Residential Fence Permit - Town of North Hempstead

Town of North HempsteadDepartment of Building, Safety Inspection, and Enforcement210 Plandome Road, P. O. Box 3000, Manhasset, NY 11030 Tele 516-869-7660 Fax 516-869-7662REQUIREMENTS FQR FENCE PERMITRESIDENTIAL PROPERTIES ONLY1. Application for a fence pennit in duplicate. (both in this packet).2. Two (2) surveys or two (2) plot plans each indicating proposed location of fencing andproposed height( s).3. Two (2) copies of owner's affinnation fonn each signed and notarized. (both in this packet).4. A full set of insurances from the licensed fence erector. (See enclosed insurance infonnation).5. The fee for a new fence is based on linear footage. Minimum submission fee is $62. An exactapplication fee can be calculated at time of submission or prior to pennit issuance. The Towndoes not accept credit cards at this time. Personal or corporate checks, bank checks, or moneyorders are accepted as payment. A fee off our (4) times the normal fee must be charged forlegalizing a fence erected without a pennit.Notes:• A general contractor may not install a fence. Only fence erectors licensed with the Town ofNorth Hempstead may erect a fence.• If a homeowner wishes to personally install a fence on their own owner-occupied property, theymust file a BP-l(12/08) Affidavit of Exemption.• The homeowner assumes all risks related to the erection offencing on their property. We highlyadvise a surveyor stake out your property lines before any fencing is erected, either by alicensed fence erector, or by the home owner.• Please refer to § 70-1 00.2.A - "Accessory Structures" ofthe Town Code for most regulationsregarding fence height and location.• The attached location and allowed height diagram enclosed should answer most questions.Please see us if you have any other questions.• Six foot high fencing is required for in-ground pools and requires a licensed fence erector forinstallation. The total six foot fence enclosure of the pool is conditional on the existence of thein-ground pool. Should the in-ground pool be removed in the future, portions ofthe fence mayhave to be reduced in height.O:\LR\Requirements for a Fence Permit.doc

L()CAL LAW 1 OF 2011RESOLUTION NO 46.2011 .APOPTED BY THE TOWN' BOARD ON JANUARY 25, 2011. CHANGE TO PERMITTED FENCEI~EIGI4TS IN RESIDENCE DISTRICTS"This aml1nds the permitted height restrictions for fences In residence districts as set fonh InSection 70-100.2. . . . .• maintains the four-foot maximum fence height at the front building line• . permits a five-foot maximum fence height along the side property lines, but not forward. of the building line established by the front of the dwelling .•. permits a six-foot maximum fence height at the real' property line• fences. located at any point In the area between a public 'or private street and thel1ea~es't'effectlve building line are stili prohibited .This schel11atl~ 'Is to be used In conjunction with the above reference Town Bmird;Resoiutionand/or Chapter 70 of the Town Code, It Is not to be' relied upon as a sole reference,PUBLIC OR PRIVATE STREET.L., .. IF- - ,4'H.: • 4'H 4'H',' . ..." . ',''.B ....... ·B'· .... 'I , ,,'..',"--!+5'H *S'H +4'H,... 6'H ... 6'HTYPICAL INTERIOR LOTTYPICAL CORNER LOTB = Building (House) .F = Front yard forward of Iha building line as established by the front of the dwelling

,TOWN OF NORTH HEMPSTEADINSURANCE AND LICENSE REQUIRMENTS FOR A PERMITThe ToWn of North Hempstead, Nassau County, and the State of New Vork, require that n6 building permitmay be issued until an current insurances .and license information is. presented for each' permit.,-C , , , "FOR ALL CONTRACTORS: FOR EACH PERMIT (before permit issuance), we require a copy ,of your current NassauGounty Home Improvement 1,.icen!}e "(this Nassau liqnse is. not necessary for coinnierci:~:11 jobs or new home .construction. Plumbers or .Electriciclns need a copy of their currentji~nse). a copy of your ~iability insurance .. NYS. Disability Insurance, and NYSWorkef's Compensation Insurance. All three insurances must list the ''Town of NorthHempstead, 210 Plandome Road, Man.hasse~ NY.11030~, as the ~Certificate Holder" or,~additional insured~ on eachinsurance pOliCy.For a HOMEOWNER se{Ving as II is" O\'m general.contractor, a BP-1 form may be su~ie~t as descnbed below.For a,d.emolition pennit, a NassalJ County Home Improvement license fs required unlesS the entire foundatio~ is removedand a NEW c/o wil! be ISSUed. . .• STANO·AlONE PERMITS (such as plum'blng, signs, fences; not connected to bui/ding proJects; 'where there Is ashort review process m·ust have all insurances attached at time .of application ~utiri1itta" or they ylill not beaccepted). Although the Tm'm keeps computer records, records do not al\'1ays re.fleci current coverage, so werequire ~opies of all insurances at time of permit application to prevent ~ny unnt;Cessary delays. Forsu.binittalsthatwil! take longer tci"revlew (such as pO addition or new home), insurances may be submitted Just before apermit Is Is.~ued ..Liability insurance ls'usually sUbmitted on a standard "Acord" form. Some other forms may be acceptable. (Please note:by New York State Law, we can not accept NYS Disability and NYS Worker's Compensation coverage on the Acord· form). VVhat we can accep~ is stated below: .NEW VORK STATE INSURANCEHEQUIREMENTS'The Workers' Compensation law requires that before a New' York 'State or municipal agency, departmen~ Qoard, .commission or office issues any permit or license, they must be provided with the completed. forms as sho\'m below prior, to permit issuance. T.his appITes to all businesses.v/itfl employees. - .' .'1) Fonn BP-1 (12108) Affidavit of Exemption' to Sho,'/ Specific Proof of Wor,ers' cOlnpensationJnsuranCeCoverage.for a 1, 2, 3 or 4 Family, Owner occupied Residence (This is the ONLY form available from the Town ofNorth Hempstead). This form is; used by a.homeowner\'{ho wlll be doing most ofthe·p.ennit work hiffi$elf, vlith no orminimal assistance of up to a total of 40 man--hoursperweek. This form must be signed and notari:zed. L.2) .Form CE-20Q from Group A attesting to no need for either or"both Wor.-

617.20AppendixCState Environmental Quality ReviewSHORT ENVIRONMENTAL ASSESSMENT FORMFor UNLISTED ACTIONS OnlyPART I - PROJECT INFORMATION (To be completed by A lplicant or Project Sponsor)1. APPliCANT/SPONSOR 2. PROJECT NAME3. PROJECT LOCATION:MunicipalityCounty4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)5. PROPOSED ACTION IS:DNew o Expansion D Modification/alteration6. DESCRIBE PROJECT BRIEFLY:7. AMOUNT OF LAND AFFECTED:Initially acres Ultimately acres8. WILL PROPOSED ACTtON COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?DYes DNa If No, describe briefly9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?D Residential o IndustrlalDescribe:D Commercial D Agriculture D Park/Forest/Open Space o Other10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)?DYes DNa If Yes, list agency(s) name and permiVapprovals:11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAliD PERMIT OR APPROVAL?DYes DNa If Yes, list agency(s) name and permiVapprovals:12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?DYes DNaI CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGEApplicant/sponsor name:Date:Signature:If the action is in the Coastal Area, and you are a state a~ency, complete theCoastal Assessment Form before proceeding with t is assessmentOVER1

i!.~."" ..'~.( ).'%.~'i"Town of North HempsteadDepartment of Building, Safety, Inspection, and Enforcement210 Plandome Road, Manhasset, NY 11030 Tele 516-869-7611 Fax 516-869-7662 www.northhempstaedny.govAPPLICATION FOR RESIDENTIAL BUILDING PERMITIssued pursuant to §2.9 of the Code of the Town of North HempsteadApplication No. ________ _Permit No.Certificate N·-,-o.----------PLEASE FILL OUT IN TRIPLICATE COMPLETELY AND TYPE OR PRINT LEGIBLYNew Construction [] Addition or Renovation [] Maintain Existing Struclure [ ][ ]lfOlher, Please Describe:====~===-===-=====~,...,.. __ ==== _____ _PLEASE NOTE THAT A MAINTAIN FEE IS QUADRUPLED (4x) as per §2.28 C (15)================================================================================================================Section: ___ Block: _______ _ Lot(s]: ______ Zo"I"9 District: ____ _STREET ADDRESS OF PERMIT ACTIVITY:,--=:--:::-_________________________ _City: State:JrL Zip:----DESCRIPTION OFWORK: __________________________________ _PROPERTY OWNER'S CURRENT ADDRESS:First Name:Last Name: __________________________Business I Corp Name:City:State: __ Zip:Cell#:( ) Bus/Home#( Fax# ( )Current Home/Corp Add;;:re:Cs"'s"-: -------------------=:c------"'=:---=-----APPLICANT:First Name:Last Name: ___________Business / C:":o-rp"N"a-m-e'-: ---------License #:Current Home/Corp Address: ------,;::c,-==c:;:-;---,-------- City:Stale: _Zip:Cell #: ( )__________ Bus / Home # (FaX# ( )================================================================================================================ARCHITECT/ENGINEER:First Name: Last Name: License #:Business I Corp Name:CUrrent Home/Corp Address: City: Siale: __ Zip:Cell#: ( ) Bus/Home# ( FaX# ( )CONTRACTOR:First Name: Last Name: License #:Business / Corp Name:Current Home/Corp Address: City: Slate: __ Zip:CeJl#: ( ) Bus / Home # ( Fax# ( )ELECTRICIAN:First Name: Lasl Name: Ucense#:Business / Corp Name:Currenl Home/Corp Address: Cily: State: __ Zip:Cell#: ( ) Bus/Home# ( Fax# (PLUMBER:Flrsl Name: Last Name: Ucense#:Business / Corp Name:Current Home/Corp Address: City: Stale: __ Zip:Cell#: ( ) Bus / Home # ( FaX# ( )FOR OFFICIAL USE ONLYO;\LR\FORMS\Residential Build Application g,5xll,doc

Town of North HempsteadDepartment of Building, Safety, Inspection, and Enforcement210 Plandome Road, Manhasset, NY 11030 Tele 516-869-7611 Fax 516-869-7662 www.northhempstaedny.govAPPLICATION FOR RESIDENTIAL BUILDING PERMITIssued pursuant to §2.9 of the Code of the Town of North HempsteadApplication No. ________ _Permit No.Certificate N"'o-.----------PLEASE FILL OUT IN TRIPLICATE COMPLETELY AND TYPE OR PRINT LEGIBLYNew Conslruction [I Addition or Renovation [J Maintain Existing Structure [ I[ Ilf Other, Please Describe:~===-;-;====;:-;;=====::-;-;=:-::-:===== _____ _PLEASE NOTE THAT A MAINTAIN FEE IS QUADRUPLED (4x) as per §2.28 C (15)================================================================================================================Section: ___ Block: _______ _ Lot(s): ______ Zoning District: ____ _STREET ADDRESS OF PERMIT ACTIVITY: ,-----;;:-;-=__________________________City:State:..l:!L Zip: _____DESCRIPTION OFWORK: __________________________________ _PROPERTY OWNER'S CURRENT ADDRESS:First Name:Last Name:CUrrentBusinessHome/CorpI Corp Name:~~======:=:::~='::::========::;;;;=======~~==:;;;======Address: ------..",,-:-,-;-;---;;-;-7"------- City:State: __ Zip:Cell#:( ) Bus/Home#(Fax# ( )APPLtCANT:First Name: Last Name: ___________ License , #:Current Business Home/Corp / Corp Name: Address: ;:e;;s::=====::;;::=;~==~=;=======~Ciiy:::==:;;:::;;:;:::::::;:::StiiiO~=ZiP~====City:State: __ Zip:Cell#:( ) Bus/Home#(FaX#( )================================================================================================================ARCHITECT/ENGINEER:First Name: Last Name: License #:Business / Corp Name:Current Home/Corp Address: City: State: __ Zip:Cell#: ( ) Bus/Home# ( FaX# ( )CONTRACTOR:First Name: Last Name: License#:Business / Corp Name:Current Home/Corp Address: City: State: __ Zip:Cell#: ( ) Bus / Home # ( Fax# ( )ELECTRICIAN:First Name: Last Name: License #:Business I Corp Name:Current Home/Corp Address: City: State: __ Zip:Cell#: ( ) Bus / Home # ( FaX# ( )PLUMBER:First Name: Last Name: License #:Business I Corp Name:Current Home/Corp Address: City: State: __ Zip:Cell#: ( ) Bus / Home # ( FaX# ( )FOR OFFICIAL USE ONLYO:\LR\FORMS\Residential Build Application 8.5xll.doc

Town of North HempsteadDepartment of Building, Safety, Inspection, and Enforcement210 Plandome Road, Manhasset, NY 11030 Tele 516-869-7611 Fax 516-869-7662 www.northhempstaedny.govAPPLICATION FOR RESIDENTIAL BUILDING PERMITIssued pursuant to §2.9 01 the Code olthe Town 01 North HempsteadApplication No. ________ _Permit No.Certificate N"'o-.----------PLEASE FILL OUT IN TRIPLICATE COMPLETELY AND TYPE OR PRINT LEGIBLYNew Construclion [] Addition or Renovalion [] Maintain Existing Structure [ ][ ]If Other, Please Describe:====-:--o====::-::=-=====:-;-;-:-__ ==~= ______PLEASE NOTE THAT A MAINTAIN FEE IS QUADRUPLED (4x) as per §2.28 C (15)================================================================================================================Section: ___ Block: ________Lot(s): ______ Zoning District: _____STREET ADDRESS OF PERMIT ACTIVITY: ,----=;---;::-__________________________City:State:JjL Zip: ____DESCRIPTION OFWORK: __________________________________ _PROPERTY OWNER'S CURRENT ADDRESS:First Name::-~----------,Last Name: _________________________ _BusIness I Corp Name:=:::-_______________ ~ ___ =:::_-----"'=:--=:-----Current Home/Corp Address: ------;o;:c:-=..,,--:;;-:;--,--------Cell #: ( ) __________ Bus / Home # (City:FaX# ( )State: __ Zip:APPLICANT:First Name: Last Name: ___________,license#:Business / C"'o-rp"N"'a"'m-:-e'-: ---------,Current Home/Corp Address: -------;;=-==-:uc;---;-------- City:State: __ Zip:Cell #: ( ) ___________ Bus / Home # (FaX# ( )================================================================================================================ARCHITECT/ENGINEER:First Name: Last Name: License #:Business I Corp Name:CUrrent Home/Corp Address: City: State: __ Zip:Cell#: ( ) Bus / Home # ( Fax# ( )CONTRACTOR:First Name: Last Name: Ucense#:Business / Corp Name:Current Home/Corp Address: City: State: __ Zip:Cell#: ( ) Bus / Home # ( FaX# ( )ELECTRICIAN:First Name: Last Name: L1cense#:Business / Corp Name:Current Home/Corp Address: City: State: __ Zip:Cell#: ( ) Bus/ Home # ( Fax#( )PLUMBER:First Name: Last Name: License #:Business / Corp Name:Current Home/Corp Address; City: State: __ Zip:Cell#: ( ) Bus / Home # ( FaX# ( )FOB OFFIClAL USE ONLYO:\LR\FORMS\Residential Build Application 8.5xll.doc

Town of North HempsteadDepartment of Building, Safety Inspection and Enforcement210 Plandome Road, P. O. Box 3000, Manhasi>et, NY 11030-2327516-869-7660 . FAX: 516-869-7662Application No.: --;0;--­. (05cl.i U»o:''i)OWNER'S AFFIRMATION FORM*** PLEASlnlliAD CAREFULLY ***[Req~ed for submission with all Residential Pen:rut AppU~tionS.]I (we) hereby certify that:· I. I (we) agr," to peIll1it the Building Inspector .and any officer or employee of the Town of North Hempstead·to enter upon the pretllises in the discharge of their duties with this application. ..' . .' '.2. Approved plans and a copy of the approve.d pe~tshallremain on the pretllises at all times until a .Certificate of Occupancy I Completionl Acceptance is issued. These plans:will be ma~e available to the.Building Inspector upon request: "3. Building Inspector shall be gtvena minimum f~rty-~ight (48) hours I10tice to make (he required inspection .and no work shall continue until such inspection has been completed and approved:4. ~vner or his representative shall be responsiqle" to arrange for all required in~pections.· 5. O\Vuer shall b~ responsible for the presence of the appropriate representative for the required inspection asdirected by the Building InSpector. .6. Pennit shall expire tinee (3) months fromthe date oflSSUlince unless construction is i1! progress. ·No work isto be started until pennit has been received and posted by the owner I applicant. Commencement of anywork prior to the receipt and posting of the pennit Will result in the assessment of triple fees penaltiespursuant to §2-28 C (15) of the Code of the Toym of North Hempstead.7. \Vork shall be pennitted between the hours of7:00 AM and 6:00 PM, Monday tinough Friday only.8. Occupancy or Use of the pretllises williou! first obtaining Certificates o[Completion I Approval is Ilnlawfuland may·subject the owner of the pretllises to the peI;1alties described in the Code ofllieTown of NorthHempstead. -State cifNew York )County of Nassau }pleas5 print 4 property iJ! name ofdepose and says that he/she resides at __-:===:::i:=:-----~----_~wiling address: of ownerin that State of, that he Ishe is the owner in fee of all ""rtain lots, parcels of land shpwn onthe attached survey Section: , Block: ., Lot(s): , situated, lying and being· within the unincozPoratedarea of the TO\Vu·ofNorth Hempstead; that IlWehave read and understand items one(I) tinough eight (8) as herein stated, recognize the he I she is responsible for all activities ·occuning on llie ..property, and that failure to comply \vith any of these items, notwithstanding any ollier items defined·in the·. .Code of the Town of North Hempstead, may result in the te!llporary suspension or permanent revocation of thepermits issued for construction on the preDllses in accordance with the Code of the Town of North f\empstead.Signature of Owner: _'--________ ~ ___ _Sworn to me this _____ ~day of_~---~, 200Signature of Notary Public: ____ -:-______ _

Town of North HempsteadDepartment ofBulIding, Safety Inspection and Enforcement210 Plandome Road,P. O. Box 3000, Mwiliasset, NY 11030-2327 .516-869-7660 . FAX: 516-869-7662Application No.:.-;;,-~_(0!E61 tM 0::l)1)OWNER'S AFFIRMATION FORM. .*** PLEASE READ CAREFULLY ***[Required for submisslo~ with all Residential PermitAppUcations.] < •I (We) hereby certify that:1. I (\ve) agree to pennit the Building Inspector and any offic;er oremployee of the Town of North Hempsteadto enter upon the premises in the discharge of their duties with this application.2. Approved plans and a copy of the appro~e,I permit shali remain on the premises at all timeS until a .Certificate of Occupancy I Completion I Acceptance is issued. These plans wlil be made available to theBuilding Inspector upon request.3. Building Inspector shall he given a niinimum forty-eight (48) hours notice to make the required inspectionand no work ·shali continue until such inspection hali been completed and approved.4: Owner or his representative shall be responsible to arrangefor all required inspections.5.· {)wiler shall be responsible for the presen~eofthe appropriate represiontative for the required inspection asdirected by the Building inspector., . . .6. Permit shali expire three (3) months from the date of issuance \lriless construction is in progress, No work isto be started until Penrrit has been received arid posted by t4e owner I applicant. CommCIlcemeilt of anywork prior to the receipt and posting of the pemiit wiIi result in the assessment of triple fees penaltiespursuant to §2-28 C (15) of lbe Code of the Town of North Hempstead. .7. Workshall be pemiitted between lbehours of7:00 AM and 6:00 PM. Monday.through Friday only.8. Occupancy orUse of the premises without finlt obtaining Certificates ~f Completion I Approval is unlawlbland may subject the owner of lbe premises to lbe penalties described in the Gode of tbe Town of North .Hempstead.State of New York }County of Nassau }..please ~rlnt: property in ~~ ofdepose and says that he Ishe resides at _.~. __ ======-____________ ~nmnwga~QfOWD~ /in that State of. ,that).1e Isbe is lbe owner in fee of all Certain lots, parcels of land shown onlbe attached ~urvey Section: ; Block: • Lot(s): . ,situated, lying and beingwithin the unincOrporated area of the Town ofNorthHerripstead; that! IWe have read and unden.tand items one(1) througheigbt (8) asherein stated, recOgnize the he I she is responsible for all activities occurrUig on lbeproperty, and lbat failure to comply with any of these items, notwithstanding any other items defined in tbeCode oflbe Town of North Hempstead, mayresuIt in the temporary suspension or permanent revocation of thepermits issued for cons\r1)ction on lbe prOmises in accordance \vith lbe Code oflbe Town of North Hempstead.Signature of Owner: ___ ----'_-' _______ _Sworn to me this ____ ---,-_day of _____ ~, 200. Signature ofNotaiyPublic: __________ ~