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
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DETAIL ~-
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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~
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