Replacement of Manufactured Home
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1 Town of Dover Building/Zoning /Code Enforcement Department 126 East Duncan Hill Road Dover Plains, NY (845) fax Building Inspector/CEO George T. Hearn x102 - (GHearn@TownOfDoverNY.us) Clerk Maria O Leary x103 - (BuildingZoning@TownOfDoverNY.us) Building Permit Application for Replacement of Manufactured Home Required Documents: Please read entire packet BEFORE submitting application Cash or Check for $250 (residential fee) payable to: Town of Dover (add 200% penalty if project has been started) Copy of Board of Health Approval letter if increasing the amount of bedrooms (a SAN 34 will then be sent to the Department of Health) Copy of Homeowner s Insurance (Declaration page only) Proof of Workers' Compensation and Disability Insurance or valid waiver (see attached letter and call (518) or visit for more information; ACORD forms are NOT acceptable proof of NYS workers compensation or disability benefits insurance coverage) One complete set of manufactured home specs showing exact size, layout and HUD approval Copy of installers NYS Certification Survey or drawing of property showing existing manufactured home and proposed manufactured home with distances to property lines and other structures. (please list the year of the manufactured home that is to be removed) PLEASE NOTE: Any replacement of a manufactured home will require a foundation or slab (see attached) Required Inspections: - Footings before pouring concrete - Slab - Rough electric (if applicable, by an electrical inspector) - Final electric (if applicable, by an electrical inspector) - Final Board of Health Approval (if required) - Final Completion to obtain a Certificate of Occupancy Applicants are responsible for scheduling all required inspections. The Building Department requires advance notice for all inspections; any additional inspections will be $50 per hour with a minimum one hour charge TOWN OF DOVER - Coversheet for applications.ppt 06/07/10
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4 Numbers and Websites of Interest Electrical Inspectors Dutchess County Department of Health New York Electrical Inspections H.C.R. 4, NYS Route 30 Kelly Corners, NY (845) Tom LeJeune - Inspector - (845) New York Board 5 Robert Lane Wappingers Falls, NY Pat Decina Inspector (845) Electrical Underwriter of NY, LLC PO Box 4089 New Windsor, NY (845) , (845) fax Ernest C. Bello - Inspector Tri-State Inspection Agency PO Box 1034 Warwick, NY (845) or (845) Bob Stumbo, Nick DiFusco, Frank Sholtis Commonwealth Electrical Inspection Service, Inc Pittsford-Mendon Road PO Box 723 Mendon, NY or (585) fax Ronald Henry Inspector - (845) NY Electrical Inspections & Consulting (845) , (845) Fax John Wierl or Pierre Belarge 387 Main Street Poughkeepsie, NY (845) Millbrook District Office (845) Road Maintenance Town of Dover Highway Department (town roads) (845) NYS Department of Transportation (DOT) (state roads) Highway Permits (845) DC Department of Public Works (county roads) Highway Permits Unit (845) Department of Emergency Response E-911 Addressing (845) Workers' Compensation Board (518) Dig Safely (call before you dig) NYS Department of Environmental Conservation (DEC) (518) NYS Department of State (212) TOWN OF DOVER - Coversheet for applications.ppt 06/22/10
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11 Town of Dover Building Department 126 E. Duncan Hill Road Dover Plains, NY x102 - Building Inspector x103 - Clerk Building Permit Application Permit #: Zone: Grid #: FAX (Must be filled out IN FULL WITH PAYMENT before review. Incomplete applications will be returned.) Application is hereby submitted to the Building Inspector/Code Enforcement Officer of the Town of Dover for the approval of plans and detailed statement of the specifications to: Erect/Build Alter Convert a(an) as herein set forth for the purpose of. Applicant's Name: Mailing Address: Owner of Property: Mailing Address: Builder/Contractor: Mailing Address: Phone #: Cellular #: Phone #: Cellular #: Phone #: Cellular #: Address of Proposed Project: Subdivision Name: Lot #: Is property within a registered: Floodplain? Wetland? Easement? If yes, show on survey & describe. Distance of proposed structure from property lines; must also be shown on survey or plot plan. front: ft. back: ft. side 1: ft. side 2: ft. size of lot: acres frontage: ft. # of stories: ft. height of highest point: ft. Size of proposed structure: width: ft. depth: ft. TOTAL: sq ft. For alterations or renovations to an existing room, basement, attic, etc., drawings with exact room sizes, uses and exact work to be done must be submitted. Total sq. ft of work to be done: Estimated cost of construction: $ Estimated date of completion: I confirm that I understand that building permits expire one year after issuance and it is my responsibility to call the Town of Dover Building Department for all required inspections during construction and to obtain a Certificate of Occupancy/Compliance upon completion thereof in compliance herewith. I also understand my responsibilities of all provisions of Town of Dover Zoning Laws, New York State Uniform Fire Prevention & Building Code and State of New York Department of Labor requirements whether specified herein or not. The Town of Dover Zoning Law can be researched at (click: Links, Town Code). Signature of Applicant DATE Signature of Owner DATE For Office Use Only Permit Fee: $ Date paid: Check #: Application is: APPROVED / DENIED Code Enforcement Officer Date Issued Application requires: Planning Board Approval Zoning Board Approval Permits expire one year after issuance 06/07/10
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