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s N° 3118
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CASH RECIEPT
UILDING PERMIT
haca, New Fork
04i5 hi to &r iflq That a Building Permit has been issued to
.1_S to erect, move, demolish
or repair a building as follows, in accordance with all Laws and
Regulations applicable thereto:
Owner of Land l
Date of Permit _lp —�[
Expiration
Special
SignedC��
ONING OFFICER
15'UILDING INSPECT
THIS PERMIT MUST BE POSTED AT THE PLACE WHERE THE WORK IS IN PROGRESS
N° --3119
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TOWN OF ITHACA
APPLICATION FOR BUILDING PERMIT
Value of Improvement Fee
$ 1 - $ 59000 - $ 5.00 Application Date fi
519001 - 10,000 - 10.00
102001 - 200000 - 20.00 Permit Number
209001 - 30,000 - 30.00
30,001 - 401000 - 40.00 Date of Permit
409001 - 50,000 - 50.00 Q
509001 - 1003000 - 100.00 Parcel Number 6- A� /� JJ
100,001 - 500,000 - 150.00
500,001 - 1,000,9000 - 200.00 Zoning District G. loshjo
1,000,001 & Over - 300.00
Make Checks Payable to the Town of Ithaca
o Application is hereby made to BUILD , EXTEND , CONVERT , OR � ra a structure or use land
at� _P Vi(',L..) ( FI p1 ( AY ,�4. 3� , Town of Ithaca, ew York. v'
�4 To be used for �n �, �� At a cost of $ ()
ir
`Ia Structure is to be completed or before , 19
Landowner Tvay- .Anon Builder T—x1r:r Jons() Telephone )-7 j (p•�
Landowner's Mailing Address Telephone
The Structure(s) will be as follows: Square Feet of Floor Area:
Type of Construction 1A.)(()CI Basement
Number of Stories First Floor qty)o 9:0
Number of Dwelling Units Second Floor a(to
Over Second
Percentage of Lot to be Occupied by All Structures io 07Q Total Number of Rooms
Total Number of Bedrooms 7
Plot Plan on Back of Application ,( or Attached Owner Occupied Yes No
Leased Yes No
THE REQUIRED PERMITS HAVE BEEN OBTAINED AS FOLLOWS:
1. From Tompkins County Health Department --
Approval of Septic System and/or Well . . . . . . . . . . . . . Date Issued
2. From New York State Workers' Compensation Board --
Workers' Compensation & Disability Benefits Insurance Certificate -- Req'd._Rec'd. Not Req'd.
Workers' Compensation & Disability Benefits Insurance Certificate -- Req'd. Rec'd. Not Req'd.
3. From Town Building Inspector --
Water Tap, Town of Ithaca Water District . . . . . . . . . her 1� a
Sewer Tap, Town of Ithaca Sewer District . X 04'.. 1'41
4. From Appropriate Highway Department -6 W or go
-
Culverts . . . . . . . . . . . . . . . . . . .
5. From Town Building Inspector --
Multiple Residence Building Permit . . . . . .
. . . . . . . . . Date Issued 0 0%
or W-F
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. . . . . . . . . Date Issued
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/her knowledge and belief.
Date �; —
BUILDING PERMIT t-,,�APPROVED b
( ) DENIED nde
of the
APPEAL ACTION:
Date of Appeal
Date of Hearing
Date of Advertising
Board Members Notified
WI
r rt;
ng Ordinance by
ZONING BOARD OF APPEALS DECISION:
Signature of Landowner or Authorized Agent
PROGRESS OF WORK -- Checked on:
Footings, prior to pouring concrete
o p� A 4T
(%LJN - ` d-%Framing, prior to sheet rocking
yl�ompletion, on completion o
,�C•9�1i Order to Refill Excavation Issued
Date
APPEAL FEE $10.00.
Order to Demolish Structure Issued
PLOT PLAN
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INFORMATION TO BE SHOWN:
1. Dimensions of lot.
2. Distance of structures from:
a. Road,
b. Both side lot lines,
c. Rear of lot.
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3. Dimensions of structures.
4. Names of neighbors who bound lot.
5. Setback of neighbors.
6. North arrow.
7. Street name and number.
8. Show existing structures in contrasting lines.
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I HEREBY CERTIFY that the structure for which this
Permit will be issued, or has been issued, will be
built, or has been built, according to the latest
Standards of the New York State Uniform Fire
Prevention and Building Code.
Signature of Landowner or Authorized Agent
of
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THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
202 ARTERIAL ROAD, SYRACUSE. NEW YORK 13206
ate g Application No. on file
THIS CERTIFIES TH"/C'rCe W 99 1986 9489-86 S 457942
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
1.J. Construction
tyre dview Tn. Ithaca, NY DWG
in the following location; � Basement ❑ Is Fl. ❑ 2nd Fl. Section Block Lot 15A
was examined on 12 /1/86 and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES ,NCANDESCENT.FIUORESCENT MERCURY
I__ VAPOR AMT. I K. W. I AMT. I K. W. AMT. I K.W. AMT. K. W. AMT H P
19 31
26
19
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1
1. 5
4
1°
DRYERS FURNACE MOTORS
AMT, K. W. OIL H. P. GAS H. P.
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS gELI
AMT. I NO. A. W. G. AMT. Amps. TRANS.
UNIT HEATERS
.AMT. H. P.
MULTI -OUTLET
SYSTEMS .
NO. OF FEET
DIMMERS
AMT.
WATTS
1
1 20
SERVICE DISCONNECT
AMT. AMP. I TYPE
NO.OF
METER EQUIP.
10 2W I 1 0 3W 13 9 3W 13,0 IW I
S E R V I
NO. OF CC. COND. I A. W. G. NO. OF HI -LEG
PER 9' OF CC. COND.
C
A. W. G.
OF HI -LEG
E
NO. OF NEUTRALS A. W G.
OF NEUTRAL
1 - 200 '1 C3 - -1 X I I 4/0
OTHER APPARATUS:
3-GFC1, 1-smoke det
1-1/4 hp. disposal
The Electrician
Box 237
Lansing, NY 14882
'"BRANCH MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
2 /0
APPLICATI0N F0R PLUM8lNG PERMIT
J '
SOUTHERN CAYUGA LAKE INTERMUNICIPAL WATER C0MMISSI0N (B0LT0N P0INT)
1402 E. SH0RE DRIVE, ITHACA, N. 14850 277-0660
8:00 A.M. T0 4:00 P'M'
+***************** ************************* ** **********
}WN/�����+�� 0F �^��� APPLICATI0N D4TE PERMIT #�I����l-
. ____�=_°�� _______ -^-7---7---
. .
R0PERTYADDRESS____ _______ _ __TAX PARCEL
.�� PHONE # �����-
�0PE�TY OWNER'S NAME__ __ _ ---0
�
R0PERTY 0WNER` S MAILING ADDRESS____~���
�W BUILDING �� OR M0DIFICATI0N OF PLUMBING___ 0R CHANGING FR0M WELL SYSTEM___
.
IE/TW0 FAMILYu�t MULTIPLE DWELLI
NG____
�
`P SIZE_���_ SERVICE SIZE & MATERIAL_��__��� __METER SIZE���������
.UMBER/ADDRESS/PH0NE____-�������Z�"_
YAI\LE T0 MUN1CIPALITY /
` ^
0UTSIDE APPR0VAL
METER �-+- ---
MAIN TO' -CURB UNDERSLAB ��PR0VAL _CA��______
PRESSURE CONTROL
R0UG1-4 APPR0VAL
BACKFL0W CONTROL
FINAL APPROVAL
�
8�
APPLICATION FEE+
SERVICE LEFT USABLE
CONNECTION CHARGE+
_ _
METER SET
� �/ REAS0N F0R N0 APPR0VAL
0THER _�/���__ --------------
_______________________-_
T0TAL *~ *
*********** mo/ES�
+ RECOVERABLE BY B0LT0N POINT
�~/�
_ _ _ _ _ _^z!
(APPLICATION APPROVED BY B0LT0N P0INT) (DATE)
EASE ALLOW TWO W0RKING DAYS 10 SCHEDULE TAPS AND INSPECTI0NS.
�GREE TO INSURE PR0PER PLUMBING W0RK UNDER THIS PERMIT
IN ACCORDANCE WITH THE
/.S. UNIFORM FIRE PREVENTI0N AND 8UILDING C0DE (1/84),
SCLIWC RULES AND
-3ULATI0NS AND THE LAWS 0F THE MUNICIPALITY WHERE THE WORK
IS PERFORMED. I
IEE TO ACCEPT RESPONSIBILITY FAR ALL WATER 0R PLUMBING
CHARGES RELATED TO W0RK
4E ON. MY PROPERTY.
'
/�. /
�u��/'�u-�_ -
(SIGNATU�E OF OWNER OR AGENT)
(DATE>
»ERMIT IS NOT IN FORCE UNTIL SCLIWC RECEIVES A SIGNED
C0PY 0F THIS APPLICATI0N
AL C FICER.
SIGNATURE AND TITLE OF 0FFI(,ER)
(DATE)
B0LT0N P0INT, CITY 0F ITH .
\
\ '�c-[
APPLICATION 3895
FOR
PLUMBING INSPECTION PERM
• TO CITY OF ITHACA I56
DEPARTMENT OF PUBLIC WORKS - WATER AND SEWER DIVISION
PERMIT N 0.
MASTER PLUMBER
JOURNEYMAN PLUMBER WR()VED -AZ�7--Z,/
in accordance with N,�-,vv State U;-,I,forrr
OWNER OF PREMISES t
5611,4AL fire prevenholl
STREET AN NUMBER —//2
t. 1. V. 0 f 11 �*-E-t s N. Y, -
PERMIT FEE: ONE OR TWO FAMILY DWELLINGS AT $5.00 OTHER AT $10.00
NUMBER OF FIXTURES NEW REPLACEMENT
T INSTALLATION
,,/-WATER CLOSETS 3
WASH BASINS
BATH TUBS
o
SHOWER BATHS
KITCHEN SINKS 13 0 W,./,
MOP SINKS
URINALS
SAND AND -OR GREASE TRAPS
LAUNDRY TRAYS
DRINKING FOUNTAINS
AUTOMATIC WASHERS
AIR CONDITIONING OR REFRIG. UNITS (WATER COOLED)
HOT WATER HEATERS 0 o 00
1,�ISHWASHERS Avc, 0
DISPOSALS
FLOOR DRAINS
__OPENINGS FOR FUTURE WORK
SILL COCKS 4V
BOILER
R.P.Z. OR DBL CK.
OTHER
COW TOTAL
DATE OF FINAL INSPECTION.ZV 19 p 1-- PLUMBING INSPECTOR
APPLICATION FOR PLUMBING PERMIT
SOUTHERN CAYUGA LAKE INTERMUNICIPAL WATER COMMISSION (80LT0N POINT)
1402 E. SHORE DRIVE, ITHACA, N. 14850 277-0660
8:00 A.M. To i= P.M.
**
. l0pERTy OWNER,S NAME ____`�� �_�-Z-7----
' ", '
� �� �^/ '
R0PERTY 0WNER`S MAILING ADDRESS____��j��___�o����_ __�e��_____-_______
tW BUILDING A� 0R M0DIFICATI0N 0F PLUMBING___ 0R CHANGING FR0M WELL SYSTEM___
, .
JE/TW0 FAMI MULTIPLE DWELLING____ # OF UNITS____ OTHER ......
,P SIZE- SERVICE SERVICE SIZE & MATE RIAL_�7#4 METER SIZE��������
'UMBER/ADDRESS/ PH0NE__________---------------------------
0\4BLE TO MUNICIPALITY.
METER
MAIN TO CURB
`
PRESSURE CONTROL
DACKFL0W CONTROL
APPLICATION FEE+
CONNECTION CHARGE+
DEPOSIT
OUTSIDE APPROVAL
UNDERSLAB APPROVAL
`
ROUGH APPROVAL
FINAL APPROVAL
SERVICE LEFT USABLE
METER SET
ACCOUNT BILLING
OTHER 0THER _��p�__ REASON FOR NO APPROVAL ___________-__
* * * __________________________________-_
T0TAL
*********** wo/E-S-: _
+ RECOVERABLE BY D0LT0N POINT
****************** ****** *****************W***************** ** ******
_ _ _
(RPPLICATION APPROVED BY BOLTON POINT) (DATE)
EASE ALLOW TWO WORKING DAYS TO SCHEDULE TAPS
AND INSPECTIONS.
.
kGREE TO INSURE PROPER PLUMBING WORK UNDER
`
'
THIS PERMIT IN ACCORDANCE WITH THE
F.S. UNIFORM FIRE PREVENTION AND BUILDING
CODE (1/84)', SCLIWC RULES AND
3ULATI0NS AND THE LAWS OF THE MUNICIPALITY
WHERE THE WORK IS PERFORMED. I
IEE TO ACCEPT RESPONSIBILITY FOR ALL WATER
OR PLUMBING CHARGES RELATED TO WORK
JE
' - -~-- �/---~'—�---- - - - - - - - - - - -
'
- �--~~ --Jr -~��_
(SIGNAT�1RE 0F 0WNER 0R AGENT>
v '(DATE)
`ERMIT IS NOT IN FORCE UNTIL SCLIWC RECEIVES
A SIGNED COPY OF THIS APPLICATION
MUNICIPAL OFFICER.
-/
(SIGNATURE AND TITLE OF OFFICER)
(DATE)
B0LT0N POINT, CITY 0F ITHACA
J7-33
GARY L. WOOD. P.E. /3. P
2630 Sugarbush Lane Telephone
Dryden, N.Y.13053 /0 II� 607-273-1747
Project Address: h�,�,5� Owner: r�
. INSTRUCTIONS TO HOLDERS OF BUILDING PE ITS
Thee following list is a general outline of the inspections which must be made of
your project in order to assure conformance with the NVS Uniform Fire
Prevention S Building Construction Code. Therefore, it is your responsibility
to give me notification (at least 24 hours in advance) so that these inspections
can be properly -conducted. Upon final completion, you will be issued a
Certificate of Occupancy which you should retain for future reference. Note
that these inspections are for code compliance only and do not relieve either
the contractor or owner- of their traditional roles and res nsibilities.
Inspections Required
A. After foundation excavations are made -- before concrete is placed
1. Building layout conforms to zoning 6 fire separations
2. Foundation subgrades satisfactory
B. After foundations are constructed, before backfilling
3. Foundations satisfactory
4. . Foundation drains installed
5. Proper backfill material available`
C. After framing is erected, before siding is complete
6. Proper size and -grade of materials
7. Satisfactory, insulation
8. Proper openings for fire exists, light & ventilation
9. Rough. plumbing. satisfactory
10. Rough electrical satisfactory
D. Completed Structure
11. Fire/Smoke detectors provided .
12. Sufficient number of thermostats & of setback type
13. FUel . stora a acceptable
14. PIR T�p,4P/3,, vyu -- LA2Ac 6
15.F19E SEp�2�T/UN- 11N�iS
16. F�'� G PLACE Cifirt�n�Ey
Additional. Certificates Required
1. County -Health Department, if individual water E sewer. -
2. Electrical Inspection Certificate
Other Notes E Comments
1/85
3 //0
PLAN REVIEW,4Terrace View
Lot 15
/ /✓�j
3 Sheet 1 of 2
b �• B.P. 6/20/86
�j GLW 6/20/86
1) The following comments, are conditions of the building permit
as well as the certificate of occupancy which is to be issued on
completion of the work.
2) All structural lumber (joists, rafters, etc.) is to be stress
graded and stamped.
3) A 3/4 hr. fire separation must be maintained between the house
and the attached garage. This separation must include all doors and
their frames, as well as the walls and ceilings adjoining the
residence. All doors must also have a self -closing mechanism and the
floor elevation of the garage must be at a lower elevation than that
of the house.
4) Note that all habitable rooms (that -is, all rooms except
kitchens 8 bathrooms) must have a second means of egress. The minimum
way to meet this requirement is with a window -having an openable area
of at least 4 square feet, with a minimum clear dimension of no less
than 18 inches, and with the sill no more than 42 inches from the
floor.
5) All plumbing (including DWV) is to be pressure tested in our
presence. No plastic pipe is allowed on the pressure (supply) side of
the system.
6) All electrical work is to inspected by a recognized Agency and
a copy of their report(s) furnished to us.
7) Since no plumbing, HVAC, or electrical plans were submitted, it
is assumed that you are aware of the requirements for these details
and that any deficiencies found by the Inspectors) during
construction will be corrected.
8) In accordance with the State Energy Code, section E402.2, all
heated basement walls must be insulated to a depth of at least 24"
i
below grade. If .the basement is not heated, the insulation may be
placed in the floor joist space.
9) The wood stove must meet the requirements of the Uniform Fire
Prevention and Building Code, section 1006.4 which states:
1006.4a- Solid fuel burning devices shall be of a type listed
and approved by a nationally recognized testing
agency and shall installed and operated in accordance
with such listing.
10) The fireplace must be constructed in accordance with the State
Energy Construction Code ( see attached copy of this detail ).
11) Outside combustion air must be provided for fuel burning
devices. This includes but is not limited to :
1)solid fuel burning stoves & fireplaces
2)oil & gas furnaces.
12) We need to be notified in time to make the inspections as
outlined on the check list which is also enclosed with these comments.
We are Gary Wood or Burr Phelps @ 273-1747 or 273-1736.
PLAN RE'V I EW44,11*
B.P.
GLW /
1) Tit ?`., -&4— 43 rxi18 ilia- a "c ?MV'F- a711'1ei7e44 14 M2edpB-�+-
t la ay N aI.7'- 1�1r,C aav �v�-.a�
e�� The following cor(:ments, are conditions of the building permit
as.well as the certificate of occupancy which is to be issued on
c-ompletion of the work.
2) e I eie to v a copy of. the :runs sign, s : mp d an' igned
b&.t,-
l�_ens d en _user r a ,iste ed _zite t efo:e are
lalled
3 A\ l lums_e t is t burn low gr n1 1eve. 1 to be.
s *aed or ce if led a.' i�g ap riatei e.ssure ated.
.CD A l_ structural lumber t joists, rafters, etc.) :.s to be stress
graded 'and stamped.
0 A 3/4 i7r'. fire separation muss, be maintained between: the house
and the attatche.d garage. This separation must_ ini_iude al -I doors and
their frames, as well -as. the wails and ceilings adjoaning..the
residence. All doors must also have`'a self -closing mechani.=.m and the -
f_l'oor. elevation of the garage :rust be at a lower eievat ion than mat ;
of the house.
Note that all habitable rooms (that is, all rooms except
kitchens & bathrooms) must have a second means of egress. The minimum
-wayto meet,this requirement is with a window having an openable-area
of at least 4 square feet, with a mini -mum clear d?raension of no less
than 18 inches, and with the sill no more than 42 inches from the.
floor.
All plumbina (including DWV) as to be pressure tested in our
presence. No plastic pipe is .allowed on the pressure (supply),side"of
the sys t-em .
All e-le.ctrical work is to inspected by a recoan=zeal Agency.and.
-a copy of their report(s) furnished to us.
Since no pl-umbing, HVAC, or electrical plans were submit-ted, it•
-is assumed -that you are aware of the requirements f'or t-he•se details
and' that any deficiencies found by the Ins'pe.ctor(s) during
construction ,will- 'be corrected.
10) It must e de onstrated that the structur et.s the.
requir.ments the S ate Enegy n rvation C struction Cod ('a.
ammend d No $1) by one of t e full wing al ernativ s:
E S.1- When plans d speci icati s are st roped with t
seal and ar the si nat e of a li ens d prole siona'_
suc li. nsed prole sio a-1 shall a s.o provide
wri to statement t a to the best his know edge,
beli and profes i nal ludgemen such plans
Wit..
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