Fillable TOWN OF NORTH EAST APPLICATION FOR MECHANICAL PERMIT (Town of North East, NY)

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TOWN OF NORTH EAST APPLICATION FOR MECHANICAL PERMIT (Town of North East, NY)

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File type: PDF

U.S.A. forms for Town of North East, NY

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TOWN OF NORTH EAST
19 N Maple Avenue, PO Box 516, Millerton, NY 12546
P 518-789-3300 x606, F 518-789-3399
ne.buildingdept@taconic.net
i:\building dept templates\application for mechanical permit.pdf (revised 4/2019)
APPLICATION FOR MECHANICAL PERMIT
DATE:_____________ PERMIT #:_________________
IDENTIFICATION OF APPLICANT:
NA
ME OF OWNER________________________________________________ PHONE____________________________________
PARCEL GRID NO.__________--_______--____________________ADDRESS__________________________________________
MAILING ADDRESS_____________________________________________________________ZONING DISTRICT___________
APPLICANT’S NAME if other than owner (written consent from owner must accompany this application)
NAME OF APPLICANT_________________________________________PHONE_______________________________________
MAILING ADDRESS___________________________________________EMAIL _______________________________________
DES
CRIBE THE PROPOSED WORK FOR THIS APPLICATION:
☐ AUXILIARY GENERATOR ☐ HVAC SYSTEM ☐ SOLAR PANELS ☐ ELECTRICAL UPGRADE
☐ WOOD STOVE ☐ OIL TANK INSTALL ☐ ELEVATOR ☐ PLUMBING SYSTEMS
☐ BOILER/FURNACE ☐ FIREPLACE ☐ OTHER_______________________________________________
DES
CRIPTION OF WORK TO BE PERFORMED:_______________________________________________________________
____________________________________________________________________________________________________________
SET
BACKS: FRONT YARD____________________ REAR YARD____________________ SIDE YARD___________________
ESTIM
ATED COST $________________________
ATT
ACHED HERETO AND MADE A PART OF THIS APPLICATION, I SUBMIT THE FOLLOWING DOCUMENTS:
☐ A PROPERTY SURVEY OR A COPY OF THE APPROVED PLOT OF THE AFFECTED PREMISES (if applicable)
☐ MANUFACTURER'S SPECIFICATIONS & CONSTRUCTION PLANS
☐ REQUIRED LICENSES
☐ PROOF OF WORKMAN'S COMPENSATION INSURANCE ON FORM #C-105.2 OR U26.3 BY THE CARRIER
APPLICATION IS HEREBY MADE TO THE OFFICE OF THE BUILDING INSPECTOR, DEPARTMENT OF PLANNING, ZONING, AND BUILDING
PURSUANT TO THE N.Y.S. UNIFORM FIRE PREVENTION & BUILDING CODE AND THE CODE OF THE TOWN OF NORTH EAST AS ADOPTED BY
THE TOWN BOARD. THE APPLICANT AGREES TO COMPLY WITH ALL APPLICABLE LAWS, ORDINANCES, AND REGULATIONS.
SI
GNATURE OF APPLICANT______________________________________________________ DATE ____________________
(Must be signed in office)
SIGNATURE OF OWNER__________________________________________________________DATE_____________________
OFFICE USE ONLY
ADMIN FEE $_________ MECH PERMIT FEE $__________ RECEIPT #__________ DATE_
_______________
BUILDING INSPECTOR___________________________________________________ DATE________________
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TOWN OF NORTH EAST
19 N Maple Avenue, PO Box 516, Millerton, NY 12546
P 518-789-3300 x607, F 518-789-3399
ne.buildingdept@taconic.net
i:\building dept templates\mech permit instructions.docx (revised 4/2019)
EXTERIOR MECHANICAL SYSTEMS: Gasification Boilers, Installation
of Exterior Oil Tanks, Solar Panels, Exterior Wood Burning Stoves, Auxiliary
Generators, Electrical
INTERIOR MECHANICAL SYSTEMS: Boiler/Furnace, HVAC Systems,
Plumbing Upgrades, Installation of Interior Oil Tanks, Fireplaces, Chimneys
MECHANICAL PERMIT APPLICATION INFORMATION
The following instructions will provide assistance in filling out an Application for a Mechanical
Permit. To avoid unnecessary delays in obtaining a Building Permit, all of the following items
shall be provided.
1. BUILDING PERMIT APPLICATION: The application must be
completed and signed by the owner of the property, or a letter of
authorization from the owner allowing the applicant to sign and obtain the
Building Permit is required to be submitted with the application.
2. MANUFACTURER'S SPECIFICATIONS: Submit a copy of the
manufacturer’s installation instructions or specifications for the
mechanical system.
3. PLOT PLAN: Solar panels, exterior oil tanks, generators, and exterior air
conditioners require a survey or site plan showing the location of the
mechanical system and indicating the proper sideline setbacks from the
property line in conformance with Town of North East Zoning Law. If
necessary, a survey may be required to confirm conformity. If property is
in a municipal water and/or sewer district, show water and sewer line
location.
4. FEES PAID: Fees shall be paid in accordance with the Standard
Schedule of Fees as adopted by the Town Board.
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TOWN OF NORTH EAST APPLICATION FOR MECHANICAL PERMIT (Town of North East, NY)

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Completed 16 July 2020

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