Building Permit Application Form

Plans required __ yes __no

Reviewed by

_________________________________________

and

_________________________________________

Section(4) cont. Addition, New Structure or Structural repairs

Footers:

Depth of footer from finished grade ________

Depth (Min 10") ________

Width ________

Rebar: yes or no

Number of Rods ________

Thickness ________

Foundation Wall:

Block; 6" 8" 10" 12"

Durawall: yes or no

Every ____ courses

Poured Wall Width ________

Rebar: Vertical ______ Horizontal________

Beam:

Steel

Wood

Micro Lam

Other

Length ________

Height ________

# of Pilasters ________

Deck:

Joist Size ________

Spacing ________

Plywood Size ________

Bridging ________

Walls:

Stud Size ________

Header Size ________

Wall Height ________

Sheathing Size ________

Stud Spacing ________

Interior Walls:

Stud Size ________

Header Size ________

Wall Height ________

Spacing ________

Ceiling Joist:

Size ________

Spacing ________

Roof Rafters:

Pitch of Roof ________

Rafter Size ________

Rafter Length________

Sheathing Size________

Collar Ties: yes or no

Type of Finish roof ________

H Clips: yes or no

If anchoring to existing structure, explain fastening point and method

________________________________________

________________________________________

________________________________________

________________________________________

Trusses:

yes or no

Spacing ______

Engineering paper work: yes or no

*** ALL TRUSSES AND RAFTERS MUST MEET A 40 LB SNOW LOAD

Insulation:

Foundation ______ R-value

Walls ______ R-value vapor barrier ______

Ceiling______ R-value vapor barrier ______

Setback Requirements For Pools and Accessory Buildings

Zone R-3 Sides 10 Feet Rear 25 Feet

Zone R-6 Sides 7 Feet Rear 30 Feet

Zone R-10 Sides 7 Feet Rear 30 Feet

If setback requirements cannot be met, a variance MUST be obtained through the Codes Office or Zoning Board.

Section(5) Cost:

Cost of Improvement $________

a) Electrical $________

b) Plumbing $________

c) HVAC $________

d) Other $________

Total cost of project $________

This building permit is issued with the expressed agreement that said shall hold the Village of llion harmless and shall indemnify said Village for any and all causes of action arising out of any engineering or architectural services provided by or contracting services provided by

_________________________________________, in as much as certified/stamped prints are not submitted with this application.

This permit is for the intended occupancy use only. Any proposed change in occupancy of the above structure, will require approval from the Codes Division prior to any change.

** All electrical inspections must be done by a 3rd party independent inspector and a copy of these inspections shall submitted to the Codes office upon completion of each inspection.

Variance required: yes or no

Type of Variance: use, area, flood, other

Variance ____ approved ____ denied

Signature of Applicant _________________________ Date___________

Approved by _________________________ Date___________

PERMIT FEE $ ___________

Section (6) Demolition work only:

lnsurance Certificate Attached: yes or no

Gas Disconnected on ______ by __________________ Niagara Mohawk

Electricity Disconnected on ______ by__________________ Ilion Light Dept

Water Disconnected on ______ by__________________ Ilion Water Dept

Sewer Disconnected on ______ by__________________ Ilion Public Works Dept

Permission for a Routine Variance within the Village of Ilion

I _________________ owner of the property located at _________________ with lot lines bordering _________________which is owned by

_________________, grant permission to _________________ for construction of a _________________, closer to my property line than is allowed by the Village of Ilion setback requirements and in accordance with sec. 250-39(D)(2). This variance shall pertain only to the above-mentioned project.

This agreement is between the two above mentioned parties and is a variance for the Setback requirements only.

The Village of Ilion does not survey or interpret property line locations or land deeds

Name: _________________

Date: _________________

* Both parties should keep a copy of this variance with other real estate documents for future reference.