Applying for a Building Permit
TOWN OF ROXBURY
INSTRUCTIONS FOR
FILING A BUILDING PERMIT
pdf of instructions and application
Please Note Pricing Changes Effective 1/1/05
Phone/Fax (607) 326-7641
TOWN OF ROXBURY
INSTRUCTIONS FOR FILING A BUILDING PERMIT
William Walcutt, Building Inspector/CEO
Diane
Pickett, Town Clerk
Phone/Fax/Message(607) 326-7643 Phone/Fax
(607) 326-7641
Please Note Changes Effective 11/29/04
1. This application must be completed in pen (printed clearly) or typewritten.
2. All applicants whose building activity will take place in a flood hazard area must complete Part II, which can be obtained at the Town Clerk’s Office.
3. All applicants submitting for a NEW HOME must include paperwork from NYC DEP approving the plans for septic installation. If applying for an ADDITION that will include a bedroom(s), written approval from NYCDEP must be included approving use of the existing system. (DEP 607-363-7501) A Building Permit cannot be issued until notification has been received from NYCDEP approving the septic system.
4. New home applications on Town roads require Town Highway Supt. approval of driveways entering a Town Road. Driveways entering a County Road require Delaware County Dept. of Public Works approval.
5. All applicants constructing buildings that apply to Impervious Surfaces Limiting Distances (within 100 ft of a stream) must complete a DEP Application of Review. (available at the Town Clerk’s Office)
6. All applicants must include the applicable forms regarding proof of Worker’s Compensation for any construction to be done. If homeowner is doing all of his own work, you must include Form BP-1 Affidavit of Exemption (this form must be notarized). If owner contracts for work to be done, you must include copies of a Certificate of Insurance for General Liability Insurance, and, either copies of Worker’s Comp coverage OR Form WC/DB 100 or WC/DB 101 Affidavit that Workers’ Compensation is Not Required (this form must be notarized and instructions followed). A Building Permit cannot be issued without these forms being submitted.
7. Structures requiring architect approved and stamped plans: (A) Any stick built residential construction of living quarters more than 1500 SF in size, including a daylight basement area (B) All commercial buildings ( C ) Any addition or alteration/major repair costing $20,000 or more. Costs shall include total cost of work from start to completion. NOTE: Any new building addition or alteration/major repair, of any size or cost, may, at the discretion of the Building Inspector, require plans to be approved and stamped by an architect.
8. Plans to be submitted with the application: (a) Plot plan showing the actual dimensions of the lot to be built on and the size and location of the building to be built. (b) The location, grade, and dimensions of any access drives. (c) The location and type of water and sewage facilities (d) plan and dimensions of each floor layout of the building and accessory to be erected or altered, and a complete material specification list. (e) A COMPLETE and DETAILED drawing of foundation specifications and cross section view of all framing members. All framing members must be spec-ed out and labeled.
9. This application must include the appropriate fee and filed with the Town Clerk. NOTE: All property owners/contractors performing work without a Building Permit will be subject to a violation fee equal to the permit fee and suspension of the project until fees are met. (adopted by the Town Board Dec. 13, 1999)
10. Effective Nov. 29, 2004, all new structures built on vacant land must obtain a 911 Emergency location number after the structure is built. All Certificate of Occupancy (CO) or Certificate of Compliance (CC) applications, for any new structure must include the 911 location number before a CO or CC can be issued. Old Fire Numbers (ie: VM291) are no longer valid. To obtain a 911 number for new structures on vacant land, or if you do not know your current 911 number for an existing structure, you must contact Delaware Cty. Emergency Services at (607) 746-9600.
* Work may not be commenced before the issuance of a Building Permit. A plan of the approved Building Permit must be kept at the worksite and available for inspection throughout the progress of the work being performed.
* Upon completion of all work that requires a Certificate of Occupancy, an application must be filed. It must include an approved septic report from NYCDEP and an approved electrical inspection report when applicable. The Building Inspector must be contacted to make a final inspection of the completed work in order to close out your file.
* Upon Completion of work that requires a Certificate of Occupancy, an application must be filed and the Building Inspector must be contacted to make a final inspection of the completed work in order to close out your file.
Town of Roxbury
Building Permit Fee Schedule
Effective January 1, 2005
House: 1st 1,000 sq ft $250* Modular
Home $200*
1,001 -
2,000 sq ft $300* Mobile
Home - Doublewide $200*
2,001 -
3,000 sq ft $400* Mobile
Home - Singlewide $150*
3,001 -
5,000 sq ft $500* (on
piers, runners or slab)
Over 5,000
sq ft $700* Mobile
home or Modular on foundation $200*
Replacement
mobile home $100*
Garage - attached $150 Storage
Shed (144 - 160 sq ft) $100
Garage - Unattached (over 160 sq ft) $100 Storage
Bldg/Pole Barn (over 160 sq ft) $100
Deck (Porch) $
75
Deck with roof $100
Woodstove $
75
Fireplace $100
Additions $100 for the 1st 500 sq ft and $10 each additional 1,000 sq ft
Repairs & Alterations $
50 for the 1st $1,000 and $10 each additional $1,000
(includes
materials & labor)
Pavilion $ 60
Greenhouse (if attached to living quarters) $100
Swimming Pool - above ground $
60
Swimming Pool - in ground $100
Commercial Buildings: 1st 1,000 sq ft $300
Each additional
1,000 sq ft
or any part
thereof $180
*Decks, fireplaces and woodstoves are additional
Commercial
Certificate of Occupancy $100
Certificate
of Occupancy $
25
Certificate
of Compliance $
25
Building
Permit Renewal $
25
Request
for CO search from title co. or attorney $
25
Violation
Fee: Permit fee will be double for any work begun without a building
permit.
Note: Gross square footage shall be based upon outside dimensions
of the building.
Refund Policy: In
the event that an application for a building permit is not approved or
the applicant withdraws his application, the applicant shall be entitled
to a refund of 50% of the fee paid provided that NO WORK has been commenced. If
work has been started, and the application is not approved, or it is withdrawn,
the fees paid shall NOT be refunded. There will be an additional charge
of $50 for any permit located in the floodplain.
Town of Roxbury
PO Box 189 Main Street
Roxbury, NY 12474
William Walcutt, CEO Town
Clerk
Phone / Fax (607) 326-7643 Phone
/ Fax(607) 326-7641
BUILDING PERMIT APPLICATION
please use the permit application on pages 5 and 6 of the pdf file
1. Application # _____________ Date of Application ____________
2. PHYSICAL
ADDRESS of proposed building site: _______________________________________
(911 Number
and street)
3. Tax Map # ___________________
4. Owner Information / MAILING ADDRESS Contractor Information / MAILING ADDRESS
Name _______________________________ ____________________________
Address_______________________________ ____________________________
_______________________________ ____________________________
Telephone #___________________________ ____________________________
5. Please send permit to: Owner Contractor
6. Cost of Work (including labor if “self”) $______________
7. Nature of
Work (check all that apply):
__Addition __Fireplace __Maj.
Repairs __Replace
Trailer
__Alteration __Garage __Modular __Stor.
Shed
__Commercial __Gazebo __Pavilion __Swim.
Pool
__Deck __Greenhouse __Polebarn __Trailer
__Doublewide __House __Porch __Woodstove
Additions
to homes: Does
addition include a bedroom ? Yes No
Replacement
Trailers: # bedrooms in old trailer ____ #
bedrooms in new trailer ____
8. Please answer
Yes or Not Applicable for each:
Septic Approval Attached Within
100’ of Stream In
Flood Plain
Yes N/A Yes N/A Yes N/A
9. Date work to commence: ____________________
10. Estimated date of completion: ____________________
11. The proposed building activity
includes (check all that apply):
____ New
Principal Structure ____ New
Accessory Structure
____ Altered Principal Structure ____ Altered Accessory Structure
12. Lot Size: __________sq ft OR _____________ Acres
13. Size of proposed building activity: ___________ sq ft.
14. Parking spaces provided: YES NO
15. Existing use and occupancy _____________________________________________
16. Proposed use and occupancy _____________________________________________
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Work may not be commenced before the issuance of a Building Permit. A plan of the approved building must be kept at the work site and available for inspection throughout the progress of the work being performed.
*********************************************
A Certificate of Occupancy application must be filed with the
Town Clerk, a final inspection made, and a Certificate of Occupancy issued
by the Building Inspector before a new building can be occupied.
**********************************************
The applicant disposes and says that, to the best of his/her knowledge, the
statements contained in this application, together with the plans, specifications,
and any other supporting material submitted, are a true and complete statement
of all work to be done on the premises and that all provisions of the New
York State Building Code and other laws, ordinances, rules and regulations
of the Town of Roxbury pertaining to the proposed building activity shall
be complied with, and that the work, as described herein, is authorized
by the owner of the property.
Town of Roxbury
PO Box 189
Roxbury, NY 12474
SPECIFICATIONS FOR DRIVEWAY CULVERT PIPES
Where driveway pipes are necessary:
- Move ditch line back to 19 feet from the centerline of roadway
- The alignment should be blended 50 feet ahead and 60 feet beyond centerline of drive
- A minimum of 30 feet of 18 inch pipe is required
- There shall be laid up rocks or concrete heading to prevent washing out or flattening of the ends
- There shall be markers to locate each end of the pipes
- All driveways shall have a landing area of at least 20 feet in length as measured from the edge of the shoulder, with a maximum slope of 3%
The Town of Roxbury Highway Superintendent has the authority to remove any pipe that has not been approved by him, and where there is no form signed by him and the landowner.