Code
Officer Richard A. Marble
Office
hours Tuesdays 9:AM- 5:PM and Thursdays 9: AM- 1: PM
293-2636
The applicant is required to submit information
needed on the permit form, incomplete applications will be returned without a
permit. These instructions are provided
to help you make out the application and to allow your application to be
reviewed as quickly as possible. If you
are unable to fill the application out come in and meet with the Code Officer.
# 1
Property owner- The legal owner
of the property.
# 2
Phone- Legal owners phone number
#3
Property address - Where is the
property located that the work will be done.
# 4
Owners address- This is the owners mailing address.
# 5
Contractors- Person who is doing
the work.
# 6
Phone- Phone of person doing the work .
# 7
Contractor’s address- Address of person doing the work.
# 8
Map- Tax map number of property.
# 9
Lot- Lot number on tax map for this property.
# 10 Zone-
Zoning district of property found on Zoning Map at town office.
# 11
Lot of Record- What year did you buy the property?
# 12
Contiguous lots- Do you own more than one lot that touch? Yes or No.
# 13
Historical Building- Is the
building on the national Historic Register? Yes or No
# 14
Proposed use- Residential, Recreational, commercial?
# 15
Cost- Estimated cost of the project.
# 16
Special Zones- check any special zones the project is in then initial
and date.
# 17
Project description- Describe
what you intend to do including size of structure and
any decks garages etc.
# 18
Number of stories- Present number then proposed number.
# 19
Height of building - Present height to peak then proposed height.
# 20
Number of bathrooms- Present number of full and half baths then
proposed
number.
# 21
Number of bedrooms- Present number of bedrooms then proposed number.
# 22
Present septic system is approved for- Found on the front of your septic
plans for
the system that will serve the structure.
# 23
Year round use- Check if the property will be used year round or
seasonal.
# 26
Frontage- How many feet of road
frontage does the lot contain. If the
lot also has
shore frontage please write that figure also and indicate shore
frontage.
# 27
More than one existing use on the property- Is the property used as a residential
only or is there a commercial use also?
# 28
Setbacks- Write down how many
feet the proposed structure will be from, the
center of the road, the side of the property line, and the rear property
line.
# 29
How many dwelling units are presently on the lot- Write down one if there is only
one single family structure on the lot.
Write down two if there is a home and an
apartment, trailer or other dwelling unit on the lot.
# 30
Lot size- How large is the lot
that you intend to build on? One acre? Two acres?
Etc.
# 31
Disregard this if the building is not located in a Shoreland area. Total
SQ. FT. of
all buildings- Otherwise write down the total square feet of all
buildings including
decks and out buildings within the Shoreland area now and after the
structure is
build. ( The Shoreland Zoning map located at the town office can be used
if
needed.
# 32
Lot coverage (in percent)- Disregard this if the building is not located
in a
Shoreland area. Write down the
percent of the lot that is covered by all
impervious surfaces, these would include roads and driveways, patios,
roofs, etc.
areas that will not allow water to sink into the ground. Present,
and after the
project is completed.
# 33
Number of off street parking spaces-
how many vehicles are you able
to park
both under cover and not under cover then proposed after the project is
done.
# 34
Read sign and date the application.
If you are doing an activity that will expose
soil in a Shoreland Area this application must be accompanied with a written
soil and erosion control plan.
Your plan should include;
A site sketch of the property showing the areas
to be cleared and areas to remain wooded or undisturbed, including the required
vegetated buffer along the shoreline.
In addition to the buffer strip clearing is
limited in the all areas with the 250 feet of the water or upland edge of the
wetland to 25% of the lot or 10,000 sq. ft. which ever is greater. This
includes buildings, lawns, driveways, and septic systems.
Also show the location of silt fence, hay bales
and diversion ditches used during construction.
Include the location of permanent structures,
such as landscape walls, terraces and patios.
Remember that these features must also meet shoreland setbacks and not
be located within the 100 foot buffer strip.
A schedule for temporary and permanent mulching
and revegetation. At a minimum all disturbed sites need to be temporarily
mulched within one week.
Projects by law must follow this plan.
Town of Mount VernonBuilding or UsePermit Application |
For office use only Permit No. ____________ Issue Date: ____________ Fee Amount: __________ Approved by: __________ |
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1. Property Owner: |
2. Phone |
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3. Property Address: |
8. Map |
9. Lot |
10. Zone |
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4. Owners Address: |
11. Lot of Record What year: _________ |
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5. Contractor: |
6. Phone: |
12. Contiguous Lots Lot No. (S) _________ |
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7. Contractor’s Address: |
13. Historical Building? What year: _________ |
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14. Proposed Use: |
15. Cost: ___________ ___________ C.E.O. |
16. Special Zones ___ Shoreland _________ ___ Wetlands Initials ___ Flood Zone ___ Lowlands ___/___/___ ___ Sand Dune Date |
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17. Project Description: |
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18. Number of Stories Present _________ * Proposed _________ |
19. Height of Buildings Present __________ ft. Proposed __________ ft. |
20. No. of Bathrooms Present ____ /_____ Proposed ____ /_____ full half |
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21. Number of Bedrooms Present _________ Proposed _________ |
22. Present Septic System is approved for: __________ Bedrooms |
23. Year round use ______ Seasonal use ______ |
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* Proposed = Total, existing + requested F-2-1
Town of Mount Vernon Building or Use Permit Application continued
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24. The following inspections must be done on all structure. # 1 First
Inspection before the inside walls are insulated or other wise closed in. Item inspected: Electric, framing, egress windows, chimneys, set backs. # 2 Second
Inspection before the home is occupied. Items checked for finished wiring, smoke detectors, fire separations, oil & solid fuel hook- ups, etc. Applicant understands that the building inspector will make inspections for compliance with town and state codes and laws during construction and allows code officer onto the property for the purpose of doing inspections. Applicant agrees to call for inspections before covering inside of walls and to reopen areas that have been covered before inspections were done.
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Property Information
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26. Frontage _____________________Ft. ______ Nonconforming |
27. More than one use existing on the property. Accessory use: ______________________ ______ Nonconforming |
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28. Setbacks ______ Nonconforming ____________ ___________ ___________ Front Side Rear |
29. How many dwelling units are presently existing on the lot: ________________ |
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30. Lot size (in sq. ft. or acres) ______________ ______ Nonconforming |
31. Total sq. ft. of all buildings Present _________________ Proposed __________________ |
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32. Lot coverage (in percent) Present _____________________ Proposed _____________________ Zone % _____________________ |
33. Number of off street parking spaces Present ________/__________ Proposed ________/__________ covered uncovered |
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34. Building permits do not include plumbing, septic or commercial electrical work. Building permits are valid for two years; any false information may invalidate a building permit and stop all work. Signing authorizes inspections necessary to issue permit and insure compliance with regulations. _______________________________________ ________________ Applicant Date |
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F-2-2
Town of Mount Vernon Building or Use Permit Application continued
Plot Plan
Please include all setback distances from property boundaries, roads, streets and right of ways; all wetlands and water bodies; any existing wells and septic systems. Include shoreland setback or flood elevations if applicable. Show all proposed decks and porches. |
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C5
Town of Mount Vernon Building or Use Permit Application continued
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Elevations Front or Rear
View Side View |
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