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Home My WebLink About43524-Z Town of Southold 8/6/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40592 Date: 8/6/2019 THIS CERTIFIES that the building FOUNDATION Location of Property: 1000 Village Ln., Orient SCTM#: 473889 Sec/Block/Lot: 25.4-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/26/2019 pursuant to which Building Permit No. 43524 dated 3/5/2019 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: FOUNDATION REPAIR TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR The certificate is issued to JOTAS Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0 A t r' ed Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o� • SOUTHOLD, NY JjPl � �a0 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#: 43524 Date: 3/5/2019 Permission is hereby granted to: JOTAS Corp 25500 Main Rd Orient, NY 11957 To: construct foundation repair to existing commercial building as applied for. At premises located at: 1000 Village Ln., Orient SCTM # 473889 Sec/Block/Lot# 25.-1-18 Pursuant to application dated 2/26/2019 and approved by the Building Inspector. To expire on 9/3/2020. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 CO -COMMERCIAL $50.00 Total: $300.00 Building or l I S01%,ob # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 765-1802 INSPECTION t_/FOUNDATION 1ST 4*4001- [ ] 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: DATE INSPECTOR - r 3 OE S0 # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ /FOUNDATION IST [ ] 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: fbqv&k�n I 1 J DATE INSPECTOR i OFSOUTyO # # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING /STRAPPING [ ]] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS. f(ww"ov DATE B INSPECTOR FIELD INSPECTIONREPORT7 DATE COMMEN S FOUNDATION (1ST) 'FOUNDATION (2ND) Z ROUGH FRAMING& PLUMBING iy 9 INSULATION PER N.Y: y STATE ENERGY CODE G- C19- .4j,-7 d FINAL [Ell ADDITIONAL COMMENTS CtD o t z 1 'r _ N . O z • d - b 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. Check Septic Form N.Y S D.E C. Trustees C O Application �j Flood Permit Examined L✓ 20 Single&Separate Truss Identification Form Storm-Water Assessment Form `� �j Contact: i n Approved ✓ 20 Mail tolh 1 it Disapproved a/c Phone.—,(o �l Expyatip �® 20 W-U MA110 . B ' Inspe 6 L 0E 9 2 031 APPLICATION FOR BUILDING PERMIT a i Date 20 INSTRUCTIONS tlettk4�� cb pletely filled in by typewriter or m ink and submitted to the Building Inspector with 4 sets of plans,accurate phot p o s . ee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or 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 removal or demolition as herem described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. a 1 1 (Sign�oe,if a corporatto C (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises J9AA4 �i t b=01CA (A 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. Location of land on which proposed work will be done: tr7040 -AL.J.64 House Number Street Hamlet County Tax Map No. 1000 Section d QQ4� $lock '':1 Lot T i Subdivision Filed Map No. Lot 2. State existing use and occupancy of premise5 and int nded use �ccupancy of proposed constru o a. Existing use and occupancy t&.- b. Intended use and occupanc Vvim 3. 1\ tre of work(check which applicable):New Building Addition Alterati n Repair Removal Demolition Other Work v �1� �� 4. Estimated Cos f� S � � C9 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units I Number of dwelling units on each floor If garage, number of cars n 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. i f 7. Dimensions of existing structures,if any:Fron Rear Depth S J Height 1_9Number of Sto ies_ Dimensions of same structure with alterations or additions: Front ��+ 16Aifut Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front N o ear Depth Height Number of Stories 9. Size of lot:Front 49—� Rear S 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 NOY_ 13.Will lot be re-graded?YES NO\ ill excess fill be removed from premises?YES NO � C-Nv�w`2 f:n.� 14.Names of Owner of premises Address Phn Name of Architect '11/J 5i0cam ddress 6 hOtWhE&--4� I hone No S J Name of Contractor ddress hone No. CnA 14y119S1, 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES 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 topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO-)Oell *IF YES,PROVIDE A COPY. STATE OF NEW YORK) ss- COUNTY OFS ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above�amed, (S)He is the v (7britractor,Agent,Corpo ate Office,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 flus 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 �h day of 20117 Notary Public Signature of Applicant Scott A. Russell ,��°Su S�['O]KMWA' IEIK SUPERVISOR � 1= I�� A\NA(G 1EM1ENT SOUTHOLDTOWN HALL-P.O.Box 1179 Town of Southold 53(95 Main Road-SOUTHOLD,NEW YORK 11971 O� CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) DOES TIES PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑p A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑N- B. Excavation or filling involving more than 200 cubic yards of material ithin any parcel or any contiguous area. UP C. S' e preparation on slopes which exceed 10 feet vertical rise to 00 feet of horizontal distance. ❑[� D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑ E. ite preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. EV F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department witFyour Building Permit Application. S.C.T.M. #: 1000 Date APPLICANT Pr arty Owner,Design Prof tonal.Agent,Contractotgher) District i �� V NAME: Section Block Lot Contact information FOR BUILDIN PARTMENT USE ONLY�*x* \ v l Rcicphme Vumtrrl Reviewed By. - - — — — — — — — Date: Property Address /Lo tion of Construction Work: — — — — — — — — — — — — — — — — — Q . ® Approved for processing Building Permit. Stormwater Management Control Plan Not Required. M EStormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM '# SMCP-TOS MAY 2014 �mrs�000ra�sria�+ � - sti��aagray+Mpbe M �A T2O�d■aYA Y�S�� i Al 1111 icy ne�erll/w�aq�. IN- O�fM�biww�llk#np�iln �.w�ti■ad�s�w4a�w�a..� � � 1 4 O LAAF6 ? AAIUM{o 'MV-e_d cF..o vas .rf aew [P=ir: TOTAL P.09 ZO'd O£ZO-C€tr-9I5 -AC aZ)PL-Ad H UIM H9Z= it 00-IZ--AdV .o ;w I� APPROVED AS NOTED DATE: B.P FEE: BY. RETAIN STORM WATER RUNOFF NOTIFY BUILDING DEPARTM T AT y PURSUANT TO CHAPTER 236 765-1802 8 AM TO 4 PM FOR THE OF THE TOWN CODE. FOLLOWING INSPECT )NS: 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 -R nt# 1fNG-BOARD 2OUTOWN T ES OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Wo Y-k m Lts� k�c Remove exist,', crumbim, block foundation Install new Existing deck remove to Existing Frame construction allow new foundation installation;restore upon completion New pt sill with termite Owners Aprtment shield and seal Anchor bolts at 48"o% New CMU e �I II ; _ _ _ _ _ _ _ _ _ _ _ _ II I — — — — —� o �= o New Gonc Footing with 6 #4 re-bars E a a o E m � 0 5_ d d A 70 o 6 o 4"crushed gravel G"deep I'-6° f3ased on 1,500 P51'soil,minimum; Silty-Clay tc Clay. A: Typical New Footing Section Ice Cream Parlor Post office � Pel;YL•I?d�� !, Pr r rF OF N E14 Foundation Repair 1000 Village Lane Orient NY rebrauary 19, 2019