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HomeMy WebLinkAboutTOI - General Building Permit Application/BLD-23-29 RecordID 27726 TOI-General Building Permit Application Applicant Location BLD-23-29 Matt Delfini 1100 Danby Rd 215-589-8447 Unit Country Inn and Suites mdelfini@nbcllc.com Ithaca, NY 14850 Applicant Information Applicant Type Who will be performing the work? Owner's Agent Contractor Static Field Is the primary point of contact for permit communication If the applicant is NOT the owner, a letterlemail from owner different than the applicant? designating the applicant as agent or a copy of the contract Yes with owner's signature will need to be provided Name Nico Facey Company Phone Network Building Consulting 347-712-9444 Email Mailing Address nfacey@nbcllc.com 1777 Sentry Parkway W Veva 17, Suite 400 Blue Bell, PA 19422 Project Information Type of Work Building Name Alteration Country Inn and Suites Description of Work Remove (1) existing remote radio head and replace with (1) newer model. Remove (1) existing antenna and replace with (1) newer model. Install (1) new remote radio head. Install (10) coax cables from the rooftop to the ground equipment. Are you applying for 1 year Permit or multi-year Permit? Estimated Start Date 1 Year 04129/2023 Estimated Project Cost Number of Dwelling Units Current 1500 -- Water Supply Sewage Disposal Not Applicable Not Applicable Is there currently a sprinkler system? Will there be plumbing work associated with this project? -- No Will there be electrical work associated with this project? Will there be ANY soil disturbance associated with this No project? No Will there be work conducted in a Town Right of Way or Static Field within a Town easement? Please Note that the Building Permit will not be issued until a No SWPPP has been approved by the Town of Ithaca Engineering Department or confirmed that a SWPPP approval is not required. Will Special Inspections be Required for this Project? No Ithaca Energy Code Supplement Is your project new construction (excluding additions and renovations that are not specified in this list), an addition(s) of 500 square feet or larger to single family dwellings or two- family dwellings, an addition(s) of 1,000 square feet or larger to buildings other than single family dwellings or two-family dwellings, or a MAJOR RENOVATIONS, as defined in Section 144-3. No Contractor Information Name Company Mike Foley Network Building Consulting Mailing Address Phone 1777 Sentry Parkway W Veva 17, Suite 400 Blue Bell, PA 585-857-3796 19422 Email mfoley@nbcllc.com Engineer Info Is there an Engineer for this project? Name Yes Chris Miles Company Name Mailing Address Costich Engineering 217 Lake Avenue Rochester, NY 14608 Phone Email 585-458-3020 cmiles@costich.com Architect Info Is there an Architect for this project? No Building Specs Current Building Height Existing Basement Square Footage Existing First Floor Square Footage Existing Second floor Square Footage Existing Over Second floor Square Footage Existing Number of Rooms Static Field Building Height Check each item that will be changing due to this project. -- Basement Square Footage First FI Square Footage Second FI Square Footaage Over 2nd FI Square Footage Number of Rooms Number of Bedrooms Number of Dwelling Units Water Supply Sewage Disposal Proposed Set-backs (if applicable) Front Yard Rear Yard Side yard Side yard Lot Coverage% Contractor's Insurance Details or Homeowner Exemption Static Field Work is being done by: Current Insurance Certificate for both Workers' Comp and Contractor/Business with employees/paid help Workers' Disability must be provided for a permit to be issued. If you have not done so, complete the Static Field Contractor/Business Registration and upload the Current Workers' Comp and Workers' Disability need to be certificates. If the Contractor/Business is EXEMPT from on file in the "ContractorlBusiness" Permit. If you have not carrying insurance, the CE-200 form needs to be completed filed a"Contractor/Business Registration" prior, it can be and uploaded with the permit. done HERE . AFFIDAVIT Static Field Static Field I understand that if a building permit CANNOT be issued I am applying for permission to do the above in accordance within 90 days of my initial application because I failed to with provisions of the Zoning Ordinance and other Laws and provide information requested or because I failed to comply Regulations of the Town of Ithaca, or others having with any Legislative Board Conditions, my building permit jurisdiction. I affirm that the structure for which this permit will be issued, or has been issued, will be built, or has been application will be withdrawn without further action and I will built, according to the latest standards of the New York State need to reapply and pay a new permit application fee. Uniform Fire Prevention and Building Code, and all other applicable state and local laws, ordinances and regulations Static Field Static Field I affirm that the approved design plans will not be deviated I understand that I am responsible to ensure that all from without prior approval from the Architect/Engineer of inspections will be completed as required by the Town, and record, if applicable, and the Town of Ithaca Code no structure will be used in violation of Federal, State and Enforcement Department. Local laws, codes and ordinances. Static Field I agree that my electronic signature is equivalent to a I affirm that the statements and information contained in this handwritten signature and is binding for all purposes related application and submitted in conjunction with this to this transaction application are true and accurate to the best of my true knowledge. PAYMENT INFORMATION Static Field After submission, Code Department Administration will review the application and materials provided. After review, and email with instructions for paying the fee online with credit card or E-check will be sent to the applicant. If it is preferred to pay by check, cash or money order: *Mail to Code Enforcement, Town Hall 215 N.Tioga St, Ithaca, NY 14850 *Drop off during business hours to Town Hall M-F 8-4 *Place in locked box next to the door on the Buffalo St side of Town Hall