NO POOL TO BE USED UNTIL CERTIFICATE OF COMPLIANCE ISSUED!

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TOWN OF WAPPINGER CODE ENFORCEMENT Susan Dao X 126 Sal Morello, III X142 FIRE INSPECTOR Mark Liebermann X127 ZONING ADMINISTRATOR BUILDING DEPARTMENT Barbara Roberti X128 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590-0324 (845) 297-6256 FAX: (845) 297-0579 REQUIRED FEES: Application $250.00 Grading Permit - $350.00 BUILDING PERMIT *GRADING PERMIT* APPLICATION NEEDS TO BE DETAILED & COMPLETE OR PERMIT WILL NOT BE ISSUED In Ground Swimming Pool *** THE FOLLOWING MUST BE SUBMITTED AT TIME OF APPLICATION *** O APPLIC FO RM COMPLETED O INSURANCE SUBMITTED O INSURANCE O N FILE O CONSENT IF APPLIC Please provide: Specifications of structure provided by manufacturer including: 1. Deed to property 2. Survey of property 3. Brochure of Pool 4. Specification of Pump and Filter 5. Plot Plan Sheet provided must be filled out showing all sizes and setbacks of structure and other structures on the property ALL POOLS REQUIRE: 1. POOL ALARM & CERTIFICATION (Form enclosed) 2. INSPECTION BY TOWN OF WAPPINGER BUILDING INSPECTOR 3. AN ELECTRICAL INSPECTION: NOTE: ALL ELECTRICAL WORK TO BE INSPECTED; USE LIST ATTACHED OF THIRD PARTY INSPECTORS. NO POOL TO BE USED UNTIL CERTIFICATE OF COMPLIANCE ISSUED!

TOWN OF WAPPINGER ZONING ADMINISTRATOR BARBARA ROBERTI BUILDING DEPARTMENT 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590-0324 (845) 297-6256 FAX: (845) 297-0579 GRADING PERMIT INSTRUCTIONS for APPLICANT APPLICANT APPLICATION APPLIC FEE INSPECTION FEE If Disturbance Area is under 3 Acres: $250.00 $100.00 For projects exceeding 3 Acres 50 Acres: $750.00 *Note For projects exceeding 50 Acres: $1,000.00 *Note *Note: For projects exceeding 3 acres, use the formula: 20 (slope) x 5 (total area in acres) or 20 M x 5A ESCROW FEE: MINIMUM FEE: $2,500.00 SUBMISSION OF APPLICATION APPLICATION MUST BE SUBMITTED TO THIS OFFICE WITH THREE SETS OF PRINTS SHOWING GRADING. (TWO SETS OF PRINTS ARE SENT TO TOWN ENGINEER FOR APPROVAL OR REJECTION.) IF REJECTED IF REJECTED, APPLICANT MUST SUBMIT NEW PLANS CONSISTING OF THREE SETS OF PRINTS WITH CORRECTIONS, AND THEY WILL BE RESUBMITTED TO TOWN ENGINEER. IF APPROVED IF APPROVED, APPLICANT WILL RECEIVE: * GRADING PERMIT; and * ONE SET OF APPROVED PLANS. (ZONING WILL KEEP COPY OF PERMIT AND SET OF APPROVED PLANS FOR FILE.) TO CLOSE OUT PERMIT A CERTIFIED ASBUILT IS REQUIRED

GRADING PERMIT INSTRUCTIONS FOR APPLICANT ( continued from previous page ) GRADING PERMIT DATA REQUIRED: The applicant must submit the following information for the entire tract of land, whether or not the tract will be developed in stages: A. A boundary line survey of the site on which the work is to be performed. B. Description of the features, existing and proposed, surrounding the site of importance to the proposed development. C. Description of general topographic and general soil conditions and contours on the site (available from the Dutchess County Soil Conservation District). D. Location and description of existing and future man-made features of importance to the proposed development. E. Plans and specifications of soil erosion and sedimentation control measures, in accordance with standards and specifications of the Town of Wappinger, at a reasonable scale, preferably one inch equals 50 feet [Amended 3-18-1985] F. Indicate storm water management techniques to be put into place. G. A reasonable timing schedule indicating the anticipated starting and completion dates of the development sequence and the time of exposure of each area prior to the completion of effective erosion and sediment control measures. H. INGROUND POOLS: MUST SHOW THE FOLLOWING ON YOUR PLANS. Pool with water elevations. Pool deck with elevations. Fence and Fence Gate. Location of pump. Location of heater if applicable. Topography: current and proposed elevations. Erosion Control Measures TO CLOSE OUT PERMIT A CERTIFIED ASBUILT IS REQUIRED

206-8 Permits. [Amended 3-18-1985; 6-9-2004 by L.L. No. 8-2004] A. Requirement. Except as exempted by Subsection B of this section, no applicant shall do any grading, stripping, cutting, filling, excavation or other site preparation without a grading permit issued by the Zoning Administrator, without plot plan approval for a new one-family dwelling or, for anything other than a one-family dwelling, without site plan approval from the Planning Board, pursuant to 240-83. No grading permit shall be issued on vacant land without plot plan or site plan approval. [Amended 1-23-2012 by L.L. No. 3-2012] B. Application. A separate application shall be required for each grading permit. Plans, specifications and timing schedules shall be submitted with each application for a grading permit. The plans shall be prepared or approved and signed by a professional engineer, surveyor or an architect at a scale acceptable to the Zoning Administrator and shall be reviewed and approved, disapproved or modified by the Engineer to the Town. The Zoning Administrator may waive the preparation or approval and signature by the applicant's professional engineer, surveyor or architect when the work entails no reasonable hazard to the adjacent property.

TOWN OF WAPPINGER ZONING ADMINISTRATOR Barbara Roberti X128 CODE ENFORCEMENT Susan Dao X126 Sal Morello, III X124. FIRE INSPECTOR ZONING DEPARTMENT 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590-0324 (845) 297-1373 FAX: (845) 297-0579 SUPERVISOR Lori Jiava TOWN COUNCIL William Beale William Ciccarelli John Fenton Michael Kuzmicz OWNER CONSENT FORM TO BE FILED WHEN THE APPLICANT IS NOT THE BUILDING, SITE OR PROPERTY OWNER BUILDING PERMIT # APPLICATION # SITE LOCATION: GRID: # Name of APPLICANT: (Person PHYSICALLY coming in to apply) (IF other than the Owner) ~ CERTIFICATION ~ NOTICE TO APPLICANTS: 240-109 Certificate of Occupancy It shall be unlawful for a building owner to use or permit the use of any building or premises or part thereof hereafter created, erected, changed, converted or enlarged, wholly or partly, in its use or structure until a Certificate of Occupancy shall have been issued by the Building Inspector and the Zoning Administrator. FAILURE TO COMPLY MAY RESULT IN COURT PROCEEDINGS. I,, owner of the land/site/building hereby give my permission for the Town of Wappinger to approve or deny the above application in accordance with local and state codes and ordinances. Date Owner s Telephone Number Owner s Signature Print Name Print Owner s Address FOR OFFICE USE ONLY Code Enforcement Official:

BUILDING DEPARTMENT 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297-6256 Fax (845) 297-0579 REQUIREMENTS FOR ALL BUILDING PERMIT APPLICATIONS APPLICATIONS MUST BE COMPLETELY FILLED OUT AND SIGNED OWNERS SIGNATURE AND/OR OWNERS CONSENT FORM REQ. PLOT PLANS MUST BE FILLED OUT COMPLETELY AND SIGNED APPLICATION FEE MUST ACCOMPANY APPLICATION SURVEY OF PROPERTY REQUIRED DEED FOR PROPERTY REQUIRED (OBTAINED AT THE ASSESSOR S OFFICE) INSURANCE REQUIRED (WORKERS COMP. & DISAB.OR HOME OWNERS WAIVER) ANY NEWLY PURCHASED PROPERTIES MUST ATTACH THE RECORDING PAGE FROM THE DUTCHESS COUNTY CLERK *IF APPLICATION IS NOT LEGIBLE IT WILL NOT BE ACCEPTED* *APPLICATIONS CAN ONLY BE PROCESSED ONCE ALL REQUIRED ITEMS ARE RECEIVED*

TOWN OF WAPPINGER BUILDING DEPARTMENT 20 Middlebush Road, Wappingers Falls, N.Y. 12590 telephone: 845-297-6256 fax: 845-297-0579 APPLICATION FOR BUILDING PERMIT APPLICATION TYPE: O Residential ZONE: DATE: O New Construction O Commercial APPL #: PERMIT # O Renovation/Alteration O Multiple Dwelling GRID: APPLICANT NAME: ADDRESS: TEL #: CELL: FAX #: E-MAIL: NAME OWNER OF BUILDING/LAND: *PROJECT SITE ADDRESS*: MAILING ADDRESS: TEL #: CELL: FAX #: E-MAIL: BUILDER/CONTRACTOR DOING WORK: COMPANY NAME: ADDRESS: TEL #: CELL: FAX #: E-MAIL: DESIGN PROFESSIONAL NAME: TEL #: CELL: FAX #: E-MAIL: APPLICATION FOR: SETBACKS: FRONT: REAR: L-SIDEYARD: R-SIDEYARD: SIZE OF STRUCTURE: ESTIMATED COST: TYPE OF USE: NON-REFUNDABLE APPL. FEE: PAID ON: CHECK # RECEIPT #: BALANCE DUE: PAID ON: CHECK # RECEIPT #: APPROVALS: ZONING ADMINISTRATOR: FIRE INSPECTOR: O Approved O Denied Date: O Approved O Denied Date: Signature of Applicant Signature of Building Inspector

TOWN OF WAPPINGER PLOT PLAN Building Permit # Address: Owner of Land Date Interior/Corner Lot: circle one Zone: LIST ALL EXISTING STRUCTURES ON PROPERTY: (ie: Pool, shed, decks, detached garage) l. House, Rearyard Sideyard House Frontyard Draw proposed structure on plot plan. Indicate Location Setbacks to both sides and rear property line measurement of structure you are applying for. Signature Approved:/Rejected: Zoning Administrator Date:

CODE ENFORCEMENT Susan Dao X125 Sal Morello, III X142. FIRE INSPECTOR Mark Liebermann X127 ZONING ADMINISTRATOR Barbara Roberti X128 BUILDING DEPARTMENT 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590-0324 (845) 297-6256 FAX: (845) 297-0579 OWNER CONSENT FORM TO BE FILED WHEN THE APPLICANT IS NOT THE BUILDING, SITE OR PROPERTY OWNER BUILDING PERMIT # APPLICATION # SITE LOCATION: GRID: # Name of APPLICANT: (Person PHYSICALLY coming in to apply) (IF other than the Owner) ~ CERTIFICATION ~ NOTICE TO APPLICANTS: 240-109 Certificate of Occupancy It shall be unlawful for a building owner to use or permit the use of any building or premises or part thereof hereafter created, erected, changed, converted or enlarged, wholly or partly, in its use or structure until a Certificate of Occupancy shall have been issued by the Building Inspector and the Zoning Administrator. FAILURE TO COMPLY MAY RESULT IN COURT PROCEEDINGS. I,, owner of the land/site/building hereby give my permission for the Town of Wappinger to approve or deny the above application in accordance with local and state codes and ordinances. Date Owner s Telephone Number Owner s Signature Print Name Print Owner s Address FOR OFFICE USE ONLY Code Enforcement Official:

CODE ENFORCEMENT Susan Dao X125 Sal Morello, III X142 FIRE INSPECTOR Mark Liebermann X127 ZONING ADMINISTRATOR Barbara Roberti X128 BUILDING DEPARTMENT 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590-0324 (845) 297-6256 FAX: (845) 297-0579 TOWN OF WAPPINGER BUILDING DEPARTMENT INSPECTION PROCEDURE *ANY CHANGES to plans require approval by Code Official* You are required to call 1-800-962-7962 before you excavate and contact Underground Facilities Protective Organization for approval. You are required to schedule all inspections with this office in Advance of work to be inspected. Please provide building permit number, name on permit and specific type of inspection requested. 1. Pre-site inspection if required by Code Official 2. Erosion control measures as dictated on plan or notes 3. Footing inspection when complete all rebar placement and form work; notify at least 24 hours before 4. Framing inspection compliance to submitted approved drawings. 5. Rough plumbing with all in-ground pools 6. Final Electrical inspection by third party agency certificate MUST BE SUBMITTED TO THIS OFFICE. 7. FINAL INSPECTION BY CODE OFFICIAL FOR COMPLIANCE TO SUBMITTED DRAWINGS AND N.Y.S. BUILDING CODE. *******IT SHALL BE UNLAWFUL TO OCCUPY ANY STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY/COMPLIANCE IS ISSUED BY THE CODE ENFORCEMENT OFFICER OF THE TOWN OF WAPPINGER******* 1. Above ground pools need to be 48 in height from grade all around the pool. 2. Pool alarm rated ASTMF2208 must be activated once pool is filled with water. 3. In ground pools require a complying permanent barrier (FENCE) 90 days from the date of the installation of the pool. 4. POOL IS NOT TO BE USED UNTIL ELECTRICAL INSPECTION BY A TOWN APPROVED ELECTRICAL INSPECTOR AND A CERTIFICATE OF COMPLIANCE IS ISSUED BY THE BUILDING DEPARTMENT. Failure to comply with the above may result in legal action!

TOWN OF WAPPINGER CODE ENFORCEMENT Susan Dao X125 Sal Morello, III X142 FIRE INSPECTOR Mark Liebermann X127 ZONING ADMINISTRATOR Barbara Roberti X128 BUILDING DEPARTMENT 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590-0324 (845) 297-6256 FAX: (845) 297-0579 Building Department POOL ALARM CERTIFICATION (ASTM F 2208 only) Building Permit: Date: Location: Owner / Builder: Company / Business: The undersigned hereby attests to the fact that the building/structure has installed an alarm system which conforms to the laws, title or regulation governing Building Construction, Title 19 NYCRR Residential Code of New York State (RCNYS) Chapter XXXIII, Subchapter A, Part 1220.5, Building Code Part 1221.3. The above-listed owner/builder company/business hereby acknowledges that the alarm system and all components have been tested and that both manual and automatic features are working properly. The alarm sound is a minimum of 85 dba (decibel) when measures 10 away from alarm mechanism and meets requirements of ASTM F 2208. (Alarm sound both at poolside and inside any adjacent residence of building of occupancy.) Property Owner/Authorized Agent that installed working pool alarm. 1-10-08/sc File: BUILDING PERMITS/Building Department Pool Alarm Certification (ASTM F 2208 only) Zoning Administrator

Town Board Approved Agencies NAME ADDRESS TEL. # NY ATLANTIC-INLAND INC. William Jacox 12 Ackert Rd. (845) 876-8794 Rhinebeck, NY 12372 Middle Department Insp. Agency, Inc. (800) 873-6342 Dave Williams P.O. Box 474 (800) 479-4504 Valatie, NY 12184 New York Electrical Inspectors Greg Murad HCR #4 Kelly Corners, NY 12455 (845) 586-2430 / (888) 693-4693 Tom Le Jeune P.O. Box 384 Amenia, NY 12501 (845) 373-7308 New York Board Pat Decina P.O. Box 1558 (845) 298-6792 tel & fax. Wappingers Falls, NY 12590 Tri-State Insp. Agency, Inc. Lou Ambrosia P.O. Box 1034 (845) 986-6514 Warwick, NY 10990 Commonwealth Elect. Insp. Svcs. Bill Meyer 94 Long Lane Wallkill, NY 12589 (845) 895-2130 Ron Henry 2 Mallard Dr. (845) 562-8429 tel. & fax Newburgh, NY 12550 All County Electrical Insp. Svcs., Inc. Dave Scism 4725 Rt. 9G (845) 757-5916/ fax (845) 757-5688 Red Hook, NY 12571 Electrical Underwriters of NY,LLC Ernest C. Bello, Jr. P.O. Box 4089 (845) 569-1759/ fax. 757-5688 New Windsor, NY 12553 The Inspector, LLC 7063 State Rt. 374 (518) 497-9918 / (800) 487-0535 Chateaugay, NY 12970 Z3 Consultants, Inc. Gary Beck P.O. Box 363 (845) 471-9370 tel. & fax LaGrangeville, NY 12540 NY Electrical Insp. & Consult., LLC John Wierl 93 Beattie Ave. (845) 551-8466 Middletown, NY 10940 Swanson Consulting, Inc. P.O. Box 1361 J. O. Swanson Salisbury Mills, NY 12577 (845) 496-4443 / fax (845) 496-5160 Northville, NY 12134 State Wide Inspection Services Frank J. Farina 21 Old Main St., Suite 203 Tel. 845-202-7224/fax (914)219-1062 Fishkill, NY 12524

New York Certified Electrical Inspectors Jerry Caliendo 203 Purgatory Rd. 845-294-7695 Campbell Hall, NY 10916 John Metsger 845-339-2119