HomeMy WebLinkAbout31492-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~-RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33317 ~te: 10/03/08
TI{IS C~a~TIFIES that the building ADDITION/ALTERATION
Location of Property: 265 HIGHWOOD RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 9 Lot 52
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 3, 2005 pursuant to which
Building Permit No. 31492-Z dated OCTOBER 4, 2005
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 ~DDITION AND ALTERATION TO AN EXISTING DWELLING AS APPLIED FOR PER
ZBA APPROVAL ~ 5755.
~e certificate is issued to LOIS & MYLES AMEND
(OWNER)
of the aforesaid building.
SUFFOLK COld,FIef DEPAR~EI~T OF }~L~L~{;kPPRO~L~L N/A
ELEC'~RIC3%L CERTIFI~TE NO. 106283C 02/09/06
PLLR~BERS C~RTIFIC3%TION DATED N/A
Rev. 1/81
TOWN OF SOUTHOLD
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 1% 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:
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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swixnming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupaucy 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
,/
House No.
New Construction:
Location of Property:
Old or Pre-existing Building:
Street
Date.
(check one)
Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Permit No. O0 qq0- Date ol'Permit.
Health Dept. Approval:
Planning Board Approval:
Block g
Filed Map.
Applicant:
Underwriters Approval:
Lot
Lot:
Request ik*r: Temporary Certificate
Fee Submitted: $
Final Certificate:
(check one)
Applicant Signature
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. 31492 Z
Date OCTOBER 4, 2005
Permission is hereby granted to:
LOIS S ~uMEND
66 MILTON RD APT E-21
RYE,NY 10580
for :
ADDITION AND ALTER3kTION TO AN EXISTING DWELLING AS APPLIED FOR PER
ZBA APPROVAL #5755
at premises located at 265
County Tax Map No. 473889 Section 078
pursuant to application dated OCTOBER
Building Inspector to ex~pire on APRIL
Fee $ 150.00
HIGHW00D RD
SOUTHOLD
Block 0009 Lot No. 052
3, 2005 and approved by the
4, 2007.
Authorized signature
ORIGINAL
Rev. 5/8/02
TOW Or soir LO
BUILDING DI~ARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey.
Check
~/ ! [ !" Septic Form
/, / N.Y.S.D.E.C.
Trustees
Examined~, 20__~_~ Contact:
Approved~0~ Mail to:
hon :
' Buil~ nspec or
q t ~ '~ APPLICATION FOR BUILDING PE~IT
.-- ,
~,:,(: a~E~T .... INSTRUCTIONS
a. ~s application MUST be completely filled in by t~ewhter or in i~ and submitted to the Building Bspector with 4
sets of plus, acetate plot pl~ to scale. F~ according to sched~e.
b. Plot pl~ sbow~g location of lot and of buildings on pre~ses, relationshp to adjoini:g premises or public streets or
c. ~e work covered by this application may not be co~enced before issu~ce of Building Pe~it.
d. Upon approval of this application, the Building ~spector will issue a Building Pemit to the applicam. Such a pemit
shall be kept on the premises available for ~spection t~oughout the work.
e. No buil~ng shall be occupied or used in whole or in p~ for any p~ose what so ever until the Buil~ng hspector
issues a Ce~ificme of Occup~cy.
fi Eve~ buil~ng pemit shall expke if the work au~odzed has not commenced wit~n 12 months a~er the date of
iss~ce or ~s not ~en completed wi~in 18 monks ~om such ~te. If no zoning men~ents or other re~lations affect~g the
prop~y Mve b~n e~cted ~ ~c ~tedm, the Buil~g hspector may authodze, ~ wdt~g, the extension of the p~it for ~
addition s~ monks. ~c~er, a new pemt sh~l be mquked.
~PLICATION IS ~BY M~E to ~e Build~g Dep~ent for the iss~ce of a Building Pemt pursuit to the
Buil~g ~ne O~cc of the Town of Sou~old, Suffolk County, New York, ~d o~er applicable Laws, Or~n~ces or
Re~lations, for ~e cons~ctien ofbuil~ngs, ad~tions, or alterations or for removal or demolition as herein described. The
applic~t a~es to comply wi~ ~1 applicable laws, ord~ces, build~g code, hous~g code, ~d re~lmions, and to a~it
au~odz~ ~s~ctom en pm~ses ~d in build~g for necess~ ~spections.
'~ (Si~c of applicant o~e,
(Mailin8 address of applicmt)~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises k ~t <o AI~)~\~,~ ~
(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~ '~ ,~)~ lq I
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
2. State existing use and occupancy of premises and intended use and occupanc, y of proposed co~3'u~on:
a. Existing use and occupancy ~ K) ~. ~ ¢x {'N \ ~. \[ ~'~! ~ ~: l~ ~ ~ n~
b. Intended use and occupancy % ~ ~ ~' ~(x, L x/
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost ] ~ ~'-">~ ~ '-, .~
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
./
Addition Alteration
Other Work.~
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ~ 73~ ~ Rear ~ ~ ~ Depth
Height. Number of Stories ~_ ~ ~.~ ~
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stodes
8. Dimensions of entire new construction: Front ] ~'.~ Rear /
Height ~,~ ,~'~ Number of Stories ~')J9 ~:
9. Size oflot: Front /-'] ~)
Date of Purchase ~.~{~"
10.
Rear / ? ~')~ Depth
Name of Former Owner
Rear
Depth /
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO ¢
13. Will lot be re-graded? YES NO ~f Will excess fill be removed from premises? YES NO
14. Names of Owner ofpremises~ddress 14 I(ci4 ~d ~q2[) ~?&~Phone No. -]~ V (~ ~t L~
Name of Architect Address Phone No
NmeofContractor (¢b.&~5'(3 AddressQ'~ [~3) PhoneNo. 3 ,6 ~5 ~5
15 a. Is ~s prop~y withn 100 feet of a tidal wetl~d or a ~eshwater wetl~d? *YES NO ~
* IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~S MAY BE REQUIRED.
b. Is this prope~y ~n 300 feet of a tidal wetl~d? * YES__ NO __
* IF YES, D.E.C. PE~ITS MAY BE ~QUIRED.
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 )
[.,/. ~..~_) [ ~,~ ~.~ .,t}x~~ ~x,/ 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 tree 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 tiffs
~ (~ day;of ('~x ~X~X- 20~_~
.. ! Not~ ~b~~
Signatur~'o f~pplicant
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [. ]~ULATION
[ ] FRAMING/STRAPPING [~/] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND [
[~ FRAMING / STRAPPING [
FIREPLACE & CHIMNEY [
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[~FFOUNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
REMARKS:
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
DATE
INSPECTOR
FIEI~O INSPECTION REPORT I DATE I COMMENTS
FOUNDATION (IST)
FOUNDATION (2ND,
PL~B~G
~SULATION PER N. Y.
STATE ENERGY CODE
~DITION~ COMMENTS
Issue Date
9/21/2006
Electrical Inspection Certificate
Electricallnspection Service, Inc. Application
375 Dunton Avenue 106283C
East Patchogue, New York 11772
(631)286-6642
Issued To: Ms. Lois S. Amend
Street: 265 Highwood Road
Village: Southold
Section: 078 Block: 0009
Zip: 11971
Lot: 052
Town: Southold
Contractor: Elec-Tec Electrical Contracting Lic. # 4814-E
Was examined and found to be in compliance with the National Electrical Code.
Commercial ~ NVDefects i = Pool Lxl lstFIoor rx Indoor i , Basement I HotTub
Residential ~: Det, Garage Ii Attic ! ~ 2nd Floor ~i Outdoor ~X Addition ' ! Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace 0il Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
Bldg. Permit; 31492Z
Other Equipment
'Screened Addition
Hugo S. Surdi
President
Rough Inspection:
Inspector:
Final Inspection: 02/09/2006
Inspector: John Mc Mahon I[I
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
~SALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
Vincent Orlando
Jan~es Dinizio, Jr.
Michael A. Simon
r:', -32005
'
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809 · Fax (631) 765-9064
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF SEPTEMBER 1, 2005
Southold Town Hall
53095 Main Road ° P.O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex/First Floor, North Fork Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
ZB File No. 5755 - LOIS AMEND
Property Location: 265 Highwood Road, Southold
CTM 78-9-52
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type II category of the State's List of Actions,
without an adverse effect on the environment if the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 20,750+- sq. ft. parcel has 170 feet along
Highwood Road in Southold.. The property is improved with a 1-1/2 story frame, single-family
dwelling shown on the December 26, 1978 land survey prepared by Frank J. Barylski, Jr.
BASIS OF APPLICATION: Building Department's June 3, 2005 Notice of Disapproval, citing Section
100-244 in its denial of an application for a building permit concerning a porch addition proposed at
less than 40 feet from the rear lot line.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on August 18, 2005 at which
time written and oral evidence were presented. Based upon all testimony, documentation, personal
inspection of the property, and other evidence, the Zoning Board finds the following facts to be true
and relevant:
AREA VARIANCE RELIEF REQUESTED: The applicants wish to construct a 15' extension at the
back of their home, 19 feet wide, and resulting in a setback of 35'1" from the rear property line at its
closest point. The purpose of the addition is for use as a single-story porch.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted and
personal inspections, the Board makes the following findings:
1. Grant of the variance will not produce an undesirable change in the character of the
neighborhood or a detriment to nearby properties since the property is wooded, and the additional
4.5 feet is extra room for a table and chairs on the new porch addition and hardly visible.
Page 2 - September 1, 2005
ZB File Ref. 5755 - Lois Amend
CTM 78-9-52
2. The benefit sought by the applicant cannot be achieved by some method, feasible for the
applicant to pursue, other than an area variance because the dwelling has existed for many years in
the existing, code-required 40 feet from the rear property line.
3. The variance granted herein is not substantial, representing a reduction of 4.6 feet from the
existing conforming setback.
4. The difficulty has been self-created in that the dwelling has existed in this location for many years
with a definitive setback of 47 feet as shown on the December 26, 1978 survey prepared by Frank J.
Barylski.
5. No evidence has been submitted to suggest that a variance in this residential community will
have an adverse impact on the physical or environmental conditions in the neighborhood.
6. Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of a porch addition, while preserving and protecting the character of
the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing
test under New York Town Law 267-B, motion was offered by Member Simon, seconded by Member
Dinizio, and duly carried, to
GRANT the variance as applied for, as shown on the 6-30-2005 plan prepared by Condon
Engineering, P.C. and construction diagram received July 13, 2005, and certified by John J.
Condon, P.E.
This action does not authorize or condone any current or future use, setback or other feature of the
subject property that may violate the Zoning Code, other than such uses, setbacks and other
features as are expressly addressed in this actio~
/
Vote of the Board: Ayes: Members Oliva (C-~airw~m~, ~rl~o,~inizio, and Simon. (Member
Goehringer was absent.) This Resolution w/~
Vincdn~ ~land~Vi~ Chairman 9/~/05
Approved for Filing
/r.~-- ?6-/-5Z. TOWN OF SOUTHOLD
OWNER STREET ....
FORMER OWNERKeV,~
RES.~/D
b~,ND
IMP.
VL.
TOTAL
AGE
NEW
FARM
NORMAL
Tillable
Woodland
Meadowbnd
House Plot
FARM
DATE
BUILDING CONDITION
BELOW ABOVE
Value Per Value
Acre
~.,..- %...
PROPERTY
VILLAGE
E
RECORD CARD
DIST.l SUB. LOT
ACR.
W TYPE OF BUILDING
~ , ., lY~,J'T/q.,t
COMM. , CB. MICS. Mkt: Value
REMARKS
FRONTAGE ON WATER
FRONTAGE ON RoAD
DEPTH
BULKHEAD
DOCK
COLOR /~ ,~'~',
TRIM /~ 7-
M. Bldg.
Extension
Extension
Extension
Porch
Parch
Breezeway
C~3r~ge
Patio
O.B.
Total
/ ~.~--~ Foundation
Basement
Ext. Walls
Fire Place
z/'Z 0 ~ype Roof
J Recreation Room
Dormer r?~ ~
Sm ,~ II
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Dinette
DR.
BR.
FIN. B
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: June 3, 2005
TO: Glastar Ltd.
PO Box 231
Laurel, NY 11948
Please take notice that your application May 27, 2005
For permit for additions and alterations to an existing single family dwelling at
Location of property: 265 Highwood Road, Southold
County Tax Map No. 1000 - Section 7_~8 Block9 Lot 52
Is returned herewith and disapproved on the following grounds:
The proposed construction, on this non-conforming 20,821 square foot lot, located in the R-40 zone, is
not permitted pursuant to Article XXIV Section 100-244, which states that parcels, measuring between
20,000 and 39,999 square feet in total size, require a minimum rear yard setback of 40 feet.
Followi~ng the_..proposed construction, the dwelling will have a rear yard setback of 32 feet.
D a~m~ll/is, ?ermJt~Ex ~~~' ner:
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
,./
Framing Notes:
The contractor Is lo varify all measurements in Ihe field and any disorepandas
a e D be b ought th the at[ent'cn of the Engineer pdar to cons~ction
Wood Framing
1 - All lumber is lo be No. 2 or boiler Douglas Fir Larch (N) with the following
minimum spae[fica~ens'
Fb: 825 psi
Fv: 95 psi
Fc perp - 625 psi
E = 1,600,0D0 psi
2 ~ All straps, connectors, plates, bolts, nails, eth are lo be galvanized or stainless
steel Designated conneclorth strap eth~ on these drawings are made by Simpson
unless thdJea[ed olhem, ise. All conneclors, straps etc. are to be nailedfOal[ed in
accordance with the manufacturer's specifications.
Concrete:
1 - All concrete 3,500 psi after 28 days minimum
Design Loads:
- ROOf &iw Load - 35,5
Based on ASOE-7 and Pg = 45
per Figure R301 2(5)
2 - All rebar ASTM A-615 Grade 60.
3 - Footings are % be Installed on undisturbed virgin soil.
the bDt%ms of all fadings are th be installed a minimum of 4' below grade unless
indicated otherwise.
Dead Load - 15 psi
- Extedor Dock - Live Load - 40 psi
Dead Lc]ad- 15 psi
- Wind Loads - 120 rnph- ASCE-7
............................................................... . .... _ MWFRS - Method 1
Component and Cladding - Details from
l WFCM TABLE 38
Design Criteria * NYS Residential Code R3012 1/and utilized
· the methods and procedures stipulated in Chapter 2 Engineered
Design and Chapter 3 Prescriptive Design in the Amedcan Forest
................................................ and Paper Association Wood Frame Construdbn Manuar for One
end Two Family Dwelling Units - bligh Wind Addilion and ASC5 7
/
Ik
APP, ROYED AS NOTED
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
g, ROUGH - FRAMING & PLUMBING
3. INSU
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
nF~IC, N OR CONSTRUO~IC~ -ERROBS~
OCCUPANCY O
USE IS UNLAW¢ L
WITHOUT CERTI :ICATE
OF OCCUPANC'
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODI
AS REQUIRED AND
_ 4¢DGT
SOUrHOLD TOWN TRUSTEES
N.Y.S DEC
FLOOD DAMAGE PREVENTiON
uUUTHObDTOWN CODE,
FLOOD ZO,' 'E
COMPLy WiTH CHAPTER "46"
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.