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Home My WebLink About31799-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32293 Date: 04/16/07 THIS CERTIFIES that the building ALTERATION Location of Property: 55075 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 62 Block 1 Lot 24.7 SUbdivision Filed Map No. _ Lot No. _ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 10, 2006 pursuant to which Building Permit No. 31799-Z dated FEBRUARY 16 , 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 LIFT ADDITION TO AN EXISTING DWELLING AS APPLIED FOR. The certificate is issued to COLONIAL VILLAGE TENANTS CORPORATION (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3021032 04/18/07 PLUMBERS CERTIFICATION DATED N/A ed Signature Rev. 1/81 ---------- ----- -------- ,- ---- i , Form No.6 TOWN OF SOUTHOLD "PR I 220'" BUILDING DEPARTMENT ,-; ")[ TOWN HALL .~ 765-1802 -~,- .. APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 I % 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 nses, 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 Inspector shall state the reasons therefor in writing to the applicant. C. 1<ees 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 Dale. ~/7/~ New Construction: Old or Pre.existing Building: X _._ (check one) -- Location of Property: 55075 Main Road, (NYS Route 25), Southold I.Iouse No. Street Hamlet Owner or Owners of Property: Colonial Village Tenants Corporation . Suffolk County Tax Map No 1000, Section ____62 Block 1 Lot 24.7 ..-- --- '------.---..- ---. --------~._,.._- Subdivision NA Filed Map _.. Lot: ---------._- Pennit No. 31799 Date of Permit. 2/16/06 Applicant: Garret Strang -- WlllldIll Rl",11 III Health Dept. Approval: NA "_.__.__.. Underwriters Approval: '_____'__ '._ ._. Planning Board Approval: __. ____ _.._ Request for: Temporary Certificate _. _._ Final Certifica e: Fee Submitted: $ ~Q . 00___ .. ~.13C) G1 CO c3.;aQ --.- f;J. /- 2.4.7 1iI.1iI ~ ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY, _ ~ ~ ~ 40 FULTON STREET - NEW YORK, NY 10038 :;<;. /) L(.~ ~ ~ /} / . 1 C('( ~ ~ CERTIFIES THAT f ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ JIM SAGE ELEC. INC. COLONIAL VILLAGE ~ ~ PO BOX 38 55075 MAIN ROAD ~ ~ GREENPORT, NY 11944-0038, SOUTHOLD, NY 11971 ~ ~ ~ Located at 55075 MAIN ROAD SOUTHOLD, NY 11971 ~ ~ ~ Application Number: 3021032 Certificate Number: 3021032 ~ I Section: Block: Lot: Building Permit: BDC: ns11 ~ ~ ~ Described as a Commercial occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ I Basement, First Floor, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 18th Day of April, 2007. ~ Name OTY Rate Ratin. Circuit ~ ~ ~ Miscellaneous ~ ~ supply 20 amp circut to ~ ~ self contained wheel chair lif ~ ~ Wiring and Devices ~ Disconnect I 0 20a General Purpose ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ .~ ~ ~ ~ ~ I of I ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ ~ ~ 1iI.~1iI ----- ------ 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. 31799 Z Date FEBRUARY 16, 2006 permission is hereby granted to: COLONIAL VILLAGE 55075 ROUTE 25 SOUTHOLD,NY 11971 for : LIFT ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 55075 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 062 Block 0001 Lot No. 024.007 pursuant to application dated FEBRUARY 10, 2006 and approved by the Building Inspector to expire on AUGUST 16, 2007. Fee $ 200.00 ~.~ . ~ ~.: ! Authorize Signature ORIGINAL Rev. 5/8/02 ----- --- ;) J7q r..:c TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~ ~~ REMARKS: HAM:J.qEC-f - (J3 . '- ~ 'S" R'{'~ltj '" DATE f ifn INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: "DLAnU>\S (1Q~ 1i.~' ~r;ft?cnOh /1s;w DATE /- 2~- O{ INSPECTOR , - v(lqq TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~RE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS: L ,AA;U.-\- 1\J~'J~ ~~l"J~ -W S2-{.--U~ \:~~ -l DATE /---'1 --- () 1 'NSPECTOR12~~ filiNG i! All ~ (s:?in~1 Road Hampton Bays, NY 11946 You .. 1-866-541.7700 To = = Island 631 723-1500 THII.. Fax 631723.1035 ThP = = Elevator Co. sales@allislandelevator.com www.allislandelevator.com ,',1M 9; February 16, 2007 Garrett A. Strang, Architect 1230 Traveler Street Southold, NY 11971 Re: Colonial Village 55075 Main Road Southold, NY Dear Mr. Strang: This is to certify that the two stop hydraulic vertical wheelchair lift (Model PCDE120) manufactured by The National Wheel-O-Vator Co., Inc., Roanoke, IL installed at the above location was designed, manufactured, tested and erected in accordance with ASME/ ANSI AlS.l "Safety Standard for Platform Lifts and Stairway Chairlifts" Section 2.2; ICC/ANSI Al17.l and NFPA70 National Electric Code. This installation of this lift is complete and it is available for use. The base of lift tower was anchored into the 6" reinforced concrete slab with 3 Yz" x Yz" lag bolts. A special angle iron triangular bracket furnished by the lift manufacturer was installed to secure the tower to the building. The bracket is lagged to the studs of the building using 3" x Yz" lags bolted to the tower. The manufacturer National Wheel-O- Vator Co. indicates that this bracket meets the most rigorous wind standards. Sincerely, rJ1IATORCO,WC Wally Teich President cc: Bill Rich, Colonial Village &;). I~ 'd'\.i -------- ------------ - '" "- ~ , COMMENTS FIELD INSPECTION REPORT DATE ~;g FOUNDATION (1ST) ...J~ --Sl::j -SI"" ------------------------------------ ~r: FOUNDATION (2ND) ~:S;fi .>- I'J ~ 01 \1) ~ o g;j ROUGH FRAMING & ~ !"l ..., PLUMBING \ 3 .:f' 2-~ INSULATION PER N. Y. &~ STATE ENERGY CODE ff./'J.,7 ,,:hn~"', r PL.r\ . ~~ -I ~ f. ~.AII ( -; _.\ U\ f ( r. ~.J'A~/\ ~.f},.' .I..d L /",' z:y~ ....1 () t P..""'- L" " ~. r..-/.-(./.. ~.. \ r ../1 FINAL -1~ 07 fiec 1: }.~.v1J>J PO-SS..-A ~ If1#7I6 ') _1. ./_ r-/) f- -y',. rA ~. p.... .. J /l / 1/;1:'~ ~ ~ ADDttI6NAL COMMENTS ,. 1;// 7 ... 1-1 -07 - Doc. Q.... [p..~..... Ot...J /~~ Rou---- ""e. '7-0:) S 5 :?cu~..q,...l('.' \{,.? ~~ i2..F: . . "'-'So. '" 'GZ7" 'T'T""'" ,e.c :fl -'0 ~::E z I " <:~ , - 2. ~ -07 V, OL M1~S (' n~. '-'fE) ~ hrU:. J....J'>f'<:Zn~ t~~ //:L - . ~ , ~ s- L ~ .", C(JI'J , ~ --'" - ~~ 01 ::l " ~ t?-[;J j;~ I:l I'J '" :-l ---- -- ----------- ----- -- TOWN OF SOUTHOLD BUILDING PERMIT APPUCATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health ~,,~ SOUTHOLD, NY 11971 . 3 sets Of~Plans ,/ TEL: 765-1802 Survey . PERMIT NO. 3; 7tN-t:' Check:w /31 Septic FOIID N.Y.SD.E.C. ~~20~ Trustees Examined Contact: Approved Mail to: }i20~ Disapproved alc .1 frf' ~l r/ 1 Phone: 7&5- )'(5') ~~~ I(~ Building Inspector ~EB 10 ..' APPLICATION FOR BUILDING PERMIT -., r Date '{;e- 9' ,200{, , L___...l."._-_.. ..>.___ ____u ,OLD . 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 co=enced 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 01). the premises available for inspection throughout the work. e.;-1o 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. I 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 """""'"' """""'". __~ '"" m '""""" f., _,." _~. ~ ~!. _ <./ ( Ignature of app . cant or name, if a cOIporation) ~/<1"'il~ /J. ~r/Z.4/1J4. T-cJ.-'Sd')<.- /4-tZ- . ?d'U I f-t'Pf.- r7., ~~, /11'7 ( . . (Mailing applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder /{ /Z c: 1-1 ;'(1'; cT - A c;- ,,-,) { . Name of owner of premises ht.cJ1J/4L. VrUQ';e.- (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. !l./rr 5'n..",,~p y~r . II /( ~ Plumbers License No. Electricians License No. " 'I // Other Trade's License No. 'I ,/ /1 1. Location of land on which proposed work will be done: ) ~d () -rl-ftJ /... C? ")-.,-,:>'7"1- ,fJ1~/1(} /Zp, {/IJ'!5,n.,-.Z5" House Number Street Hamlet County Tax Map No. l~ Section ~~ Block_I Lot Jt.f. 7 Subdivision ;V, ~ Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /J'1 P (.. T { p:c, ,.., I ~ Y 17 -'V t: c. (.. 1,oJ <(' 5' . b. Intended use and occupancy 5.../.1 /'1 e- 3. Nature of work (check which applicable): New Building Addition X Alteration K Repair Removal Demolition Other Work 4j~ (Description) 4. Estimated Cost ~ Fee , (to be paid on filing this application) 5. If dwelling, number of dwelling units 4 Number of dwelling units on each floor Z- If garage, number of cars 1~ 6. Ifbusiness, cOmmercial or mixed occupancy, specify nature and extent of each type of use. 1tf'V/r "'-.Jq;. ;=;,..", .. . I I ~ 7. Dimensions of exis~g structures, if any: Front % I:) Rear 86 Depth 32 Height z,tJ Number of Stories ?-- { Dimensions of same structure with alterations or additions: Front !3 0 Rear 80 ' { I Z-- Depth 3 Z Height Z- t3 Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories . 6CJ3 9. Size oflot: Front q35- Rear C73Y Depth 10. Date of Purchase "? Name of Former Owner 11. Zone or use district in which premises are situated 1--1 15 ;t)D '\ 12. Does proposed construction violate any zoning law, ordinance or regulation: \ 13. Will lot be re-graded No Will excess fill be removed from premises:@ NO ... 14. Names of Owner of premises t:.'M'/~L lh"t.I"",_ Address /114/1v Lt7_ ~~PPhone No. 7/s'- 34-5 6 Name of Architect 5//Z--A"""i Address 5CVTH,(..--(7 PhoneNo 76S---:>45-S- Name of Contractor /Up T -4ff< f' c. T'f "" Address Phone No. 15. Is this property within 100 feet ofa tidal wetland? *YES NO / . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE 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: COUNTY OF ) 6AU47( A. ?T;'l.-.q N7r being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the A /z.c; H1t{??( /A0~.v( (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 this Icn# day of f~':'-//J../ Ii. J N. V 200i ,/ / - . ,.. .J j/ '"'__0-_' ...._...... _'"H__.. ~~..eLL_ Notary Public Signature of Applicant oaftlaFa A. 5tf8R@ NOTARY PUBLIC, New York No. 4730095 Qualified .. Suffolk County Comm. Expires July 31, i..1..'<'~ ---- ---- PAGE 02/03 ilK iii 002/003 .. . 6317231835 .. .... 06 14:83 N1IOV 1.....,111II 81/23/28 3099239344 . '01iz3/Z008 10:43 FAX It) 45 ~NCLOSUR~l1 L PIDI 10 fr-=42 QATE~ - fl g '4''IT Pl.EXJGf..\SS ~ ... ~ ~ ~ 88 Pl.EX1GlASS ....- ~ PlEXIGLASS !if ~Q.. ~ w "'a ~ &1~ ~ w >< .... ~ ~ .... .. D- ID '- .... N <D Pl.[XIGlASS 41 3/8 SHROUD '" ~ ~c:l ~ i'" l;; "- ~ Pl.[)(IGlASS El 0 Iii => !i! ,.., :J: '" '" .... I'IE;OOlASS "' .... .... 6' 8' S' 811 ., LCrt/ER --1 ----'1',. GATt LOWER r ~. GATE I PIDIGlASS I x I 0 CD I ~ .., I __J_ I lrl I I ..J , I "" l::: I 0 c.. I KICK PANEl. ~ L I 0 --- L 55 1/2~ 13/4-1' 'I 56 1/4 PIT I' 53 1/2 SID,. VJ.B"W 55 FIT FRONT VIE" -. 01/23/2006 14:03 6317231035 . "-K PAGE 03/03 .'- o1i~~/Z006 10:43 FAl 3099239544 IdI 003/003 N1\'OV F---- I -~-- ~ (..I 51 \ e \) !I:~ \ ~ .~~i ... "l~ ~~ \ u -\\- ::: ~l:l - ----- ~~ ~::! \ t:;lli \\ l ! "- ~- " ll.lUllll \1 j;) ~ LOWER GATE./....... - 41 3/8 SHROUD RIGHT HAND ELECTRIC JCT. BOX FOR: ELECTRIC JCT. BOX FOR: LowER CALL/SEND UPPER CAL~SENO LOWER GATE UPPER 000 POWER TO UFT PLAN VIEW NOTES 1) flEW El.ECTRIC& CONIlUll' AND CONNtcTlONS TO WACHINE HOUSING, TO Rl': INST.4U.EO BY QTliillS. 2) CIoLL SiND COIITllOI.i WITH PAOOl.ES ARE t.lOUNTED AND WIRED. ~l LOWER Gl\1O IS MOU'ITHl - WI~ED. 4 THERE MUST' BE: A "'NI~U'" OF 0'8" OF CL(,<R HOOROOM SF\I,C. _ T1<l. TOP ","OING, 6) FlOOR MfA B!;NtATIf WHEEl.CHHR UFT I/USI' B. SMOOTH AIID l.EVEL RlR P_ OPERATION OF M~ I'tOOlI B[lOW lIT 11'I' 0'1>1". 6) I'RlMDE a.cIClNO FOR SUI'POAT Of THE MACHINE HllUSlNll. rnli HOUSINCl WIT ;r; FASl[NEJ) TO THE WALL BEHNO. WALL AND IlAOKlNO Err OTHERS. ~ ALL UGIfTING BY 01H(J\$. PROVIO!: NOT IfSS TlWl (~) FOOl CN>I0LfS. . PIlOVIO. DRMNAC( FOR PlT- BY OTHEIlS. SPECI1'ICATIONS RAlUl J'$CI ,Ul$ 0 20 FJ'.I/. WWlT III'f'l\CIlUlIATELT ~ LaS, ORIVE: llZ RATIO QWN HYDRAUUC 1/I/T'fF€ .. INS'TANI'AllEOUS STOP SAFE1Y DEvICE: .' 24'1 De llKW iia'1'P6Y 1 'IOlT SINCL[ PIIASf: 60 HZ 16 AMPS 6 1 . POUN T- IWl A OPERAnD EMER~CT w.NUAl. LOWfllING Vf>J..VE ~ir 37 X 51 NO/l-51<I0 SURl'ACE P M SIll[ iNOLOsuRES 42" HIGH I!NCLOGURE TQ ~ e' 8' A80VE 1I1E UI'!'l;R IMOIN<; OoIEJlGINCT STOP AND A1AR~ YI/aAITERT 8ACI<-UP CRAB IIOlL 1 COP-lOCO oOOl! JOAeI<AG. W/1lHP 100 -LEFT llANO ~ at o. 0Itr.11; ~c. ""'KI: -""GMT I1'I"Il'lD 2 OXTRA !il'AlIllN S Ili- lOWOR TUBE I/OUNT, lJIljoER DOOM _ NOIJNT IWCED I:lEl:T1IOSfATlO 1oP1'UE'll I'OYIDEll COATlNG- PE'ARL WH"" TnTl.lRE OllTDOOA U,,", IUlIlO1.ASa UNIT: St.tDl<ED PLE1<IDLAQ QWIl.E SLOP!]), $II_D PWOGlASS ROOF Krrl.OCI(S ON f>J..L COlfTROlS POYIiR VIi/ff