HomeMy WebLinkAbout27885-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29496 Date: 06/09/03
THIS CERTIFIES that the building ADDITION
Location of Property: 625 FRANKLINVILLE RD LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 125 Block 2 Lot 1.25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 7, 2001 pursuant to which
Building Permit No. 27885-Z dated NOVEMBER 8, 2001
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 NON-HABITABLE STORAGE ADDITION TO AN EXISTING ACCESSORY STRUCTURE AS
APPLIED FOR.
The certificate is issued to DAVID C & ELIZABETH M COMMANDER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1046720 05/28/03
PLUMBERS CERTIFICATION DATED N/A
,-�L /e z�
A h riz Sigi ature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27885 Z Date NOVEMBER 8, 2001
Permission is hereby granted to :
DAVID C COMMANDER
625 FRANKLINVILLE ROAD
LAUREL,NY 11948
for
GARAGE ADDITION TO AN EXISTING ACCESSORY STRUCTURE AS APPLIED FOR
at premises located at 625 FRANKLINVILLE RD LAUREL
County Tax Map No. 473889 Section 125 Block 0002 Lot No. 001 . 025
pursuant to application dated NOVEMBER 7, 2001 and approved by the
Building Inspector.
Fee $ 210 . 60
14 Ai. idignature
COPY
Rev. 2/19/98
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5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 5 BUREAU OF ELECTRICITY C5
40 FULTON STREET — NEW YORK, NY 10038 55
5 CERTIFIES THAT S
5 Upon the application of upon premises owned by 5
5 5 TWIN FORK ELECTRIC DAVID COMMANDER (THE SHOP) 5
P. O. BOX 48 625 FRANKLINVILLE RD 5
JAMESPORT, NY 11947, LAUREL, NY 11948
5 Located at 625 FRANKLINVILLE RD LAUREL, NY 11948 r15
Application Number: 1046720 Certificate Number: 1046720
S5 Section: Block: Lot: Building Permit: BDC: NS11 CCC��5
Described as a Commercial occupancy, wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: C5
First Floor, Second Floor,Outside, L
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
5 found to be in compliance therewith on the 28th Day of May,2003. rj
5 Name OTY Rate Rating Circuit Type 5
5 Alarm and Emergency Equipment 5
5 Sensor 2 0 Smoke c5
5 Wiring and Devices 5
Ij Receptacle 16 0 General Purpose 5
5 Switch 11 0 General Purpose 5
Fixture 18 0 Incandescent
LJ' Fixture 1 0 Fluorescent
5 Receptacle 2 0 GFCI 5
5 5 Service L5�
I Phase 3W Service Rating 200 Amperes 5
5 Service Disconnect: 1 200 cb 5
5 Meters: 1 5
5 5
seal C
5 5 55
1 of I S
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
a
o�OgUFFO(,��o
Town Hall,53095 Main Road wy, /r Fax(631)765-9502
P.O. Box 1179 G� • O�� Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fire Inspection Report 2003
May 28, 2003
Mrs. Kerry Janis
Woodworking Shop
625 Franklinville Road
Laurel, NY 11948
Dear Mrs. Janis:
Thank you for the cooperation during the fire inspection of the Woodworking Shop on
March 20 ans May 23, 2003. The maximum occupancy of your establishment is 20 for
the retail store and 10 for the barn and finishing room.
As of the above date, all violations from the previous fire inspections have been
corrected.
If you have any questions please contact me at the above office.
Yours truly,
Robert Fisher
Fire Inspector
Cc: Chief, Mattituck Fire Department
WoodShop-03-05-2 125-2-1.25 Page 1
STATE OF NEW YORK )
) ss
COUNTY OF SUFFOLK )
C-dA9WsA I being duly sworn, deposes and says:
That deponent is over the age of 18 years and resides at
�D?JOxThat on the ','2, day of �� 2001 deponent architectlengineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire Prevention and Building Code (9 NYCRR); said plans pertain to property
located at SCTM# 1000-
street address
irch.itecVngineer
Sworn to beforp me this
day ofy. 2001.
46ta�ryPubl c DOA M.LEVY
Notary Publlc, State of New York
No.4875563
Qualified in Suffolk County�7
Commission Expires November 3,
cc: Applicant
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: i l /8 /01
n�t DATE SUBMITTED:/�/01
APPLICANT NAMEkm� ( 4 MUI
SCTM# DISTRICT: 1,000 SECTION^: 1-2-s' BLOCK: Z LOT:-.zs
STREET: 67-6- u e CITY: LpuaEr-- SUBDIV. NAME: N.4
PROJECT DESCRIPTION: AtumoN -p EXLsTccc- Aco StRuC--n)R.E W/ OK4A$ITtk312 2"'D STD2y
ARCHITECT/ENGINEER —+ A FAST TRACK? t S
SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES:
LOTS 40,000SF-100-24.Lot mwgnition.(CRF.ATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconfomung at any time atter 7/1A
ZONING DISTRICT: 4�5 CONFORMING? J5
REQ. LOT SIZE:7c,t o" ACT. LOT SIZE:,Iyt 1z9REQ. LOT COV. y0 -" ACT. LOT COV. 6
REQ. FRONT /o PROP. FRONTREQ SIDE _ /T o ACT. SIDE' 7 '
REQ.REAR io PROP. REAR . 33 '
A«r WATER FRONT?FRONT? DESCRIPTION:
PANEL #: (_ FLOOD ZONE:
AGENCY PERMITS REQUIRED FOR REVIEW
APPR0VALS RE UIRED:
SUFFOLK COUNTY HEALTH DEPT: YES or PO (BED #):_DTE:`/_/— PERMIT#:R10-
NEW YORK STATE DEC: PRE-nEc 9nne YES o
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES
TOWN HISTORICAL PRE (SPLIA): YES o v
NYS ENERGY: YES OR NO n
EGRESS (18 H min.? 4 sq total) VENT t FTz 4 0/. ) LIGHT (SQ. FT.x 8%)
BUILDING PMEN/EXPIRED: BP -Z/C/0 Z-
HAVEPRE O' N BP -Z/C/o Z-
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR : SF
SECOND FLR : SF INIT OTHER TOTAL
TOTAL: 'jSZ SF FEE FEE FEE
'OT Y( SZ SF)- ( ✓rn o SF)= :Z SF X $ • 3o =$ +$ $
765-1802
BUILDING DEPT.
INSPECTION
[ Pf FOUNDATION IST [ ] ROUGH PLBG.
FOU TION 2ND [ ] INSULATION
[ RAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE L INSPECTOR
ol�Q 0 J �
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS•
DATE � Q3 INSPECTOR � i
FIM INSPECTION WORT BATS - _ COMtD3NTS —
*... 4
/yFOUNDATION ( 1ST) zoo
FOUNDATION (2N
ROUGH FRAME 6
PLUMBING
P
S
S
MSULMON PER N. Y. 3
STATS ENERGY 04
F.<
CODE
FINAL �
ITIO ��
— 00
kii
pQ
TOWN'OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you bane or need the following,before applying?
TOWN HALL Board ofHeabh
SOUTHOLD,NY 11971 3 act ofBw7ding Plana
TEL: 7651802
PERMIT NO. 5 check a
Septic For
N.Y.s.)aa
'trustees
ExaminedI 20 4 Contact:
Approved 20-4-1/ Mail to:
Disapproved a/c
Phone:
nctitm Building IMPMW-APPLICATION FOR BUILDING PERIIHT.
Date. /0 — (, 20�INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans,accurate plot plan to scala 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.
c.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy
is issued by the Building Inspector.
APPLICATION IS BEREBY 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 constriction 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,ho ,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
/..4uo'G woo
(Mailing address of applicant)
State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises A OCK60 �K PI2(L i J A P i 5 PAU,D � \ CU z A 6e TH &,L4NAA)Dt 2
(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. a S HK 9 Z
Plumbers License No. a q
Electricians License No. I U
Other Trade's License No.
1. Location f land on which proposed work will be.done:
(Osz �-6;w;Ile ILCad
House Number Street Hamlet
County Tax Map No. 1000 Section I a 5 Block Lot
Subdivision Filed Map No. Lot
(Name)
z. State mistinguse W occupancy of promises and intended use and occupancy of proposed constmedott:,
a. Existing use and occupancy '
b. Intended use and occupancy { c7f a
3. Nature of work(check which applicable):New Building_ Addition_,L/ _Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Jr}Uo.o 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 1
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. S (-o
7. Dimensions o jexisting structures,if any: Front /'o 'Y Rear /o r'1 it Depth /
Height 9 Number of Stories
Dimensions of same structure with alterations or additions: Front 10 1 y Rear
Depy
th 5 Height Number of Stories. ,;l
8. Dimensions of Ttire new construction: Front �� r Rear 31� epth 8
Height 2 y Number of Stories L
9. Size of lot:Front 131/ Rear / 3 S Depth 3 56 �J o
10. Date of Purchase 00 Name of Former Owner i S A-4, v S - Koh
//��` r rr
11.Zone or use district in which premises are situated kec, delvi -ail .— (4. 1 ri 16e .11YAr a {�
12. Does proposed constriction violate any zoning law, ordinance or regulation: IJ0
13. Will lot be re-graded Will excessfillbu e remved premises: YES NO
V&Vt >~ /ila e% vKrr&ry,V✓ - q.< tuno �, ���ell of-,Fk -so51.
14.Names of Owner of p mis"'es-e Arr` J'W'S Address"r�'n''`°'1�-1 Iylio`f►e No. ),99 - S6 T S
Name of Architect C Gc-v I e-5, 1 - a s Address X 87 7 J phone No 2 , - 7 f 13
Name of Contractor'Trtir,ka u;t Jev-s Address 8X 74 4 Maar I+ e--PP^hone No. agk - So 9 o
15. Is this property within 100 feet of a tidal wetland? *YES NO I/
• IF YES, SOUTHOLD TOWN TRUSTEES 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.
STATE OF NEW YORK)
SS:
COUNTY OFrr�� )
t D co being duly sworn deposes and says that(s)he is the applicant
(Name of individual signing contract)above named
(S)He is the Ltfh.e
(Contractor,Agent,Corporate Officer,etc.) D�eJ AP✓�
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 maturer set forth in the application filed therewith.
Sworn to before me this
day of 20,_
Notary lic Signature of Applicant
MARIE A.WOODS
Notary f ubtic,State of New York
No.01WO5031860
Qualgied in Suffolk County
My Commission Expires Aug.15,20 �a
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CERT/F/ED TO,
LISA PETERS J
BRIOGEHAMPTON ON NAT/ONAL BANK �
Its successors andlor assigns.
FIRST AMERICAN TITLE INSURANCE"—\
COMPANY OF NEW YORK
0
0- �o- 0
9 /
AREA = 44,159 sq.ff.
SURVEY OF
PARCEL NO. 1
”HORSE HA VEN "
SUFFOLK COUNTY FLE NO 8674
AT LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 - 125 - 02 - 1.25
Scale: 1" = 40'
Aug. 11, 1992
Y• • LIC. NO. 496/8 Prepared in accordance with the minimum
EC C standards !or title surveys as established
161Eby the L.I.A.L.S. and approved and adopted
OFy �y p G for such use by The New York State Land
P. O. B Title Association.
MAIN ROAD
SOUTHOLD, N.Y. 11971
92-243
No0- e6mp �, �,J/
> s
UNDERWRITERS CERTIFICATE !' a
REQUIRED
RIDGE VENT
P ROVED A �I
e# jp
EDA HALT SHINGLE RODFINS= _ — –
DATE' 0 B.P. ��"`6q I"Xb" RAKE FRIEZE 12
FUR AT W 5/4"X4" 5 _
6 SWEEP SHINGLES OVE Z
FEE: 6.607 BY: -- - - - - z
NOTIFY BUILDING DEE ARS ENT AT �
765-1802 9 AM TO 4 PM FOR THE "X2" TRIM ON "x8" RAKE — — —
1. FOUNINGINSPECT TWO
"X8" RAKE FRIEZE CL
CL
1. FOUNDATION - TWO REQUIRED v
FORUGH - FRAMING
& OCCUPANCY OR ,n
2. ROUGH - FRAMING A PLUMBING --
3. INSULATION USE 1S UNLAWFUL WBE COMPLETE FOR q
4 FINAL - CONSTRUCTION MUST VMp0U" CERTPFICf1TE _
ALL CONSTRUCTION HALL MEET OF OCCUPANCY
THE REQUIREMENTS OF THE N.%
TF
STATE CONSTRUCTION A ENERGY
CODES. NOT RESPONSIBLE FOR 244 244442 2442
1845
DESIGN OR CONSTRUCTION ERRORS 1646 3052 - -
"X8" TRIM BOARD CEDAR PERFECTION 5HIN6LE5
T.O. 5EOOND FLR
Lu
T.O. 9'-I/2°PLT.
5/4"X4" I I 1
SURROUNDS ®❑❑ I IL-II-,II
5/4"X4" DE TR7 ( l \
EXI5TING CORNER 2452 v
I IZI ;.
G AARD
51 IN M ® G D R 6 51 IN 1--1--1
a Q
GRAPE 46RADETO FIRST FLR.
GRADE �/
LL�O V 1
W
FRONT ELEVATION SIDE ELEVATION G
SCALE: 1/4" = I'-O" 5GALE: 1/4" = 1'-0"
Lu
�
O
RIDGE VENT
. O-
ASPHALT 5HI E ROOFINy/G— O
2 "X8" RAKE FRIEZE
5 FUR AT W 5/4"X4"
SWEEP SHINOLE5 OVER
I"X2" TRIM ON "X6" RAKE —
"X8" RAKE FRIEZE —
F
1646 3052 1846
LuJ
_. CEDAR PERFECTION 5HIN6LE5— "X8" TRIM BOARD
TO 5EGOND FLR Q
T.O. Q'-I/2"PLT > J
Q N �
Z o
j 1 7� LL. z
III , EXISTINGIn
EXISTING 2452 Q F O
I I
i
11
I I I
D DI611
�iE� R Rly NG ! A� I� SII I' 4j r' ?
II I
T,O. FIR5TFLR GRADE GRADE &RADE GRADE
i
8" POURED GONG. FOUNDATION
WALL
6"XI6" POURED GONG FOOTIN& �O
RAR ELEVATION SIDE ELEVATION 4' �
1\ J 5GALE: 1/4" = I'-O"
SCALE: I/4" = I'-O" �
m
\ x
v
5HT. No.
OF 2