HomeMy WebLinkAbout29362-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~qTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z~29843
Date: 11/17/03
THIS CERTIFIES that the building
Location of Property: 17000 MAIN ST
(HOUSE NO.)
County Tax Map No. 47388~ Section 117
Subdivision Filed Map No.
ADDITION
NEW SUFFOLK
(STREET) (HAMLET)
Block 9 Lot 23
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 2, 2003 pursu~ant to which
Building Permit No. 29362-Z dated MAY 5, 2003
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 COVERED ENTRY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
· ~ne certificate is issued to RONALD J & DIANE M EKSTER
(OWNER)
of the aforesaid building.
SUFFOLK CO--DEPARTMENT OF}~gASTIIAPPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'£KD
N/A
N/A
N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29362 Z
Date MAY 5, 2003
Permission is hereby granted to:
RONALD J & DIANE M EKSTER
PO BOX 247
NEW SUFFOLK,NY 11956
for :
CONSTRUCTION OF A 96 SQUARE FOOT FRONT' ENTRY ADDITION AS APPLIED
FOR PER ZBA
at premises located at 17000 MAIN ST NEW SUFFOLK
Cou/lty Tax Map No. 473889 Section 117 Block 0009 Lot No. 023
pursuant to application dated MAY 2, 2003 and approved by the
Building Inspector to expire on NOVEMBER ~, ~04.
Fee $ 150.00~~~th~
COPY
Rev. 5/8/02
Form No. ~
TO~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOX~ HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This applicatiou must be filled ii1 by typewriter or ink and submitted to the Building Departmeut with the tbllov~,ing:
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 tbrm).
3. Approval of electrical installatiou from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less thau 2.10 of 1% lead.
5. Commercial building, industrial bnilding, multiple residences and similar buildings aud installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Subnfit Plamfing Board Approval of completed site plan requirements.
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 [uspector shall state the reasons therefor in writing to the applicant.
C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Switrmfing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupaucy 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
New Construction:
Location of Property:
Owner or Owners of mroperty.'~-~"~¥q&4
Suffolk County Tax Map No 1000, Section
Subdivision
Date.
(check one)
Hamlet
'"/~'~ Old or Pre-existing Building:
'Horse No. ' S~r~Tt ....
~ ~ ~ Block
O~ Lot
Filed Map. Lot:
Health Dept. Approval: Underwriters Approval:
Final Certificate: ~ (check one)
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ C~ .C...~
Applicant Signature
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631)765-9502
Telephone(631) 765-1802
BUILDINGDEPARTMENT
TOWN OFSOUTHOLD
November 12, 2003
Ronald Ekster
PO Box 247
New Suffolk NY 11956
RE: 17000 Main St
TO WHOM THIS MAY CONCERN:
We are unable to complete your Certificate of Occupancy because of the following masons:
X
X
__ An Application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (not in file)S25.00
__ No Health Department Approval on file
__ No final inspection has been completed.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 29362-Z
Please contact our office on this matter. Thank you for your cooperation.
SOUTHOLD TOWN BUILDING DEPT.
~L
I /
BUILDING PERMIT EXAMINER CHECK LIST
APPLICANT: ~
SCTM#
DISTRICT: _1,000. SECTION: ~[~
ADDRESS: !9000 tqlM~
BUILDING PERMITS OPEN/EXPIRED:
BP Z .' CO Z-_ __ _, iNFO ,' BP
BP -Z .,' C' 0 Z- , INFO BP
PRE CO~DR N~_q~BP -Z C'O Z-
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
DATE REVIEWED: ~_~_/' ~'/03
DATE SUBMITTED:
· BLOCK: _~___, LOT: ~ SUBDIVISION: ~,
CITY: ~ZON[NG DISTRICT: ___~ CONFORMING?
-Z CO Z-___ , INI~O
-Z C'O Z- . INFO
REQ. LOT SIZE: qO ~00 ACT. LOT S,~REQ. LOT COV. 2~_ACT. L01~ CgV.
REQ. FRONT ~ PROP. FRO~~pE I~]~ ACT. S~)E ~/~
~Q. ~AR ~ PROP. RE,~~~ REQ. ~EI~_~ PROP. HEIGHT
PROJECT DESCRIPTION: ~o~ P~C4 Kk~ ~ T ~ ~--
EST~IATED PROJECT COS~O .~CHITECT/~~"t)~ L t~ - FAST T~ACK
WATER FRONT':' ~~ DESC~TION: ' ~
P~L ~: ~/ FLOOD ZONE: X , COMPL~NCE: ~
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or~iBED #): DTE: ,' PE~IIT
TOWN SEPTIC ~CEIPT: Y or~
~W YO~ S~A~E ~:: ~.~l~
SOUTHOLD TO~¥N TRUSTEES:
xows PL . AeeROX At:
owT . sxomcnL {S LIn): oC
NOTE S:
FEE STRUCTURE: FOkFNDATION:
FIRST FLOOR: q'~
SECOND FLOOR:
OTHER:
TOTAL: ~ /,
I.( ~l SFbl SF}= SFX$
2. ( SFb { SF)- SF X $
SF
SF
SF
SF INIT
Str FEE
:$ .$
:$ +$
OTHER TOTAL
+$ :-- $
3. ( SF~-{ SF}= SF NS____ =$ . +5
FINAL TOTAL:
NEW YORK STATE CODE COMPLIANCE CHECKLIST
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEER~.~.I~t~. CRIPT~.,~
FULL FRAMING DESIGN ELEMENTS:
HEADERS.O//N WALL STUDS~..~q'4
GIRDERS: EJ~/N CEILING JO1S TS ~.~VN
FLOOR JOISTS: ~)'N ROOF RAFTERS.(I~/N
LUMBER SPEC[ES AND GRADE: ~N
DESIGN LOAD CALCULATIONS: Y/N ~
SHOULD INCLUDE LIVE, DEAD, SNOW, SEISMIC AND WIND (INCLUDIING U1 LIFT AND EXPOSURE)
WINDOW AND DOOR SCHEDULE:
MISSLE TEST REQUIREMENTS: Y/N
EGRESS, LIGHT, VENT: Y/N
LOAD PATHS: Y/N
I~.OOF TO FOUNDATION
NAILING/CONSTRUCTION SCHEDULEd/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y~)
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y~
CERTIFICATION: Y~ ~/'~
ENERGY CALCS: Y/~ ~/~ /
TOTAL COMPLIENCEg~/N (RETURN TO PAGE ONE
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: March 1, 2002
TO:
Diane and Ronald Ekster
17000 Main Streel
New Suffotk, NY 11956
Please take notice tlmt },our application dated March I, 2002
For permit to construct a deck addition to an existing ~mgle family dwelling at
Location of propurty 1700 Main Slreet, New Suffolk. NY
County Tax Map No. 1000 - Section l 1~7 Block_9 Lot 2~3
Is returned herev,'ith and disapproved on the following grounds:
The proposed addition/alteration to a non-conforming building, on a non-conforming 10,890 square
foot ot, w/th t&o' front yards, m the R40 District, is not permitted pursuant to Article XX~V Secuon
I00-242A which states;
"Nothing in this article shall be deemed to prevent the remodeling, reconstruction or
enlargement of a non-conforming building contairdng a conforming use, pro'vided that such
action dues not create any new non-conforalance or increase the degree ofnon-conformanco
with regard to the regulations pertain[ag to such buildings."
The existing single-fami.t¥ dwelling notes an existing fi.out ~trd setback of 32 feet and a proposed fi-out
,/ar~t setback of'24 feet.
Therefore, the )~mposed addition is not pemfitted pursuant to Article X2KVI Section 100-244 which
s at, es that non-conformmg lots, measuring less hen 20,000 square feet m total size, reqmre a
midimmn ~ont yard setback of 35 feet.
~rage, foll..ow/ng the proposed construction, would be ~-/- [ 3 perceur.
'-/XTuthorized Signa. mre CC: file, Z.B.A.
Notelto Applicant: .,~ty change or deviation to the above refe[renced application may require
addi(ional review from the Southold Town Building Department.
SOUTHOLD TOWN BOARD OF APPEALS
THURSDAY, NOVEIvlBER 14, 2002 PUBLIC HEARING
NOTICE is HEREBY GIVEN, pursumat to Section 267 of the Towa Law and
Chapter 100 (Zoning), Code oftbe Town of Southold, the following hearing will be hold
by the SOUTHOLD TOWN BOARD OF APPEALS at the Town Hall, 53095 Main
Road, SoutJaol. d, New York 11971, on Tb. ursday, November 14, 2002, at the time noted
below (or as soon thereafter as possible):
7:15 pm Appl. No. 5203 - RONALD aud DIANE EKSTER. This is a request for a
Variance under Sections 100-242A and 100-244B, b~exl on the Building Department's
March 1, 2002 Notice of Disapproval, for permission to locate a deck addition at less
than 35 feet from the front property line. Location of Property: 1700 Main Street, New
Suffolk; Pan:el 1170-23.
The Board of Appeals will hear all persous, or their representatives, desiring to be heard
at each hearing, and/or desiring to submit written statements be,fore the conclusion of
each hearing. The hearing will uot star~ earlier than designated above. Files are available
for review during regular Iown Hall business days (and on ll/14 between 8 and 12). If
you have questions, please do not hesitate m call (631) 765-1809.
Dated: October 25, 2002.
Southold Town Board of Appeals
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959 (Tel. 631-765-1809)
765-1802
BUILDING DEPT.
INSPECTION
I~OU,DAT, ON ,ST I I ROUG" PL"G.
[ ] FOUNDATION 2ND[ ] INSULATION
[ ]FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS.'
DATE
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F~)~DATION 2ND [ ] INSULATION
[,.*"'] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO~DATION2ND [ ]INSULATION
[ ~FRAMIN~ [ ] FINAL
[ ] FIREPLACE & CHIMNEY
...,,,,,,s, .
DATE
INSPEG~I'OR~.~~
7GS-~iS02
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] ~4JL~ATION
[ ,,~ FINAL
REMARKS:
DATE
INSPECTOR
TO~VN OF SOUTHOLD
BUILDING DEI~ARTMENT
TO'~VN HALL
SOUTHOLD, NY 11971
TEL: (631) 76S-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
£xamined '5'-e.~/~)~//5...- . 20__"~?
Approved . 20 --
Disapproved a c
Expiration .20
BUILDING PERMIT APPLICATION C~HECKLIST
pERMiT NO~q ~~OQ]~
Do you have or need the foll6wing, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey~
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Building Inspector
Mail to:
Phone:
APPLICATION FOR BUILDING PERM[IT
Date
INSTRUCTIONS
/0'],O~A 3 ,206~
a. This application MUST be completely filled in by tjy~ewriter or in ink and submitted to the Building h~spector with 3
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 conunenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a pemfit
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 Im~pector
issues a Certificate of Occupatmy.
t~ Ever5' building perrNt shall expire if the work authorized has not cmnmenced 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 ora Building Penint 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, ordinancesj building code, h~e, and regulations, and to admit
authorized inspectors on premises and in building for necessaD inspections~ )~,~ --
~,~.(,,gig~e of applicanT'6? name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~1~/0~- -/'- /~;>O,~J ~.~
(As on the tax roll or latest deed)
If' a,~san,~a c~tion, signature of dui,,.' authorized officer
'"~/(Na"f~nd title of corporate officer)
Builders kicense No. ~ 7~/-- tqm__
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street Hamlet
Count)'Tax Map No. 1000 Section
Subdivision
(Name)
Block 9 Lot c~._~
Filed Map No. Lot
State existing t~se and occupancy of premises and intended use ~d occupancy of PlrOposed cons[ructioh:
a. Existing use and occupancy 0 ~)~.. t3 ~'~'f&~3~ ~
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
O
Estimated Cost .~o ~)O
If dwelling, number of d~velling units
If garage, number of cars
Addition Alteration
Other Work
Fee
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specify, nature and extent of each .type of use.
Dimensions of existing structures, if any: Front ~[
Height f~t~ ~ -tO Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth [ ~_- Height ~
8. Dimensions of entire nexv construction: Front }
/~- tO Number of Stories
Height
9. Sizeoflot: Front Rear
Rear It~_.~(t~ Depth
t
t~ Rear _tJ~
Number of Stories
Rear [ 7__ ·Depth
Depth
10. Date of Purchase
Name of Former Oxvner
l l. 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 premisesJ)#~M:- i t%~ ~'e~- Address ~ ~ o2t-/~.. Phone No. '~,~ ~"/~ ~9 ~'! ~
Name of Architect Address7w~v=g-a-~'''~'~ Phone No
NameofContractor '~,~tq ~ H,,O d"o~T- Address PhoneNo. 76~-~ /11~
l 5 a. Is this property ~vithin 100 feet of a tidal wetland or a freshxvater wetland? *YES__
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE J~EQUIRED.
b. Is this property within 300 feet cfa tidal wetland? * YES
NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO /
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
l 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
~/~~ being duly swom. deposes and says that (s)he is the applicant
amc 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 tiffs application;
that all statements contained in this application are tree 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.
Notary Public
Clolra 1. Glow
Notary Pui~llc, ~tato of N~W
No. 0'1 GL4579505
Ouslifted in Suffolk Count~
Commission Expires Dec. 8,~.~
~'"'~Sign~ture o~t