HomeMy WebLinkAbout48024-Z ��o�ac,Uffol�-�oGy Town of Southold 7/5/2022
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P.O.Box 1179
y 53095 Main Rd
Gy'jo� �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43217 Date: 7/5/2022
THIS CERTIFIES that the building COMMERCIAL ALTERATION
Location of Property: 620 Traveler St., Southold
SCTM#: 473889 Sec/Block/Lot: 61.-1-13.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/5/2019 pursuant to which Building Permit No. 48024 dated 6/29/2022
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:
alteration for a door to unit I 1 as applied for.
The certificate is issued to 2245 MCR LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A z gnature
o�saFFoi TOWN OF SOUTHOLD
y BUILDING DEPARTMENT
C2 TOWN CLERK'S OFFICE
oy SOUTHOLD, NY
�'oi Sao
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 #: 48024 Date: 6/29/2022
Permission is hereby granted to:
2245 MCR LLC
c/o Marcello Pica Mng Mbr
PO BOX 652
Centereach, NY 11720
To: Make an alteration (add door) to unit 11 as applied for. Replaces BP# 44674.
At premises located at:
620 Traveler St., Southold
SCTM # 473889
Sec/Block/Lot# 61.-1-13.1
Pursuant to application dated 6/29/2022 and approved by the Building Inspector.
To expire on 12/29/2023.
Fees:
PERMIT RENEWAL $150.00
Total: $150.00
Buil pector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . o�4! 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#: 44674 Date: 2/6/2020
Permission is hereby granted to:
2245 MCR LLC
PO BOX 1340
Southold, NY 11971
To: make an alteration (add door) to unit 11 as applied for.
At premises located at:
620 Traveler St, Southold
SCTM # 473889
Sec/Block/Lot# 61.-1-13.1
Pursuant to application dated 12/5/2019 and approved by the Building Inspector.
To expire on 8/7/2021.
Fees:
COMMERCIAL ADDITION/ALTERATION $250.00
CO COMMERCIAL $50.00
Total: $300.00
BQgnr
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$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00, Additions to accessory building$25.00, 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. Dec. 5th 2019
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: 53345 Route 25 Southold
House No. Street Hamlet
Owner or Owners of Property: MCR LLC
Suffolk County Tax Map No 1000, Section 61 Block 01 Lot 13.1
Subdivision Filed Map. Lot:
Permit No. �q�-jqDate of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: �/ (check one)
Fee Submitted: $ 6(D
Applicant Signature
SOUjyO�
TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
FRAMING /STRAPPING /FINAL tT3✓ � ���
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
to
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DATE INSPECTOR
FIELD 1NSPECTIbN REPORT -DATE COMMENTS k
FOUNDATION (IST)
---------------------------------
FOUNDATION (2ND)
H
ROUGH FRAMING&
PLUMBING
C>
INSULATION PER N.Y.
H
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HAIL . . -i Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 ( ' Planning Board approval
FAX: (631)765-9502 V Survey
SoutholdTown.NorthFork.net PERMIT NO. 7 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single& Separate
Storm-Water Assessment Form
Contact:
Approved " 20 Mail to: Robert Wilson
Disapproved a/c PO Box 49 Southold NY 11971
Phone: (631)504-8842
Expiration ,20 �t �---
';4- i .
6 31
v
DEC - 5 2019 APPLICATION FOR BUILDING PERMIT
Date October 15th , 20 19
INSTRUCTIONS
a. This application MUST be 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 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 herein 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.
(Signature of applicant or name,if a corporation)
PO Box 49 Southold NY 11971
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Agent
Name of owner of premises MCR LLC
(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. Location of land on which proposed work will be done:
53345 Route 25 Southold
House Number Street Hamlet
County Tax Map No. 1000 Section 61 Block 1 Lot 13.1
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Retail space
b. Intended use and occupancy Same with new side entry door with adjacent side lights
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 1 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 64'-9-314" Rear 64'-9-314" Depth 30'
Height 22' Number of Stories 2
Dimensions of same structure with alterations or additions: Front 64'-9-314° Rear 64'-9-314"
Depth 30' Height 22' Number of Stories 2
8. Dimensions of entire new construction: Front 6' Rear 6' Depth 6"
Height 6'-8" Number of Stories 1
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 R-40
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V
13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES NO
53345 Route 25
14. Names of Owner of premises MCR I-I-C Address Southold NY 11971 Phone No. (631)504-8842
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 \/ 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-
IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
Robert Wilson being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
CONNIE D.BUNCH
(S)He is the Agent Notary Public,State of New York
(Contractor,Agent, Corporate Officer, etc.) Qualified In Suffolk County
Commission Expires April 14,2 „10
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 thi�41)_,)MGWM
day of20QO
Notary Public '--Signature of Applicant
I(%SUFFQ
Scott A. Russell 01- S�F01[Z.MWATIE][
SUPERVISOR N MANAGEMENT
SOUTHOLD TOWN HALL-P.O.Box 1179 0
53095 Main Road-SOUTHOLD,NEWYORK 11971 ' Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SKEET
( TO BE COMPLETED BY THE APPLICANT )
DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes No (CHECK ALL THAT APPLY)
❑� A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑Q
B. Excavat-ion or f il-ling invo-Iving more-than 200-cubic yards-of material
within any parcel or any contiguous area.
❑® C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑Q D.. Site .preparation within 10.0 feet. of,wetlands, beach,, bluff or coastal :. .
erosion hazard area.
❑❑ E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
i; ❑® F. Installation of new or resurfaced impervious surfaces of 1,000 square � E
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 with your Building Permit Application.
APPLICANT: (Property Owner.Design Professional.Agent,Contractor.Other) S.C.T.M. 1000 Date
DLtrict
NAME: Robert Wilson "' 61 1 13.1 12/5/2019
cr,ni Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY****
Contact Information (631)504-8842
Reviewed By:
—
Property Address/Location of Construction Work: — — — — — — — Date — — — — — — —
53345 Route 25 Approved for processing Building Permit.
® Stormwater Management Control Plan Not Required.
Southold NY 11971 Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
1 .
FORM # SMCP-TOS MAY 2014
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EXISTING STRUCTURE C• �'L ( WI H ALL CODES Or
NO CHANGES �``' �
YC`R'S STATE & TOWN CODES
1;i rktOUIREG �, I r
S�� HOLD ^ ,� DA
MOLD TOWN PLANNING BOARD
SO TOWN TRUSTEES
DEC
1 36" x 80" DOOR
WITH 15" x 80" SIDE-LIGHTS
rJi HEADER 2-2x12
PLAN
1/4" = V-0"
4'-94..
CONSTRUCTION NOTES
GENERALNOTES 1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade. A 1 0 1 PLAN
1. All work shall conform to the requirements of the Residental Code of New York 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted.
FEATHER HILL VILLAGE State, County and Town Department Regulations, Utility Company requirements and 3. Sill plates shall be preserved, treated wood and be installed above a 16 oz. OF Ni!N,
best trade practises. copper termite sheild.
2. Before commencing work the Contractor shall file all documents required by the 4. Shingle siding shall conform to ASTM D 3679 and be installed in accordance
53345 ROUTE 2 5 Building Department, pay all fees required by local agencies and obtain all required with the New York State Building Code and manufacturers specifications.
permits. 5. Pilings shall be installed by a licensed contractor to a depth and bearing agreed r ;'
3. The Contractor shall visit the site and verify all dimensions and the existing upon by an engineer and certificates shall be issued stating same. s Y
S O U T H O L D NY conditions affecting the work prior to construction. Any discrepancies which would 6. Unless otherwise noted all framing and structural wood components shall be
Fir.
\ _
interfere with the satisfactory completetion of the wort. described herein shall be #2 or better Douglas tri
6 0.
reported to the architect or property owner. Do not start work until such conditions 7• All framing techniques and methods shall be as prescriptive design based on ,0�.,, �
have been examined and a course of action mutually agreed upon. Failure to notify AF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM) R�`ESSION
the owner or architect of unsatisfactory conditions will be construed as an acceptance or as specified in R301.2.1.1
of the conditions to properly perform the required wore. 8. All building envelope components shall comply with Chapter 6 of the Energy
4. All work is to conform to the drawings and specifications of the architect and Conservation Code of the State of New York. FIRST F L O O PLAN
engineer consultants. 9. Fireblocking shall be provided in all wood framed construction in accordance
5. The Contractor is to maintain a complete and up to date set of plans on the with NYS Code R 602.8 to form an effective fire barrier between stories and
job site at all times between the top story and roof space.
EXISTING: RETAIL S PACE 6. The drawings are not to be scaled under any circumstances. 10. Protective panels shall be provided for glazed openings in accordance with
7. It shall be the Contractor's responsibility to ascertain all prevailing procedures NYS code R301.2.1.2 if they are required.
SCTM# 1000-61 - 1 - 13. 1 including storage and toilet facllities,protecticn of existing work to remain,access to 11. All portions of the new structure are designed to comply with local geographic SCALE AS NOTED OCTOBER 1ST 2019
work area, hours of permitted work,availability of wate- and electric power and all and climatic criteria as stated in the following table.
ZONE H B other conditions and restrictions for this particular location in order to execute the
work in a careful and orderly manner with the least possible disturbance to the public. GEOGRAPHIC & CLIMATE DESIGN CRITERIA �''�S
PROPOSED: 8. The Contractor shall make the neccesary arrangements to utilities and services
A
SINDIPM A YMN11ii 018111111M
temporarily disconnected while performing the work as required. GROUND SNOW LOAD 45 ps1 0NEW SIDE ENTRY DOOR WITH SIDE LIGHTS 9. The Contractor shall provide all dimensions and cut-outs for other trades. WIND SPEED 130 MPH
1
10. The Contractor shall provide proper shoring and bracing for all remaining structure SEISMIC DESIGN CATATGORY B O
prior to removal of existing structure. WEATHERIIJG SEVERE
11. Plumbing, electrical, HVAC and similar work shal be performed by licensed FROST LINE DEPTH 36" efmlE5 C�iCi�t{tl f'X E'Crr
persons who shall arrange for and obtain all required inspections.The General TERMITE THREAT MODERATE TO HEAVY
Contractor shall be responsible for scheduling all other inspections as required. DECAY SLIGHT TO MODERATE PO BOX 49
12. The Contractor is solely responsible for constructon safety and shall hold the WINTER DESIGN TEMPERATURE 1 1JOAN CHAMBERS SOUTHOLD NY 11971
owner and architect harmless from litigation arising OU of the Contractor's failure to FLOOD HAZARD AS NOTED 631-294-4241
provide construction safety means and methods.