HomeMy WebLinkAbout2399 Permit ACCESSORY STRUCTUREValue DI Intproventant ec
$ 1—$ 5,000 $ 2.50
`:� TOWN OF. ITHACA
5,001— 10,000 .5 0
10,001— 20,000 10.00 APPLICATION FOR BUILDING PERMIT
20,001— 30,000 15.00
/ (f
30,001— 40,000 20.00
Application Date .C........ ,...
40,001—. 50,000 25.00
Permit Number-
50,001— 100,000 ` 50.00
100,001— 500,000 75.00
500,001— 1,000,000 100.00
Date _. ... ,..
Parcel Number
1,000,001 & Over 150.00
Zonin g District _ ......... _
Make Checks Pavable to Town of TtbPPP
Application is hcrel�y made to (build ®, extend [], convert []........•» .... ......... _...._---- _----- .._.. ❑) a structure or use land
at _...__...4.`L _.. r'A �_ 5'_.»._ ..._..»__ ... _...�.._...., Rd., Town of Ithaca, N.
Y.
To be used for ....... GA e_4j2:1L.....»_...... _....... _._... _.. _:._....... ..._�_..
_. At a cost of
Structure is to be completed on or before __. SEPr _ 30 M _ » _... ............... 19....$ ....»... _........._.�.....
Owner of land ...... _1� a ®... S • e X LzR- _ Builder .._ e!vv ~
Land Owner's mailing address .».._....... z ov a 4T ._,-rr _ 7,�ReA.._...
N ..�. I V-ps'b . .................. ........_
If building is being built for a person other than present land owner, show name ................... .............. .....___.__._....... .,,.._....
The structurc(s) will be'as follows:
Type of construction .......... °.�....»._.:........... _.��_
Number of stories ..............:-__..._.»...._..._ ...__
Number of Family Units .......... _.. ..__....__..:.......
Percentage of Lot to be occupied .
by all structures.._._..-»_-»................_._`..�.._�.'_.,....r__.
Plot Plan on Back of Permit ............ or Attached .»
Square Feet Floor Area:
Basement .... ... ......... _.» _.._ ......__
First Floor ..._..._....__.__.. »..�
Second Floor ..» ......._....»...........__
Over Second _......................... _......
Total Number of Rooms...
Total Number of Bedrooms.
Owner Occupied...... Yes..
Leased Yes N
The required permits have been obtained as follows: . . ' . ' ' • . ' ' °. Date sued
FROM TOMPKtNs COUNTY HEALTH DEPARTMENT
Approval of septic system and/or well . . ... . . . . . . . .............. .................
FROM TOWN CLERK
Street .opening (if road must be opened for pipes) . . . . ........ _ ........KK....
Blasting permit (if blasting necessary) ....__._:......... .... . _............ _.............
FROM SUPERVISOR
Water Tap .....» ..................... .:..............».........-District . ..........
....__
Sewer Tap ...
..............»_...._..»..........._............... District . ..__ ..._-. �.........._. 0._....».. _.._.._........
FROM PROPER HIGHWAY DEPARTMENT
Culverts and driveways ...._.........._......................•------•=-•-------_.....
FROM Town Building Inspector
Multiple residence permit ................•---•..... u4 _L ............. ......... .....
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 arc correct to the best of his kno ge and belief.
Date:.-- l_ ...»............. 19.-1) �•(N�. ._...._... .
- Ssgnature of Landowner.
Building permit (�'f approved by /� ...... -.
(iy denied under Section .......__- of the
Zoning Ordinance by ............................
Appeal action:
Date of appeal
Date of hearing
Date of adverti!
Board members
Progress of work. Checked on: f�
�f otings ..d ..�f 1. -``�.................
Framing........................................ _....... _.... _.
Completion...... ........ _....... .......................... .....
Order to refill excavation
issued on --------------------
Order to demolish structure
issuedon ................ ..................................
» _.._ ....
$7.50 -Appeal, advertising expenses.
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