Town of Lloyd Building Department Building Permit Information Sheets

Transcription

1 Town of Lloyd Building Department Building Permit Information Sheets Enclosed are information sheets to assist in the proper submittal of your application for a building permit. As Code Enforcement Officials for the Town of Lloyd, we are here to assist you in your project. When you are ready with all your paperwork, please call the office to make an appointment to drop off your application. One of the staff will sit with you to confirm that you have all the required information for plan review to begin. Failure to supply the required information will result in a delay of issuance for your permit. Please not that once you have your permit, you may begin construction. You are responsible for calling the office to schedule required inspections. Please call one to two days in advance to schedule an inspection. Feel free to contact us with any questions you may have during this project. Thank you in advance for your cooperation. David. E. Barton II Building Department Director Code Enforcement Officer/Building Inspector dbarton@townoflloyd.com Shari Riley Municipal Code Officer sriley@townoflloyd.com Vince Veltre Municipal Code Officer vveltre@townoflloyd.com Joseph Daidone Municipal Code Officer Elaine Harney Secretary to Building, Planning and Zoning Departments eharney@townoflloyd.com Patricia Nottage-Rober Secretary to Building, Planning and Zoning Departments prober@townoflloyd.com Town of Lloyd, Building/Zoning Department, 12 Church St. Highland, NY Phone: Fax:

2 TOWN OF LLOYD BUILDING PERMIT APPLICATION Please supply ALL relevant data below. Any missing information will result in a delay of the issuance of the permit. Please follow submission checklist to make sure you are supplying all required information DATE OF APPLICATION: BUILDING PERMIT # JOB ADDRESS: SECTION BLOCK AND LOT # JOB DESCRIPTION: COST OF CONSTRUCTION: OWNER OF PROPERTY: TENANT: ADDRESS: HOME PHONE: WORK PHONE: CONTRACTOR: CONTRACTOR ADDRESS: CONTACT NUMBER (CELL) ARCHITECT/ENGINEER: ADDRESS: CONTACT NUMBER: LOT MEASURMENTS: FRONT REAR LEFT-SIDE RIGHT-SIDE AREA PROPOSED STRUCTURE SIZE: SETBACKS TO PROPERTY LINES: Front Rear Left Right PLOT PLAN ATTACHED: YES NO SURVEY ATTACHED: YES NO Mandatory for new structures. A survey or plot plan MUST be submitted for all exterior projects (new homes, commercial properties, additions or alterations, sheds, fences, pools). The plot plan should show the location of the project on the property, with distances from parcel boundaries lines

3 Zoning Determination: (office use only) Proposed use Zone District: Meets Use Requirements: Yes No Initials Meets Setback Requirements Yes No Initials Notes: TYPE CONSTRUCTION: MASONRY WOOD FRAME STEEL OTHER NO. STORIES FAMILIES BEDROOMS BATHROOMS GARAGE PRIVATE SEPTIC PRIVATE WELL PUBLIC WATER PUBLIC SEWER [Gravity system ] or [Pump system ] You must supply a written statement of compliance for both a gravity sewer and a pump system. All pump systems must have plans submitted before installation for review. FIRE ALARM SMOKE DETECTION SPRINKLERS THE OWNER OF THE PROPERTY COVERED BY THIS APPLICATION AND THE UNDERSIGNED APPLICANT AGREE TO CONFORM TO ALL APPLICABLE LAWS OF THIS JURISDICTION, AND NYSFP&BC, TO ADHERE TO THE APPROVED PLANS AND SPECIFICATIONS, AND TO PERMIT THE CODE ENFORCEMENT OFFICER AND DEPUTIES TO ENTER UPON TO INSPECT THE PROPERTY AT ALL REASONABLE TIMES. SIGNATURE OF OWNER/AUTHORIZED AGENT PRINT NAME OF OWNER/AUTHORIZED AGENT TO BE COMPLETED BY THE BUILDING DEPARTMENT REVIEWED BY: DATE APPROVED: APPROVED BY: FEE:$ CHECK #

4 Phone: (845) Date Town of Lloyd Building Department Office of the Building Inspector Permit Application Intake Checklist 12 Church Street Highland, NY Owner Builder Address of Property SBL For 1) Complete Application and Fee*: 2) Copy of Deed: 3) Driveway Permit (if applicable)*: 4) UCHD Waste Water Disposal System Permit or copy of completed town water department permit: 5) Survey or Plot plan showing ALL setbacks (may include subdivision approval) (see sample in Permit Pack): 6) Signed Memorandum of Understanding*: 7) Two (2) sets of Construction Plans (stamped if required) 7a) Modulars must have NYS approval stamp and engineered foundation plans: 8) Energy Compliance report must be attached and signed by architect or engineer or record: 9) Proof of builder s Worker s Comp Insurance or signed and notarized Exemption: 10) Proof of Liability Insurance Received Date Intaker s Initials Note that fee will be determined when application is submitted and must be paid to begin review process. Checks only are accepted, made payable to Town of Lloyd. Failure to supply all required information will delay the issuance of the permit. * = in application package

5 Phone: (845) Church Street Highland, NY Town of Lloyd Building Department Office of the Building Inspector Certificate of Occupancy Application Checklist Permit Number: SBL 911 Address Owner: Received Date 1) Third Party Final Electrical Inspection Intaker s Initials 2) Final Driveway Permit T / S / C 3) Ulster County Health Dept. Final Approval 4) Water Quality Test or Town Water: 5) Well Log or Town Water: 6) Town Water Sewer Inspection Sheet with approvals 7) Survey As Built showing all structures wiht setbacks to property lines and ALL improvements: 8) Final Inspection (all documents must be presented to the inspector at the final inspection) 9) Application for CO signed and Notarized 10) Issuance of Certificate of Occupancy Note that occupancy of any structure without a Certificate of Occupancy is not permitted under Town of Lloyd Code and State Law and will result in legal action, with possible fines and/or imprisonment. No Certificate of Occupancy will be issued without the documentation listed above and any other documentation required by the Building Inspector.

6 State of New York) )SS County of Ulster) Application for Certificate of Occupancy Town of Lloyd, Being duly sworn, deposes and says: 1) That I am the owner or developer of real property situated in the Town of Lloyd located at and identified on the tax rolls by the tax grid number. 2) That on, I or someone authorized by me applied to and obtained from the Building Inspector of the Town of Lloyd, Building Permit Number. 3) That thereafter, I caused the construction described in the application for the building permit. 4) That all construction with the provisions of the New York State Uniform Fire Prevention and Building Code, the same being applicable to construction in the Town of Lloyd, and in conformance with any subdivision map requirements applicable ot this parcel or any special provisions required by the Zoning Board of Appeals or Planning Board of the Town of Lloyd. 5) That I make this affidavit to induce the Building Inspector of the Town of Lloyd to issue a Certificate of Occupancy as all work has now been completed. 6) That it is my understanding that the Building Inspector will rely upon the representations set forth in the affifavit should it be determined that a Certificate of Occupancy may be properly issued. 7) That it is my understanding that any false statements set forth herein may be subject to prosecution under the provisions pf Penal Law, Article 210. Sworn to before me this day of 20. Imprint Seal Comission expires (Owner s Signature Must be Witnessed)

7 STREETS AND SIDEWALKS Appendix A APPLICATION FOR A DRIVEWAY PERMIT Town of Lloyd, Ulster County, New York A. REQUIREMENTS: (1) Construction of all new driveways and drainage facilities must conform to the requirements of the Town Road Specifications as described in Article III, Chapter 89 of the Town of Lloyd Town Code and approved by the Town Highway Department and Fire Department. Frontage on a State or County highway will require this completed form with an engineered site map along with the approved permit from the New York State DOT or Ulster County DPW. (2) An engineered site plan, drawn to scale, shall be attached to this Application Form and must show: a. Metes and bounds of property lines and easements through or adjacent to property b. Location of structures with setback distances c. Location and details of drainage swales, ditches, culverts and bridges d. Existing and proposed contours at 2-ft intervals e. Erosion and sedimentation control details f. Elevation of basement and first floor of each building structure g. Driveway location, details and sight distances at intersection with road h. Location of all site utilities (water/well, sewer/septic, electric, telephone, roof leaders, etc.) i. Seal and signature of professional engineer/architect j. Applicant s name, project name, address and date of site plan (3) A minimum of 250-ft unobstructed sight-distance must be provided in both directions of the Town road from the point of access. County and State roads may require a greater sight-distance. (4) The applicant shall, at his own expense, provide additional storm drainage structures or other facilities as may be ordered by the Town Highway Department during construction to assure the durability of pavement, the future maintenance of the right-of-way or the welfare or safety of the public per A of the Town Code. (5) No construction shall commence until line C(1) is signed below. (6) No certificate of occupancy will be issued until an as-built plan has been submitted and line C(2) is signed below. B. APPLICATION (1) Applicant s name Address Phone number (2) Owner s name Address Phone number (3) Location of new driveway Tax Map Lot No. Street (4) The undersigned hereby certifies that all construction will conform to the above requirements. Signed Date C. APPROVAL BY: HIGHWAY DEPT FIRE DEPT (1) Application Date Application Date (2) Construction Date Construction Date S:\001-Lloyd\ DrivewayCode\Admin\Application for Driveway Permit.doc Rev

8 Sample of Plot Plan showing Existing Structure and Additions required for all exterior alterations or new construction Please note that the appropriate Zoning setbacks are required contact the Building and Zoning Department for more information

9 For all Commercial construction for any construction exceeding $10, in construct i o n c o s t s o r c o n s t r u c t i o n a f f e c t i n g t h e s t r u c t u r e, s a f e t y, o r p u b l i c s a f e t y t h e r e o f o r w h e n r e q u i r e d b y t h e building inspector, you must submit the following items: 1) Site plan signed by Planning Board Chairman. 2) t w o c o p i e s o f p l a n s, stamped a n d s i g n e d b y a n e w y o r k s t at e p r o f e s s i o n a l e n g i n e e r l i c e n s e d to p r a c t i c e in n e w y o r k s t at e o r r e g i s t e r e d a r c h i t e c t, i n c l u d i n g e l e vat i o n s, f l o o r p l a n, f o u n d at i o n p l a n, w a l l s e c t i o n, p l u m b i n g, a n d e l e c t r i c s c h e m at i c s, f i r e d e t e c t i o n a n d supression (if r e q u i r e d) a s w e l l a s a s i g n e d e n e r g y c o m p l i a n c e r e p o rt. lack of adequate information will delay the issuance of your permit. 3) Su rv e y m a p s h o w i n g proposed l o c at i o n o f St r u c t u r e, d r i v e way, pa r k i n g, w e l l a n d s e p t i c. m a p MUST i n c l u d e t o p o g r a p h i c c o n t o u r s, l o c at i o n o f a l l u t i l i t i e s, e l e c t r i c, water, and sewer. for project completion, you are required to submit signed certifiat i o n b y t h e i n s ta l l e r s t h at t h e i r i n s ta l l at i o n is f u l ly f u n c t i o n i n g a n d in c o m p l i a n c e with the NYSBC. 4) Health Department approval for construction of septic system or a completed app l i c at i o n (w i t h p r o o f o f pay m e n t) f r o m t h e wat e r/s e w e r d e pa rt m e n t (f o r m s ava i l a b l e in the Town Clerk s Office). In Water District, two sets of stamped architect or engin e e r p l a n s s h o w i n g c o n s t r u c t i o n d e ta i l f o r c r o s s-c o n n e c t i o n c o n t r o l p r o g r a m a n d connection to municipal water and sewer. 5) Dr i v e w a y p e r m i t (i n c l u d e d in p e r m i t pa c k a g e) f r o m h i g h way s u p e r i n t e n d e n t if o n a t o w n r o a d, o r a c o u n t y p e r m i t if o n a c o u n t y o r s t at e r o a d. 6) A c o p y o f t h e d e e d f o r t h e p r o p e rt y. 7) proof of required worker s compensation and disability benefits coverage 8) Proof of liability insurance. 9) for completion of project, a certified as built survey map is required before certificate of occupancy is issued. Note: Once plans are approved by the Building Department, construction must foll o w t h e a p p r o v e d p l a n s. If c h a n g e s a r e d e s i r e d, m o d i f i e d p l a n s, a g a i n stamped b y a n e n g i n e e r o r a r c h i t e c t, m u s t b e s u b m i t t e d f o r f u rt h e r r e v i e w a n d a p p r o va l b e f o r e t h at work commences.

10 For all residential construction exceeding 1500 square feet or for any construction exc e e d i n g $20, in c o n s t r u c t i o n c o s t s o r c o n s t r u c t i o n a f f e c t i n g t h e s t r u c t u r e, s a f e t y, o r p u b l i c s a f e t y thereof or when required by the building inspector, you must submit the following items: 1) t w o c o p i e s o f p l a n s, stamped a n d s i g n e d b y a n e w y o r k s t at e p r o f e s s i o n a l e n g i n e e r l i c e n s e d to p r a c t i c e in n e w y o r k s t at e o r r e g i s t e r e d a r c h i t e c t, i n c l u d i n g e l e vat i o n s, a l l f l o o r p l a n s, f o u n d at i o n p l a n (i n c l u d i n g s e c t i o n d e ta i l), w a l l s e c t i o n s, p l u m b i n g r i s e r d i a g r a m, h e at i n g a n d v e n t i l at i o n s y s t e m s, f r a m i n g p l a n, a n d e l e c t r i c s c h e m at i c s a s w e l l a s a s i g n e d e n e r g y compliance report. lack of adequate information will necessitate the return of the applicat i o n. 2) Su rv e y m a p s h o w i n g proposed l o c at i o n o f h o u s e, d r i v e way, w e l l a n d s e p t i c. m a p MUST include topographic contours (minimum 5 intervals), location of all utilities, electric, wa - t e r, a n d s e w e r. f o r p r o j e c t c o m p l e t i o n, y o u a r e r e q u i r e d to s u b m i t s i g n e d c e rt i f i at i o n b y t h e installers that their installation is fully functioning and in compliance with the NYSRC. 3) Plans for modular units must have a new york state approved stamp, and insignia of app r o va l issued b y t h e s t at e f i r e p r e v e n t i o n a n d b u i l d i n g c o d e c o u n c i l, a s w e l l a s a s e a l o f a NYS licensed engineer or architect. 4) Health Department approval for construction of septic system or a completed applicat i o n (w i t h p r o o f o f pay m e n t) f r o m t h e wat e r/s e w e r d e pa rt m e n t (f o r m s ava i l a b l e in t h e To w n Cl e r k s Office). No t e t h at y o u m u s t s u b m i t p l a n s f o r b o t h a g r av i t y s e p t i c s y s t e m a n d a forced main or pump septic system. 5) Dr i v e w a y p e r m i t (i n c l u d e d in p e r m i t pa c k a g e) f r o m h i g h way s u p e r i n t e n d e n t if o n a t o w n r o a d, o r a c o u n t y p e r m i t if o n a c o u n t y o r s t at e r o a d. 6) A c o p y o f t h e d e e d f o r t h e p r o p e rt y. 7) proof of required worker s compensation and disability benefits coverage 8) Proof of liability insurance. 9) f o r c o m p l e t i o n o f p r o j e c t, a c e rt i f i e d a s b u i lt s u rv e y m a p is r e q u i r e d b e f o r e c e rt i f i c at e of occupancy is issued Note: Once plans are approved by the building department, construction must follow the approved plans. If changes are desired, modified plans, again stamped by an engineer or architect, must be submitted for further review and approval before that work commences.

11 Memorandum of Understanding The owner of this property covered by this application and the undersigned applicant agree: 1. To conform to all applicable laws of this jurisdiction and the NYSFP & BC. 2. To adhere to plans and specifications affixed hereto. 3. To permit the Building Inspector or the Deputy to enter upon to inspect the property at all reasonable times. 4. I understand and agree that all work that is covered prior to inspection shall be required to be uncovered for inspection. 5. I have read and understand the instructions on the Building Permit Application. 6. Prior to application for Certificate of Occupancy, I understand I will have to submit a certified Survey As Built stamped by a New York State Licensed Land Surveyor, Licensed Professional Engineer or Registered Architect. 7. I understand and acknowledge that state and local laws prohibit any type of occupancy without a Certificate of Occupancy being issued by the Town. (Substantial fines and penalties can be accrued). Applicants Signature and Date