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HomeMy WebLinkAbout327 Permit OPERATING PERMITPermit #327 OPERATING PERMIT 'kill�U�Qd SUEi�." rMa ! Q) Pos VA �TLY 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, q �4,1P 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 encl e 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