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Application for a Manufactured Home Installation Permit

Property Location & Information

Owner Information

Retailer Information

Installer Information

Manufactured Home Information

Structural Installation System Design

Architect/Engineer

Project Design & Details

A plot plan and a copy of the manufactures Installation Instructions are required and must include the following:
1. Location of proposed structure showing all exterior dimensions.
2. The distance of the proposal from all lot lines.

These documents can be dropped off at the Building Inspectors Office

IMPORTANT NOTICES: READ BEFORE SIGNING

  1. Work conducted pursuant to a building permit must be visually inspected by a Town of Ulster Building Inspector and must conform to the New York State Uniform Fire and Building Code.
  2. It is the owner’s responsibility to ensure the required inspections are completed. Inspections shall be scheduled at least 24 hours prior. Building Department hours are 8:00 to 4:00 Monday-Friday.
  3. A Certificate of Occupancy is required; the structure shall not be occupied until said certificate has been issued.
  4. Proof of ownership will be required if purchased within the 3 months.
  5. Flood Development Permit may be required, check with the Building Inspector.
  6. The building permit shall be prominently displayed so as to be visible from the street.

As the undersigned Applicant I hereby attest that I am the lawful owner of the property described within or am the lawful agent of said owner and affirm under penalty of perjury that all statements made by me on this application are true.

Signature is required.
reCAPTCHA is required.

FOR TOWN USE ONLY

Received on _______________________

Application Number __________________________

Building Permit Number ______________________

Issued on _______________________

Permit Fee $ ____________ Paid on: _____________

APPLICATION APPROVED OR DENIED BY

__________________________________________________

DATE _______________________

Occupancy Classification:_____________________________________

Construction Classification:____________________________________

Description for Building Permit:

________________________________________________________

________________________________________________________
APPROVALS
WATER DEPARTMENT DATE: ____________________________

SEWER DEPARTMENT DATE ____________________________

ZONING BOARD OF APPEALS DATE ___________________________

HIGHWAY DEPARTMENT DATE ___________________________