HomeMy WebLinkAbout34584-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33715
~te: 05/15/09
THIS CERTIFIESthat the building ALTERATION/REPAIR
Location of Property: 2555 YOUNGS AVE SOUTHOLD
(ROUSE NO.) (STREET) (HAMLET)
County Tax ~4ap No. 473889 Section 63 .1 Block 1 Lot 6
Sul)division Filed ~4ap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 31, 2009 pursuant to which
Building Permit No. 34584-Z dated APRIL 6, 2009
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 REPAIR TO AN EXISTING CONDO UNIT #13B AS APPLIED FOR.
The certificate is issued to DONALD E & FLORENCE M WAGNER
(OWNER)
of the aforesaid building.
S~FOLKCO~=I~fDEPAR~N~TOF ~{F2%LTHAPPRO~-AL
E~E["~RIC3%L CERTIFICATH NO.
PLL~4BER~ CERTIFICi~TION DA'r~u
N/A
N/A
N/A
Rev. 1/81
MAY 13 2O09
BLDG. DEPI.
[OWN OF SOUTHOLD _~_~_]
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
2ATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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 sowerage-disposal (S-9 form).
3. Approval of electrical iustallation from Board of Fi~ 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 residence~ and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responaible for the building.
6. Submit Planning Board Approval of completed site plan requirements:
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses:
1. Accurate survey of property showing all property lines, street, 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 I. Certificate of Occupancy - New dwelling $25.00, Additious 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, CommercialDate./$15.00~~)//~/'~/O ] 1
(check one)
New Construction:
Old or Pre-existing Building:
Filed Map.
Applicant:
House No. S~t H~et
Su~°lk Co~W T~ Map No1000, S~tion
Su~wsion ~t:
H~ D~t. ~proval:
planmng Board Approval:
Request for: Temporary Certificate
Finai Certificate:
(check one)
Fee Submitted: $
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~DING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34584 Z Date APRIL 6, 2009
Permission is hereby granted to:
DONALD E WAGNER
2555 YOUNGS AVE
SOUTHOLD,NY 11971
for :
REPAIR TO AN EXISTING UNIT #13B AS APPLIED FOR
at premises located at 2555 YOUNGS AVE SOUTHOLD
County Tax Map No. 473889 Section 063.001 Block 0001 Lot No. 006
pursuant to application dated MARCH 31, 2009 and approved by the
Building Inspector to expire on OCTOBER 6, 2010.
Fee $ 250.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
INSPECTOR ~' ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[
] FIRE RESISTANT CONSTRUCTION [
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
REMARKS:
DATE ~ '- '2-'~-- ~ ~' INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
~F~ STRAPPING [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
INSPECTOR
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]F/OUNDATION 2ND [ ]INSULATION
[ I/] FRAMING / STRAPPING [ ]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:~
DATE
INSPECTOR ~~/'~
,D INSPECTION REPORT I DATE I COMMENTS
FOUNDATION (2ND)
PL~G
~DITION~ COMMENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT,
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork, net/Southold/
Examined
Approved
Disapproved a/c
r-/k. , 20 g_
'/¢//)
Expiration
PERMIT NO.
Building Inspector '
BUILDiNG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
r ae ma,'ch ,20%
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 the Building Inspector
issues a Certificate of Occupar/cy.
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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on prernises and in building for necessary inspections. ~
(Sig~ture of applicant or name, if a corporation)
0Mailing address of appli[~nt) ' '"
State whether ap architect, engineer, general contractor, electrician, plumber or builder
Name of owner of - [ ~
If applicant is a corporation, mgnature of duly authorized officer
(Name and title of corporate officer)
Builders License No. ?9 {~. ~
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done,:
House Number ' 'Street Hamlet
County Tax Map No. 1000 Section ~,[ Block [
Subdivision Filed Map No.
(Name)
State existing use and occupancy of prem/,ses and intended use and occupancy of pro. posed construction:
a. Existing use and occupancy
b. Intended use and occupancy ~/J~40(,~ '/15 d/14tl~I~
3. Nature of work (check which applicable): New Building_ Addition Alteration
Repair ,/' Removal Demolition Other Work
Estimated Cost ~/0! ~'1~, l~o Fee
If dwelling, number of dwelling units
If garage, number of cars
(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
Height. ~;~" ~ Number of Stories
Rear Depth
Dimensions of same structure with alterations'or additions: Front
Depth_ Height. Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Size of lot: Front Rear Depth
10.. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO J
13. Will lot be re-graded? YES__ NO ~/Will excess fill be removed from premises? YES __ NO__
14. Names of Owner of premises ~ j~tD
Name of Architect
Name of Contractor
Address ~"~ ~/~01~ ~,/ Phone No.
Address ~ ~ Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __
* 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES__ NO
* IF YES, D.E.C. 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 y,n survey.
STATE OF NEw YORK) ~ ~
V ~'-~& L~Zq, bei~ng duly sworn, deposes and says that (s)he ~s:the applicant
(Name of individual signing contract) abo~e named,/
Jl
(Contmct6[/~gent,~l~rl3or"'"ate Officer, etc.)
of said owner or owners, and is duly author~fled 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.
Sw_~m toJ~efore me thi~ ~ ~
'~) ~ day of ~'leL'~x A 20~ ( _
ot~ ~blic / ' /
~AUFIED IN ~F~K ~ ~
S~[nature of App '
regi weile architect
905 aquaview, east marion,
post office box 223
e-maiD vregiweile@aol corn
new yo~,11939
631 477-9735
Founders Village Homeowners Association
2555 Youngs Avenue, Southold, New York 11971
Unit 13B Tax #.473880 ~
Repairs To Fagade
Note #1
Removals 4. F!,'L -' !.ON MUST
Remove ex st ng 2x4 exterior Stud wall including conrJ~i;:.-rr "'
.... · ;' ;, SHALL MEET THE
insulation, vinyl siding interior sheet[ock as dama~-~abaJ~,.L;: THE CODE£ OF NEW
as indicated on Drawing. Secure ex. isting struct~< §~.;,T..:. ;.T RESPONS!t~LE FOR
required. DESfG~',' OR CL;i,~$TRUOTiON ERRORS.
Remove sill plates and prepare for new installation.
Remove existing window and related framing.
Remove existing hose bib and connection.
Remove all related materials necessary to prepare for%LCONS,,.,~
installation of new work and new materials. '
MEET THE REC
C ? THE
Installation
Supply and Install new plates as required to receive new
framing.
Reframe wall opening with new 2x6' studs @16" o.c.
Supply and Install new Egress windows as per drawings~.JC~:~_
Supply and Install new framing and roof fastener,~.~
required by code.
Supply and Install new R19 Wall insulation, building,~
vinyl siding, trim as needed.
Supply and Install 5/8"sheetrock; tape and prepare for
finishing. Paint to match existing.
Supply and install new railing at e~erior stair.
Supply and install new hose bib and interior shut off valve.
Caulk as required.
PATIO
FLOOR PLAN
MODEL B
FOUNDERS VILLAGE TOWNH_OUSES_
regi weile
architect
post offic~ box 223
vrcgiw¢ile~¢er thlink.net
new york, 11939
631 477-1797