New York State Fire and Building Codes William LaCount Code Enforcement Official

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New York State Fire and Building Codes William LaCount Code Enforcement Official Cell (518) 570-8258 Fax (518) 834-9519 THE BUILDING PERMIT PROCEDURE 1) A building permit is required for and prior to commencing: the erection, construction, enlargement, improvement, alteration, removal or demolition of any building or structure. 2) A structure shall be considered as anything constructed or erected with a fixed location or attached to something having a fixed location on the ground. Among other things, structures include buildings, swimming pools mobile homes and sheds. 3) An application must be completed in ink. The applicant is responsible for all information relating to the property owner, location, size of lot, cost of construction, deed restrictions, and any other information that is required. (APA approval, Clinton County Health Department application.) 4) A properly dimensioned plot plan, drawn as close to scale as possible, must accompany all applications. A plot plan will show the road on which the property abuts, dimensions of the lot, location and size of the new construction, all setbacks relating to the proposed structure and names of owners whose property abuts the lot when applicable. (A sample plot plan is attached.) 5) A sewage disposal permit issued by Clinton County Health Department is required for residential or commercial buildings if public sewer is not supplied. 6) A copy of the deed to the property that will be constructed on is required. 7) A set of plans bearing the official seal, stamp and signature of a New York State registered architect or licensed professional engineer must be submitted to the Code Enforcement Official prior to the issuance of a permit for any residential or commercial building. The plans and permit documentation become permanent record of the project. A plan review period of 2 weeks is mandatory and must be done prior to permit issuance. 8) CALL DIG SAFELY NY AT 1-800-962-7962 BEFORE ANY EXCAVATION WORK BEGINS. 9) No building shall be occupied or used in whole or in part for any purpose whatsoever until a certificate of completion has been granted by the Code Enforcement Officer.

APPLICATION FOR A BUILDING PERMIT NOTE: AN INCOMPLETE APPLICATION MAY DELAY THE TIMELY ISSUANCE OF YOUR PERMIT: PLEASE ENTER N/A IF A SECTION IS NOT APPLICABLE. 1. Project location and information PART 1: GENERAL INFORMATION Number and StreetAddress Tax Map Number Current use of property/building Proposed use of the property/building 2. Owner Identification Owner s Name: Address of owner: City, State, Zip 3. Type of Construction of Improvement ---- New Building-Proposed use is ---- Conversion- Current Use is Proposed use is ---- Addition ------- Alteration ---- Repair/Replacement ---- Relocation ------- Demolition ---- Misc. Structure of Equipment 4. Description of Project: 5. Estimated Project Cost: Contractors estimate for the work to be performed: If the work is to be performed by the homeowner: 6. Deed Verification: Was the parcel part of a larger parcel of land before 1999? Yes No (Please furnish a copy of your deed to the property) 7. Location: Is there a public highway that borders on you property? Yes No If yes, what is the name of the highway? Is the highway paved? Yes No How much frontage? Feet CONTINE ON PAGE THREE: DO NOT WRITE BELOW THIS LINE-OFFICAL USE ONLY Date Received: / / Received by: Forwarded to: Special approval needed by Zoning Board Planning Board APA None PERMIT NUMBER FEE

APPLICATION FOR A BUILDING PERMIT PART 2: DESIGNERS AND CONTRACTIORS 1. Architect/Engineer Name Address City, State, Zip 2. General Contractor: Name 3. Electrical Contractor: Name 4. Plumbing Contractor: Name 5. Mechanical Contractor: Name 6. Contractor: Name PART 3: PROJECT LOCATION AND DETAILS Please attach a sketch or plot plan! A sketch of the work to be performed must be made a part of this application. The sketch must include the following: 1. Location of the proposed structure or addition showing the number of stories and all exterior dimensions; 2. The distance of the proposal from all lot lines; 3. The distance of the proposal from any structure including neighboring structures; 4. The depth of the proposed foundation of footers; 5. The maximum percentage of the to be b building(s); 6. Addition will be used as: ---- family Room; ---- Living Room; ---- Kitchen: ---- Den; ---- Bedroom; ---- Bath --- Full- or - ---- Half; Other 7. Basement: ---- Full; ---- Partial; ----- Crawl; ----- Pier; ---- Slab 8. Garage: ---- Attached; ---- Detached; Utilities: ---- Electric; ---- Gas; --- Other 9. Deck/Porch: ---- Open; ---- Covered; ---- Enclosed; --- Screened; ---- Other

APPLICATION FOR A BUILDING PERMIT IMPORTANT NOTICES: READ BEFORE SIGNING. 1. Work conducted pursuant to a building permit must be visually inspected by the Code Enforcement Office and must conform to the New York State Uniform Fire Prevention and building Code, the Code of Ordinances of the Town of Au Sable, and all other applicable codes, rules or regulations. 2. It is the owner s responsibility to contact the Code Enforcement Office at (518) 834-7040 at least four days before the owner wishes to have an inspection conducted. More than one inspection may be necessary. This is especially true for Internal work which will eventually be covered from visual inspection by additional work (i.e. electrical work later to be covered by a wall). DO NOT PROCEED TO THE NEXT STOP OF CONSTRUCTION IF SUCH INTERNAL WORK AS NOT BEEN INSECTED. Otherwise, work may need to be removed at the owner s of contractor s expense to conduct the interior inspection. Close coordination with the Code Enforcement Office will greatly reduce the possibility. 3. OWNER HERBY AGREES TO ALLOW THE CODE ENFORCEMENT OFFICE TO INPECT THE SUFFICIENCY OF THE WORK BEING DONE PERSUANT TO THEIS PERMIT, PROVIDED HOWEVER, THAT SUCH INSPENTION(S) IS (ARE) LIMITED TO THE WORK BEING CONDUCTED PURSUANT OT THIS PERMIT AND ANY OTHER NON WORK-RELATED VIOLATIONS WHICH ARE READILLY DISCERNIBLE FROM SUCH INSPECTION(S). 4. New York State law requires contractors to maintain Worker s compensation and Disability Insurance for their employees. No permit will be issued unless currently valid Worker s compensation and Disability Insurance certificates are attached to this application or are on file with the Bureau of fire prevention and Inspection Services.If the contractor believes he/she is exempt from the requirements to provide Worker s Compensation and / or Disability Benefits, the contractor must complete form. 5. If a Certificate of Occupancy is required, the structure shall not be occupied until said certificate has been issued. 6. Work undertaken pursuant to this permit is conditioned upon and subject to any state and federal regulations relating to asbestos material. 7. This permit does not include any privilege of encroachment in, over, under, or upon any city street or Right-of-way. 8. The building permit card must be displayed so as to be visible from the street nearest to the site of the work being conducted. I,, the above-named applicant, hereby attest that I am the lawful owner of the property described within or am the lawful agent of said owner and affirm under the penalty of perjury that all statements made by me on this application are true. (Signature) Date:

ADDRESS REQUEST/CHANGE FORM DATE: ESN# FIELD DATE: MAP DATE: NOTIFIED REQUEST OR DATE: NEW 911 # ST./RD. COUNTY: REQUESTOR: TOWN OF: VILLAGE/CITY: PROPERTY LOCATION (TAX MAP ID. NUMBER): PREVIOUS LAND OWNER: ROAD/STREET: BUILDING DESCR: CURRANT LAND OWNER: NEAREST NEIGHBOR S # FOUNDATION (SLAB OR HOLE DUG?): OCCUPANT: PRESENT MAILING ADDRESS: PHONE NO: (MESSAGE): BUSINESS: ADDITIONAL NOTES: Completed & Filed: