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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