INCORPORATED VILLAGE OF OYSTER BAY COVE BUILDING DEPARTMENT #25B-Route 25A PHONE: (516) OYSTER BAY, NY FAX: (516)

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1 INCORPORATED VILLAGE OF OYSTER BAY COVE BUILDING DEPARTMENT #25B-Route 25A PHONE: (516) OYSTER BAY, NY FAX: (516) Instructions for filing Construction Plans $ Application Fee New York State has adopted a new model building code entitled The Building Code of the State of New York (BCNYS) which was in full effect on January 1, The new code consists of several volume based on the ICC family of Codes. The complete sets of individual volumes may be purchased by contacting The International Council of Building Officials (ICBO) at All building permit applications must be designed in accordance with this code. It is required for all approved plans to be on-site at the time of inspection. If these approved plans are not on-site at the time of inspection, the inspector may be forced to re-schedule your inspection. All-buildings in the incorporated Village Of Oyster Bay Cove are located within 100 mph wind zone and must be designed in accordance with one of the following reference standards: 1. American Forest and Paper Association (AF&PA) Wood Frame Construction Manual for One and Two-Family Dwellings 2. Southern Building Code Congress- International Standard for Hurricane Resistant Residential Construction American Society of Civil Engineers- Minimum Design Loads for Buildings and Other Structures - All buildings within one mile of the sound and/or bay are also in the Wind-Borne Debris region and all glazed openings on structures must be protected with glass meeting the large missile test certification or with structural shutters or plywood meeting the requirements of BCNYS section PLEASE SUPPLY (4) FOUR SETS OF PLAN The following information is required to be submitted with every set of construction drawings signed and sealed by a NYS licensed Architect or Engineer: 1. Denote the reference standard utilized in the design of the structure. 2. Denote floor areas of all existing and proposed work. 3. Stipulate design loads inclusive of live, dead, snow, wind and seismic utilized in the design of the structure. 4. Provide a window and door schedule-denoting conformance with the emergency escape requirements, light, and ventilation and missile test (if applic.) 5. Energy Calculations signed and sealed by professional record. 6. Provide a nailing schedule for all structural elements and roof shingles. 7. Denote on floor plans location of smoke detectors and carbon monoxide detectors. The following details must be submitted on each set of plans: 1. All clips, straps and foundation anchors that are required by code. 2. All structural components inclusive of columns, girders, joists, lintels, headers, wall and roof framing with all lumber dimensions, species, grades, spacing, etc. called out. 3. Truss Design Drawings (if applic.) signed and sealed with attached details. 4. Plumber Riser Diagram.

2 Mayor Rosemary Bourne Inc. Village of Oyster Bay Cove Building Department Board of Trustees #25B-Route 25A Village Clerk Ralph Fumante Oyster Bay, NY Donna Harris Richard Appell (516) Fax (516) James Townsend Building Inspector George J Sheehan Joseph E. Richardson APPLICATION FOR RESIDENTIAL BUILDING PERMIT Issued pursuant to the Building Zone Ordinance and the Administration and Enforcement Ordinance of The Code of the Village of Oyster Bay Cove: PLEASE FILL OUT IN DUPLICATE COMPLETELY AND TYPE OR PRINT LEGIBLY: Section: Block: Lot(s): Date: Zone: Owner s Last Name: First name: Middle I: City: Home Phone ( ) Business Phone: ( ) Applicant s Last Name: First Name: Middle I: City: Home Phone ( ) Business Phone: ( ) Description of work: Address Location of Permit Activity: PROPERTY INFORMATION: Is this permit to legalize an existing structure? Yes ( ) No ( ) Will any trees be cut down? Yes ( ) No ( ) Estimated cost of proposed construction: SF of Lot % of lot area Present use of Building Proposed Use Size of Proposed Building Proposed Lot Coverage(%) ARCHITECT/ ENGINEER: Last Name: First Name: License # : Business Name: City: State: Zip: Phone # ( ) CONTRACTOR: Business Name: License #: City: State: Zip: Phone # ( ) Fax: ( ) ELECTRICIAN: Last Name: First Name: License # : Business Name: City: State: Zip: Phone # ( ) Fax: ( ) PLUMBER: Last Name: First Name: License # : Business Name: City: State: Zip: Phone # ( ) Fax: ( ) OWNERS S AUTHORIZATION I (we) here by agree that: 1) I agree to permit the Building Inspector and any officer or employee of the Inc. Village of Oyster Bay Cove to enter upon the premises in the discharge of their duties with this application. 2) Approved plans and a copy of approved permit will remain on the premises at all times until a Certificate of Occupancy/ Completion is issued. These plans will be made available to the Building Inspector. 3) Building Inspector will be given a min of 48 hours Notice to make the required inspection and no work will continue until such inspection has been completed and approved. 4) Owner or his representative will be responsible to arrange for all required inspections. 5) Permit will expire within one (1) year from date of issuance, unless construction is in progress. No work is to be started until permit has been issued and posted at location of permit activity. State of New York: County of Nassau: Please print- property in name of depose and says: that he/ she resides at Mail address of owner in the State of, that he / she is the owner in fee of all certain lots, parcel of land shown on the attached survey Section Block Lot(s) situated, lying and being within The Inc. Village of Oyster Bay Cove; that I/ we have read and accordance with the approved application and accompanying plans, of which he/ she is familiar with and that he/ she hereby names as his or her representative to file this application on his/her behalf. Signature of Owner Sworn to me this day of 200 Signature of Notary Public

3 IT IS THE RESPONSIBILITY OF THE OWNER TO ARRANGE ALL INSPECTIONS TO FACILITATE THE ISSUANCE OF A CERTIFICATE OF OCCUPANCY/ COMPLETION PRIOR TO EXPIRATION. FAILURE TO OBTAIN A CERTIFICATE WITHIN THE REQUIRED PERIMIT TIME WILL REQUIRE A NEW PERMIT TO BE SUBMITTED. INCORPORATED VILLAGE OF OYSTER BAY COVE BUILDING DEPARTMENT #25B-Route 25A, OYSTER BAY, NEW YORK 1771 (516) Phone APPLICATION FOR PLUMBING FIXTURES APPLICATION MUST BE TYPEWRITTEN OR PRINTED IN INK LEGIBLY. SECTION: BLOCK: LOT: OWNER/ LESSEE: NAME STREET ADDRESS POST OFFICE ZIP PHONE# PLUMBER: ADDRESS OF CONSTRUCTION: IF DIFFERENT FROM ABOVE NO. & STREET POST OFFICE ZIP LOCATION OF PROPERTY: N.E.S.W. SIDE OF: (STREET) (DIMEN) FEET N.E.S.W. OF (STREET) (POST OFFICE) N.E.S.W. OF corner of and (STREET) TYPE OF BUILDING: (STREET&POST OFFICE) PROPOSED: FIXTURE COUNT: B 1st 2nd MAINTAINED: Draw schematic diagram below-must indicate type of piping, size, runs, & venting: Water Closet Lavatory Bath Tub Shower Kitchen Sink Dish Washer Laundry Tub Slop Sink Indirect Waste Urinal Other PLUMBER S INFO: Sworn to before me this day of 20 LICENSE #: NAME(Print): BUSINESS ADDRESS: Phone#: Acknowledged: Master Plumber (Signature) Notary Public

4 BOARD OF ASSESSORS COUNTY OF NASSAU BUILDING PERMIT OFFICE USE ONLY 240 OLD COUNTRY ROAD MINEOLA, NY Date Rec d. SECTION BLOCK LOT TOWN, CITY, VILLAGE SCHOOL DIST NO. PERMIT NUMBER, TOWN, CITY, VILLAGE, AND DATE ZONED AS LOCATION OF N.E.S.W. SIDE OF FEET N.E.S.W. OF BUILDING OR CORNER OF AND NUMBER AND STREET ADDRESS OF PROPERTY OWNER LESSEE NAME POST OFFICE ZIP OWNER OR LESSEE STREET ADDRESS POST OFFICE AND ZIP CODE TELEPHONE # TYPE OF IMPROVEMENT SELECTED CHARACTERISTICS OF BUILDING ESTIMATED COST OF IMPROVEMENT RESIDENTIAL INDUSTRIAL NEW BUILDING ALTERATION DEMOLITION REPLACEMENT SWIMMING POOL CENTRAL AIR COMMERCIAL OTHER ADDITION PLUMBING RELOCATION PRINCIPLE TYPE OF CONSTRUCTION RESIDENTIAL ONLY PLUMBING FIXTURES WOOD FRAME BSMT NUMBER OF BATHROOMS NUMBER OF MASONRY SLAB LAVATORIES BSMT. FINISH ATTIC FINISH STEEL OTHER WATER CLOSET PRINCIPLE TYPE OF HEATING BATH TUB COMMERCIAL/INDUSTRIAL ONLY AND/OR CENTRAL AIR CONDITIONING STALL SHOWER GAS ELECTRICITY NEW CONSTRUCTION OR ADDITION KITCHEN SINKS OIL COAL MUST INCLUDE SITE PLAN LAUNDRY TUB OTHER CENTRAL AIR SPRINKLER SYSTEM URINAL CONDITIONING ELEVATOR BIDET TOTAL DESCRIPTION OF IMPROVEMENT AND ESTIMATED COST FIELD REPORT FIELD REPORT (CONTINUED) SECTION BLOCK LOT DATE OF GRANTING OF PERMIT Signature of Applicant

5 NOTE: SEPARATE APPLICATION SHALL BE MADE FOR EACH BUILDING Address of Applicant Telephone # PROJECT I.D. NUMBER

6 SEQR Appendix C (2-87) Text 12 State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1 PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: Town of Oyster Bay Municipality Village of Oyster Bay Cove County Nassau 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 5. IS PROPOSED ACTION: New Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential Industrial Commercial Agriculture Park/Forest/Open spaces Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL) Yes No If Yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes No If Yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION, WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/Sponsor Name: Date:. Signature:. If the action is in the Coastal Area, and you are a State Agency, complete the Coastal Assessment Form before proceeding with this assessment.

7 PART II ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART ? Yes No If Yes, coordinate the review process and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTION IN 6 NYCRR, PART 617.6? Yes No If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE WEFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain why? C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain why? C4. A community s existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly? C6. Long term, short term, cumulative, or other effects no identified in C1 C5? Explain briefly: C7. Other impacts (including changes in use of wither quantity or type or energy)? Explain briefly: D. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes No If Yes, explain briefly PART III DETERMINATION OF SIGNFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. Check this box if you have identified on or more potentially large or significant adverse impact, which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Print or Type Name of Responsible Officer in Lead Agency Name of Lead Agency Title or Responsible Officer.. Signature or Responsible Officer in Lead Agency Date Signature or Preparer (If different from Responsible Officer..

8 INCORPORATED VILLAGE OF OYSTER BAY COVE BUILDING DEPARTMENT #25A Route 25B (516) OYSTER BAY, NY (516) FAX 1) Worker s Compensation Insurance Requirements Please be advised that the following forms are the only acceptable documents for proof of worker s compensation insurance on all proposed building permit applications (No Accord Forms accepted). Standard Form Numbers C C U-26.3 The insurance documents must be an original (no faxes or photocopies) and note the Village as follows as the certificate holder: The Incorporated Village of Oyster Bay Cove 25B Route 25A Oyster Bay, New York, Also please note the project name and address on the certificate so the Village can process the permit expeditiously. Thank You. 2) Liability Insurance Please be advised that the Accord form is the original (no copies are accepted). The project name and address must be on the accord form The Certificate Holder must names the Inc. Village of Oyster Bay Cove ATTENTION APPLICANT: PLEASE NOTIFY YOUR CONTRACTOR THAT THEIR INSURANCE CARRIER MUST SUPPLY THE BUILDING DEPARTMENT AN INSURANCE CERTIFICATE OF WORKMEN S COMPENSATION TO BE VAID. OUR ADDRESS IS: #25B-ROUTE 25A OYSTER BAY COVE, NY THANK YOU FOR YOUR COOPERATION

9 Inc. Village of Oyster Bay Cove #25B-Route 25A Oyster Bay, NY Building Dept: (516) LOT AREA COMPUTATION SHEET (PURSUANT TO VILLAGE CODE 320-1) Property Owner: Design Professional: Phone: Phone: Fax: Fax: Project Description: Project Location: NCTM: SEC: BLK: LOT: ZONE: The following computations and their supporting documentation must be submitted for EVERY BUILDING PERMIT APPLICATION WHICH INVOLVES ANY STRUCTURE EXPANSION OR STRUCTURE WHICH IS PROPOSED TO A BUILDING LOT. (Exception: Interior alterations) Supporting documentation shall include current survey prepared by NYS licensed land surveyor showing all existing structures, driveways, topographic info (2 contours) and contour analysis, wetlands, flood plane, easements, street, right of way and trees which may be affected. NO application shall be accepted without submission of this computation and supporting document. LOT AREA [Amended 11/25/1991 by L.L. No ; by L.L. No ] A. The total horizontal area of a lot within its legal boundaries measured to the street line, excluding: 1) Any portion which has less than ½ of the minimum lot width for the zoning district; 2) Any portion which lies within a driveway, right-of-way, or access easement serving any other lot or lots; 3) Any portion which is within a street, right-of-way or lane; 4) Any portion which is burdened by an easement or restriction that substantially affects the use or development of that portion of the lot which is not within the minimum front, side and rear yard; 5) Any portion which is within an area of special flood hazard as defined in of this chapter; 6) Seventy-five percent of any portion which constitutes a wetland, water body or watercourse, or is within a buffer area, as defined in the Village Code; and [Amended by L.L ] 7) Twenty-five percent of any portion which constitutes a steep slope, and 50% of any portion which constitutes a very steep slope area, as defined in the Village Code. STEEP SLOPE SF x.25 = VERY STEEP SLOPE SF x.5 = SUB TOTAL AREA EXCLUSIONS ( ) ACRE(S)

10 B. Notwithstanding the foregoing, the area of any lot which lawfully existed in the Village prior to September 1, 2004, shall not be deemed to be less that the minimum lot size required in the district in which it is located, or to otherwise be made nonconforming, as a result of exclusions in Subsection A(6) and (7) above. Lot area exclusion in Subsection A(1) and (4) above shall not be deducted from the lot area when computing the maximum building area on any such lot. Any such nonconforming lot may continues to exist and be used without the need for variances; provided, however, that any change in use or development of any such lot shall comply with all requirements of the zoning regulations of the Village of Oyster Bay Cove other than requirements for minimum lot area. In case of a nonconforming building which lawfully existed as of February 1, 2006, alterations or additions to such building are permitted notwithstanding the front setback requirements in this section, provided that the alterations or additions are located within the existing footprint of the building and are at least 75 feet from the front property line. [Amended by L.L. No ] TOTAL LOT AREA EXCLUSIONS ( ) ACRE(S) SF - SF = BASE LOT AREA LOT AREA EXCLUSIONS *NET TOTAL LOT AREA ( ) *NET ACRES SIGNITURE AND STAMP OF DESIGN PROFESSIONAL *THIS NET LOT AREA (S.F.) SHALL BE USED AS THE BASELINE FOR COMPUTING ALL ZONING LOT COVERAGE CALCULATIONS.