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HomeMy WebLinkAboutMarch submission Locke Rd. PermitTOWN OF GROTON BUILDING PERMIT APPLICATION Rick Fritz, Code Enforcement Officer - 607-898-4428 or 607-591-9898 No Construction shall begin until a permit has been issued. Check documents you are supplying: Vi ADDlication Form & Fee- to Groton Town Clerk at 101 Conger Blvd. (Po Box 36) Groton, NY 13073 6 Plot Dian of the lot with dimensions for new and existing structures, septic and wells. Construction specification drawings (professional stamped drawings may be required) or ADDliance specifications ^ ComDleted Affidavit of Exemption for owner occupied residences ❑ If you have a contractor, proof of Workers Compensation or a signed CE-200 Exemption form. A CE-200 can be applied for @ httr)s://www.wcb.nv.aov/icexeMDt/index.isD ❑ Sewaae Svstem Construction Permit issued by the Tompkins County Department of Health, 607-274-6688 55 Brown Rd., Ithaca, NY 14850. Applications are on their web site www.tomokinscountvnv.aov/health/eh/owts/index Name Adolphe Alexander & Michele Judge Date01/02/2021 Mailing 101 E Cortland St, BOX 278, Groton NY 13073-0278 Phone2679189255 Address Project Address451 Locke Rd, Groton NY, 13073 Description Of Work: Small Shed Building Use Storage Check applicable:❑Residential Commercial Tax Map # Flood Zone No 15.-1-27.21 Serial Number of Manufactured Home Cost Estimate $5,000 Total Acreage Total Floor of lot : 5.64 Area — sq ft 80 Will any part of the building be a place used by the Public? No Will any part of the buildinq be used for human Will any part of the building be a place of employment habitation? No where agricultural products are processed, treated Builder / Contractor Self or packaged? No Name & Phone Other Builder / Contractor Name & Phone Self PROJECT COMPLETION or OCCUPANCY PROCESS 1. Permit will be issued upon approval of a completed application with fee and all paperwork as above. Construction can begin with permit prominently displayed. Permit is good for a one year. 2. Once passing all required inspections including the installation of the E911 sign, the permit will be closed and a Certificate of Occupancy or Completion will be issued. NO OCCUPANCY OR USE IS ALLOWED UNTIL PERMIT IS CLOSEDM I hereby affirm under penalty of perjury that all information provided in this application is complete, correct, and contains no misleading statements. I understand that any false or inaccurate information contained in the application or attachments; any construction changes made after the issuance of a building permit; or failure to schedule required inspections, may invalidate all permits issued under this application. I will not remove any buildings, structures, or other construction started or completed. I certify that I have read and understand the permit process and all requirements. I hereby license, permit and give privilege to the Town of Groton, or a designee, to enter the premises or land to conduct any onsite inspections by owner confirmed appointment only. Such license is revoked upon completion of the building project. I understand that no building shall be occupied, used in part or in whole for any purpose, until first obtaining the Certificate of Occupancy or Com tion. Land Owner(s) Signature: �� r7 �� Date: 03/20/2021 [ ] APPROVED Comment: Signed Code Enforcement Officer APj Date [ ] DENIED Reason: Signed Code Enforcement Officer VARIANCE [ ]GRANTED [ ] DENIED Date Date Received 3v 03� Permit Fee Receipt # Activation Date Date PERMIT # Date Truss Decal PLOT PLAN ❑For Interior work only Check box & skip to Name. MAP SHOWING THE STRUCTURE IS THE REQUIRED DISTANCE AWAY FROM PROPERTY LINES AND OTHER STRUCTURES: Using a survey map (or draw on the line below as the road) sketch your lot including the following : 4 Property Lines + Location/(or proposed) well & septic with distances to lot lines. 4. Other structures a Location of new structure/addition with distances to lot lines. + Center of driveway or right-of-ways a. Location of reflective house number sign N 74 Indicate North - NAME -Or ROAD-0R-STRM--------------------------------------------------------------------------------------------------- 1 Owner Name Michele Judge & Adolphe Alexander Lot Size Tax Map # Amount of Road Frontage ( Acres) 5.64 15.-1-27.21 183' CERTIFICATION: I herby affirm under penalty of perjury that all information provided in this application is complete, correct, and contains no misleading statements. I understand that any false or inaccurate information contained in the application or attachments; any construction changes made after the issuance of a building permit; or failure to schedule required inspections, may invalidate all permits issued under this application. I will not remove any buildings, structures, or other construction started or completed as a result. I certify that I have read and understand the permit process and all requirements. I hereby authorize the Code Enforcement Officer of the Town of Groton, or a designee, to conduct all onsite inspections by owner confirmed appointment only. I understand that no building shall be occupied or used in part or in whole for any purpose until obtaining the Certificate of Occupancy or Completion. Owner(s) Signature: Date: Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner -occupied Residence **Thu form cannot be used to waive the workers' compensation rights or obligations of any party. ** Under penalty of perjury, i certify that 1 am the owner of the 1, 2, 3 or 4 family, owner -occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): ® I am performing all the work for which the building permit was issued. ❑ 1 am not hiring, paying or compensating in any way, the individual(s) that is(are) performing all the work for which the building permit was issued or helping me perform such work. ❑ I have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if 1 need to hire or pay individuals a total of 40 hours or more per week (aggregate hours for all paid individuals on the jobsite) for work indicated on the building permit, or if appropriate, file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner -occupied residence (including condominiums) listed on the building permit that I am applying for, provide appropriate proof of workers' compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week (aggregate hours for all paid individuals on the jobsite) for work indicated on the building permit. (Signature of.. meowne Adolphe Alexander & Michele Judge (Homeowner's Name Printed) Property Address that requires the building permit: 451 Locke Rd Groton NY 13073 03/20/2021 (Date Signed) Home Telephone Number 267-918-9255 r Sworn to before me tJ (County Clerk or Not, o; Once notarized, this BP-1 form serves as an exemption for both workers' compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB C Ground Floor- Phase 1 Namagasta www.namagasta.com BACKFILL 48" TRENCH WITH MEDIUM AND ) W/ SMALL 451 LOCKE RD, GROTON NY STRAWBALE SHED SM C Ground Floor - Phase 2 No. Descrlptlon Date 3 D VIEWS Project number Project Number Date Issue Date Drawn by Author II Checked by Checker CAP INFILL WITH Scale A101 BUILD UP HAY BALES TO TOP OF WINDOW & DOOR. BUILD STEM WALL W/ BLOCK WALL. FILL SPACE W/SAND, CAP W/3"CONCRETE O Ground Floor - Phase 3 n Ground Floor- Phase 4 No. 451 LOCKE RD, GROTON NY Description Date a 3D VIEWS N Namagasta Project number Project NumberIssue o www.namagasta.com STRAWBALE SHED SM IDrae Author ate A102 � Drawn by Author Checked by Checker Scale ADD ANOTHER COURSE OF HAY BALES I ,, � Illllh�r III I LI I I I I LI I LI ILIIL. Namagasta www.namagasta.com ® Ground Floor - Phase 5 �t I III�I' IIIIIIIIII.I.IIIIII�IIII' III,, ... .. .. C Loft - Phase 5 No. Description Date 451 LOCKE RD, GROTON NY 3D VIEWS ry I Project number Project Number � o Date Issue Date I Al03 STRAWBALE SHED SM ;Drawn flyby Checker Scale C Loft - Phase 7 Namagasta www.namagasta.com =F OPE GABLE CAP 451 LOCKE RD, GROTON NY STRAWBALE SHED SM CONCRETE FLOOR L.L.I.0 q) Loft - Phase 9 No. Description Date 3D VIEWS Project number Project Number Date Issue Date Drawn by Author Checked by Checker Scale Al 04 DRRUGATED PIPE JE GRAVEL 42"DEEP W/FRENCH DRAIN AT LOWEST POINT Foundation 1� 3/8" = 1'-0" Namagasta 451 LOCKE RD, GROTON NY www.namagasta.com STRAWBALE SHED SM BLOCK SAND ........... CSupport Wall 3/8" =1'-01 I No. Dacdptlon I Drb I I I FOUNDATION PLAN ?� I Project number Project Number tl Date Issue Date A201 Drawn by Author Checked by Checker Scale 3 8" = 1-0 %r 10' - 101, ERS OF COB RTH, SAND, AW & CLAY) C STORAGE m —�-- WASH BASIN e I CONCRETE ..AND FLOOR HAY BALE _ CFinish Floor - Phase 4 3/8" = 1'-0" Hama aSta 451 LOCKS MU, GROTON NY I "° o. l� Q www.namagasta.com STRAWBALE SHED SM - OFinish Floor - Phase 9 3/8" = 1'-0" o,u FLOOR PLANS - ARCH Project number Project Number Date Issue Date AZ 02 b Drawn by Author i Checked by Checker i Scala 3/8" = T.0" I I Fir IIIr liillLiLitiii li CNorthern Section - ARCH 3/8" = 1'-0" Namagasta 451 LOCKE RD, GROTON NY www.namagasta.com STRAWBALE SHED SM c No. Description Date - i I ARCH SECTION - Project number Project Number Issue Date A301 (Date Drawn by Author Chocked by Checker Scale 3,8 = 1 -0 Namagasta www.namagasta.com OWestern Section - ARCH 3/8" = 1'-0" 451 LOCKE RD, GROTON NY STRAWBALE SHED SM 0 N0. 'n oa ARCH SECTION Project number Project Number Date Issue Date - Drawn by Author Checked by Checker A302 Scale 3/8" _ 1-0 A302 1 / � i i CSouthern Elevation 3/8" = 1.-T 451 LOCKE RD, GROTON NY i No. Descrtptlon Namagasta www.namagasta.com STRAWBALE SHED SM Data Southern Elevation Project number Project Number Date Issue Date Drawn by Author Checked by Checker A304 Scale 318" = T•0" TOWN OF GROTON BUILDING PERMIT APPLICATION Rick Fritz, Code Enforcement Officer - 607-898-4428 or 607-591-9898 No Construction shall begin until a permit has been issued. Check documents you are supplying: Application Form & Fee- to Groton Town Clerk at 101 Conger Blvd. (Po Box 36) Groton, NY 13073 pr, Plot plan of the lot with dimensions for new and existing structures, septic and wells. Construction specification drawings (professional stamped drawings may be required) or Appliance specifications tf- Completed Affidavit of Exemption for owner occupied residences ❑ If you have a contractor, proof of Workers Compensation or a signed CE-200 Exemption form. A CE-200 can be applied for @ httos://www.wcb.nv.aov/icexemr)t/index.isr) ❑ Sewaae Svstem Construction Permit issued by the Tompkins County Department of Health, 607-274-6688 55 Brown Rd., Ithaca, NY 14850. Applications are on their web site www.tomDkinscountvnv.gov/health/eh/owts/index Owner e Adolphe Alexander & Michele Judge Name P 9 Mailing Address 101 E Cortland St, BOX 278, Groton NY 13073-0278 Project 451 Locke Rd, Groton NY, 13073 I Tax lMap2 7.21 Address Description Large Shed Of Work: g Building Use Storage Check applicable:F-]Residential FICommercial Serial Number of Manufactured Home Date 01 /02/2021 Phone 2679189255 Flood Zone No Cost $10,000 Estimate Total Acreage Total Floor of lot : 5.64 Area — sq ft 250 Will any part of the building be a place used by the Public? No Will any part of the buildinq be used for human Will any part of the building be a place of employment habitation? No where agricultural products are processed, treated Builder / Contractor Self or packaged? No Name & Phone Other Builder / Contractor Name & Phone Self PROJECT COMPLETION or OCCUPANCY PROCESS 1. Permit will be issued upon approval of a completed application with fee and all paperwork as above. Construction can begin with permit prominently displayed. Permit is good for a one year. 2. Once passing all required inspections including the installation of the E911 sign, the permit will be closed and a Certificate of Occupancy or Completion will be issued. NO OCCUPANCY OR USE IS ALLOWED UNTIL PERMIT IS CLOSEDM I hereby affirm under penalty of perjury that all information provided in this application is complete, correct, and contains no misleading statements. 1 understand that any false or inaccurate information contained in the application or attachments; any construction changes made after the issuance of a building permit; or failure to schedule required inspections, may invalidate all permits issued under this application. 1 will not remove any buildings, structures, or other construction started or completed. I certify that 1 have read and understand the permit process and all requirements. I hereby license, permit and give privilege to the Town of Groton, or a designee, to enter the premises or land to conduct any onsite inspections by owner confirmed appointment only. Such license is revoked upon completion of the building project. I understand that no building shall be occupied, used in part or in whole for any purpose, until first obtaining the Certificate of Om-jpancy or Completion. Land Owner(s) Signature: Date: 03i20i2021 [ ] APPROVED Comment: Signed Code Enforcement Officer Date [ ] DENIED Reason: Signed Code Enforcement Officer VARIANCE [ ]GRANTED [ ] DENIED Date Date Received 5 36/1� " `4 Permit Fee Receipt # Activation Date Date PERMIT # Date Truss Decal PLOT PLAN ❑For Interior work only Check box & skip to Name. MAP SHOWING THE STRUCTURE IS THE REQUIRED DISTANCE AWAY FROM PROPERTY LINES AND OTHER STRUCTURES: Using a survey map (or draw on the line below as the road) sketch your lot including the following : 4 Property Lines + Location/(or proposed) well & septic with distances to lot lines. + Other structures + Location of new structure/addition with distances to lot lines. + Center of driveway or right-of-ways 46 Location of reflective house number sign �o N Indicate North 11 - NAME -OF ROAD-0RSTRE4ET--------------------------------------------------------------------------------------------------- I Owner Name Michele Judge & Adolphe Alexander Lot Size Tax Map # Amount of Road Frontage ( Acres) 5.64 15.-1-27.21 183' CERTIFICATION: I herby affirm under penalty of perjury that all information provided in this application is complete, correct, and contains no misleading statements. I understand that any false or inaccurate information contained in the application or attachments; any construction changes made after the issuance of a building permit; or failure to schedule required inspections, may invalidate all permits issued under this application. I will not remove any buildings, structures, or other construction started or completed as a result. I certify that I have read and understand the permit process and all requirements. I hereby authorize the Code Enforcement Officer of the Town of Groton, or a designee, to conduct all onsite inspections by owner confirmed appointment only. I understand that no building shall be occupied or used in part or in whole for any purpose until obtaining the Certificate of Occupancy or Completion. Owner(s) Signature:, Date: �� �7 -Zo'Z0 2. I Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage for a 1, 2, 3 or 4 Family, Owner -occupied Residence "This form cannot be used to waive the workers' compensation rights or obligations of any party." Under penalty of perjury, I certify that I am the owner of the 1, 2, 3 or 4 family, owner -occupied residence (including condominiums) listed on the building permit that I am applying for, and I am not required to show specific proof of workers' compensation insurance coverage for such residence because (please check the appropriate box): ® I am performing all the work for which the building permit was issued. ❑ I am not hiring, paying or compensating in any way, the individual(s) that is(are) performing all the work for which the building permit was issued or helping me perform such work. ❑ 1 have a homeowners insurance policy that is currently in effect and covers the property listed on the attached building permit AND am hiring or paying individuals a total of less than 40 hours per week (aggregate hours for all paid individuals on the jobsite) for which the building permit was issued. I also agree to either: ♦ acquire appropriate workers' compensation coverage and provide appropriate proof of that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if 1 need to hire or pay individuals a total of 40 hours or more per week (aggregate hours for all paid individuals on the jobsite) for work indicated on the building permit, or if appropriate, file a CE- 200 exemption form; OR ♦ have the general contractor, performing the work on the 1, 2, 3 or 4 family, owner -occupied residence (including condominiums) listed on the building permit that 1 am applying for, provide appropriate proof of workers' compensation coverage or proof of exemption from that coverage on forms approved by the Chair of the NYS Workers' Compensation Board to the government entity issuing the building permit if the project takes a total of 40 hours or more per week (aggregate hours for all paid individuals on the jobsite) for work indicated on the building permit. 03/20/2021 (Signature of HHomo`meo� (Date Signed) Adolphe Alexander & Michele Judge (Homeowner's Name Printed) Property Address that requires the building permit: 451 Locke Rd Groton NY 13073 Home Telephone Number 267-918-9255 1rSworn to before me this County Clerk or Notary Public) day of Once notarized, this BP-1 form serves as an exemption for both workers' compensation and disability benefits insurance coverage. BP-1 (12/08) NY-WCB BACKFILL WITH �— LARGE STONES CGround Floor - Phase 1 C Ground Floor - Phase 2 CAP INFILL WITH CONCRETE CGround Floor- Phase 3 BUILD SUPPORT WALL. FILL SPACE W/SAND BUILD UP HAY BALES ADD ANOTHER TO HEIGHT OF / COURSE OF HAY BALES / WINDOWS 8 DOOR. Ll- L�y4 I t6 1.11 J�.1 Illlll 11111 tl '.f� II I Itlt. C Ground Floor - Phase 4 C Ground Floor - Phase 5 No. Deecriptlon Date 451 LOCKE RD, GROTON NY I 3D VIEWS NamagastaProject number Project Number LG STRAWBALE SHED ' Date ate Al1 Author Q www.namagasta.com I Drawn by Author � I Checked by Checker Scale M Namagasta www.namagasta.com O Loft - Phase 6 451 LOCKE RD, GROTON NY LG STRAWBALE SHED C Loft - Phase 7 C Loft - Phase 9 C Loft - Phase 8 No. Description Date a 3D VIEWS a a Project number Project Number Date Issue Date Al 02 Drawn by Author Checked by Checker Scale BACKFILL 48" TRENCH WITH LARGE, MEDIUM AND CFoundation 1/4" = 1'-0" Namagasta www.namagasta.com 0:-4" 1:_8:: , BLOCK SAND / 1- C SUPPort Wall 1/4' = 1'-0" No. Description Date 451 LOCKE RD, GROTON NY FOUNDATION PLAN Project number Project Number o Date Issue Date i A201 LG STRAWBALE SHED N Drawn by Author Checked by Checker Scale 1/4" = T-9' �v 19' - 10" �IA 1 /r y t1' - 01 /4" B' - 7" Finish Floor Q 1/4" = V-011 Namagasta www.namagasta.com 1( LAYERS OF COB (EARTH, SAND, STRAW & CLAY) WIRE BOUND HAY BALE 451 LOCKE RD, GROTON NY LG STRAWBALE SHED I% /- LADDER C Loft 1/4" = 1'-0" No. Description Date FLOOR PLANS - ARCH N 0 Project number Project Number di Date Issue Date A202 Drawn by Author I Checked by Checker I Scale 114' = Tug' q A3D2 30' - 3 112' CRoof 1/4" = -01, NOTES 1. INSTALL METAL ROOF PANELS, EVES, RAKES AND CAP WITH 1 1/2" SELF DRILLING SCREWS, 451 LOCKE RD, GROTON NY No. Description Date ROOF PLAN Nam agasta Project number Project Number LG STRAWBALE SHED Date AuthorIssue ete A203 www.namagasta.com Drawn by Author Checked by Checker Scale 114" = 1'-0" R CNorthem Section - ARCH 3/8" = 1'-0" No. Description Date Namaasta 451 LOCKE RD, GROTON NY ARCH SECTION Project number Project Number Issue www.namagasta.com LG STRAWBALE SHED Date Drawn by Author Author ate Checked by Checker A301 Scale 3/6' = T-0" I I FIT CWestem Section - ARCH 3/8" = 1'-0" No. Description Date Namaasta 451 LOCKE RD, GROTON NY ARCH SECTION Project number Project Number 9 LG STRAWBALE SHED Date AuthorIssue ate www.namagasta.com I Drawn by Author Checked by Checker A302 Scale 3/6' = 1'-0" G