HomeMy WebLinkAbout14005___TOI - Operating Permit and/or Fire Safety Inspection Application/FSOP-23-21 TOI-Operating Permit and/or Fire Safety Applicant Location
Inspection Application
Q Emily Jones 102 Conifer Cir
FSOP-23-21 6072691000 Unit Linderman Creek I
@ emily.jones@coniferllc.com Ithaca, NY 14850
Applicant Information
Applicant Type Static Field
Owner's Agent If the applicant is NOT the owner, a letterlemail from owner
designating the applicant as agent is required.
Is the primary contact different than the applicant?
No
Application Type
Which of the following types are you applying for? Static Field
Residentiallinstitutional
Types Identified as
- Residential Rental Property(Single-Family,Two-Family,
Multiple Residence)
- Motel or Hotel
- Dormitory
- Health Care Facility- more than 10 people(Hospital,
Nursing Home, Etc.)
- Daycare Center- Child and/or Adult
-Mobile Home Park
Types Identified as Non-Residential:
- Manufacturing, storing or handling hazardous materials in
quantities exceeding those listed in the applicable Maximum
Allowable Quantity tables found in Chapter 50 of the FCNYS
- Hazardous processes and activities such as those that
produce combustible dust, fruit and crop ripening, and waste
handling
- Parking Garages
- Buildings with areas of public assembly of 50 or more
occupants
- Energy storage systems
- Buildings whose use or occupancy classification may pose
a substantial potential hazard to public safety, as determined
by the Code Enforcement Officer
Types Identified as An Activity:
-Welding and other Hot Work
- Outdoor events where the planned attendance exceeds 1,000
persons
- Sugarhouse Alternative Activity Provisions
- Open Burning
- Open Flames (using open flames, fire, and burning in
connection with assembly areas or educational occupancies)
Application Information
Type of Residential/institutional How many units are in this building?
Residential Rental Property(Single-Family, Two-Family, Multiple 8
Residence)
Emergency Contact
Full Name Primary Phone Number
emily jones 6072691000
Email
emily.jones@coniferllc.com
AFFIDAVIT
Static Field I agree that my electronic signature is equivalent to a
The UNDERSIGNED HEREBY APPLIES for permission to handwritten signature and is binding for all purposes related
operate the above in accordance with provisions of the Code of to this transaction
the Town of Ithaca, the NYS Uniform Fire Prevention & Building true
Code, and all other applicable County, State & Federal laws, AND
AFFIRM that all statements and information given herein are
correct to the best of my knowledge and belief.
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