Town of Franklin Forms

Application for Building Permit Instructions

Kindly, print out, fill in all areas requested and forward this completed form to: Town Of Franklin Division of Code Enforcement & Safety P.O. Box 209 Vermontville, NY 12989. Click here to download a PDF version. Need a PDF Viewer? Click here to download Adobe Acrobat Reader. Questions, please call 518-891-5976. Please click here and read the Notice to Property Owners, Contractor and Agent. A. This application must be completely filled in and submitted to the Town of Franklin Department of Fire Prevention and Building Codes Enforcement. B. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn out on this application. C. This application must be accompanied by a complete set of plans showing proposed construction and a complete set of specifications. Plans and specifications shall describe the nature if the work to be preformed, the materials to be used and installed and details of structural, mechanical, electrical, and plumbing installations. D. The work covered by this application may not be commenced before the issuance of Building Permit. E. No building shall be occupied or used in whole or in part for any purpose whatever until an application is made for and a Certificate of Occupancy shall have been granted by the Town of Franklin Fire Prevention and Building Codes Department. Applicant: Address: Location: Map Number: The issuance of a permit does not exempt the landowner/contractor from receiving other requested permits or approval from other governmental agencies. The Town recommends that you contact the Adirondack Park Agency (APA) at 518-891-4050, and the Department of Environmental Conservation (DEC) at 518-897-1200, to obtain all necessary approvals prior to commencing your project. Application is hereby made to the Town Of Franklin Fire Prevention and Building Code Department for the issuance of a building permit pursuant to the New York Uniform Fire Prevention and Building Code for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. the applicant agrees to comply with all applicable laws, ordinances and regulations. Date: Telephone: Signature:   There is a fee schedule. State if applicant is owner, lessee, agent, architect, engineer or builder.: Name and address of owner of premises (if different from above).: If owner or applicant is a corporation, give name and titles of two officers and signature of duly authorized officer. Name & Title: Name & Title: Signature of Officer: OCCUPANCY (Please Check One) One-Family Dwelling Two-Family Dwelling Multiple Dwelling - Permanent Occupancy Multiple Dwelling - Transient Occupancy Multiple Dwelling - Senior Citizen Housing Multiple Dwelling - Adult Residential Care Facility Business Mercantile Industrial Storage Assembly Institutional Miscellaneous   NATURE OF PROPOSED WORK (Please Check One) Construction of a new building Addition to a building Alteration to a building Demolition of building Other work (describe) Estimate of cost? (Cost for the work described in the application for Building Permit including the cost of all of teh construction and other work done in connection therewith, exclusive of the cost of the land.) If business, commercial or mixed occupancy, specify nature and extent if each type use.: Dimensions of existing structures, if any: Front: Rear: Depth: Height: Number of Stories: Dimensions of entire new construction: Front: Rear: Depth: Height: Number of Stories: Size of lot: Front: Rear: Depth: Name of Compensation Insurance Carrier: Name of Architect: Architect Address: Architect Phone: Name of Compensation Insurance Carrier: Name of Contractor: Contractor Address: Contractor Phone: PLOT DIAGRAM (locate clearly and distinctly all building, whether existing or proposed, and indicate all set-back dimensions from property lines. Give lot and blacok numbers oir description according to deed, and show street names and indicate whether interior or corner lot.)                     I, , (name of individual signing applicantion) Being duly sworn deposes and says that he is the applicant above named. He is the , (Contractor, agent, corporation officer, etc.). of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best if his/her knowledge and belief, and that work will be performed in the manner set forth in teh application and in the plans and specifications filed therewith. Signature of Applicant Sworn to before me this day of , 20 Notary Public: No: Date: Examined: Approved: Permit No.: Disapproved a/c: Return to the top Town Calendar & Events  |  Town History  |  Town Board & Officials Board Meetings  |  Town Hall Contacts & Info  |  Town Laws & Forms Town Photos  |  Area Maps  |  Rentals & Real Estate  |  Local Businesses Recreational Activities  |  Lodging & Accommodations  |  Kate Mountain Park They Told Me So.. Town Journals  |  Emergency Preparedness  |  Guestbook Email the Town  |  Home Town of Franklin P.O. Box 209, Route 3, Vermontville, NY 12989 Tel: 518-891-2189 - Fax: 518-891-6389 You are the visitor. Thanks for stopping by.