HomeMy WebLinkAbout327 Permit OPERATING PERMITPermit #327
OPERATING PERMIT
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CODE ENFORCEMENT OFFICER
(607) 273-1783
Fee $100 per building
Date Received
TOWN OF ITHACA CheckNo.
215 N. Tioga Street, ITHACA, N.Y. 14850
607.273.1783 FAX 607. 273.1704
APPLICATION FOR OPERATING PERMIT NONRESIDENTIAL USE
Type of Operating Permit (check all that apply) n
manufacturing, storing or handling of hazardous materials in quani
those listed in tables 2703.1.1(1), (2), (3), and (4) of the Fire Code
hazardous processes and activities such as those that produc7cle�
fruit and crop ripening, and waste handlinguse of pyrotechnic devices in assembly occupanciesbuildings with areas of public assembly of 100 or more occupah
other use or occupancy as required by the Code Enforcement Officer 1!
Business Name /LL p4n-/ Tax Parcel Number
Property Street AddressZ U(i!✓Lt �/A r�/JC ,
Building Occupancy �Class Type of Constructior /3r1 c� Number of Stories
Owner's Natne-/t& aytime Telephorle737-,�-IX6,6II Number
Mailing Address d • If � fof �� K •— %��� /'iL'`- li'Ot
owner it a corporatimL names and addresser of resportrible offwe /i...(it/lii S /�v �•
ManagerorRespo/nsibl e�rson f �y��
Name iS`/Y. 7-17wy'' - Daytime Telephona467z%9-192 rgencyNumber
a
Required Attachments
➢ manufacturing, storing or handling of hazardous materials in quantities exceeding those listed in
tables 2703.1.1(1), (2), (3), and (4) of the Fire Code
➢ hazardous processes and activities such as those that produce combustible dust, fruit and crop
ripening, and waste handling
✓ detailed description of quantities and locations of materials, including how stored and
handled
✓ hazard mitigation and emergency plan
✓ proof of any other County, State, or Federal permits
➢ use of pyrotechnic devices in assembly occupancies
✓ detailed floor plan of area, including all fire protection, exiting, and occupancy informatlon
✓ detail of pyrotechnics to be used
✓ hazard mitigation and emergency plan
➢ buildings with areas of public assembly of 100 or more occupants
✓ list of rooms and posted occupant load for each
➢ other use or occupancy as required by the Code Enforcement Officer
✓ as outlined by Code Enforcement Officer
The UNDERSIGNED HEREBY APPLIES for permiadon to operate the above in accordance with pruvtdons of the Code of the Town of
Ithaca, the NYS Uniform Eire Pre♦rrition and Building Code, and all other applimble County, State and Federal laws, AND AFFIRMS that an
sta �s and Infarnitatkic;13h min are correct to the best of blather knowledge and bend.
--I S mapgE of Applicant (i different than owner) Date
/goaNte of Pnoperl:Y Qyina (required Signature) U ' Date
Rev 112010
OF 17,
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March 20, 2014
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 Fax (607) 273-1704
codes0town.ithaca.mus
J & J Rogan Revocable Trust
16012 On Par Blvd
Fort Myers, FL 33908
Re: Operating Permit and Fire Safety Inspection
Dear Mr. Rogers & Ms. Rogan:
�2-75
The Operating Permit #327 for 823 Danby Rd Sunset Grill will expire March 31, 2014.
Enclosed is an application for a new Operating Permit. Please complete and return along
with the fee at your earliest convenience, but no later than April 20, 2014.
The successful completion of a Fire Safety Inspection is required before an Operating Permit
can be renewed. The last Fire Safety Inspection was completed on March 29, 2011.
Town staff or the Ithaca Fire Department will schedule the Fire Safety Inspection with you
directly after we have received the application and fee for the Operating Permit.
The State of NY Rules and Regulations allow the Town of Ithaca to charge two separate
fees; one for Fire Safety Inspections and a fee for an Operating Permit. The Fire Safety
Inspection rate is $50.00 for the first hour (1 hour minimum), $30 per additional hour.
If you have any questions or need further information, please don't hesitate to contact me.
look forward to hearing from you by April 20t.
Sincerely,
Bruce W. Bates, Director
Code Enforcement and Zoning
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TOWN OF ITHACA 0215 N. Tioga Street, Ithaca, N.Y. 14850�{ www.town.ithaca.ny.us
CODE ENFORCEMENT - BRUCE W. BATES, DIRECTOR kgs t coti'E4
� Phone (607) 273-1783 ■ Fax (607) 273-1704
U l Lc� ` '-- codes@town.ithaca.nv.us
FIf R 1 Z� Date Received
$1000 per Ili i
TOWN O:= l i Fee Paid iC� yr
OPERATING PERMIT APPLICATION
CODE ENFOF i:: NON-RESIDENTIAL USE
Type of Operating Permit (check all that apply)
Manufacturing, storing or handling of hazardous materials in quantities exceeding those listed in tables
2703.1.1(1), (2), (3), and (4) of the Fire Code (see attached)
Hazardous processes and activities such as those that produce combustible dust, fruit and crop ripening,
and waste handling
LiUse of pyrotechnic devices in assembly occupancies
Brings with areas of public assembly of 100 or more occupants
tF]
I/Other use or occupancy as required by the Code Enforcement Officer
Business Name: SGC/2 5e t C�/__��Tax Parcel #: ,`r00 • '/� —
Property Address: �Z3 �n/✓LGL/L,lam /J/)
Building Occupancy Class: / Type of Construction: /3 / Number of Stories:
Owner: J • </2a' .
"•If �/�j � /�MailingAddresse:L - 71121
dresses4ofr onsAce 2sQb6cluded.64�'' rporryionmes1•••
Manager or Responsible Person:>L
Phone: lo 67 zZz -- /gam&
The UNDERSIGNED HEREBY APPLIES for permission to operate the above in accordance with provisions of the Code of the Town of \
Ithaca, the NYS Uniform Fire Prevention and Building Code, and all other applicable County, State and Federal Laws, AND AFFIRMS that
all statements and given herein are correct to the best of his/her knowledge and belief.
Zf Aputicant (ifdifferent than owner) ale
4 _Property Own (required signature) Da
SEE OTHER SIDE FOR REQUIRED DOCUMENTS
Required Attachments
✓ Manufacturing, storing or handling of hazardous materials in quantities exceeding
those listed in tables 2703.1.1(1), (2), (3), and (4) of the Fire Code
✓ Hazardous processes and activities such as those that produce combustible dust, fruit
and crop ripening, and waste handling
o Detailed description of quantities and locations of materials, including how
stored and handled
o Hazard mitigation and emergency plan
o Proof of any other County, State or Federal Permits
✓ Use of pyrotechnic devices in assembly occupancies
o Detailed floor plan of area, including all fire protection, exiting and occupancy
Information- - - --- -- - -- -- - -
o Detail of pyrotechnics to be used
o Hazard mitigation and emergency plan
✓ Buildings with areas of public assembly of 100 or more occupants
o List of rooms and posted occupant load for each
✓ Other use or occupancy as required by the Code Enforcement Officer
o As outlined by Code Enforcement Officer