HomeMy WebLinkAbout2196 TP 70.-1-26 SINGLE FAMILY RENOVATION_ALTERATIONa value of Improvement Fee
1—$ 5,000 $ 2.50 -
• - 5,001— 10,000 5.00 TOWN OF ITHACA
10,001— 20,000 10.00 ,
20,001— 30,000 15.00 : APPLICATION FOR BUILDING PERMIT
30,001— 40,000 20.00
401001— 50,000 25:00 Application Date.--
50,001— 100,000 50.00
1003001— 500,000 15.00 1 Permit Numb er. /
soo,o01— 1,000,000 l00.00
Date
° :.9:
1,000,001 & Over 150.00 j Parcel Number ..._.._.7.......
..._
Male checks payable to Town of Ithaca ... _-.- Zoning District ....... _._
Application is hereby made to (build & extend 0, convert Q,..... _........... _......... _... .......... _.. ❑) a structure or use land
at./-
. ........ ....._........ ....�___....._. ..._.. . ....... Rd., Town of Ithaca, N. Y.
To be used for ...:�? i�..»______.____. At a cost of J Ua .__..._ .....__._. .. _ ........_--------
Structure is to be completed onror before ._....... ... 19..%.P�.'.._....»..___.._._.._._._._.
ll__..__.._................._......----•---------.-. ....,
Owner of land ..._.�...._ :...1. ..__.. _: ___.. (� Builder ..._21 _.... ____._...._
Land Owner's mailing address/.�.._................................._._........... ____.._..._......_»_........
....
Ifbuilding is being built for a person other than present land owner, show name .......................... ____._.__.......:...-_._.
The structurc(s) will be as follows:
Type of construction ..._f..=.l: ��n:l :-._...._.:..._._...._......._
Number of stories ...._.— �...._.-.._ ..__.._....-_..____.
Number of Family Units ......
Percentage of Lot to be occupied
by all structures ..... _..-... -..................
Plot Plan on Back of Permit ............ or Attached ............
Square Feet Floor Area:
Basement........ _..... ____ ._.---___......._...._.._ __...
First Floor . / -0 - >_�--- Z � .—... _...._ .._._.....__...—.
Second Floor ......__..._......___.-__ ............ . ...___. _.........
Over Second ......
The rcquircd:permlits have been obtained as follows: Date Issued
FROM TOMPKINs COUNTY HEALTH DEPARTMENT
Approval of septic system and/or well . . .
FRo M TOWN CLERK
Strcct .opening (if road must be opened for pipes) . . . . . . . .......
Blasting permit (if blasting necessary) . . . . . . . . : . ......... »:_... __....... ....
,�—.
FROM SUPERVISOR
Water Tap ............ __... _ ............._....._. District_. ..
Sewer Tap ............... _._.». _......._-..._._ District._. ...,.......»...._-- - ......
FROM PROPER HIGHWAY DEPARTMENT
Culverts and driveways ... . . . . . . . . . ... ,_, _
FROM TOWN ZONINo OFFICER
Multiple residence permit . .
The Undersigned hereby applies for permission to do the above, in accordance with provisions of the Zoning Ordinance
and other Laws and Regulations of the Town of Ithaca, New York, or others having jurisdiction, and affirms that all
statements and information'- given herein are correct to the best of his knowledge and belief.
Date: ... -.......
._ .. G :C
� ----� ..�
Signature f Landowner.
Building permit ( ) approved by ...... _.... _.
...................... »...
( ) denied under Section ............ of the
Appeal action; Zoning Ordinance by ............................
Date of appeal ..-----.... . ....................... ----•---........
Date of hearing -_._ ...... —... _.............. _....... _.........
Date
f advertising -_ ......... .. .....
Boat
members notified _.............................
Progress of work. Checked on:
Foundation ... --..._.......
Framing------.... . ...... ....... _» ... _...
Trim _.....»_......_.:_ _
Completion.........................................
Order to refill excavation
issued on --- ---____--
$7.50 -Appeal, advertising expenses.
Order to demolish structure
issued on ------ ----- ----____--
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