BUILDING PERMIT APPLICATION
& INSTRUCTIONS
FOR:
COMMERICIAL WORK
PLUMBING, DEMOLITION, POOL & SOLAR PERMIT APPLICATIONS &
INSTRUCTIONS AVAILABLE AT VILLAGE HALL.
SOLAR PERMIT APPLICATIONS ARE NOW ISSUED BY THE NORTHPORT FIRE
MARSHAL'S OFFICE
NOTICE:
AS OF OCTOBER 3, 2016
ALL APPLICATIONS AND REQUIRED
SUBMISSIONS MUST BE
SIMULTANEOUSLY
SUBMITTED IN HARD COPY FORM AND IN
PDF FORMAT ON A FLASH DRIVE.
Department of Buildings, Housing, and Code Enforcement
Building Application Package Index
Building Permit Application……………………………... 1
2020 ICC & NYS Code Regs……………………………… 3
Architect/Engineer Requirements………………………. 4
Zoning Requirements Chart……………………………… 6
Zoning Analysis Sample …………………………………. 7
Commercial Permit Instructions………………………… 8
Notices of Adoption
Rules amending and updating the Uniform Code and Energy Code
EFFECTIVE May 12, 2020
NYS Uniform Code and Energy Code Update
On December 6, 2019, the State Fire Prevention and Building Code Council (the “Code Council”) adopted rules that
amend and update the New York State Uniform Fire Prevention and Building Code (the “Uniform Code”) and the State
Energy Conservation Construction Code (the “Energy Code”).
The Department of State, acting on behalf of the Code Council, has filed Notices of Adoption of these rules. The Notices
of Adoption will appear in the February 12, 2020 edition of the State Register. On and after February 12, 2020, the
Notices of Adoption can be viewed by clicking the “February 12” link
at: http://www.dos.ny.gov/info/register/2020.html.
The rules will become effective on May 12, 2020.
Uniform Code
The Uniform Code (19 NYCRR Parts 1219 to 1229) now includes the 2015 editions of the code books published by the
International Code Council (the “2015 I-Codes”), as amended by the publication entitled the 2017 Uniform Code
Supplement (publication date: July 2017).
The rule adopted by the Code Council on December 6, 2019 repeals the current version of the Uniform Code and adopts
an amended and updated version of the Uniform Code. The amended and updated version of the Uniform Code
incorporates by reference the following publications:
2020 Residential Code of New York State (publication date: November 2019)
2020 Building Code of New York State (publication date: November 2019)
2020 Plumbing Code of New York State (publication date: November 2019)
2020 Mechanical Code of New York State (publication date: November 2019)
2020 Fuel Gas Code of New York State (publication date: November 2019)
2020 Fire Code of New York State (publication date: November 2019)
2020 Property Maintenance Code of New York State (publication date: November 2019)
2020 Existing Building Code of New York State (publication date: November 2019)
(collectively, the NYS Code Books)
Certain provisions of the 2020 Residential Code of New York State and 2020 Building Code of New York State are also
amended as set forth in the rule adopted amending 19 NYCRR Parts 1220 and 1221.
Prior to May 12, 2020, the Uniform Code will continue to include the 2015 I-Codes, as amended by the 2017 Uniform
Code Supplement. On and after May 12, 2020, the Uniform Code will include the 2020 NYS Code Books.
Effective Date: The effective date of the 2020 NYS Code Books will be May 12, 2020. There will be no transition
period. Beginning on May 12, 2020, regulated parties submitting building permit applications must comply with the
2020 NYS Code Books.
Energy Code
The Energy Code (19 NYCRR Part 1240) now includes the 2015 International Energy Conservation Code (the “2015 IECC”)
and the 2013 edition of ASHRAE 90.1 (“ASHRAE 90.1-2013”), as amended by the publication entitled the 2016
Supplement to the State Energy Conservation Construction Code (Revised August 2016), sometimes referred to simply as
the 2016 Energy Code Supplement.
The rule adopted by the Code Council on December 6, 2019 repeals the current version of the Energy Code and adopts
an amended and updated version of the Energy Code. The amended and updated version of the Energy Code
incorporates by reference the following publications:
2020 Energy Conservation Construction Code of New York State (publication date: November 2019)
2016 edition of the Energy Standard for Buildings Except Low-Rise Residential Buildings ("ASHRAE 90.1-2016")
Certain provisions of ASHRAE 90.1-2016 are amended as set forth in the rule adopted amending 19 NYCRR Part 1240.
Prior to May 12, 2020, the Energy Code will continue to include the 2015 IECC and ASHRAE 90.1-2013, as amended by
the 2016 Energy Code Supplement. On and after May 12, 2020, the Energy Code will include the 2020 ECCCNYS and
ASHRAE 90.1-2016, as amended by 19 NYCRR Part 1240.
Effective Date: The effective date of the modifications to Part 1240 will be May 12, 2020. There will be no transition
period. Beginning on May 12, 2020, regulated parties submitting building permit applications must comply with the
2020 ECCCNYS and ASHRAE 90.1-2016, as amended by 19 NYCRR Part 1240.
Parts 1264 and 1265
19 NYCRR Part 1264 includes provisions relating to placement of signs or symbols on commercial buildings that utilize
truss type construction. 19 NYCRR Part 1265 includes provisions relating to placement of signs or symbols on residential
buildings that utilize truss type, pre-engineered wood or timber construction.
Parts 1264 and 1265 include references to the 2017 Uniform Code Supplement. Because the rule that amends the
Uniform Code will replace the 2017 Uniform Code Supplement with the 2020 NYS Code Books effective May 12, 2020,
the rule amending the Uniform Code adopted by the Code Council on December 6, 2019 also makes corresponding
changes to Parts 1264 and 1265. The rule makes no substantive changes to Part 1264 or Part 1265.
Effective Date: The effective date of the amendments to Parts 1264 and 1265 will be May 12, 2020. There will be no
transition period.
2020 NYS Code Books
The 2020 NYS Code Books can be viewed for free on the International Code Council (ICC) website
at, https://codes.iccsafe.org/category/New%20York?year[]=Current+Adoption&page=1 or purchased
at https://shop.iccsafe.org/state-and-local-codes/new-york-state.html.
ARCHITECTS AND ENGINEERS:
YOU ARE REQUIRED TO COMPLETE AND CERTIFY THE
APPLICABLE 2020 ICC PLAN REVIEW RECORDS/CHECKLISTS
CORRESPONDING TO PROPOSED CONSTRUCTION PLANS.
For 2020 ICC PLAN REVIEW CHECKLISTS access go to:
1. iccsafe.org
2. ‘store’ tab
3. Search box: “plan review checklists 2020
1. DOWNLOAD ALL APPLICABLE CHECKLISTS
2. COMPLETE CHECKLIST(S) BY REVIEWING DRAWINGS
AGAINST EACH CHECKLIST ITEM,
3. INITIAL EACH ITEM TO INDICATE COMPLIANCE
4. PROVIDE A WRITTEN COMPLIANCE STATEMENT
5. SUBMIT ALONG WITH CONSTRUCTION PLANS AND
BUILDING PERMIT APPLICATION.
(some checklists will require completion/certification by separate
designer/installer(s) (such as HVAC systems)
(CHECKLIST ICONS SHOWN ON FOLLOWING PAGE)
PLAN REVIEW RECORDS & CHECKLISTS for access:
go to 1) iccsafe.org 2) ‘store’ tab 3) search box: “plan review checklists 2020
VILLAGE OF NORTHPORT ZONING REQUIREMENTS CODE SECTION 306-22 & 306-23
BUILDING LOTS
YARDS
BUILDINGS
ACCESSORY BUILDINGS
Res. A
200'
43,560
140'
175'
65'
60'
35'/75'
30'
12%
12'
2'/4'*
15'
800 sq.
ft.
50' or back
of main
bldg.
whichever
is greater
except
garage
may be at
set-back
line and
greater
side yard
Res. B
175'
21,780
100'
125'
50'
50'
30'/60'
30'
15%
10'
2'/4'*
15'
800 sq.
ft.
Res. C
125'
14,520
80'
100'
35'
40'
18'/40'
30'
20%
7'
2'/4'*
15'
650 sq.
ft.
Res. D
100'
8,500
5,000
70'
85'
50'
25'
35'
20'
12'/24'
30'
22%
5'
2'/4'*
15'
550 sq.
ft.
Bus. A
4,000,
30'
20'
15%
10'one side
2.5 story
35'
40%
35'
Bus. B
7,500
50'
20'
15%
10'one side
2-story
30'
40%
30'
Bus. C
12,000
75'
0
0
0
not in
code
50%
25'
Neigh’D
7,500
50'
30'
15%
10'one side
2-story
30'
30%
30'
Highway
7,500
50'
10'
15%
10'one side
2-story
30'
30%
30'
Marine
7,500
50'
50'
15%
10'one side
2-story
30'
30%
30'
*if wood frame or other combustible material *** swimming pool minimum 10' from all sides or rear yard
**see the definition of height in the Village Code % lot coverage: calculate using primary and accessory structures, decks, raised patios and pools.
¤ LOT COVERAGE: lots under 8500 square feet in all districts: 25% of lot size but not to exceed a foot print of 1870 sq. ft.
Sample Zoning Analysis
Site and Zoning Data
Address
Northport, NY 11768
SCTM# 0404-00x-00x-0x
Zoning Required
Residence “D”
Existing Conditions
Proposed Construction
Lot Frontage Min:
70 ft
67.81 ft
67.81 ft
Lot Area Min:
8,500 sqft
30,056 sqft
30,056 sqft
Front Yard Setback:
25 ft
23 ft
23 ft
Rear Yard Setback:
35 ft
+/- 108 ft
+/- 94 ft
Side Yard Min/Total:
12 ft/24 ft
12 ft/25 ft
12 ft/25 ft
Max. Lot Coverage:
22%
1,341 sqft (4.5%)
1,821 sqft (6.1%)
Max. Height:
30 ft
+/- 16 ft
+/- 16 ft
Square Footage Information
Site Plan
Scale: 1” = 40’-0”
First Floor
Existing first Floor Living Area:
1028 sqft
Existing 1-Car Garage:
278 sqft
Proposed Garage Addition:
41 sqft
Proposed Workshop Addition:
147 sqft
Cellar
Existing Finished Living Area:
417 sqft
Proposed Additional Finished Living Area:
455 sqft
Covered Porches/Deck
Existing Front Entry Porch:
55 sqft
Proposed Rear Deck:
272 sqft
COMMERCIAL BUILDING PERMIT FILING INSTRUCTIONS
USE FOR NEW STRUCTURES - ADDITIONS/ALTERATIONS - CHANGE OF USE
MAINTAIN EXISTING BUILT w/o PERMIT
APPLICATION SUBMISSIONS FOR ALL COMMERCIAL CONSTRUCTION:
- BUILDING PERMIT APPLICATIONall building work
- PLUMBING PERMIT APPLICATIONall plumbing work (see PLUMBING PERMIT INSTRUCTIONS)
- PLANNING BOARD SITE PLAN REVIEW OR WAIVERAll commercial building applications
- ARCHITECTURAL/HISTORIC REVIEW BOARDNew structures, changes to existing exterior and signage
- NORTHPORT FIRE MARSHAL PLAN REVIEWall building permit applications
- AMERICANS WITH DISABILITIES ACT APPLICABILITY ANALYSISall building permit applications
BUILDING PERMIT APPLICATION
TAX BILL OR PROOF OF OWNERSHIP
Submit copy of tax bill or first & last page of deed if tax bill does not represent current owner with each required application
SUFFOLK COUNTY FILED MAP
Submit copy of subdivision map filed with Suffolk County Clerk for new work on vacant lots
SECTION/BLOCK/LOT
Found on Tax Bill and/or Survey
AGE OF STRUCTURE
Provide substantiation of age. 100 YRS OR OLDER, SIMULTANEOUSLY FILE HISTORIC REVIEW APPLICATION
PHOTOGRAPHS
Submit photographs of each elevation of existing structure
DESCRIPTION OF WORK
Submit brief description of proposed construction
ESTIMATED COST OF WORK
From Contractor estimate, or cost based on current construction standards prepared by Architect or P.E.
SQUARE FOOTAGES
EXISTING: Provide ALL square footages of existing structures
PROPOSED: Provide ALL square footages of proposed construction
ALTERATIONS LEVEL 1 & 2: Provide ALL square footages AS PER 2020 IRC & 2016 ENERGY CODE
Level 1 Alteration:
cosmetic work on existing, up to & including removing & replacing sheetrock & insulation.
Levels 2 & 3 Alterations:
‘Gutting’ of interior walls and partitions: remove/replace structure, electrical, mechanical, plumbing
AFFIDAVIT OF PROPERTY OWNER
Must be filled out completely
OWNER & APPLICANT SIGNATURE(S) & PHONE NUMBER(S)
Owner signature and phone number MANDATORY; and Applicant info, if applicable
NOTARIZATION
Owner and Applicant signatures must be notarized by a NYS notary public
LEAD AGENCY APPROVALS REQUIRED
LEAD AGENCY APPROVALS MUST BE SUBMITTED WITH PERMIT APPLICATION
OWNER/APPLICANT RESPONSIBLE FOR DETERMINING IF APPROVALS ARE REQUIRED FROM LEAD AGENCIES
PRIOR TO BUILDING PERMIT APPLICATION SUBMISSION.
Submit copies of all required LEAD AGENCY APPROVALS--permits/drawings, decisions and/or Letters
of Non-Jurisdiction with Building Permit application.
APPLICATIONS MISSING LEAD AGENCY APPROVALS WILL NOT BE ACCEPTED
LEAD AGENCIES & THEIR REQUIREMENTS INCLUDE BUT ARE NOT LIMITED TO:
- NORTHPORT FIRE MARSHAL REVIEW/WRITTEN APPROVAL OF PROPOSED WORK
REQUIRED FOR ALL COMMERCIAL BUILDING PERMIT APPLICATIONS
- AMERICANS WITH DISABILITIES
REQUIRED: ADA ANALYSIS PREPARED BY ARCHITECT/P.E.-SEE ADA.gov FOR MORE INFORMATION
- NYS DEPT. OF TRANSPORTATION
REQUIRED FOR HIGHWAY BUSINESS DISTRICT PROPERTIES WITH EGRESS/INGRESS NYS ROUTE 25A
NYS DEPT. OF ENVIRONMENTAL CONSERVATION (DEC)
REQUIRED FOR ALL WORK LOCATED WITHIN 200 FEET OF WATER & WETLANDS
- SUFFOLK COUNTY HEALTH DEPT. OR NYS DEPT. OF AGRICULTURE
REQUIRED FOR ALL RESTAURANT & FOOD-PREPARATION APPLICATIONS--PROVIDE WRITTEN
STIPULATION FROM GOVERNING AGENCY AS TO WHICH AGENCY HAS OVERSIGHT.
- TOWN OF HUNTINGTON
REQUIRED FOR DOCKS, BULKHEADS, PILINGS LOCATED IN T.O.H. WATERWAYS
- ARCHITECTURAL REVIEW BOARD/HISTORIC REVIEW
REQUIRED FOR PROPOSED CHANGES TO EXTERIOR OF STRUCTURES &/OR SIGNAGE. HISTORIC REVIEW
REQUIRED FOR ALL STRUCTURES 100 YEARS OR OLDER.
SUBMIT APPLICATION SIMULTANEOUSLY WITH BUILDING PERMIT SUBMISSION
- PLANNING BOARD
SITE PLAN REVIEW OR WAIVER FOR ALL COMMERCIAL CONSTRUCTION APPLICATIONS REQUIRED
SUBMIT APPLICATION SIMULTANEOUSLY WITH BUILDING PERMIT SUBMISSION
- STEEP SLOPE PERMIT APPLICATION
Steep Slope Permit from Planning Board required for work proposed on 10% or greater natural slope
SUBMIT APPLICATION SIMULTANEOUSLY WITH BUILDING PERMIT SUBMISSION
- ZONING BOARD OF APPEALS
PROPOSED WORK NOT IN CONFORMANCE WITH CODE OF NORTHPORT ZONING REGULATIONS MAY
SEEK VARIANCE RELIEF FROM THE ZBA. Letter of Denial issued by the Building Inspector required to file.
SUBMIT APPLICATION SIMULTANEOUSLY WITH BUILDING PERMIT SUBMISSION
CONSTRUCTION DRAWINGS (3) SETS OF PLANS & SPECS REQUIRED
(1) FULL-SIZE SET & (2) JOB-SIZE SETS, signed & sealed by NYS licensed design professional. PLANS MUST
BE FOLDED, NOT ROLLED. Show conformance with 2020 International Building Codes/Uniform Code
Update & 2016 Energy Codes; existing conditions, energy calculations all structure, floor plans, elevations,
height calculation, electrical, plumbing, mechanical & all comprehensive sections/details/notes necessary for
construction & code conformance.
SURVEY
Submit (2) copies of current guaranteed property survey with Surveyor’s stamp, SC Tax Map Number, and Date
SITE PLAN: NOTE: SITE PLAN MUST BE PREPARED AS PER PLANNING BOARD SITE PLAN REVIEW
REQUIREMENTS. SUBMIT SITE PLAN, DRAWINGS & WRITTEN PLANNING BOARD APPROVALS
STORM WATER CONTAINMENT: NOTE; DRAINAGE PROPOSALS MUST BE PREPARED AS PER
PLANNING BOARD SITE PLAN REVIEW REQUIREMENTS AND APPROVED BY PLANNING BOARD
ZONING ANALYSIS
Comparative Chart Analysis of Required/Existing/Proposed Structures as per the Code, Zoning Chapter 306.
AFFIX TO FIRST PAGE OF PLANS (see attached sample)
STAINLESS STEEL FASTENERS REQUIRED STATEMENT
Construction requirements for ACQ/Copper treated lumber: STAINLESS STEEL FASTENERS, STRAPPING,
TECOS, NAILS, ET AL REQUIRED IN EXPOSED/EXTERIOR APPLICATIONS; as per the manufacturer’s
warranty and product/design criteria. NO SUBSTITUTIONS PERMITTED. INCLUDE THIS NOTE ON PLANS
ADDITIONAL FILING REQUIREMENTS & INFORMATION
FEES
Shall be determined by the Building Inspector as per Chapter 147 of the Code, Fee Schedule
CONTRACTOR INSURANCES:
CONTRACTORS * ELECTRICIANS * PLUMBERS MUST EACH FILE THE FOLLOWING FORMS SEPARATELY:
Proof of Liability Insurance, Workers Compensation, and NYS Disability must be submitted naming the Inc. Village of
Northport as certificate holder. Limits are:
- GENERAL LIABILITY $2M/$1M
- WORKER’S COMPENSATION & DISABILITY-must be on either NYS Workers Comp Board forms or State
Fund. ‘ACORD’ FORMS NOT ACCEPTED. Contact NYS WC Board @ 1-518-486-6307 for more information
CONTRACTOR LICENSES
Contractors: Suffolk County Home Improvement license must be submitted.
Electricians: Suffolk County Master Electrician license must be submitted.
Plumbers: Town of Huntington Master Plumber’s license ONLY must be submitted.
TAX ASSESSMENT
Be advised that the Northport Assessor’s Office is notified upon permit issuance. The appropriate property tax
increase shall be levied a year from the date of commencement of work.
PROPERTY OWNER/PERMIT BEARER RESPONSIBLITIES
The above-listed outline is provided as a GUIDE ONLY for filing building permit applications. The Property Owner/Permit
Bearer is responsible for ALL stipulations, rules, and ordinances as stated in the Code of Northport, Chapter 106,
Article 1, Sections-106-1 through 106-26. The property owner/permit bearer & their contractor should familiarize
themselves with all aspects of the Code of Northport regarding their construction project.
Building Codes Online
2020 IRC/Update/Energy Codes: www.dos.ny.gov/dcea/ The Code of Northport: www.northportny.gov
Contractors’ Insurance Information
THE FOLLOWING FORMS ARE REQUIRED FOR LIABILITY, WORKERS'
COMPENSATION, AND DISABILITY INSURANCE
1. LIABILITY INSURANCE WILL BE ACCEPTED ON THE ACORD FORM
2. WORKERS' COMPENSATION INSURANCE
Accepted on one of the following forms only*
Form C-105.2-Certificate of NY State Workers' Compensation Insurance Coverage
Form
GSI-105.2 (2/02) Certificate of Participation in Workers' Compensation Group Board approved
self-insurance
Form U-26.3-NY State Insurance Fund Certificate of Workers Compensation Insurance
3. DISABILITY INSURANCE
Accepted on the following form only*
Form DB-120.1-Certificate of Insurance Under the New York State Disability Benefits
Form DB-155 - Board-approved self-insured employers must obtain this form from Board's
Self-Insurance Office
Certificate Holder:
Inc. Village of Northport
224 Main Street
Northport, NY 11768
EXEMPTION FORM NEW FORM CE-200 For each and every new
or renewed permit a
signed and dated form with a certificate number must be submitted.
Note: Form CE-200 Is an affidavit for New York Entities with No Employees and Certain Out of State Entities, That New York State
Workers' Compensation and/or Disability Benefits Insurance Coverage Is Not Required
Any questions can be directed to:
New York State Workers Compensation Board
220 Rabro Drive Suite 100
Hauppauge, New York 11788
866-681-5354
Website: www.wcb.ny.gov
CERTIFICATIONS ARE ONLY ACCEPTED ON INDIVIDUAL FORMS
*With valid expiration dates
Department of Buildings, Housing, and Code Enforcement
APPLICATION FOR BUILDING PERMIT
VILLAGE OF NORTHPORT, SUFFOLK COUNTY, NY
BUILDING PERMIT NO.__________ ZBA No.____________ Arch. Rvw No.__________ FEE $___________
DATE RECEIVED________________ Planning Bd.No._______ NYSDEC No.____________ C0/CC___________
DATE APPROVED_______________ Steep Slope No._______ NYSDOT No.____________ TOTAL $_________
DIRECTOR_____________________ Historic Rvw. No.________ SCHD No.__ __________
ZONE _____________________ SCTM #0404 SECTION_______ BLOCK_______ LOT(S) ________
DATE OF INITIAL CONSTRUCTION:
PRINCIPAL BUILDING ___________ACCESSORY BUILDING(S)__________IF 100 YEARS OR OLDER, HISTORIC REVIEW
APPLICATION MUST BE SUBMITTED SIMULTANEOUSLY WITH BUILDING PERMIT APPLICATION
Submit documentation of age & photos of each elevation with this application
LOCATION OR ADDRESS ___________________________________________________________________________________________________________
Existing Buildings Used for: Residential ___________Commercial___________Industrial ____________
Proposed Construction:
Residential Garage Commercial Industrial Other Accessory Structure
New Building Alteration Fire Damage Fireplace Other ___________________
Proposed Project and Use: ___________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
ESTIMATED COST OF PROJECT $___________________
EXISTING BUILDING, square footages:
Basement ______S.F. 1
st
Floor ______S.F. 2
nd
Floor ______S.F. 3
rd
Floor_____S.F. Garage______S.F. Porch_____S.F.
(Other)________S.F.
PROPOSED (NEW OR ADDITION), square footages:
Basement _____ S.F. 1
st
Floor ______S.F. 2
nd
Floor ______S.F. 3
rd
Floor_____S.F. Garage______S.F. Porch_____S.F.
(Other)________S.F. Retaining Walls_______L.F.
ALTERATION S.F.’s as per NYS 2020 ICC Existing Building Code (Commercial) or IRC Residential Code Appendix J:
Level 1____________S.F. Level 2____________S.F. Level 3__________S.F.- Commercial Only
NOTES:
1. The 2020 IBEC/IRC, NYS Supplement and the Code of Northport are imposed as conditions on issuance of a Building Permit.
2. Building Permit issued subject to Section 125 of General Municipal Law requiring Compliance with the Mandatory coverage provisions of the
Worker’s Compensation Law. Proof of Compliance must be submitted for issuance of Permit.
3. Improvement contractors must be licensed pursuant to the code of Suffolk County prior to the issuance of a building permit. Plumbers must be
Licensed by the Town of Huntington (Chapter 153) and electricians licensed by Suffolk County. Electricians must provide separate Workers Comp.
4. The owner shall indemnify and hold the municipality harmless and defend against any claim of liability or loss including the cost of defense for
personal injury or property damage resulting from or arising directly or indirectly out of or resulting from the permit holders’ operations within the
municipality, including losses arising out of the negligent acts or omissions of the contractor, its servants or agents, and any subcontractors, its servants
or agents
AFFIDAVIT OF PROPERTY OWNER
STATE OF NEW YORK} SS:
COUNTY OF SUFFOLK}
_____________________________________________
Property in Name of (Individual or Corporation) PLEASE PRINT
Deposes and says: That he/she resides at ______________________________________________in the State of ___________________Zip Code______ that he is the owner in fee
of all that certain lot, piece or parcel of land shown on the attached survey situate, lying and being within the Incorporated Village of Northport; that the work proposed to be done upon
the said premises will be done in accordance with the approved application and accompanying plans, of which he is totally familiar; and that he/she, by making this application for a
building permit , agrees to accept responsibility for adherence to all applicable codes, rules, & laws by him/herself and their agents.
__________________________________________________________________________, being duly sworn, deposes and says that he is duly authorized by the aforesaid owner
Name of Applicant (PLEASE PRINT)
to make application for a permit to perform said work in the foregoing application and accompanying plans, and all the statements herein contained are true to deponent’s own knowledge.
_________________________________________________________________________________________________________________________________________________
(If Corporation, give name of Corporation office and address of its responsible officers)
And the undersigned is authorized to make this application on behalf of said owner.
Owner__________________________________________________________
Signature
Address___________________________________________________________
Sworn t before me this ____________________________day Phone____________________________________________________________
Of _____________________________________, 20_______
Applicant __________________________________________________________
_________________________________________________ Signature
Notary Public
Address __________________________________________________________
Phone ___________________________________________________________
Village of Northport
I N C O R P O R A T E D 1 8 9 4
224 MAIN STREET
P.O. BOX 358
NORTHPORT, NEW YORK 11768
631-261-7502
ABOUT YOUR
BUILDING PERMIT
A Village of Northport Building Permit is active for one year, expiring one year from
the date of issue BUT it is conditionally renewable for a maximum of two additional
one year periods.
The owner and/or applicant is responsible to see that all conditions under which
the permit is issued are met.
The owner and/or applicant is responsible to call for the construction
inspections appropriate to the project as per Inspection Checklists issued
with permits.
Certificates of Occupancy (C.O.) or Certificate of Compliance (C.C.) is required for
all work for which a permit; building, plumbing, demolition, generator, solar panels
or swimming pool is issued. A C.O. or C.C. may only be issued after a properly
completed ACTIVE permit project.
Whenever you have any questions regarding building permits, please call the
Building Department at 261-4145.
** CALL BEFORE YOU DIG **
** IT’S THE LAW **
NYS Industrial Code Rule 53 Mandates 2-10 business days notice
prior to excavation.
For utility notification dial toll free 1-800-272-4480
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUE