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HomeMy WebLinkAbout29213-Z TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector CERTIFIC~IE 0f OCCUPANCY 30218 I~te: 06/01/04 DWELLING AS APPLIED Rev. 1/81 ~/A 1138656 07/21/03 FORM NO. 3 TOWN OF BUILDING DEP~-RT~ENT Town Ha]] Southold, N.Y. BUII~ING PERMIT (THIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO. 29213 Z Date MARCH 13, 2003 Permission is hereby granted to: JAi~ES WALRIN 145 H~NTREy STREET BROOKLYN,N~ 1120! for : CONSTRUCTION OF APT. 6A SCREENED AIND OPEN PORCH ADDITIONS AS APPLIED FOR at premises located at County Tax Map No. 473889 pursue/It to application dated Building Inspector to expire Fee $ 150,00 39405 MAIN RD ORIENT Section 015 Block 0008 Lot No. 017 26, 2003 and approved by the on SEPTEMBER 13, 2004. ORIGINAL ~ev. 5/8/02 Form No. h TOWN OF SOUTItOLD BUILDING DEPARTNIENT TOVCN HALL 7691802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 2 8 2,304 This application must be filled in by typewriter or ink and submitted, to the Building Department with the A. For new building or new use: I. Final sttrvey of property with accurate location o f all buildings, propc~y lincs, strccts, and unus ual nat[ wTl or tupographic f~atures. 2. Final Approval fi-om Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwrlters. 4. Sworn sta tcancnt I]rom plumbc~ cc¢ifying tliat thc solilcr used li~ system contains less than 2/10 of' 1% lead. 5. Cormnercial building, industrial building, multiple residences and similm- buildings and installations, a cea~lficate of Code Compliance from archite~ or engineer responsible for the buildhxg. 6. Submit planning Board Approval al'complclcd silo plan rcqukcnncmls. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existin,.o' land rises: 1. Accurate survey o£ property showing all property lines, s~eets, building mad unusual natural or t~pographic fkatures. 2. A properly completed applicalion and consent to inspect signed by the applicant, if a Cerhficate of Occupancy is denied, the Bttildthg Inspector shall state the reasons therefor in writing to the applicant. / C. Fees 1. Certificate of Occupancy rJ~ew dwelling $25.00, Additions to dwellh~ $25.00, Alterations to dwelling $25.00, Sw~rrJming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, BuSinesses $50.00. 2. Cetlificate of'Occupancy on Pre-existing Building - $100.00 3. Copy of Cer tificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Tc~pporary Ccrtriic'ate o£Occupancy - Rcsidcmrial S15.00, Cormnc~rcial $15.00 New Constracrion: ~t~/LLo'~ Old or Pre-existing Building: (cli~kone) House No. Street Suffolk Co~W Tax Map No 1000, Section /~ Subdivision Permit No. ~-~/2 I 3 Date of Permit. Health Dept. Approval: plamnng Board Approval: Request for: Temporary Certificate l~ee Submitted: $ Block ~ ~ Fried Map. ~ ]1~ '~ Applicant: Underwriters Approval: Final Certificate: Lot Lot: (check one) Applicant Si~amrc BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET- NEW YORK, NY 10038 CERTIFIES THAT Upon the app]icatiec of upon premises owned by PAUL R. BURNS P.O. BOX 1061 SOUTNQLD, NY 11971-0932, JAMES WALKIN 39405 MAIN RD ORIENT, NY 11957 Located at Application Number. 1 I38956 Section: Block: Described as a R~sidcnti~l 39405 MAIN ED ORIENT, NY 11957 Lot: Certificate Number: 11 $8906 Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Ftrst Floor, Outside, was inspected in accordance with the National Electrical Cede and the detail of the installation, as set forth below, v~as found to be in compliance therewith on the 21st Day of July, 2003. Wiring and De,rices Receptacle 5 0 General Pmn)ose Switch 2 0 General Pmposc Fixtur~ O 0 h~caadesceltt Paddle Faa 1 0 Dimmers 1 O Receptacle I 0 GFCI I'h~s cedl~oate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated BUILDING PERMIT EXAMINER C H ~;CK LIST DATE REVIEWED: '~,~ \~k)~ ~ DATE SUBMITTED: SCTM~ DBTRICT: 1,000 SECTION: I~ ~ BLOCK: ~ , LOT: h~ S[~D~SION:~ B~DING PE~TS OPEN/EXPI~D: ~ BP SINGLE & SEPA~TE CERTI~CATION ~Q~D ~ NO [~ES: ~Q. ~ONT ~5 PROP. FRO~ ~ '~Q S~E ~ ACT. S~E ESTmATED PROJECT COST: A~NG~ER: ~ F~T T~CK WATER FRONT'? ~b DESCR~TION: ~PROI ~S ~QU~D SU~OLK CO~TY ~E~T~ DE~T: YES or ~ (BEI) ~): DTE: / PE~T TOWN SEPTIC ~CEIPT: Y o~ ~WYO~ STATE DEC: ~-~cgaJ** YES or ~ SOUTHOLD TO~* TRUSTEES: ~ or ~ TOWN ZO~G BO~ ~PROV~: YES or ~ TO~ PEAN. BOARD APPROVe: ~ or~ 4~ ~W YO~ STATE CODE COMPL~CE (SEE, PAGE 2)~r NO ~ 0 FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR: OTHER: TOTAL: L ( SF)- C SF)=SF X S +S SF SF SF SF INiT SF FEE 2.( SF)-( SF)= SFX $ =$ +$ 3.( SF)-( : SF)= SFX $ $ +$ OTHER TOTAL FEE FEE ~$ -$ FINAL TOIAI,. $ NEW YORK STATE CODE COMPLIANCE CHECKLIST USE/OCCI~ANCY CLASSIFICATION: ,~--$ ~IGHT~m~ ~R~A: DESIGN CmEm: ENG~E~D/~~ FULL igP,2MMJN G DESIGN ELEMENTS: IIEADERS ~/N WALL STLrDS:cSUN G1RDERS: ~N CEILING JOISTS: ~/N FLOOR JOISTS! ~/N ROOF RA~'TERS: ~/N LUMBER SPECIES AND GRADE:~N DESIGN LOAD CALCULATiONS~gN WINDOW AND DOOR SC.H~DULE: ~MISSLE TEST REQUII~MENTS: Y/N E~SS, LIGHT, VEN~N LOAD P A T H SF:':':':':':':':':~N ROOF TO FOUNDATION NAIL/2NG/~ ~STRUETION S ~/ULE:,~N LOCATION OF raRE pROTEC~ON EQ~: TRUSS DESIGN: Y~ ] CEET~CATION: Y~ Telephone (SIS) 765-1801 SOUTHOLD TOWN LANDMARI/ PRESERVATION COMMISSION Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TO: $outhold Town Building Dept. FROM: $outhold Town Landmark Pres. Comm. - Herb Adler, Jr. DATE: March I2, 2003 RE: Walkin House (Formerly Hands), 39405 Main Rd., Orient Tax Map #15-8-17, SPLIA No. OR 55 The Landmark Preservation COllision approves the porch addition to this house. 765-1802 BUILDING DEPT. ,/u~~,oSPECTION g 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL []FIREPLACE&CHIMNEY R~ARKS: ~ DATE INS 765-1802 BUILDING DEPT. INSPECTION ] FOUN/.DA~N 1ST [ ] ROUGH PLBG. ] FIREPLAC~HIMNEY j 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ROUGH~PLBG. FOUNDATION 2ND [ ~] IN/S~LATION/ FRAMING [~/FINAL [ ] FIREPLACE & CHIMNEY ~/~,FIRE SAFETY INSPECTION REMA~ DATE~ INSP~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROU~LBG. FO~ATION 2ND ,~.,..]"[NSULATI ON ,~[~'~RAMING~ [ ] FINAL FIREP~A.G~ & cHIMNEY DATE INSPE~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL '-"~SOUTHOLD, NY 11971 TEL: 765-1802 Approwd ,~/3 ,20 ~ BUILDING PERMIT APPLICATION Ct'~CKL1S~ Do you have or n~ed th~ follovang, before ~pp~yLug Board of Hoalttl $urvey. Cheek  -~ Phone: / Building Inspector APPLICATION FOR BUILDING PERMIT [NSTRUCTIONS Date ~/~, ,20 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 plaon to scale. Fee according to schedule. b. Plot plan showing location Of lot and of buildings o~;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 a Certificate of Occupanc2 is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thc Building Zone Ordinance of the Town of S0uthold, Suffolk Cofinty. New York, and other applicable Laws, Ordinances or P~gulatioas, for the construction of buildings, additions, or altl~ations or for removal or demolition as herein described, The appliesm agrees to comply with all applicable laws, ordinances, building code, homing code. ~r~i.r~gulations, and to admit authorized inspeetors on premises and in building for necessary'inspeetioas. ~-, /// ~ (Sig. na~ 0f applioan! or name, ifa corporation) .. / (Mailing adds of distant) State whether applicant is owner, lessee, agent, architect, ~nginecr, ge~_eral contractor, electrician, plumber or builder I Name of owner of premiss X~-J~-4Oq ~ O (as off. the tax roll Or latest deed) If applicant is a corporation, signature of duly authorized ~flicer '~ (Name and title of corporate officer) Builders Lice, use No. Plumbem License No. Electricians License No. Other Trade's License No. I. Location o f iand on which proposed work will be done'.' House Number Street County Tax Map No. 1000 Section 01~' Block Subdivision · Filed ~l~ip N~, (Name) Lot Stale exigt hg use and occupancy 0fpremises and interclcd use~ and occupancy of proposed eonstracfion: I a. Existing use and occupancy .~ ~,~[ t ~. -~_ :lfr_(~. ~',3~x~ . ~ b. lntended use and occupancY ~e ,~'~7 ~--~Ce._~ - Addition ~u ~ Alteration Nature of work (check which applicuble): New Building~ Repair Removal Demolition Estimated Cost 5~tS''~ If dwelling, number of dwelling units_ if garage, number of cars Other Work (Description) Fee (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. Dimens OhS of existing structures, if any Front Roar Height i'{~)l~,~!la,~ ~>~¢,~ Number of Stories I ' Dimensions of same structure with alterations or additions: Front Depth /0 ' Height. ¢ Dimensions of entire new construction: Front Height · Size eliot: Front Depth 0. Date of Purchase . .1. Zone or use district in which premises are situated Number of Stories Rear Name of Former Owner / ~ t{~ Depth ~ Rear ,~S'Ix 1o ~ Number of Stories / 2. Does proposed construction violate any zoning law, ordinance or. regulation: 3. Will lot be m-graded 4. Names o£ Owner ofpremises Name of Architect ~otoe//F Name of Contractor T'F~r, 5. Is this proper~y within 100 feet cfa tidal wetland? *YES NO Will excess fill be removed from premises: YES NO Addrcssi§¢ ~0n,, t,2~'~¢~hhone No. Address ~ ~-fiee~ PhoneNo ~7~-~ Address ~ R~ ~e~Phone No. ,5~% -- ' . · W YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIi~ED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. [7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. tTATE OF NEW YORK) .OUNTY OV~-~:~ ..~.[.~N amC~e ~ i~s'~i ~//u~ being duly sworn, deposes and says that (s)he is the applicant (N ot~iudi idual signing con,-act) above nnraed, - ] (Conbacter, Agent, Corporate Officer, }fsa~d owner or owners, and ~s.duly authorized to perform or have performed thc said work and to make and file this application; hat all statements contained in this applieatinn are true to the best of his knowledge and belie~ and that the work wfll lerferrned in the manner set forth in the application filed therewith. ~ Signatare of Appli,ant LOT ~w ¢! ' i,' EOUND i N¢7°09'40"E ClflAINLINK FENCE N 2.3' ~ , ~ I L FOUNDATION. ~0 REQ~EO ~ ~ ~ ~ I ~ ~OU~H · F~I~ & ~lNe LOT ~77 ~ ~ W1~/ ~ · INSUliN ~AL~CONS~UCT!ONT~ ~-~- ' J"' ~1; : %' ', ~I __ ~( -- OCCUPANCY OR ~ ., ~.. _~. - _ ~ USE IS UNLAWFUL ' ~ , I'~ ~ ..... :~, ~*,~ ~ .... WITHOUT CERTIFICATE' L I ~ ~ ' OF OCCUPANCY , , o % '~ ~'-o" ,,' 5UEV~YEBr JUNE 20, 2002 C.M~ ~ t~ I k~ ] A~A: 361075.70 5Q.~. 0¢ ~Um :11 , ~ 5E~VIC~ AND A~ ThlE P~OPE~ OF DITE PLAN , ,, ,,, 4. THEwiTHD~IGNAND[/AF~C~ITE~I~pA ~CFM-I ¢¢5,15 P~DCRI~IVE (UN~55 OTME~DE INDICATED), IN ACCO~ANCE~' CLG HT ~4" il jr ~l]O H~i~'k B" ~ ~ CLIENT/~NE~ , 5. ~MING ~MENT9U , ~]~ ' , ~-~4 J ~ ~ JAMES * CAROL~ S/4" MIN, THICNN~55. ALL EDGED O~ PL~OOD TO O~ 5~ ON 50LID ; ' , I c[os~ I I WALRIN P. ALL~DE~¢IO'IANOOVERDHALLa~SUrPORT~OWlT, DOU5~ I ~ i ~ ' . / ' I Ii~ B~ A MIN, OF 2'2II~¢" ~ A5 5H~N ON O~WING,' I ¢~-!1 O~ENT POINT, N.Y, o~ ~ NOTED ON D~WlNG~. , ~1 i I ! ALL 2'~6" 5TUD¢ ~HALL ~CEIVE 5 10~ NA]~ AT 5ILL AND P~TE, i =l "~ I MINIMUM A 5~NG~ I --3/4II LVL ~M JOIST5 5HALL DE ~QUI~D AT FLO0~ ~~ 5rTE ~ FLOOR P~N PERJM~E~ HANDLING, 5TO.GE AND ~ION O~ COMFONENT5 5HALL DE ~ PER MANU~ACTU~5 ~COMMENDATION5 ~ O~P LOA~ CALCULATED A* P~ ~01.~ AS ~ ~ON~, ~ ~A~ MAR~- 2003 : DESCRIBED IN ~R~Cl ,, , ~.. T.~ ~.~ 0 2 2 K J G F E D C A 2 3 4 5 G 7 8 9 I0 II 12 13 14 15 IG I'/ ,: f I ; DETAIL ~- ,! DETAIL J D ETAI L SCALE I"= J'-O" DETAIL '- IT IS A VIOLATION OFTHE LAW FOR ANY PERSON, UNLESS ACTING UNDER 1TII DIRECTION OF A LICENSED ARCHITECT, TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY. ANY AUTHORIZED ALTERATION MUST BE NOTED, SEALED, AND DESCRIBED IN ACCORDANCE WITH THE LAW. JAMES ¢ CAROLYN WAL~I N 394o5 MAiN ROAD ORIENT POINT, N.Y. RENOVATION ELEVATION5 * SECTION5 022~ K J H G F E D C D A