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HomeMy WebLinkAbout31739-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31644 THIS CERTIFIES that the building ALTERATION Date: 06/28/06 Location of Property: 2595 PECONIC LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 5 Lot 4.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18, 2006 pursuant to which Building Permit No. 31739-Z dated JANUARY 18, 2006 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 FIRE DAMAGE REPAIR TO AN EXISTING DWELLING & ALTERATIONS FOR CONVERTING TO AN OFFICE WITH APARTMENT AS APPLIED FOR & AS PER PLANNING BOARD APPROVAL The certificate is issued to BILL FOX GROUNDS MAINTENANCE, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-03-0015 05/16/05 ELECTRICAL CERTIFICATE NO. 2643 03/25/05 PLUMBERS CERTIFICATION DATED 06/07/06 HARDY PLUMBING & HEATING uthorized Signature Rev. 1/81 JUN 13 '06 01:42PM SOUTHOLD BUILDING 631 765 9502 P.1 K'erin No. a TOWN OF Sol'iTHOLD BUILDING DEPARTMENT TOWN ;KALI. —'1le Jr _ 313 765-1802 I s} APPLICATION FOR CRRTIFICATIt OF OCCUPAN('y 'I'hte application nasi be filled in by typewriter or ;.til: and Submitted to the Building Department with the followial: A, For new building ar new use: 3. Final survey of property with accurst& location of all buildings, prop top09mlierty lines, striate, and unusual natural or k a features, Final APProval from Health Dept, of watt, supply and sewerage -disposal (S-9 form). 3. Approval of elootrical instn}lation from Board of Fire Underwriters. 4. Sworn statement from plurrbar cettifying that the solder used in eystere, oontairw less than 2/10 of I% load, `.. Conunerelai building, industrial building, nurltiplereaidences and stem r building7f081'c�-4*4 s t at of mit Planning Boa fiom arcltltcet or ctugineer reSponsible for the building. 0. Submit Plamuing Board APpnrva! of complelyd site plan mquiremeals.For exieUu build(n s p )Kg 6 (prior to A ri191.yS7 nor-conformiu uses or aulldiugs aA"laYt 6 Accurate survey of property sltowitrg all pr:iperty linos, streets, ballding and unusual natpral or topographic _—� dusts• _ features. 2. A property cotnpitied 6Pplivation and canstni to inspect signed by the applicant. if Certifieat cGstueet, the Building ba;pector Shall state lhr, reagens thorefor iu writintt to the applican , a C.. )Fees I . Certificate of Occupancy - New dwmiling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25,00, Swimming pool $25.00, Accessory building ,'625.00, Additions to acees.cory building $25.00, Businesses $50,00. 2. Certificate of O cupancy on pee -existing Plriilding - $100.00 3. Copy of Cettiricate of Occupancy - $•25 4. Updated Certificate of ()ccupancy - $50.00 5. Temporary Certificate of QeUupancy - (iCsidetltial $15.011, Conuuremial $15.00 Dow"J(���3 La:atio _._A_.-. New Construction: - _ (ltd or Prc•e�cislin � Building. v �^ ^^ g'.J`__ .__ •--- (chock one) � u of Property:_�� �J �('�NIt✓ L��E House r �- _ C)wner nUwnrraofProperty:IU i IiX �IPd1AnlbS Mfl(N7E/villN-1 �NC Suifolk County'rax Map No 1000, &Xtion Block F T— __ _...._. _...,_... -__lot fi l subdivision PApproval: I Fired Map, Lot: Permit r: Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street • Center Moriches, New York 1 1934 • Tel: 631-878-3500 • Fax: 631-878-3764 Application: 2643 Date:3/25/05 Issued to: FOX Address: 2595 Peconic Lane Village: Peconic By: Klein Electric License4:4423-E was examined and approved up to the above date and was in compliance with the NEC Attic2l 1sit Floor El Residential E91 Pod Det Garage BasenentCHI 2nd floor El Corrrrerdal Hot Tub Addition Permit#: 269482 �.rs� a/�I,u��c�/ectrccaL✓iu�Gu.. � ; This certificate must not be altered in any manner Switches Receptacles Fixtures G.F.I. Range Hood Whirlpool 32 45 24 6 1 Fans Dishwasher WasherlAmps Dryer/Amps Oven Carbon Range/Amps Monoxide 2 -Ex Bath 1 2 Furnace Oil Gas Heat Zones Smoke Bell Detectors Transformers 2 yes 2 g Rough Insp: Meter Amps Phase Motors 3/9/02 Final Insp. 3/25/05 1 100A OH 1 Other Equipment. Rewire Existing 2 Family Home �Out,Res Permit#: 269482 �.rs� a/�I,u��c�/ectrccaL✓iu�Gu.. � ; This certificate must not be altered in any manner TOWN OF SOUT13OLD OFFICE OF BUILDING INSPECTOR P.O. 13o:,., 28 TOWN I ..LL SOUTHO-D, N.Y. 11971 C E R T I F I C A T I O N Building Permit No.. -3 -3q Z owner/LC Fi)l� j/Q (please print) Plurber f 14cA11N6r (please print) TEL. 765-1802 Date ©� i I certify that the solder used in the water supply system contains less than 7110 of 1% lead. Swop to befoz _day of C �taGbC t1ota•:: vo--1 ic, (plumber's signature) r U91MYERGIM 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. 31739 Z Date JANUARY 18, 2006 Permission is hereby granted to: BILL FOX GROUNDS MAINTENANCE, PO BOX 1607 BRIDGEHAMPTON,NY 11932 for ALTERATIONS OF FIRE DAMAGE TO A DWELLING AS APPLIED FOR CONVERTING TO AN OFFICE W/APT.PER PLANNING BOARD APPROVAL.(THIS REPLACES BP #29523Z) at premises located at 2595 PECONIC LA PECONIC County Tax Map No. 473889 Section 074 Block 0005 Lot No. 004.001 pursuant to application dated JANUARY 18, 2006 and approved by the Building Inspector to expire on JULY 18, 2007. Fee $ 639.30 ORIGINAL Rev. 5/8/02 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) X1123 7 PERMIT NO. 29523 Z Date JUNE 26, 2003 Permission is hereby granted to: FOX GROUNDS BILL PO BOX 1607 BRIDGEHAMPTON,NY 11932 for ALTS OF FIRE DAMAGE TO AN DWELLING AS APPLIED FOR CONVERTING TO AN OFFICE W/ APT. PER PLANNING BOARD APPROVAL. THIS PERMIT REPLACES BP427364. at premises located at 2595 PECONIC LA PECONIC County Tax Map No. 473889 Section 074 Block 0005 Lot No. 004.001 pursuant to application dated JUNE 26, 2003 and approved by the Building Inspector to expire on DECEMBER 26, 2004. Fee $ 639.60 Rev. 5/8/02 ORIGINAL PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND r,t MAY 1 6 May 11, 2006 PLANNING BOARD OFFICE TOWN OF SOUTHOLD Bill Fox Bill Fox Grounds Maintenance, Inc. P.O. Box 1607 Bridgehampton, New York 11932 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Re: Certificate of Occupancy Inspection for the Site Plan Known as Bill Fox Grounds Maintenance, Inc. 2595 Peconic Lane, Peconic SCIM # 1000-74-5-4.1 Dear Mr.Fox: At your written request, for a Certificate of Occupancy final site inspection, date received on May 8, 2006 and Planning Department staff performed a site visit. In reference to the above, the Planning Board held a work session on May 8, 2006 to review the site plan approved August 10, 2004 and site visit staff comments. This is to inform you that the site plan requirements have been satisfied and no further site plan review is required at this time This letter does not condone any changes from the approved site plan and approvals from other agencies if required. If you have any questions, please contact the Planning Board Office at (631) 765-1938 between the hours of 8:00 a.m. and 4:00 p.m. Sincerely, &jeynB. Woodhouse Chairperson CC: File Building Department Town Engineer 3173q �- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION sruwnvc. _ DATE 4 �� �� INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEYX, FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY �] FIRE SAFETY INSPECTION REMARKS: kjjzb\)���:�i.S��� % 6lz�E f1 i i s DATE 5-'4 ob gA. o�yoe souryo ` �/" �d t,- �A f f y ' �i TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION. [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPIAcF & CHIMNEY [ l , REMARKS: ] FIRE SAFETY INSPECTION a-� c)- -1 :Z, 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: o k -6�- DATE 1�-�d2/ �1� INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND �[%�INSULATION FRAMING [ ] FINAL /[ ] FIREPLACE A CHIMNEY [ REMARKS: //c ] FIRE SAFETY INSPECTION G � &I&- -L Fri , DATE �3 1 SPECTOR " �,7- iL4'h't I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] F DATION 2ND [ FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: A. DATE � /0�li�!/ [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL L FA M-1802 BUILDING DEPT. INSPECTION ZFOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE /l 0 V INSPECTOR 6�1 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ISTrtj ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �os�t„rlPa, DATE 2/ , O INSPECTOR w ', 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOIJ�IDATION 2ND [ �- FRAMING [ ] FIREPLACE & CHIMNEY cl�/, [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL INSPECTOR �-7 3� No 765-1802 40 BUILDING DEPT. Go -'i INSPECTION ;=ATION 2ND G [ ] FIREPLACE & CHIMNEY v DATE / 1 [ ] ROUGH PLBG. [ [ ] INSULATION [ ] FINAL p9m M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ -R MING [ ] FIREPLACE & CHIMNEY REMARKS:w\ 1.4 [ OUGH PLBG. [ ] INSULATION [ ] FINAL DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ wrF RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY_ DATE 0 INSPECTOR k_• /000 - 7 41 "_>�' TOWN OF SOUTHOLD PROPERTY RECORD CARD QWNER { i _. Il \i _/1L Mil t- I•'W STREET '` VILLAGE DIST SUB. LOT U ORM R,qa.� WNE�RE-Mbaer5. MCI �h tlolmr; "o r � R. N a4 p I C) �0ri' 1)F o 71 S - W TYPE OF BUILDING ES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value J 9(ja , LAND IMP. TOTAL DATE REMARKS `C SGS n Z .A 01,Jo_ ��r L6491 h53G' -r �, -' /v 1r_. 1.7 r J� l •Y;� W I i IK QN _I ,.' i iY1�W'� - H� 3ZGn . al _ /076 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE 23�gZ-L�1yZg 452-N1C)Se Ez> A1C) rY F J i�11C FARM Acre Value Per Acre Value ?- L. �fif�l� q �J�� —f�� IMeS 'illable 1 -illable 2 illable 3 /oodland wompland FRONTAGE ON WATER rushland FRONTAGE ON ROAD louse Plot DEPTH BULKHEAD otal DOCK Michael Mapes, P.E. MAR L 5 20 March 15,,2004 Town�uthold - Building Department P.O. Box 1179 Town Hall Southold, N.Y. 11971 Attn: Damon Rallis Re: Bill Fox Grounds Maintenance 2595 Peconic Lane Peconic, N.Y. SCTM# 1000-74-5-4.1 Zoning District: HB Hamlet Business Building Permit # 29523 Z Dear Mr. Rallis, Michael Mapes, P.E. 163 Peninsula Path Riverhead, N.Y. 11901 Phone`. 631-369-2170 The purpose of this letter is to certify that the second floor apartment is only 40% of the total square footage of the building and therefore qualifies as an accessory apartment. The second floor apartment is 826.7 square feet and the total square footage of the building is 2066.7 square feet. The second floor apartment is 40.0% of the total square footage of the building. Please advise me when I can submit the site plan to the Planning Department. If there are any questions please feel free to call me at 344.2841. Sincerely, Michael Mapes, P.E. rrz PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair RICHARD CAGGIANO WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR 02420 August 10, 2004 Mr. Michael Mapes, P.E. 163 Peninsula Path Riverhead, NY 11901 SUFF0'/(, yt o N O � ill � PLANNING BOARD OFFICE TOWN OF SOUTHOLD P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax(631)765-3136 Re: Proposed Site Plan for Bill Fox Grounds Maintenance (Office/Apartment) 2595 Peconic Lane, Peconic SCTM#1000-74-5-4.1 Zoning District HB Dear Mr. Mapes: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, August 9, 2004: The final public hearing was closed. WHEREAS, the proposed site plan, to be known as the Bill Fox Grounds Maintenance Site Plan, is for the conversion and alteration of an existing residence with a 351 sq. ft. office on the first floor and a 2nd floor apartment on a 0.24 acre parcel in the HB Zone; and WHEREAS, Bill Fox Grounds Maintenance, Inc. is the owner of the property known and designated as 2595 Peconic Lane, located approximately 725' s/o County Road 48 on the w/s/o Peconic Lane, SCTM#1000-74-5-4; and WHEREAS, on May 4, 2004, a formal application for approval of this site plan was submitted; and WHEREAS, on June 15, 2004, the Southold Town Planning Board, acting under the State Environmental Quality Review Act (6 NYCRR), Part 617.5, makes a determination that the proposed action is a Type II and not subject to review; and WHEREAS, on June 17, 2004, the Southold Town Fire District found adequate fire protection for this site plan and the Planning Board has accepted this recommendation; and WHEREAS, on June 28, 2004, the Suffolk County Department of Health Services reviewed and granted a variance under Reference Number C-10-03-0015; and WHEREAS, on July 15, 2004, Suffolk County Department of Health Services approved a new office and apartment under Reference Number C-10-03-0015 on the plan created and certified by Michael Mapes, P.E. dated 5/28/04; and Bill Fox Grounds Maintenance — Page Two — 8/10/04 WHEREAS, on August 3, 2004, the Southold Town Engineer reviewed and approved the proposed drainage and the Planning Board has accepted his recommendation; and WHEREAS, on August 3, 2004, the Architectural Review Committee reviewed the architectural drawings and associated site plan materials in accordance with its recommendations of May 27, 2004 and determined they were satisfactory; and WHEREAS, on August 9, 2004, the Southold Town Building Inspector reviewed and certified the site plan; and WHEREAS, the Southold Town Planning Board, pursuant to Chapter 58, Notice of Public Hearing, has received affidavits that the applicant has complied with the notification provisions; and WHEREAS, the following two items are incorporated and included in the site plan: 1. All outdoor lighting shall be shielded so that the light source is not visible from adjacent properties and roadways. Lighting fixtures shall focus and direct the light in such a manner as to contain the light and glare within property boundaries. The lighting must meet the Town Code requirements. 2. All signs shall meet Southold Town Zoning Codes and be subject to approval from the Southold Town Building Inspection; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; be it therefore RESOLVED that the Southold Town Planning Board grant final approval on the site plan prepared and certified by Michael D. Mapes, Professional Engineer, dated August 01, 2004, and authorize the Chairperson to endorse the final site plans subject to a one year review from the date of the building permit. Please contact this office if you have any questions regarding the above. Very truly yours, / 7/ Jerilyn B. Woodhouse Chairperson cc: Building Department, Town Engineer/Town Highway FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEI. • 765-1802 qSX Esamined...���ja/r../...., �9.�! + ^ _ "'/_ 3 Approved....",/.!(.�f..... .... Permit Nn. Disapproved a/c .................................. ....................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ................... DEC........................... TRUSTEES ...................... NOT L�a...... . MAIL TO :.................... Date.. 11L 9 .......... 2CG).. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS BERM M&M to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tam of Southold, Suffolk Canty, New York, and other applicable Lars, 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 erne, bousinc code,. and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. r ........................ (Signature of applicant, or name, if a corporation) (Mailing address o applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildep ....---.O.Wx aii ......R........... /.�........`. 1 ..................................................... Nave of owner of premises ....::!1. �.1. .t't ..L=?I.? :! tJ d S . !?.'tai!:! R'"k.0 .Tf(`.................................... (as on the tax roll or latest deed) If licg's a corpor tan signature of duly authorized officer. . 1 -r :........ ... s. ..... T (Name and title of corporate officer) Builders License No . ......................... Plumbers License No . ......................... (� 2 PTVYI� niE Electricians License No . ..................... Other Trade's License No . .................... 1. Location of land on which proposed work will be done.............................................................. Zs9...............P� cQ N t4.. 4,.1E Pecv.� ..................................................................... House Number Street Hanlet Canty Tax Map No. 1000 Section .... 4...... Block bQ.O S ...... Lot .0 P.�? • 00 1 Subdivision ...................................... Filed Map No. ............... Int ............... (Name) 2. State existing use and occupancy of premisesAa intended use and occupancy of proposed construction: a. Existing use and occupancy ........ i�............................................. b. Intended use and occupancy ..W !...Sn� e 1C e...... Nihire lit wtkcibeuc w4nc1i applicable): Ne%4 IAnlding .......... Addition .......... Alteration .lam ... Repair .... ...... Removal ............. Demolition ............ Other Work .................................. (Description) Estimated Cost ........... fee ............................. ............... (to be paid on filing this application) If dwelling, hxnber of dwelling units ...;�n ..... timber of dwelling units on each floor ... A-: .. Ifgarage, nxnber of cars..1.`.................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...................... Dimensions of existing structures, if any: Front.... P a/...... Rear .. 0'9.t ....... Depth ...t! d .......... r height ... 47.0Nu ..%.....D.r....... doer of Stories ... Z ................ / Dimensions of same structure with alterations or additions: Front .....!'a...... Rear ...tea....... Depth ..... a':...16..... Height ........... N>,dher of Stories ............... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Ileigjht ......................... tknber of Stories ..................... Size of lot: Front ..... .... _ Rear .................... Depth .................... Date of Purchase .....�9.� 1�.�.{�... Name of Former O;Awr ....&-1 4n1 y"07-4. R ............................ Tore or use district in which premises are situated .....t.\ -t ! f..�vS: N aiS Does proposed construction violate any zoning law, ordinance or regulation: . NO Will lot be regraded ....T.t 5........... Will excess fill be removed from premises: YES Napes of Owner of premises Phone ! �41d�rcess (�? ?o>c'hGo'I.RC?:�t^^ Phone No.�s�1:Z63-S5o2S Nae of Architect Jtp.CLll, trtJOLObiEs J .t. ............................ Address .►A° l#u !�....�........... Phone No. .............. Name of Contractor OWVllrLYtkCV .............................. .... ..... Address Nhoce tb. .............. Is this property within 300 feet of a tidal wetland? * YES .......... NO ...✓...... *IF YES, gwn D TOldi TRUSTEES PamT MAY HE FEgHRED. PLAT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set -bark dimensions run property lines. Give street and block rurber or description according to deed, and slaw street cares and indicate :nether interior or corner lot. fAIE OF N1J Yow, scg�- pis SS OIINIY (F ....................... .... �� ....?. (;irou...........``.. MIF.4. . C.....being duly sworn, deposes and says that he is the applicant .... Hare of individual signing contract) bove named, ,, Q eis the .............. O. ^! ."'I.......................................................................... (Contractor, agent, corporate officer, etc.) .f: 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 hat the work will be performed in the manner set forth in the application filed therewith. toornto �be T me this ... /?..t� ......day of Notary Public . WDAWY "cNED.. �.. ......... V V� 41c,State of Now Yodt...................................... a.4951364 Q (SignalUre of Applicant) Expires May 22, OLC/ rI- 631-298-1129 April 12, 2001 Southold Town Hall Building Department Southold, NY 11971 Re: Proposed Alteration to Existing Fox Residence 2595 Peconic Lane Peconic, New York Attn: Bruno Semon FAX 631-298-1128 In response to your letter dated April 10, 2001, we have calculated the value of the structure at the above named property before the time of the fire. We have also calculated the cost of repairs for the same structure. Based on these findings, we have concluded that the costs of repairs is 40% of the original value of the structure. See enclosed breakdown for further details. Thank you for your time and consideration. Sincerely, Frank Notaro. Archite l 6;4T lm�) 'lg�,3a0 ev rJ Q)O�i f%b Q� 14 �a� �^'��•Mt� 7 2 a0.04 H o oo, 00 ��1��►�2. i �1� _ 0,330. o0 �ar,509K.- f.) De57 r 'c Dj 0 IG1,woo, 00 I 'j,3 o�O. ao �L'l i:,g GYi® t'` -.ter U-s� cc�� `�A/tioo.00 � Q,or� flo $Ko I 2 oO.va �jOOO,OQ 1 o'j�3o. o0 OFIC, to FIELD INSPECTTON REPORTDATE COMMENTS_ I 1 1 I •: FOUNDATION OSt - 0 FOUNDATION ON1 ROUGHI' - -' PLUMBING INSULATION STATE ENERGY CODE RM GOES ..�..melow = �� 1■■moi, i ITECNOLOGIES ARCErnrnm > cor4muCf1msmvim 13405 M® R=L hbditc c, New Yalk 11952 631298.1129 f=6312%.1129 March 30, 2006 Town of Southold Building Department Southold, N.Y. 11971 Re: Bill Fox 2595 Peconic Lane Peconic, N.Y. Attn: Mr. Bob Fisher, This letter is to certify that the change in door usage does not have any adverse effect on the fire rating of the building. The Thermatru door installed is satisfactory for its location. If you have any additional questions please feel free to call our office at 631-298-1129. MR o Z�rPe�� ra9s3-27 - _ TOWN OF SOUTHOLD i BUILDING DEPARTMENT TOWN HAI r. SOUTHOL)f NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www, northfork.net/Southold/ r Examined 120 Approved 20 Disapproved a/c 13 P 20 B ldi SPA-AOTJ 2IP(L LA S BUILDING PERMIT APPLICATION CHECK�ST:" Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval PERMIT NO. �-iPinOMl-� Check Septic Form N Y.S.D.E.C. Contact: APPLICATION FOR BUILDING PERMIT MAR 1 9 M INSTRUCTIONS Date 9- t 5 , 20 a. This applicatio MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, riduiate plo�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 the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced 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 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 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. �� l J7 -o,,( 6 r" ,/ci S (Signature of applicant or name, if a corporation) 1OR ox1(a0 (Mailing addres fapplicant) �r State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder n%Ja- f� t( Name of owner of premises D r �) P-rr d K C --l., JjcS M A4 JA .,e e. ZrJC, (As on the tax roll or latest deed) If app'carat ' a coati syn, ignature gof duly authorized officer li 1 � _tL,Ji�— orszs'k --)4- (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ,2C9 S loeeo u K `I�Ut3 ?,E -n N C- House Number Street Hamlet County Tax Map No. 1000 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed con§truction: a. Existing use and occupancy Si �G t t% r0i0?4 V DaIPLG/.�' c b. Intended use and occupancy /�✓/Oi �6/�yH2 O'CF1eLr Ui r1i IIC63:" htRA07"A17- 3. Nature of work (check which applicable): New Building Repair _Removal Demolition 4. Estimated Cost Aj) Fee — I (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 5. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. !' 2b ff Fnlb A�A[. fF/C /Si /CGOGIL, 7. Dimensions of existing structures, if any: Front___,7 Z- Rear Depth 60 Height o2S I Number of Stories Z Dimensions of same structure with alterations or additions: Front /✓(1. (<-Awe- Rear /V 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front bO Rear 9Z Depth ) 3 d 10. Date of Purchase Name of Former Owner. �] 11. Zone or use district in which premises are situated t4hv4 oLeTi gU iS ►l tsSC r ' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES / NO 13. Will lot be re -graded? YESNO ✓ Will excess fill be removed from premises? YESNO &\t E7trK sN'A".J . -J-- vo li IGo� gl� z�3-sozS 14. Names of Owner of premises Address '+- Phone No. NameofArchitect 6tkChrr't�k.sot-�t $__Address &Y 13 MPMdfXhoneNo 29e-,1,122 Name of Contractor Address Phone No. astNLmz- MtchnrC May, -5 /63 derliniSvuc G4 -a 2l✓ar" 36p -Z to 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO *IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO 1�7 IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. ^ G O`/ -Q 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) c SS: COUNTY OF-,tfk-t ) W ILL I A M F. FO K. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 'Pa5t0f!1.4- (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. Swom tp before to thi C �I � h . of iF a•h 20� X No Public / Signature of Applicant L- ' Nd O LESLIE J. BAUER Notary Public, State of New York No. 5018144, Suffolk County Term Expires Sep. 20, a0o S SUR\/EY OF PROPERTY ® SITUATE: PEGONIG TOWN: SOUTHOLD SUFFOLK COUNTY, NY UEb f 4 SURVEYED 01-23-03 AMENDED 09-19-03 �� g x S FINAL SURVEY 1-06-2005,02-23-2005 SUFFOLK COUNTY TAX u 1000-14-5-4.1 pc� CffitT1F!®TO 0 VALL AM FOX �\�O p�ollp yam / qA Ota O p�Ot\c , ^ � �Y/ h < co 0 41 oco v O�° � e d8 L SUFFOLK COUNT Y CEPARTC. EN CF: -.711-T: 1 Datesy�0 y 9 Is,01* �\ ay cl s \ 4d ops y �; , - p��otof NEW y t\ qc •� d lie, - pt C NOTES:,. scoff $ ;. �p�Oti �.., i ..e,.d,e,e.•..a„•. • MONUMENT FOUND ' e •y • P AREA = 10,583 S.F. OR 024 ACRE �6 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 GRAPHIG SCALE I•= 30 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF. -\\Hp server\d\PROS\03-222.pro SURVEY OF PROPERTY SITUATE: PECONIG TOWN: SOUTHOLD SUFFOLK COUNTY, NY SURVEYED 01-23-03 SUFFOLK COUNTY TAX u 1000-74-5-4.1 CERTIFIED TO., WHIIAM PDX 9 NOTE5: ■ MONUMENT FOUND AREA = 10,583 5.F. OR 0.24 ACRE GRAPHIC 56ALE 1"= 30' o< �o'tno. oo o<a° - oF' �o, Pia o .< 6 {lf TIT TIT Y �I- hm Ll 3Q. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.—\\Hp server\d\PROS\03-222.pro SENT. BY: CAPUTIWEINTRAUBNEARY; 11. 3. 0 1:09PM; 631 421 2585 -> y '00 AW I4 M * \ .�.. r of . pp I' 10 x26= 629 5164778202; ktil f t I S Ji-l�'re°E' COO ot T 4�'A _ C'A'�C, NEW ASPHALT ROOF SHINGLES nrnvur .Col."" �R vm NEW ASPHALT ROOF SHINGLES "GAF" TIMBERLINE 30 YR. OR APPROVED EQUAL. Ll EXISTING SIDING TO BE REPAIRED OR REPLACED AS REQUIRED. — (TYPICAL ALL AREAS) FRONT ELEVATION NEW ASPHALT ROOF' SHINGLES "GAF" TIMBERLINE 3D YR. —� OR APPROVED EQUAL. EXISTING CHIMNEY TO REMAIN. RE -POINT AS REQUIRED. � RIGHT ELEVATION I■ — ■I■ � ■I E= ■I� �I■ REAR ELEVATION EXISTING SIDING TO BE REPAIRED OR REPLACED AS REQUIRED.— (TYPICAL ALL AREAS) LEFT ELEVATION CHIMNEY N. RE -POINT RED. CONT. RIDGE VENT END VENT THIS AREA. THESE DRAWINGS AS INSTRUMENTS OF SERVICE, ARE THE SOLE PROPERTY OF THE ARCHITECT. NO REVISIONS, CHANGES, ANO/OR MODIFICATIONS SHALL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION BY THE ARCHITECT, ANY REPRODUCTION IN PART OR WHOLE IS STRICTLY PROHIBITED BY LAW. CIO w � � V y O a h OO U 1,4 >� Q z� N t+t � N Irw "y W zo W% Lu r/� z W J_ Q LL N U) X Lu 0 V - z 0 LW r J Q W U) O U Z a 0 0 N W L a D O L 9 o u � � m O a U m y 0 0 w ir cl w 0 N y U o O N N r N FILE NAME: FOX_ELEV_CUR 1-18-01 SCALE: 1/4"=1'O" DWG. NAME: PROPOSED BUILDING ELEVATIONS DWG. NO.: A.2 NEW ASPHALT ROOF SHINGLES "GAF" TIMBERLINE 30 YR. OR APPROVED EQUAL NEW ASPHALT ROOF SHINGLES "GAF" TIMBERLINE 30 YR. OR APPROVED EQUAL. EXISTING SIDING TO BE REPAIRED OR REPLACED AS REQUIRED — (TYPICAL ALL AREAS) 1—fl/1A IT rl r'\ /ATI/1A 1 NEW ASPHALT ROOF SHINGLES "GAF" TIMBERLINE 30 YR. OR APPROVED EQUAL. r -1r -Arm r1 r%/ATII'-%n1 NEW ASPHALT ROOF SHINGLES "GAF" TIMBERLINE 30 YR. OR APPROVED EQUAL. 5/8" CDX PLYWOOD 15 LB ROOF FELT NEW ASPHALT ROOF SHINGLES "GAF" TIMBERLINE 30 YR. OR APPROVED EQUAL. NEW /ASPHALT ROOF SHINGLES "GAF" TIMBERLINE 30 YR OR APPROVED EQUAL.. EXISTING PORCH & ROOF STRUCTURE TO REMAIN. REPLACE DECK AS RI=Q'D. � EXISTING SIDING TO BE OR REPLACED AS REAL, (TYPICAL ALL ARE EXISTING FOUNDATION WALL TO REMAIN (TYP.) EXISTING FOOTINGS TO REMAIN (TYP.) —EXISTING S" X 6" CJ Q 16" O.C. TO REMAIN— REPLACE DAMAGED CJ AS REQ'D. 00 m 0 \/ e >1 0 -�— EXISTING 3" X S" FJ @ 16" O.C. TO REMAIN—� -.— EXISTING 3" X 8" FJ (6? 16" O.C. TO REMAINS O U CONT. RIDGE VENT END VENT THIS AREA HT ELEVATION EXISTING ROOF RAFTERS TO REMAIN. REPLACE FIRE DAMAGED RAFTERS AS REQ"D. R-30 BATT. INSULATION (TYPICAL ALL AREAS) STING SIDING TO BE REPAIRED REPLACED AS REQUIRED. (TYPICAL ALL AREAS) 17-11 1 1 1 I I A I I THESE DRAWINGS AS INSTRUMENTS OF SERVICE, ARE THE SOLE PROPERTY OF THE ARCHITECT NO REVISIONS, CHANGES, AND/OR MODIFICATIONS SHALL BE ALLOWED WITHOUT WRITTEN AUTHORIZATION BY THE ARCHITECT. ANY REPRODUCTION IN PART OR WHOLE IS STRICTLY PROHIBITED BY LAW. 1 r'r'T r-1 r\ /A -Tl /1A 1 r/� T N a V 1Nr 00 m 0 \/ e >1 0 W z O U i \ o QMH 0 fn 0 0 U P� U Q- 0 Q Q 0 a m W U� ZO W Z W X W_j O Z0 oco LLL Q 0 rr Z W0 J Q 0 W oz 0 0 < W m a d W m S�S U m 0 m 0 w W H Z ❑ 0 J U � m 0 0 D w ❑ w N N N N j m m to FILE NAME: FOX ELEV_CUR 1-16-01 SCALE. 1/4"=1'0" DWG. NAME: BUILDING SECTION & ELEVATIONS DWG. NO.: A I • V 7 0 5 A SITE PLAN KEY ST - SEPTIC TANK LP - LEACHING POOL EP - EXPANSION POOL CS - EXISTING CESSPOOL 8 1 7 6 SUFFOLK COUNTY TAX MAP #1000-74-4-14.3 5 I 019 3 ., t • ASG 1 . : I' :4l 1 t. • • r e a" Nr r+ a t :1 a :1• :I �' �►� 1 • a • :1" I: LOCAnD AS SHOWN 7. EMSMNG d :7r BE ' :1 O:U WA= SUMILY I"IIC:II II WATM 9I I"I"I 1 7"MMMAL 1 wl"I"= MAW asw PDva xa rmu m arca PRIM. nrac bw4e wA INLET a MIN 4' DIA. PITCHED 1/8'/FT. PITCHED 1/8'/FT •,; : 0, NAK TIVE DEPTH Mi- r MIM to o.: Ia. Max.... su:.:r..... > 2 FT. MIN ADD GROUNDWATER .. MINE IMmrtALr MULS TO /nuvmc r • ` • ^•• cum Mn6A4 IMTWK TO WE CLEAN per- Saa 1{1eT10ROn 1M A "os, RATA SMn Ara [MVEL OF ENID AND GRAVEL 11 r1 .APL t ]L]B&%.1l1l1M v rUUJL g Q.25 awm SEPTIC TANK 2 SANITARY SYSTEM CALCULATIONS SUFFOLK COUNTY TAX MAP # 1000-74-4-14.3 SITE AREA 0.25 ACRES ZONING: SOUTHOLD TOWN HAMLET BUSINESS PROPOSED SEPTIC SYSTEM: FOR EXISTING BIULDING 1sT FLOOR OFFICES (1058 SQFT) AND 2ND FLOOR APARTMENT (765 SQFT) GROUNDWATER MANAGEMENT: ZONE IV ALLOWABLE FLOW: 600 GPD/ACRE ( PUBLIC WATER SUPPLY) TOTAL ALLOWABLE FOR SITE (0 24 ACRES) (600 GPD/ACRE) = 144 GPD BUILDING PREVIOUS USE: SINGLE FAMILY RESIDENCE =300 GPD I°' FLOOR APARTMENT 1058 SQFT, 2ND FLOOR APARTMENT 765 SQFT USE SANITARY TOTAL IIT FLOOR OFFICES (1058 SQFT)X .06 GPD 64 GPD 2ND FLOOR APARTMENT(765 SQFT) 225 GPD 225 GPD TOTAL SANITARY FLOW FOR SYSTEM.....................................289 GPD SEPTIC TANK: REQUIRED: 289 GPD x 2 ......................................................... = 578 GPD PROVIDE: 1- 8' CYLINDRICAL 4' EFF. DEPTH SEPTIC TANK ... .... ...= 1200 GPD LEACHING POOLS: REQUIRED: 300/1.5 GPD/SF..................................................... =200 S.F. PROVIDE: 1-8' DIA.X 12' LEACHING POOL WITH 10' EFF. DEPTH., = 314 S.F. TRAFFIC HEARING INLET MIN. 4' DIA CLASS 2400 PIPE OR EQUIVALENT PITCHED 1/4'/FT. 12' EFF. DEPTH POOL Test Hole Dug by Mcdonnel Geoscience 8/1/03 EL. 24.0' e• 4Prown NL send N brown N'ry i wnd 1_I Ir TEST HOLE DATA 3 2 6.a4 91 NIN 2' AK. LINE 4' Ilj depth er sac MAs IRON COVERS TO GRADE A FINISHED GRADE ^ 8' 1N. OUTLET MIN. 4- DIA. CLASS 2400 PIPE OR EQUIVALENT PITCHED 1/8'/FT. \Iq 4' MIN ���) C' �P.:I I UI� El aTdof Reviewwltnalian dated �p///7 —, 1—y Vap"Inkfalt of Apth Servion, paoval for Conatrue4ma. other Th. Bingle Fam;I? Reference ProNo. C/d-O De' Fbw Si� ject l� .. �//'- ¢ These piano have beenreviewedfor gemored conformance with BU&lk Coaaty Department of Health 8ervicoe standards, mistleg to water supply and sewage diapoaai. Regardless of any omissions, inconsistencies or lack of dotail, WaRtreetlea is mgel"d to be in accordance with the attached permit condition and applicebk standards, ears l operillralty waived by the Departmem, This sppmval expires 9 years from the Approv da wilass m van JUL 15 2004 �✓ pprov a e 3h P.E. 4�C�C 1. PENINSULA A\ I I I ISI\ ISI III 4\ID). A.1 11901 PHONE 369-2170 MLE: : Office1\1Al;.ltmemt Building SITE PLAN PROPOSED SEPTEC SYS. 1000-74-5-4.1 SEPTIC I Il I A °x a 11 _ :