Loading...
HomeMy WebLinkAbout30532-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31025 Date: 06/30/05 THIS CERTIFIES that the building ALTERATION Location of Property: 37415 MAIN RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 20 Block 1 Lot 3 .7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29, 2004 pursuant to which Building Permit No. 30532-Z dated JULY 29, 2004 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 "AS BUILT" RENOVATION TO AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to SUZANNE M EGAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2059541 06/24/05 PLUMBERS CERTIFICATION DATED N/A tho zed `ignature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD P� P BUILDING DEPARTMENT TOWN HALL I 2920 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANY 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°0 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: L 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. 6 /Z e� l D S New Construction: Old or Pre-existing Building: ✓/ (check one) Location of Property: 3 7 S liUla4�Q brl,f—A_Y7— House No. Street anilet Owner or Owners of Property: �U� �r�� t'�—_&A74J Suffolk County Tax Map No 1000, Section 47Z-S980) Block D ZO_ d C�D ( Lot D D 3• t`0 7 Subdivision Filed Map. Lot: Permit No. 3 05 Z Datte of Permit. Applicant: A—e� Lt fJrSy��5 Health Dept. Approval: _ /l�Ib� Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ 2� � i 6 2 A pl' ignature Co � 31 0 2_5 P�PPC.IP: CP�[n���nnL❑ L C❑° 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERSBUREAU 5 TY 40 FULTTON STREETF C NEW YORK, NY 10038 c� 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 BILL GORMAN SUSAN EGAN 5 P.O BOX 1447 37415 RT 25- MAIN ROAD 5 MATTITUCK, NY, 11952 ORIENT, NY 11957 37415 RT 25- MAIN ROAD ORIENT, NY 11957 5 C5 5 Located at 5 5 Application Number: 2059541 Certificate Number: 5 e 2059541 5 Section: Block: Lot: Building Permit: BDC: ns11 f5 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: e5 �5 First Floor, Second Floor, horse bam,Outside, �5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 24th Day of 5 June,2005. 5 5 Name OTY Rate Rating Circuit Type L+ 5 Miscellaneous 5 5 certificate is for a barn 5 5 as built-2003 5 5 Appliances and Accessories 5 5 Nater Heater l 0 4.5 KW C5 5 Wiring and Devices Ij 5 Outlet 28 0 Fixture 5 5 Fixture 26 0 Incandescent 5 5 Fixture 2 0 Flourescent 5 5 Outlet 10 0 General Purpose 5 Receptacle 4 0 General Purpose 5 5 Snitch l l 0 General Purpose 5 5 Receptacle 2 0 GFC1 5 5 Service 5 5 I Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb seal 5 Meters: I 5 5 5 Continued on Next Page l of 2 fff5 5 This certificate may not be altered in any way and is validated onl by the presence of a raised seal at the location indicated. 5 5 D rJLPLr3rPrrrJPLrJrJrJ�rJ�cPrJ�rJ�rJrl� rJr�n rP tJ�cJ� o 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) 3o53a- (� PERMIT NO. 28079 Z Date FEBRUARY 12 , 2002 Permission is hereby granted to : SUZANNE M EGAN 316 WEST 22ND STREET NEW YORK,NY 10011 for RENOVATION TO AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR "AS BUILT" at premises located at 37415 MAIN RD ORIENT County Tax Map No. 473889 Section 020 Block 0001 Lot No. 003 . 007 pursuant to application dated FEBRUARY 6, 2002 and approved by the Building Inspector. Fee $ 300 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 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. 30532 Z Date JULY 29, 2004 Permission is hereby granted to: SUZANNE M EGAN 316 WEST 22ND STREET NEW YORK,NY 10011 for RENOVATION TO AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR "AS BUILT" THIS PERMIT REPLACES BP#28079 . at premises located at 37415 MAIN RD ORIENT County Tax Map No. 473889 Section 020 Block 0001 Lot No. 003 . 007 pursuant to application dated JULY 29, 2004 and approved by the Building Inspector to expire on JANUARY 29, 2006 . Fee $ 300 . 00 � Authorized Signature ORIGINAL Rev. 5/8/02 U _ N OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 37 VILLAGE DIST. SUB. LOT 4v n o Fri YI I onaki ACR. REMARKS TYPE OF BLD. PROP. CLASS !Jr v 21 LANDIMP. TOTAL DATE app O i z VZ6U 5 -(0 ( l l- o f 9 _ L 11733, 2 z - , I >� -Te S 1 - L 1 7 o a ON waxx�j 5064>0 FRONTAGE ON WATER TILLABLE qc�' FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT � qcO Ictoo-") 1 GOO T&AL h I' COLOR • TRIM pill I 1 17 it r r . 1 A. Bldg. , Sag L5� Foundation S �o c' Bath Dinette extension X 0 Sd 3 Basement pA ,p y. - Floors �i,,, ; K. :xtension Ext. Walls Interior Finish LR. :xtension ; u Z ; Fire Place „� o Heat S DR. S ,� ,51 Type Roof Rooms Ist Floor BR. A ES- C '200 Recreation Roorr Rooms 2nd Flooj FIN. B. 'orch Z ` s Dormer 3reezeway �(� uo jr G Driveway ;arage 'atio Total ��4a WARREN SAMBAC,- 5167347492 P. 01 J WARREN A.SAMBACHI SR. CONSULTING ENOINEERS-PLANNERS li 7675 COX LANE - P.O.BOX 9033 ---a CUTCHOGUE.NY 11935 631Sfl@) - - - - 7aa-7492 March 5 2002 Building Department Town of Southold Town Hall P.O. Box 1170 53095 Main Road Southold NY 11971 Re: Tortoiello & Egan 37415 Main Road Orient NY 11957 BP #280792 Gentlemen: The installation of a monolithic poured concrete foundation wall eighteen ( 1811 ) inches wide and three (3 ' ) deep below grade is is more than adequate and conforms to good construction. Sincerely, 4'..at. �,pv Warren A. Sambach Sr. P.E. was.s Sent b ax 765-9902 L WARREN A.SAMBACH,SR. I J CONSULTING ENGINEERS PLANNERS �C 7675 COX LANE - P.O.BOX 1033 ��-,F ,-' "�'1t CUTCHOGUE,NV 11935 - 6 3 1 jfG7)734-7492 February 26 2002 Building Department Town of Southold Town Hall P.O. Box 1170 53095 Main Road Southold NY 11971 Re: Tortoiello & Egan 37415 Main Road Orient NY 11957 BP #280797 Gentlemen: Review of the dead and live load loading on a eighteen ( 18" ) inch wide by three (310" ) foot deep concrete footing is less than the bearing value of the soil assumed as a minimum of two ( 2 ) ton soil or four thousand (4000) pounds er square foot . Soil at the site showed brown top soil on sand gravel with some cobbles . Sincerely, 4�Ojt'�A- Warren A. Sambach Sr . P.E. was :s ppOFEB��,, A 3TAIS Dominick Salvati & Son Architects l ,. 4 X604 October 2, 2004 Building Department Town of Southold Town Hall Annex P.O. Box 1170 Southold,NY 11971 Re: Suzanne Egan Barn 37415 Main Road Orient, NY Permit# Dear Sirs, Site observation this date reveals that the structural and sub-frame elements throughout the barn conform to standard practices and the New York State Building Code. Sincerely, cya c n �p y _n C'uurt Sirctt. tiLtiti 1804, V3rrn,latn, N 11 _?U1 I- 1`�) `;5;;- F fir, 3os---3- 2,�- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [>RROUGH PL [ ] FOUNDATION 2ND [ TION FRAMING [ L [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: i DATE 47 irS INSPECTOR_7zL ---7' o5�3 z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL C7;4El > INrEre�OR �-- [ ] FIREPLACE & CHIMNEY '[ ]] FIRE SAFETY INSPECTION REMARKS: P-4 Lin. � - w -� -- DATE ( � �b INSPECTOR-"�' 76/ 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ��///UeiS Ole DATE 6U INSPECTO 765-1802 BUILDING DEPT. INSPECTION [�] FOUN ATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE o4 s low INSPECTOR t t INSPECTION REPORT DATE COMMENTS a FOUNDATION(1ST) © � k ------------------------------------- U FOLINDATION(2ND) -- — ----- - - ra Z 7Z(//e m c - ROUGH FRAMING 8- PLUMBING 5 G 1 — r INSULATION PER N.T. m- STATE ENERGY"CODE FINAL. — - ADDITIONAL COMMENTS Y _ cn _ L � o z — — x cn x 0 TOWN OF SO.UTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying TOWN HALL Board of Health SOUTHOLD, NY 11971 �� a` 3 sets of Building Plans_ TEL: 765-1802 Sunev PERMIT NO. Z'e) 7J7,Z— Check Septic Form N.Y.S.D.E.C. Trustees Examined ,�� /b ,206 Z Contact: Approved : / 20 o Z Mail to: Disapproved ac _ Phone: 7 Buildin ,y� l FFPr 6 PPLICATION FOR BUILDING PERMIT Date Cc, 2002— 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 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 a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buildkg 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. (Signatm of plicant or name, if a corporation) 4586s-A644) 5 b, 4f (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises J z a f) (as on 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. L Location`3qt LLrd on which pro se/ work willAL)(Lone: House Number Street ff�� Hamlet County Tax Map No. 1000 Section Block I Lot 37 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constntction: a. Existing use and occupancyi4KAJ b. Intended use and occupancy 3. Nature of wor check which applicable): New Building — Addition_ _Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost fAl Fee_ (to be paid on filing this application) 5. If dwelling, number of dwelling units_ A I _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 ex�ting structures, if any: Front 4 - Rear 64 _Depth Height .2 (5- — D'r Number of Stories t Dimensions of same structure with alterations or additions: Front l") Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front P7.kr Rear 3A! Depth l 10. Date of Purchase Name of Former Owner 1 l. Zone or use district in which premises are situated / f 12. Does proposed construction violate any zoning law, ordinance or regulation: l� 13. Will lot be re-graded Will excess fill be removed from premises: YES NO ee l,10jr,A)e 14. Names of Owner of pre��}}isesSOa4rN� Address--37 11'5' I0b1N XV Phone No. V 32-;j_ 3Z<� Name of Architect 74 Address Phone No Name of Contractor Btu. Caer+'aA-AJ Addres OS A(rU RD Phone N . ! 76 57--/6& 5 r 15. Is this property within 100 feet of a tidal wetland? *YES NO • 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: COUNTYOF ) eV 4/ `[4 7. 4A) being duly sworn, deposes and says that (s)he is the applicant (Name 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 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 !o - day of 2V� Notary Public Si re of Applicant D. HORNE •.;;,,;b• ?attic.State of New York No.4951364 Qualified in Suffolk County commission Expires May 22, �� , .BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: /02 DATE SUBMITTED: ,2 1 /02 APPLICANT NAME: l k, SCTM# DISTRICT: 1,000 SECTION: E BLOCK: l LOT: 3 STREET: ,3 7 1(E -y1,( 1 ,� �,� CITY: , - SUBDIV. NAME: PROJECT DESCRIPTION: �` _ ,,._. "� '" ESTIMATED PROJECT COST ARCHITECT/ENGINEER: 1AJg vAe,,,j FAST TRACK? 0 SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1, ZONING DISTRICT: CONFORMING? REQ. LOT SI� kw- ACT. LOT SIZE:16, I S�RE . LOT COV. � . LOT COV. <ob� REQ. FRONT -�= PROP. FRONTREQ SIDE SACT. SIDE ' REQ. REAR ZS' PROP. REAR WATER FRONT? tick DESCRIPTION: PANEL #: FLOOD ZONE:_, APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or 0, (BED #): DTE:_/_/_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y o1cN) NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO' SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES o NQ' TOWN PLAN. BOARD APPROVAL: YES o NO TOWN HISTORICAL PRE (SPLIA): Y S_ NYS ENERGY: YES OR NO LLL A EGRESS (18 H min.? 4 sq total) VE ( . FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP a -Z/C/0 Z- �z , HAVE PRE CO'S : Y OR N )ff -Z/C/o Z- , NOTES: r lt�S �f aN � nn Gr 70 cy. ti- - 0/ ate' FEE STRUCTURE: FOUNO&ION: SF - FIRST FLOOR SFS^ SECOND FLR SF MT OTHER TOTAL TOTAL: SF FEE FEE FEE COT( 1ST. SF)- ( SF)= SFX $ _$ +$ +$ _ $