HomeMy WebLinkAbout4408 Final Packet SINGLE FAMILY ADDITION�o
r%i
Vertifirtte I Orr-UPUnr:g
It is hereby certified that an inspection at the building(s) or struc-
ture(s) noted below was conducted pursuant to the. Town of Ithaca Zoning
Ordinance, and Town of Ithaca Local Law Number 1 for the year 1981, as the
same have been amended from time to time.
Such inspection revealed no apparent violation of the Zoning Ordinance
at the time of the inspection.
If this certificate is issued in connection with new construction, it
is further certified that such inspection revealed no apparent uncorrected
deficiency or apparent material violation of the New York State Uniform
Fire Prevention and Building Code (the "Code") -with respect to the work
performed at such building or structure pursuant to the Building permit
identified below, and that such construction or work appeared to be in
substantial conformance with plans and/or other information on file at the
Town of Ithaca Building Inspector's Office in connection with such Building
Permit.
The matters set forth in this Certificate are based upon one or more
visual inspections of the property and improvement by Town Officials and do
not mean the Town Building Inspector has made exhaustive or continuous on -
site inspections of the work nor does this certify in any manner to the
quality of such work.
This Certificate is revocable in the event information comes to the
attention of the Town of Ithaca authorities that would render the certifi-
cations made herein inaccurate.
Certificate No.: 4091 Building Permit No.: 4408
Permitting: New porch and room additions
Date of Last Inspection: 9/16/92
Building Address: 140 Westview Lane
Tax ID No.: 58-2-39.652
Owner of Building: Jim and Karen Fowler
Owner's .Address: ' 140 Westview Lane
Permitted Use: New porch and room additions
Occupancy Limitations: Single family
� " ro s �+ 9/18/92 � � � /
Date Building Inspector/Zoning Officer
C�
ti
TOWN OF ITHACA
126 East Seneca Street
Ithaca, New York 14850
(607) 273-1747
NOTICE TO PERMIT HOLDER
NEW YORK STATE LAW REQUIRES THAT A CERTIFICATE OF OCCUPANCY BE OBTAINED FOR
ALL WORK FOR WHICH A BUILDING PERMIT HAS BEEN ISSUED. THE LAW FURTHER RE-
QUIRES THAT CONSTRUCTION INSPECTIONS BE MADE BY THE BUILDING INSPECTOR TO
INSURE BUILDING CODE COMPLIANCE.
the
test
BUILDING PERMIT de and
9
Town of Ithaca, New York
ment
04is is to &rttfl,J. That a Building Permit has been issued to g
o' the
.l i M F0,,J1,2-2 to erect, move, demolish ear
or repair a building as follows, in accordance with all Laws and
Regulations applicable thereto:
(} n 1 1 J � � �a � ��
Operation lv l} O(L- 4_ I 00 r' Owner of Land t i o n.
Date of Permit a..0 -9
Address 1 q 6 LJ a--Ji)i Q-w LD-"9- Expiration -1-0 -9 3
(2 —ST - D, bSa, Special -)I e.A
Signed
n��' 3-1747
l.t.
NING OFFICER
N° 4408 BUDDING INSPECTOR ate.
THIS PERMIT MUST BE POSTED AT THE PLACE WHERE THE WORK IS IN PROGRESS ence of -
DO
NOT PROCEED BEYOND THESE POINTS UNTIL SIGNED BELOW BY THE INSPECTOR. 1
1. Footing before pouring concrete .............. 4. Electrical before enclosing ................
2. Foundation before framing .................... 5. Plumbing before enclosing ............... • bout
3. Framing before sheetrocking .................. 6. Final inspection .......................... call
WNER IS
KriJYVN511i1;�-P'Ut( UV�;HSEP;ING THr;-CUNTitAC:TvtcrtsulLLr;tc nr�L-Ln�vrcrnv—rnnY--rnuPER
INSPECTIONS OCCUR IN A TIMELY MANNER. ADDITIONALLY, ANY CHANGES FROM THE
PLANS SUBMITTED FOR A BUILDING PERMIT, PARTICULARLY AFTER A PERMIT HAS BEEN
ISSUED, MUST BE APPROVED PRIOR TO CONSTRUCTION.
Andrew Frost
Town of Ithaca Building Inspector/
Zoning Enforcement Officer
LAL4OC`i — c' _
I
E
807a171 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
202 LT ROAD, SYRACUSE, NEW YO - K 1320605,35392/92
h ?205
Date Application No. on fete
1
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the
�-1�'�•15 �i3:L1� �EtE'7LF; ;, '.:iL� P„r �u �%:�11[` . �'�.. _. s��..?!C':�, TV. a .
in the following location ?;.ga!�rnQret _➢ �1 st Ft. ❑ 2nd Fl. Section Block Lot
was examined on and found to be in compliance with the requirements of this Board.
Of
FIXTURE
I FIXTURES
RANGES
COOKING DECKS OVENS DISH WASHERS
EXHAUST
FANS '
OUTLETS
RECEPTACLES SWITCHES
INCANDESCENT . FLUORESCENT OTHER
AMT. K. W.
AMT. K. W. AMT. K.W. AMT. K. W.
AMT.
H. P. L
A
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
SPECIAL REC'PT.
TIME CLOCKS BELL UNIT HEATERS MULTI -OUTLET
DIMMERSSYSTEMS
� F
;
AMT. I K. W.
OIL I H. P. I GAS
I H. P. AMT. I NO. I A. W. G.
AMT. I AMP.
AMT. I AMPS. TRANS. AMT. I H. P. NO. OF FEET
AMT.
I WATTS 1
SERVICE DISCONNECT NO. OF S E R V I
METER AMT. I AMP. I TYPE EQUIP. I'g �`^' 113W 13 b' 3W 13 a 4W I NO. PER AYF CC. COND. I A. W. G. OF CC. COND. I NO. Of HI -LEG
OTHER APPARATUS:
PO �lBOX n17'.',6DR(q N
C E
A. W. G. NO. OF NEUTRALS A. W. G.
OF HI -LEG OF NEUTRAL
�'• ��i�Gkoa•(
BRANCH MANAGER
Peer`
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
C.li/Ci7Ci%Ci7CA7\i7\'i%Tdr/TA%Ci7 Ci7'\i7 niw.iw...w.�sw.ir..i....�....v...�.�.v.s�.�.�....�.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF ITHACA
APPLICATION FOR BUILDING PERMIT
(See Attached Instruction Sheet)
Value of Improvement
,,.,, ,,
0 0 r,
y ►, 0
ri ►, ►, ri
►.
45.00
r, r, y
4 0 r, 0
65.00
Application Rec'd I�A
`A
0 y,,
0 yr,g
00
,, 0r,
., r,r,g
250.00
G715
,, 0.0
r, q q 0
h • 4
Check No.
q q4
4044r,
500.00
►,r, r,r,
r,r,r, .,•,o
750.00
Cash
,, r,.r, ,, ,
q r, 0 0.r,
,, 0 r, ,,.0
00 ,i0
O90 40,,
2,000.00
00 04
, 0h0 404
3,000.00
,, ,,r,,, ,,,,
., 49.,, ,,0r,
4,000.00
0 0riri ri0
and over
ri00/i0
PLEASE MAKE ICHECKS PAYABLE TO THE TOWNOF
Permit Number /?I1 o v
Date of Permit
Parcel No. 6- I
Zoning District
Plans on File
--------------------------------- -----------------------------------------------------
APPLICATION is hereby made to BUILD u� EXTEND y..�r CONVERTcv-,
OR a structure or use land located at _ }o cove4-e%
Building are aAc�►Vto, o-,.,A_ Sr.rte,nec� '.�,aoo,rc� At a cost of $ 9 135"0
Structure is to be completed on or before 5egV 19 9 Z
G 1 ec\ k4okc �, s rot o c\
Landowner Builder -.Telephone c63 & -3oy 9
Landowner's Mailing Address 1 tAo _vi,? Telephone . �...��o .., i :_ ••+
The Structure(s) will be as follows:
Type of Construction wGoa 5;�roww,o
Number of Stories \
Number of Dwelling Units
Building(s) Height la'
Percentage of Lot to be Occupied by All Structures
Plot Plan on Back of Application or Attached
Square Feet of Floor Area:
Basement f�
First Floor I4 y
Second Floor
Over Second
Total Number of Rooms
Total Number of Bedrooms
Owner Occupied X Yes No
Leased Yes __ No
THE REQUIRED PERMITS OR PERMISSION HAVE BEEN OBTAINED AS FOLLOWS:
1. From Tompkins County Health Department -
Approval of Septic System(s) and/or Well(s) Date Issued R (4-
2. From New York State Workers' Compensation Board -
Workers' Compensation & Disability Benefits Insurance Certificate . Re eived
3. Plumbing Permit N Pt
-
Water & Sewer . . . . . . . . . Permit Number Date Issued
4. New York Board of Fire Underwriters Electrical Application and Permit . Date Issued
5. From Appropriate Highway Department -
Culverts . . . . . . . . . . . . Permit Number . . . Date Issued n
6. Is top soil or fill mate ial going to be moved onto or within the site in excess of 500 cubic
yards yes no
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, or others having
jurisdiction, AND AFFIRMS that all statements and information given herein are correct to the
best of his/her knowledge and belief, AND FURTHER AFFIRMS THAT THE REQUIRED INSPECTIONS WILL BE
REQUESTED AND SCHEDULED, WITH AT LEAST 24 HOURS' NOTICE.
Date ,1 Z 19 ,— e-- I .- �"
Siure of Lamer or Authorized Agent
— ---- —--------- — ---- — ---- — -- --------------------------------------------------------
BLDG PERMIT APPROVED BY PROGRESS OF WORK -CHECKED ON -
DENIED under Art Sec -1 (,4o v
of the Zoning Ordinance by 1. Footings, BEFORE pour g concrete I 2. Foundation , `� 19 Z, ° 4
APPEAL ACTION: 3. Framing, BEFORE sheet docking �72-
Date of Hearing 4. Plumbing tVQI
5. Electrical q 1 f ,�l 99. y
Decision 6. Completion, ALL WORK ib 1`�?✓
7. Certificate of Occupancy -
COMMENTS: Number Date Issued 0\WARr3-
OVER -->
100 Broadway rBINGHAMTON
Office Building State Office Building State Office Building
Menandsawley Street 180 Livingston Street 125 Main Street 175 Fulton Avenue 155 Main Street W. East Washington St.
ALBANY 12241 13901 BROOKLYN 11248 BUFFALO 14203 HEMPSTEAD 11550 ROCHESTER 14614 SYRACUSE 13202
STATE OF NEW YORK
WORKERSCOMPENSATION BOARD
va.0,sNq O�?,QS\-
Town of Ithaca
126 East Seneca Street
Ithaca, New York 14850 OFFICE AT:
THIS AGENCY EMPLOYS AND SERVES
PEOPLE WITH DISABILITIES WITHOUT
DISCRIMINATION.
BARBARA PATTON
CHAIRWOMAN STATEMENT THAT APPLICANT DOES NOT REQUIRE
WORKERS' COMPENSATION OR DISABILITY BENEFITS COVERAGE
(Ref: Sec. 57, WC Law; Sec. 220, Subd. 8, DB Law)
Applicant's Name <Xr.(�,,��, >!��_SOCec��e� 1E.R. No.
Address `_� '� kzk J
Office At
Nbro01,kov, A.�- vV. ( 4 % 1-4
Business or Trade Name, if Different From Above
The above named applicant for permit subject to restriction under Section 57 of the
Workers' Compensation Law, and Section 220, Subd. 8, of the Disability Benefits Law,
makes the following statement for the purpose of establishing that he/she does not
require coverage under these laws.
1. Location of work I_X+V% .cck JJY .
2. Exact work to be performed co;tered'leek��+itc.
0 Number of workers p
4. Date work is to be (a) commencedJ(b) completed �I3d�YZ
❑ I have workers' compensation insurance (certificate attached).
j� I do not need workers' compensation insurance because status is Individual
owner or partner with no employees and not a corporation.
❑ I do not need workers' compensation insurance because:
❑ I have disability benefits insurance (certificate attached).
❑ I do not need disability benefits insurance because status is Individual
owner or partner with no employees and not a corporation.
❑ I do not need disability benefits insurance because:
I hereby affirm, under the penalties of perjury, that I am the above named applicant
for permit subject to restriction under .Section 57 of the Workers' Compensation Law
and Section 220, Subd. 8, of the Disability_ Benefits Law and that the foregoing
statements are true.
Date Signed I I Z 1912 J�
l/ Signature 41'01pplicant
Telephone No. (4-)%i Title 0` �
TO STATE OR MUNICIPAL DEPARTMENT, BOARD, COMMISSION OR OFFICE REQUIRING CERTIFICATE
OF WORKERS' COMPENSATION INSURANCE UNDER SECTION 57 OF THE WORKERS' COMPENSATION
LAW AND UNDER SECTION 220, SUBD. 8, OF THE. DISABILITY BENEFITS LAW
Based on the foregoing statements made by the above applicant:
The Board has no objections, at this time, to the issuance of the permit
requested.
❑ The applicant will be required to have a Disability Benefits insurance
policy effective not later than foul- (4)'weeks after the employment of
one or more employees on each of at least 30 days in any calendar year.
It is to be understood, however, that the Beard reserves the right to request revoca-
tion of the permit if, after investigation, it is found that the applicant is required
to have workers' compensation and/or disability benefits coverage for the work referred
to in the above application.
WORKERSICQMPTNSATPI Ik BOA
Date: By
i trict Administrator or
C-105.21 (1-89) Y`_
AI:0lball® CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY)
PRODUCER 0 7/ 2 0/ 9 2
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Riedman Corporation NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
15 Catherwood Rd. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Ithaca, NY 14850 COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
COMPANY B
INSURED LETTER
Harrington Associates
PO BOX 126 LETTER
NY `.
Brooktondale, NY 14817
COMPANY D
LETTER
COMPANY E
LETTER
Aetna
The State Insurance Fund
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
TYPE OF INSURANCE POLICY NUMBER
LTR
GENERAL LIABILITY
A XXCOMMERCIAL GENERAL LIABILITY MP 0 012 4 4 9 7 4 4 8
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROT.
iB
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
OTHER
AND
EMPLOYERS' LIABILITY
Unassigned
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
Town Of Ithaca
126 E, Seneca St.
Ithaca, NY 14850
ACORD 25-S (11/89)
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
08/01/91 08/01/92
08/01/92 08/01/93
ALL LIMITS IN THOUSANDS
GENERAL AGGREGATE
$1 , 0 0 0
PRODUCTS-COMP/OPS AGGREGATE
$1 J, 000
PERSONAL & ADVERTISING INJURY
$ 55 0 0 ,
EACH OCCURRENCE
$ 5 0 0 ,
FIRE DAMAGE (Any one fire)
$ 3 0 0 ,
MEDICAL EXPENSE (Any one person)
$ 55 ,
COMBINED
SINGLE $
LIMIT
C011 WA
INJURY $
(Per person)
BODILY
INJURY $
(Per accident)
PROPERTY $
DAMAGE
xNiN;6KXWXlNXlNX$
X WXINXINX N-� $
07/20/92 07/20/93$
CANCELLATION
EACH AGGREGATE
OCCURRENCE
STATUTORY
1001 (EACH ACCIDENT)
5 0 0 , (DISEASE —POLICY LIMIT)
100, (DISEASE —EACH EMPLOYEE)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILIF ANY KIND UPON THE COMPANY, ITS AGENTS OR PRESENTATIVES.
;;MWD ESE IVE 11V
(E)ACORD CORPORATION 1989
PLOT PLAN
INFORMATION TO BE SHOWN:
1. Dimensions of lot.
2. Distance of structures from:
a. Road,
b. Both side lot lines,
c. Rear of lot.
3. North arrow.
(00. d b
LOT ��-
10) l50 SF
4. Dimensions and location of proposed structure(s) or
addition(s).
5. Names of neighbors who bound lot.
6.. Setback of neighbors.
7. Street name and number.
8. Show existing structures in contrasting lines.
Q- ---- 0.0
I�, pia sF
ac�l�w^Oi�
i I I
0 i
' � I
'II nto`c5�4,
� putt G;
1
1
1
DMA 1 SeWea-
�
b
Scams ) II ^ ya l
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, AND FURTHER, I HEREBY
CERTIFY that the required inspections will be
requested and scheduled, with 24 hours' notice.
Signature o ndowner or Authorized Agent
A64116,11a CERTIFICATE OF INSURANCE ISSUE DA07 / 13 / 92
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Riedman Corporation NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
15 CatherWWod Rd. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Ithaca, NY 14850 COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A Aetna
COMPANY B
LETTER
INSURED
Harrignton Associates COMPANY
PC BOX 126 LETTER r'
Brooktondale, NY 14817 COMPANY
LETTER D
COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE
LTR
X GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
POLICY NUMBER
MP00124497448
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
Bradley McKane
Homer, NY
ACORD 25-S (11/89)
POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
DATE (MM/DD/YY) DATE (MM/DD/YY)
0 8/ 01 / 91 0 8/ 0 1/ 9 2ENERAL AGGREGATE
$
600
PRODUCTS-COMP/OPS AGGREGATE
$
600
PERSONAL & ADVERTISING INJURY
$
300
EACH OCCURRENCE
$
300
FIRE DAMAGE (Any one fire)
$ 3
0 0
MEDICAL EXPENSE (Any one person)
$5
COMBINED
SINGLE $
LIMIT
BODILY
INJURY $
(Per person)
BODILY
INJURY $
(Per accident)
PROPERTY $
DAMAGE
EACH AGGREGATE
OCCURRENCE
$ $
STATUTORY
$ (EACH ACCIDENT)
$ (OISEASE—POLICY LIMIT)
$ (DISEASE —EACH EMPLOYEE)
_.____.. CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY F ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZ RE ESENTP IV� I�
/ QACOR CORPORATION 1989