HomeMy WebLinkAbout2019-0386 Final Packet DECKCertificate of (0ccupaiicp
It is hereby certified that an inspection at the building(s) or structure(s) noted below was conducted pursuant to the
Code of the Town of Ithaca, as the same have been amended from time to time.
Such inspection revealed no apparent violation of Chapter 270, the Zoning Ordinance at the time of the inspection.
If this certificate is issued in connection with new construction, it is further certified that such inspection revealed
no apparent uncorrected deficiency or apparent material violation of the New York State Uniform Fire Prevention
and Building Code (Building Code) with respect to the work performed at such building or structure pursuant to
the Building permit identified below, and that such construction or work appeared to be in substantial conformance
with plans and/or other information on fi le at the Town of Ithaca Code Enforcement Office in connection with such
Building Permit.
The matters set forth in this Certificate are based upon one or more visual inspections of the property and
improvement by Town Officials and do not mean the Town Code Enforcement Officer has made exhaustive or
continuous on-site inspections of the work nor does this certify in any manner to the quality of such work.
This Certificate is revocable in the event information comes to the attention of the Town of Ithaca authorities that
would render the certifications made herein inaccurate.
Certificate No.: 2019-0386
Building Permit No.: 2019-0386 Building Permit Issued: 9/26/2019
Electrical Permit No.:
Description: 1. Replaced deck on back side of house (already built).
2. Enclose and insulate floor under house over hang. No structural work to be done.
Date of Last Inspection: 10/13/2020
Property Name: Tax ID No.: 70.-1-26
Building Address: 1322 Hanshaw Rd
Owner of Building: Tenzin Pelmo
Owner's Address: 120 Ridgecrest Rd Ithaca, NY 14850
Use Occupancy Classification: and R - RESIDENTIAL
Sprinkler Required by Building Code: N Sprinkler Present: N
Special Conditions:
This certificate is limited solely to the work performed under Building Permit #: 2019-0386
10/1^2020
Date Issued Code Enforcement Officer
Ithaca, NY 14850
215 N. Tioga Street
Town of Ithaca
Owner:Tenzin Pelmo
Located At:1322 Hanshaw Rd
Applicant Information
9/25/2020ExpirationDate:
Date:9/26/2019
FENCE/RETAININGWALPermitType:
Building Permit #:2019-0386
70.-1-26SBL #:
Marathon NY 13808
1495 McGraw Marathon Rd
Dan Miller
Inspections
FINAL PASSED 10/13/2020MSTONIER
Notes: 1. Replaced deck on back side of house (already built).
2. Enclose and insulate floor under house over hang. No structural work to be done.
Results: All issues that were incorrectly done on the deck in regards to anchoring and fastening have been corrected
using the appropriate fasteners and anchors.
CONSULT COMPLETED 9/26/2019MSTONIER
Notes: Applicant has questions as to how to move fwd with application
Results: questions answered
CONSULT COMPLETED 10/2/2019MSTONIER
Notes: 1. Replaced deck on back side of house (already built).
2. Enclose and insulate floor under house over hang. No structural work to be done.
Results: Met onsite with contractor to discuss the issues with the deck, lateral restraints need to be installed, support
posts need to be notched or have the rim joist on top of them, posts need to be secured to concrete at bottom to secure in
place .
FOUNDATION COMPLETED 10/13/2020MSTONIER
Notes: 1. Replaced deck on back side of house (already built).
2. Enclose and insulate floor under house over hang. No structural work to be done.
Results: Existing foundation was reused to mount the new deck using the correct engineered fasteners.
FRAMING COMPLETED 10/13/2020MSTONIER
Notes: 1. Replaced deck on back side of house (already built).
2. Enclose and insulate floor under house over hang. No structural work to be done.
Results: Framing issues from previous failed inspection have been corrected using the correct timberlocks and concrete
anchors
PRE-BP SITE INSPECTION COMPLETED 6/28/2019MSTONIER
Notes :
Results: Met with home owner and discussed the deficiencies of the the deck that need to be corrected. I will send those
in an email as well. I also informed her that in order to build a fence 8 feet tall she would need to go before the ZBA for
approval.
CONSULT PARTIAL 9/20/2019BBATES
Notes: 1. Replaced deck on back side of house (already built).
2. Build 8 ft. pressure treated wood fence between 24'-30' long.
Page 1 of 2
OF TOWN OF ITHACA
215 N. Tioga Street, Ithaca, N.Y. 14850
www.town.ithaca.ny.us
CODE ENFORCEMENT - BRUCE W. BATES, DIRECTOR
Phone (607} 273-1783 n Fax (607) 273-1704
codes@town.ithaca.nv.us
B
Permit Number -0550'
Date Received 11
APPLICATION APPROVED D«e: _
APPLICATION DENIED Section.
CEO Int.
Date:
Date ofZBA Hearing:
Decision:
Date of Planning Approval: _
Type of Approval:
BUILDING PERMIT APPLICATION FORM
NewBulldl I Addition I | Alteration | | Change of Use | | Demolish| | Other Vs
Residential | | Commercial
Brief Description ofWorkI. dieclc WL.'zsxcic, V,
Value of Improvement $ 0
Property Information
Street Address; |-f4t4£A.Ajy I
Tax Parcel Number: "7^ - / " c^C?
Property Owner(s):
Primary Phone: 2""Phone;
Mailing Address: 1^^ , M ' I 4SCT
Email Address: rWO-a-OO 3 g. qOACU ( OOW
If owner is a corporafr'on, names and addresses of responsible officers must be included.
Builder/Contractor Information
Company: ^ fVM L L Main Phone ^
Mailing Address: IH9S VSgOST
to"7-3.3?-£\fcos-
Project Manager:_Pnmary Phone fcoT 6>0bSEmail:
If there are additional companies involved, please give contact information on a separate sheet)
Project Contact Person (Primary point of contact for all communications regarding the building permit)
Name:
Company
Primary Phone;001 ^3? 0 00^Email;
PROJECT INFORMATION
Existing Proposed
of Stories I
of ONveliing Units I
Building Height
Water Private Private
Town Town
Sewer Private ~Privafe
Town Town
Sprinkler Yes n A/01 1
Occupancy Class
Gross Square
Footage of:
Existing Proposed
Basement
First Floor
Second Floor
Over Second
Total# of Rooms
Total # of Bedrooms
Lot Coverage
FOR ADDITIONS AND NEW CONSTRUCTION (Including decks)
In what flood zone is the property located? a[ ]b| | c| | (flood map https:y/msc fema.Qov/portah
site in excess of SO cubic yards? Yesl I No IIQnoQ1—1 1—1IstopsoiiOffillmaterialgoingtobemovedontoorwithinthe
If Yes, SWPPP application submitted? Yes
Is topsoii or fill material going to be moved onto or within the site in excess of 500 cubic yards? Yes
If Yes, Fill Permit submitted? Yes| | No | |
No
APPLICATION CERTIFICATION
Initials) I understand that if a building permit CANNOT be issued within 90 days of my initial application because I failed
to provide information requested or because 1 failed to comply with any Legislative Board Conditions, my building permit
application will be withdrawn without further action and I will need to reapply and pay a new permit application fee.
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, or others having jurisdiction. AND AFFIRMS that all
statements and information given herein are correct to the best of his/her knowledge and belief. AND FURTHER AFFIRMS that
all work shall be performed in compliance with the Codes of the Town of Ithaca, the NYS Uniform Fire Prevention and Building
Code, and all other applicable state and local laws, ordinances, and regulations.
I ALSO CERTIFY that the structure for which this permit will be Issued, or has been issued, will be built, or tias been built,
according to the latest standards of the New York State Uniform Fire Prevention and Building Code. AND FURTHER CERTIFY
that the approved plans v\rill not be deviated from without prior approval from the Architect/Engineer of record, if applicable, and
the Town of ithaca.
I also ACKNOWLEDGE that I have read and understand the "Instructions for Submitting a Building Permit".
Signatiire_of,B«T^rty Owner* AulliuiizeJ Agent-**Date
Applications for properties owned by a business or corporation must be signed, and title given by an individual that has been granted the
authority to sign on its tiehalf. "Authorized agent must provide written contract or authorization lettersigned by property owner.
OF
vO^
4
TOWN OF ITHACA
215 N. Tioga Street, Ithaca. N.Y. 14850
www.town.ithaca.ny.us
CODE ENFORCEMENT - BRUCE W. BATES. DIRECTOR
Phone (607) 273-1783 n Fax (607) 273-1704
codes@town.ithaca.nv.us
Building Permit Application Checklist
This checklist must accompany all applications
Incomplete packages will not be accepted
INITIAL EACH LINE OR WRITE N/A TO ITEMS THAT DO NOT APPLY
1. Completed application form
2. Proof of Insurance - General Liability, Workers Comp & Workers Disability
3. Fee
4.1 hard copy and 1 digital copy of all drawings and specifications **May need to be stamped - see
instructions; digital copies can be sent to codes@town.ithaca.nv.us
5. Energy Code of MVS Compliance Forms - ResCheck, ComCheck or other approved compliance
document. Approved forms are available at https://www enerQvcodes.qov/software-and-web-tools
6. Survey Map or Plot Plan
4
A
y/pr 7. Town of Ithaca Electrical Permit Application
8. Copy of Plumbing Permit from Bolton Point (public water & sewer) or Plumbing Isometric Diagram
private water &/or sewer ONLY)
9. Septic Permit or Sewage & Water System acceptance from Tompkins County Health Department
private water &/or sewer ONLY)
10. Well Driller's Certificate - New construction with private water ONLY
11. Culvert &/or highway work permit
12. Outdoor lighting details
13. Statement of special inspections
14. Stormwater Permit (Simple, Basic or Full)
Completed application packets should be submitted to the Code Enforcement Department located in
Town Halt at 215 N. Tioga St Monday thru Friday Bam -3:30pm
Town Hall hours are Monday thru Friday 8am-4pm
Attached Instructions should be retained for your records.
Rev. January 2016
Town of Ithaca Code Enforcement Fees
EFFECTIVE SEPT, 1, 2016 (Revised February 2019)
projects other than the installation of heating units)
Value of Improvement Fee
0 - $20,000.99 $100.00
20,001 -$100,000.99 $300.00
100,001 -$350,000.99 $1,400,00
350,001 -$750,000.99 $2,200 00
750,001 -$1,000,000.99 $3,000,00
1,000,001 -$2,500,000.99 $5,000.00
2,500,001 -$4,999,999.99 $6,500,00
Over $5,000,000.00 $1.35 per $1,000 value of improvement
There is not a separate electrical permit fee
fur electrical work being done willi a building permit
Type of Building
Mobile Home Park $200.00 annually
Multiple dwelling, 3 to 5 units SlOO.OO/building
Multiple dwelling, 6 to 10 units $150.00/building
Multiple dwelling, 11 or more units $200.00/building
Non-Residential use $100.00/building
Rental Registry $ 150.00/parcel
Residential:
Application fee $150, includes 3 site inspections.
Additional inspections and in-office time, S35 per hour.
Commefctai: i
Application fee $200, includes vehicle mounted
generators. Includes 4 inspections. Additional Inspection
and in-office time, $35 per Yi hour
eNT PERMIT $75 tiREWORKS i
I6N PERMIT $100 Value of Display Fee
llSTALlTlON OF HEATING a/orCOOUNS UNIT "Si-$50,000 S300.00
Heating Unit Size Fee Over $50,000 $500.00
Up to 1,000,000 BTU $200,00
Over 1,000,000 BTU $300.00
BEFORE/AFTER NORMAL BUSINESS HOURS AND
HOLIDAY INSPECTIONS (with prior approval)
Before/After- $150 and hr/2 hour min followed by
1/2 hr increments
Holiday- $200 an hr/2 hr min followed by 1/2 hr
increments
The fees set forth shall be doubled if work is commenced prior to the issuance of a necessary permit
or if work exceeds work permitted by an issued building or foundation permit.
flUILBING PERMIT extension '
The first extension shall be the greater of $50.00 or 50% of the building permit fee. Subsequent extensions
shall be equal to the original building permit fee.
sFOUNDATIONWORKONLY
The greater of $100 00 or 50% of the fee for the building permit, calculated on the estimated full value of the entire building.
Non- refundable and Is not credited towards bulldir>g permit fee )
occupancy -
The greater of $100 00 or 50% of the building permit fee
FIRE SAFETY INSPECTION AND RE4NSi:^CTlQHL
65 for the first hour (l-hour minimum), $55 per additional hour or part thereof
Sioo
OF COMPUANCErr?
00 with letter from property owner requesting certificate. $60 per letter
Area, Sign, and Sprinkler Variances and Special Approvals - $150 and Use Variance - $250;
30.00 additional meeting; $50.00 additional public hearing.
100.00, additional fees apply if Zoning Board of Appeals and/or Planning Board approval is necessary.
No Fee
Keviied OJ/07/il, 08/08/11, 10/17/11, 03/12,12/14, 12/1S/15, 4/19/16, 5/22/17, 6/20/17, 2/21/19
Certificate of Attestation of Exemption
frorn New York State Workers'Gompensation and/or
Disability and Paid Family Leave BeriefitS: Insurance Coverage
Thisform cannot be used to waive the workers'compensation rightfor obligations ofany party.**
The'applicant may use this Certificate ofAttestation ofExemption ONLY to show a government entity that New York State
specific wbrkere' compensation and/or disabilit}' and paid family leave benefits insurance is not required. The applicant
may NOT use this, form to show another business or that business's insurance carrier that such insurance is hot required.
Please provide this form to the gbvehiinent entity from which you are requesting a permit, license or contract. This Certifi^te will
not be accepted by governmentlofficials one year after the date printed on the form.
In the Application of
Legal Entity Name and Address):
DAN MILLER
1493 MCGRAW MARATHON RD
MARATHON, NY 13803
PHONE: 607-591-6068 FEIN: XXXXX8550
Business Applying For:
BuildingTermit
From; TOMPKINS COUNTY
The location of where work will be performed is
1322 HANCHAW ROAD, ITHACA, 14858.
Estimated dates necessary to complete work associated with the building
permit are from June 25,2019 to June 28,2019.'
The estimated "dollar amount of project is SO - $10,000
Workers' Compensation Exemption Statement;
The above named business is certifying that it is NOT.REQUIRED TO OBTAIN NEW YORK STATE SPECIFIC
WORKERS' COIVIPENSATION INSURANCE COVERAGE for the following reason;
The business is a LLC, LLP, PLLP or a RLLP; OR is a partnership uhderthe laws ofNew YorkiState and is not a corporation. Other
than the partners or membersj there are' no employees, day labor, leased employees, borrowed employees, part-time employees, unpaid
voluiiteers (Including family members),or subcontractors. . . . "
Partners / Members; DAN MILLER, MATT GLEASON, ALLEN MILLER
Disability and Paid Family Leave Benefits Exemption Statement;'
The above named business Is certifying that it isNOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY
DISABILITY AND PAID FAMILY LEAVE BENEFITS INSURANCE COVERAGE for the following reason:
The business MUST be either: I) owned by one individual; OR 2) is a partnership (including LLC, LLP, PLLP, RLLP, or LP) under
the laws ofNew York State and is not a.cdrpbration; OR 3) is a one or two persoii owned corporation, with those Individuals owning
all ofthe stock and holding all offices ofthe corporation (in a two person owned corporation each individual must be an officer aiid own
at least ohe:sHare ofstock); OR 4) is a biislness with no NYS location. In addition, the business does not require disability and paid
family leave benefits coverage at this time since it has not employed qne or more individuals on at least 30 days in any calendar year in
New York State. (Independent contractors are not considered to be employees under the Disability and Paid Family Leave Benefits Law.)
1, DAN MILLER"am the Partner with the above-named legal entity I afilrm that due to my position with the above-named business I have the
knowledge, information and authority to make'this Certificate of Attestation of Exemption. 1 hereby affirm that the statements made herein are true, that 1
have not made any materially false statements and I make this Certificate of Attestation of Exemption under the penalties of perjury.. I further affirm that
1 understand that any false statement, representation or concealment will subject me to felony criminal prosecution, includingjail and civil liability in
accordance with the Workers' Coihpensation Law and all other New York State laws. By submitting this Certificate of Attestation ofExemptiontb the
gON'emment entity listed abpye 1 also hereby affirm that ifcircumstances change so that workers' compensation insurance and/or disability and paid
family leave benefits coverage is required, the above-named legal entity will immediately acquire appropriate New York State specific .workers'
compensation insurance and/or disability a.nd paid family leave benefits coverage and also immediately furnish proof ofthat coverage on fonns approved
by the Chair ofthe Workers' Compensation Board to the govemmenfentity listed above.
SIGN
HERE
Sigaature:Date: bla5)\:c^
Exemption/Certificate
Number20^^28^Jun^|5|^019
NYS WorkeK®;wiMnsation Board
CE-200 01/2018
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