TOWN OF SCHODACK
265 Schuurman Rd.
CASTLETON, NEW YORK 12033
SCHODACK BUILDING DEPARTMENT
SITE DEVELOPMENT PERMIT
DATE __________________ PERMIT _______________
This Permit Expires 6 Months From Date Of Issuance
Application is hereby made to the Building Department for the issuance of a site permit for alteration of existing land as herein described. The applicant or owner agrees to comply with all applicable laws ordinances, regulations and conditions expressed as part of this application as required. Applicant will allow all inspectors to enter the premises for the required inspections.
Applicant's Name: _____________________________ Zoning District ___________
Address __________________________________________________
__________________________________________________
Phone __________________________________________________
Owner Names: __________________________________________________
Address __________________________________________________
__________________________________________________
Phone __________________________________________________
General Contractor __________________________________________________
Property Location of Proposed Construction
________________________________________________________
Tax Map Number: __________________________________________________
Existing Use __________________________________________________
Intended Use __________________________________________________
REASON FOR DENIAL: __________________________________________________
_______________________________________________________________________
THIS IS NOT A PERMIT TO CONSTRUCT: This is only a permit to prepare the site for inspections of items below, or on reverse side.
ANY SITE WORK DONE is to be done at the risk of the owner or contractor. Furthermore, the issuance of this permit does not guarantee the issuance of a Building Permit or Health Department approval. Pursuant to Federal Law, the Army Corp of Engineers issues permits for construction and site work within wetlands that are greater than one-tenth of an acre. These permits are in addition to any issued by the Town of Schodack.
Before commencing construction or site development on your property, the Town of Schodack recommends that you contact the Army Corp of Engineers to determine whether a federal wetlands permit is required for you to conduct your planned building activities. For more information, please contact:
Maria M. Senick or Michelle Alexander
US Army Corps of Engineers
1 Bond Street, Troy New York 12180
Telephone: 273-1520; Fax: 273-3772
I have read the above disclosures and understand my responsibilities.
Date _________________ Signature ____________________________________
Date _________________ Building Inspector____________________________________
DOCUMENTS WHICH MAY BE NEEDED BEFORE ISSUANCE
Preliminary site plan submitted
Letter from Rensselaer County Health Department requesting a fill system be put in place or comment from them on this form.
Also Planning Board Approval in writing