HomeMy WebLinkAbout43446-Z �pSUfF l�',1'G�s Town of Southold 6/19/2019
P.O.Box 1179
0
ca 53095 Main Rd
04, p� +'� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40456 Date: 6/19/2019
THIS CERTIFIES that the building ALTERATION
Location of Property: 1170 Peconic Ln, Peconic
SCTM#: 473889 Sec/Block/Lot: 75.4-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/28/2019 pursuant to which Building Permit No. 43446 dated 2/5/2019
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which,this certificate is issued is:
door replacement on existingbuilding uilding as applied for.
The certificate is issued to Town of Southold
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut rized Signature
�SUFFntK TOWN OF SOUTHOLD
��o c°may BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�� • ; SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 43446 Date: 2/5/2019
Permission is hereby granted to:
Town of Southold
53095 Route 25
PO BOX 1179
Southold, NY 11971
To: replace door on existing building as applied for.
At premises located at:
1170 Peconic Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 75.-1-13
Pursuant to application dated 1/28/2019 and approved by the Building Inspector.
To expire on 8/6/2020.
Fees:
Total: $0.00
Building Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing"land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00
Date. 2�
New Construction: Old or Pre-existing Building: (check one) f ��
Location of Property: G (� ( �-- �LCdw 1C' (4` jue,
House No. / Street I _ _ Hamlet
Owner or Owners of Property: I MPy�_SffOW_d -
Suffolk County Tax Map No 1000, Section :7,6 Block / Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval::
Planning Board Approval: /
Request for: Temp or Certificate Final Certificate: rrr/// (check one)
Fee Submitted: $
Applicant Signature
OF 50U1hO�
# TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[
]' FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING ( ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
&D4QS ALEP
va(c�- le4le,
DATE 3 1° INSPECTOR �l�'
FIELD INSPECTION REPORT7 DATE COMMENTS
FOUNDATION(1ST)
Ve cm
'FOUNDATION (2ND)
O
ROUGH FRAMING
PLUMBING
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
� z
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT`NO. 143 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to: ✓� 1M 1� ��GCl-4��
Disapproved a/c 771Q 5 1-5&0
Phone:
Expiration ,20
B spector
JAN 26 2019 LICATION FOR BUILDING PERMIT
Date , 20
cry a ''Tr INSTRUCTIONS
gg�� LD
a.T1WPa 9ff0§9TCIS �e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets o'r
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations,for the construction of buildings,additions, or alterations or for re oval or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building co , ho sing cogulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. /
1. Lo ; h tion of land on w proposed work will be done: + 110 1,-e CbyN 1Xr, karq
f.C�
House Number Street Hamlet
County Tax Map No. 1000 Section f--r7J4 Block Lot 13
i
i
Subdivision Filed Map No. i Lot
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I
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy U
3. Nature of work(check which applicable): New Building Addition ! Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each:floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number
8. Dimensions of entire new construction: Front Rear t�._i Depth ? #
Height Number of Stories ,`
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES I NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide to o ra hical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY. CONNIE D.BUNCH
Notari Public,State of Neiv York
STATE OF NEW YORK) No.0JSU6165050
Cualified in Suffolk County
SS:
Com-mission Expirea Aprii 14,2-M jD
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief, and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this '
aday of �/ 20
n L
Notary Public Sig atur of Applicant
APPROVED AS NOTED
DATE: B.P.# L 3
FEE: BY:
NOTIFY BUILDING DEPARTMENT AT ELECTRICAL
765-1802 8 AM TO 4 PM FOR THE INSPECTION REQUIRED
FOLLOWING INSPECTIONS:
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
f9
D
�ttfiH6k�9 TEES
N. nF---
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CE TIF:CAT.-
OF OCCUPANCY
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SOUTHOLD TOWN
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PROPOSED AUTOMATIC DOOR:
COMMUNITY CENTER
REMOVE EXISTING DOUBLE DOOR SYSTEM PECONIC LANE
AS NEEDED OR REQUIRED TO INSTALL NEW
W AUTOMATIC DOOR AS SPECIFIED HEREIN. P E C 0 N I C
SEE SPECIFICATIONS&DETAI S ON SHEET A-I c7
- Town of Southold
O DRANK:
James A.Richter, RA
i!7 SC'"` 1000 - 75 - 1 - 13
O M
O
SCALE AS NOTED
O DAW- JANUARY 22,2019
O REVISED: DESCRIPTION OF MODIFICATION.
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311.00'
N. 300 29' 00" W. � i
P E C 0 N I C L A N E
PART ITE PLAN DYAWING#:
SCALE: NTS sp =1
SHEET i y OF 2
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AUTOMATIC DOOR PROJECT NOTES:
:Ji -
New Modifications to the r Exterior Door Set shall require the supply&installation of a New Auto Operating System and a New Door.
IT IS THE INTENT OF THESE SPECIFICATIONS THAT ALL WORK REQUIRED TO INSTALL THE NEW
AUTO OPERATING,DOOR&ALL RELATED SYSTEMS SHALL BE COMPLETE IN ALL RESPECTS.
1. In addition to the Automatic Controls,the New exterior 4'Wide Door shall be Equipped with a
Remove existing double door system manual panic bar operator for Emergency Egress. All door hardware shall be A.D.A.compliant. SOUTHOLD TOWN
as needed or required to accommodate 2. Contractor shall remove existing exterior door set and salvage doors&hardware for re-use by the Town.
new door installation. 3. The Contractor shall provide New(4'-0"x 6'-8")metal frame for opening as needed or required to accept new exterior door system. ENG I NEER I NG
ff 4. Contractor shall supply and install all Trim&Paint to match existing and provide new Metal Threshold to meet A.D.A.standards.
5 The New Exterior doorsystem shall be an Insulated,steel stiffened metal door with the following options.
• One 4'-0"x 6'-8" -18 Gauge,insulated hollow metal steel stiffened door. O,S1JF�K
• The new door shall have a white anodized aluminum finish. _ rr _ � (�
Z • 1 Each-Air Louvre VLFEZIG L-Pro 32 wide x 30 high vision kit with 1"insulated glass,12 lite. 'C ., �$�
• 1 Each-780-224 Roton Continuous Geared Hing 83 Clear Anodized Ti> ° _" I
ir
• LCN heavy duty closer model#LCN 4040 XP H-CUSH. �--
• Von Duprin 99 Series Concealed Vertical Rod Exit device-Lever Trim US26D
• Von Dupnn 99 Series Concealed Vertical Rod Exit device-Exit Only US26D ?j
• A D.A.Compliant Aluminum Saddle(Continuous)anchored to concrete.
•1 Each-NGP 600A Door Sweep Clear Anodized with Brush 36
•1 Set -Nabco series 8500 Right Hand Out Swing,Low energy auto operators, IN'T'ERIOR VIEW EXTERIOR VIEW
2 RC wireless wall switches with 433 transmitters and receivers.
•Provide One set(2 Each)of radio controlled press wall switches for new entry door for activation. PROPOSED AUTOMATIC DOOR:
•Provide Continuous Weather Stripping(Head,.lamb&Sill)on new 4'-0"wide exterior Door. COMMUNITY CENTER
6. The existing Interior set of doors shall remain. PECONIC LANE
7. See Plan Detail,This Sheet,for approximate location of two(2)press wall switches for Automatic Door Activation. P E Ci 0 N I C
DEMOLITION PLAN 8 All electrical work required for the installation of the automatic door system is the Contractors responsibility. TOWN of Southold
Any and all damage associated with the installation shall be repaired to match adjacent surfaces and approved
by Town Department of Public Works
°RAwH.
SCALE: NTS James A.Richter, RA
scTMx 1000 -75 - 1 - 13
SCALE:
AS NOTED
3 _L1 .�..s__.'k DATE JANUARY 22,2019
1 it _�Lr_L,t€.L _
L__€.U__LLLLL L
L� —L Existing Wall Construction REVISED. DESCRIPTION OF MODIFICATION:
€Lit,LLL LLLL € Verify the Existing Window Transom Framing
t€_€ _L.L€..c.U_LLk_LH to Remain.
LL,_LLL_L„,�L .L Ly and les Ability to Provide a Stable Base to
LL_LLL.LLLLL. I..L'
,Llc, � €M ;, y. / Support the New Door Operating System.
_LLL.L._LL€...LLLLLI...feC Existing Brick Veneer i
L4_L.L.LL L I L
&Wood Trim to Remain.
..L.€_ LL,LL.L? L.3.'
_LLL ,_L L L t Existing Brick Veneer
LL•€. }L EL � &Wood Trim to Remain.
Press Plate for •t:LLL._ L L LL
L€-LCL € L '€ New Exterior Wood Trim '
ff Door Activation I_!LLL L. LLL. LL€_Im
°0 3 LU_LL� wLL�L t 1€' by Contractor(White Paint-2 coats) Note: Provide New Exterior Wood Trim as
m.c Needed or Required to Duplicate the existing
Cl? n O� Continuous solid spacer to adjust for Facade by Contractor(White Paint-2 coats)
t ><v required new door rough opening.
3 ">� 3/4°Exterior "A-C°Plywood by Contractor
a a 3/4"Exterior °A-C"Plywood (White Paint-1 Coat Oil Base Primer&2 Coats A. A
k W by Contractor(White Paint-1 Coat Oil w Exterior Latex)Typical Each Side A" 1
m
Base Primer&2 Coats Exterior Latex) k m
€ Typical Interior&Extenor b
Press Plate for n H
3 New 2x6 Framed Opening-Anchor to
Door Activation
New 2x6 Framed Opening-Anchor to Existing Transom Framing by Contractor
Existing Wall Framing by Contractor
New Heavy Gauge Hollow Metal Door
New Heavy Gauge Hollow Metal Door Frame&Hardware by Contractor ��®B
Frame&Hardware by Contractor - 02®
New A.D.A.Compliant Aluminum
Threshold Below. By Contractor
(Extra Width will be Required to cover
exterior concrete slab.) DRAWING#
NEW DOOR PLAN - t1111 JAMB DETAIL HEAD DETAIL
SCALE: NTS SCALE: NTS SCALE: NTS Awl
SHEET f -2-OF 2