnducted an asbests survey n / / and declare that the premises t be renvated and r demlished are free f any asbests cntaining material (ACM) and therefre petitin the Incrprated Village f Rckville Centre Department f Buildings t issue a demlitin and r building permit. Signature Licensed r Certified as a License r Certificate N. Address Telephne #

9 INCORPORATED VILLAGE OF ROCKVILLE CENTRE P.O. BOX 950 ROCKVILLE CENTRE, NY PHONE: CERTIFICATE OF COMPLIANCE ARCHITECT S/ENGINEER S CERTIFICATE OF COMPLIANCE WITH 2015 BUILDING AND ENERGY CODES DATE: ARCHITECT S/ENGINEER S NAME AND ADDRESS: TO: RE: SUPERINTENDENT OF BUILDINGS TYPE OF PERMIT: LOCATION: Sectin Blck Lts Dear Superintendent f Building Department: I,, n behalf f the wner(s) f premises NAME OF REGISTERED ARCHITECT/ENGINEER knwn as, Sectin Blck ADDRESS WHERE WORK WILL BE DONE Lt(s), submit the attached plans fr yur review and ultimate issuance f Building Permit fr the prject referenced abve. I,, License N., certify NAME OF REGISTERED ARCHITECT/ENGINEER that I am a Registered Architect/Engineer, duly licensed t practice in the State f New Yrk and that I am regularly engaged in the practice f architecture/engineering. I hereby certify that the wrk shwn n the plans submitted with this applicatin cnfrms t all f the applicable requirements f the Energy Cnservatin Cnstructin Cde f New Yrk State, effective as f 10/3/16 and the Building Cdes f New Yrk State, effective as f 10/3/16 (als knwn as the Internatinal Cdes as adpted and mdified by New Yrk State.) Signed Date ARCHITECT S/ENGINEER S SEAL Updated-12/13/2016

10 RESIDENTIAL ZONING AFFIDAVIT VILLAGE OF ROCKVILLE CENTRE BUILDING DEPT. P.O. BOX 950 ROCKVILLE CENTRE, NY PHONE: FAX: LOCATION: ITEM REQUIRED EXISTING PROPOSED Use ne family Lt Size Lt Width 8000 sf. 80 ft. Flr Area Rati (F.A.R.) Building Area Sq.Ft. 50% lts less than 7,200 sq. ft. 42% lts greater than 7,200 sq. ft. *Indicate Square ftage breakdwn in glssary frmat and n flr plans Lt cverage % Impervius Lt cverage Frnt Yard Setback Average Frnt Yard Less than 8,000sf lts 30% ttal Greater than 8,000sf lts 25%/30%* Indicate n all site plans; 25% Principal Building and 30% accessry structures 45% maximum Indicate calculatins n site plan and in glssary frmat 30 ft. max / 25 ft. min Indicate Average FYSB Side Yard Setback Minimum 80 and greater & less than ft -80 and greater & 8 ft less than 80 Aggregate 25% - 80 and greater & 20% - less than 80 Rear Yard 25 ft. Crner Plt Lnger Street Frntage Shrter Street Frntage Yard Oppsite Greater Setback Yard Remaining Height Rf Slpe (main rf) 20% average width / nt less than 20 average setback / nt greater than 30 r less than ft. 10 ft. min. 32 ft max 6 n 12 min Variance Required: Yes ( ) N ( ) * If yes, please highlight abve fr each applicable categry. I, (name f registered architect/engineer) License N:, certify that I am a registered architect/engineer, duly licensed t practice in the State f New Yrk and that I am regularly engaged in the practice f architect/engineering. I hereby certify that the infrmatin prvided in this affidavit is true. Architect/ Engineer Seal 01/2015

11 MAIL TO / HOLD FOR PICK UP FORM PLEASE CHECK APPROPRIATE BOX INDICATING HOW OR TO WHOM YOU WOULD LIKE THE PERMIT RELEASED AFTER IT HAS BEEN ISSUED: Send by mail Hld fr pick up I,, prperty wner, am the nly ne authrized t pick up permits and plans. All ther requests fr pick up r mailing will require ntarizatin frm the persn listed belw in rder t release permits and plans with my cnsent. Signed: I Authrize Rep. fr pick up Prperty Owner Swrn t me befre this day f, 20. Name : Ntary Signature: Address: Pst Office: Zip Cde Telephne: Swrn t me befre this Signed: day f, 20. Ntary Signature

12 INSPECTION GUIDELINES VILLAGE OF RVC Village f Rckville Centre BUILDING DEPARTMENT P.O. Bx 950 Rckville Centre, NY Phne: (516) Fax (516) ALL INSPECTIONS REQUIRE MINIMUM 24 HOUR NOTICE ALL BUILDING AND PLUMBING PERMITS MUST BE PROMINENTLY DISPLAYED AT ALL TIMES UNTIL WORK IS COMPLETED AND APPROVED. YOU MUST PROVIDE YOUR PERMIT NUMBER WHEN CALLING FOR INSPECTIONS! COMMERCIAL BUILDING INSPECTIONS Call Deputy Superintendent Thmas Dmanic at between the hurs: 8:30 am t 10:00 am. Cmmercial inspectins must be made by appintment directly with Mr. Dmanic. RESIDENTIAL BUILDING INSPECTIONS Call the Building Inspectr at between the hurs: 8 am t 9:30 am r 11:30 am t 12:45 pm. Residential inspectins must be made a minimum f 24 hurs in advance and are set during tw times: Mrning Inspectins frm 9 am t 11:30 am and Afternn Inspectins frm 2 pm t 4 pm. Mre specific times cannt be prvided. IMPORTANT: ROCKVILLE CENTRE CODE Nises frm cnstructin, imprvement r renvatin t interir r exterir f residences r cmmercial prperty. [Added by L.L. N. 12, 1995] N cntractr r cnstructin cmpany shall perate r permit the peratin f any cnstructin activity r equipment, imprvement r renvatin t the interir r exterir f any residence r cmmercial prperty between the hurs f 7:00 p.m. and 7:30 a.m. r at any time n Sunday. Building Department Hurs: Mnday Friday 8:00 am t 4:30 pm INSPECTION SCHEDULE CONTRACTOR SHALL NOTIFY BUILDING DEPARTMENT: 1. EXCAVATION (befre any cncrete is pured). *SAFETY FENCES REQUIRED FOR ALL EXCAVATION 3 FEET OR DEEPER. 2. FOOTING/FOUNDATION. 3. NEW BUILDINGS (require the submissin f a fundatin survey). 4. FRAMING/STRAPPING. 5. INSULATION (shall nt be apprved withut prir Electrical Underwriter s inspectin). 6. ANY ADDITIONAL INSPECTIONS AS MAY BE REQUIRED. 7. FINAL INSPECTION. ALL PLUMBING WORK SHALL BE INSPECTED PER VILLAGE REQUIREMENTS AS APPLICABLE: 1. ROUGH PLUMBING. 2. GAS TEST. 3. PIPE INSULATION. 4. WATER TEST. 5. FINAL INSPECTION.

13 BUILDING PERMIT APPLICATION INC. VILLAGE OF ROCKVILLE CENTRE - DEPARTMENT OF BUILDINGS PO Bx 950, Rckville Centre, NY ALL INFORMATION MUST BE TYPED OR PRINTED It is the plicy f this Department t abandn and destry, withut ntificatin, any applicatin that has been left drmant by the wner r agent theref fr 90 days. All fees paid in relatin t such an applicatin will be nn-refundable and nn-transferable. Number and Street Sectin Blck Lt(s) TYPE OF IMPROVEMENT (check all that apply) New building r structure Additin Alteratin: Level Use Demlitin Fundatin nly Repair Other WORK PROPOSED - Describe in detail: Pursuant t Wrker s Cmpensatin Law, an riginal Certificate f Insurance n frm C , C-105.2, U- 26.3, SI-12, r GSI must be filled with this department prir t the issuance f any building permit. PLEASE NOTE: Cntractr is required t btain certificates r ther prf f Wrker s Cmpensatin Insurance frm all subcntractrs r any ther persn that is nt an emplyee f cntractr and perfrms r prvides wrk, labr r services n the site. Cntractrs must prvide a cpy f all such certificates t the Village. Failure t d s may result in denial and/r revcatin f building permit(s) PROPOSED USE - Fr Demlitin mst recent use Residential Existing Prpsed Nnresidential One family Existing (Specify) Tw r mre family - Enter # f units Transient htel, mtel, r drmitry - Enter number f units Prpsed (Specify) Other - Specify CONSTRUCTION CLASSIFICATION (check all that apply) Existing Prpsed Type 1 - Fire resistive Type 2A ) Nn- Type 2B ) cmbustible Type 3A ) Ordinary cnst. masnry walls Type 3B ) wd flr & rf Type 4 - Heavy timber Type 5 - Wd frame DIMENSIONS OF LOT Ttal land area, square feet. Ttal square feet f flr area, all flrs, based n exterir dimensins (ex. base. r cellar).. Number f stries Lt Frntage. Lt Depth.. All Setbacks Percent f lt ccupied.. r Flr Area Rati (F.A.R.).. X % ZONE NUMBER OF OFF-STREET PARKING SPACES ENCLOSED.. UNENCLOSED. Estimated Cst. Arch. r Eng. Name Mailing address - Number, Street, City, State and Zip Tel. N. Owner Tenant/Lessee Cntractr Nas Cnty Lic. # Electrician RVC Lic. # Plumber RVC Lic. # The wner f this prperty and the undersigned agree t cnfrm t all applicable laws f the Village f Rckville Centre. STATE OF NEW YORK COUNTY OF NASSAU (PRINT NAME) depses and says: That he resides at in the State f Owner }ss AFFIDAVIT OF APPLICANT being duly swrn, and that he is authrized by the t make applicatin fr a permit t perfrm said wrk in the freging applicatin and accmpanying plans, and all the statements cntained therein are true t depnent s wn knwledge. Address..... Phne... (Sign here)..... (Applicant) STATE OF NEW YORK COUNTY OF NASSAU (PRINT NAME) AFFIDAVIT OF PROPERTY OWNER }ss being duly swrn, depses and says: That he resides at in the Village f Rckville Centre, in the State f, that he is the wner in fee f all that certain lt, piece r parcel f land described abve, situate, lying and being within the Village f Rckville Centre and that the wrk prpsed t be dne upn the said premises will be dne in accrdance with the apprved applicatin and accmpanying plans, (and he hereby authrizes) (NAME OF APPLICANT) t make applicatin fr a permit t perfrm said wrk in the freging applicatin and accmpanying plans, and all the statements herein cntained are true t depnent s wn knwledge. (Sign here)... (OWNER) Swrn t befre me this day f, 20 Ntary Public Signature Swrn t befre me this day f, 20 Ntary Public Signature Stamp: Stamp: DO NOT WRITE BELOW THIS LINE - FOR DEPARTMENT USE ONLY Adjusted Cst Permit Fee - 1st Permit Fee - 2nd Ttal Site Plan Fee $ $ $ Apprved by Title Permit Title Fld Zne By: Huse N. Assigned Hazard Base Fld Elevatin Separate Applicatin Required Fr: Plumbing Fire Sprinkler HVAC Other Elevatin Certificate: Yes N Final Survey Required: Yes N DNW New C.O. Required: Yes N