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HomeMy WebLinkAbout34916-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33924 Rte: 08/28/09 THIS CERTIFIES that the building HANDICAP RAMP Location of Property: 2555 YOUNGS AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 63 .2 Block 1 Subdivision Filed Map No. __ Lot NO. __ SOUTHOLD Lot 44 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7, 2009 pursuant to which Building Permit NO. 34916-Z dated AUGUST 10, 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 HA/qDICAP RAMP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR (CONDO UNIT 14B) The certificate is issued to JOAN SCOTT of the aforesaid building. (OWNER) S~FOI~K t~D[~Y DEPAR~)~qT OF ~TH APPRO~ ELECTRIC~%L ~KTIFIC2%TH NO. ~ c~KTIFIC3%TION DA'r~D N/A N/a N/A th/rized/Signature Rev. 1/81 Form [No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPA This application must be filled in by typewriter or ink and submitted to the Building D~ A. For new building or new use: TOWn OF S0UT~0t0 1. Final survey °f pr°perry with accurate location of all buildings, property lines, streets, and unnsual 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: t. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic feamres. 2. A pr°perly c°mpleted application and consent to inspect signed bythe applieant, if a Certifieate 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 New Construction: J Old or Pre-existing Building (check one) Location of Property: .~q~t~V,~,,jr~f.~ .ouseNo. FY Iq Owner or Owners of Property: L~/fir 0o ~'r__ O 'qD4- Hamlet Suffolk County Tax Map No 1000, Section Subdivision Permit NO. ~:~/~ ~ / 6 ~-~ Date of Permit. Health Dept. Approval: Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ ~' C' ~' ~ Filed Map. Lot: Underwriters Approval: Final Certificate: (check one) ,ApPlicant Signatur~e~ 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. 34916 Z Date AUGUST 10, 2009 Permission is hereby granted to: JOAN SCOTT 2555 YOUNGS AVE UNIT 14B SOUTHOLD,NY 11971 for : CONSTRUCTION HANDICAP PJkMP ADDIITON PER APPROVED PLANS AS APPLIED FOR at premises located at 2555 YOUNGS AVE SOUTHOLD County Tax Map No. 473889 Section 063.002 Block 0001 Lot No. 044 pursuant to application dated AUGUST 7, 2009 and approved by the Building Inspector to expire on FEBRUARY 10, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] Fo~ATION 2ND [ ~/FRAMING / STRAPPING ROUGH PLBG. INSULATION FINAL [ ] FIREPLACE & CHIMNEY ( ) FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENEI'RATION REMARKS: ~~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: '~/~% )/-~ [ ] ROUGH PLBG. [ ] INSU.~.ATION [ ~J~AL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE (~/~/~? INSPECTOR FH~LD INSPECTION REPORT I DATE I ' COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) · ROUGH FRAMING & PLUM~ING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COIVIMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SontholdTown.NorthFork.net PERMIT NO. Disapproved a~c AU¢ 7 2009 BLDG. DEP[ TOWN OF SOUTHOLD 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: ~tO [/. L~ }-c ~]n. Jo/~ Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Phone: b'TGI- 7~'""~0~ a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 tbr 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 issuanc~ or has not been completed witbin 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 ora 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. ature of applicant or name, if a corporation) (Mailing address of ap~lica~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~'~r ~o ~'~0 p~l.- (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. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: }louse Nfimber I ' Street County Tax Map No. 1000 Section Subdivision 2. State existing use and occupancy of premises and intended use and occupancy ofpro~pose~ construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost -~ ) ~-oo ~ Fee If dwelling, number of dwelling units If garage, number of cars ~ Addition Alteration OtherWork flattop, c~, f (Descfiptic~n) (To be paid on filing this application) Number ofdwelling 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 Rear Height Number of Stories 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 13. Will lot be re-graded? YES__ NO /Will excess fill be removed from premises? YES__ ~",er~o 5¢,4-Jf Addressafq'ff' ¥,,o~-e~/~,~PhoneNo. Address / ~ ' Phone No 14. Names of Owner of premises Name of Architect Name of Contractor~O I/. LiJc~,lk¢ol~( Address ~o i~*g 5?F ,5o,41,*10 Phone No. NO,,,'/ NO / %(? 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 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 tbundation 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. 18. Are there any covenants and restrictions with respect to this property? * YES v/ NO__ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF M~O~,*'.~ V' L.t' ~-x.~x~ua (,J~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0 bo ta 6~ / (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 this Signature of Applicant Town of Southold Erosion, Sedimentation & Storm'Water Run-off ASSESSMENT FORM,, '* STORI4~WATE GRADIHG; DRAINAGE AND EKU~IV ' . _~. ~ Numl~c. 1 2 3 4 5 6 7 8 9 (NOTt~: AChask M~d~ (~)f~' eac~ {~°n Is Re(~ired f°r a ~I:~qete AI;~4i~U'c~) Yes ~ ~ p~ R~ln ~ ~r ~ ~ ~ 8 T~ ~) t~ ~n~ ~ ~? im~ a~ ~e ~ ~.~'~'') ~ Item s~lt I~de afl p~s~ Gm~ ~s ~ S~s ~ Su~ Wat~ ~sflng Grade I~ ~ ~ 2~b~Ya~ ~ ~te~ ~ a~ P~ Is ~ a NaOmi ~at~ ~me R~ ~ ~e SEe? Is ~is Pmle~ ~in ~e Trust. s ludsdi~on ~ ~in ~e H~ (1~) f~t of a Wet. nd ~ Bea~? -- ~ll ~em ~ Site pmpamflon on E~sttng Gmde SIop~ ~i~ ~ Fi~een (15) f~t °f Ve~l ~se t° ~ One Hu~r~ (100') of Ho~l ~n~? ~11 Ddveways, Pang ~as ~ o~er Im~s Su~s ~ ~o~d to Dim~ Stoa-Water Run~ into ~dlor in ~e dir~ of a T~ flght~-~y? Will ~is Pried R~m ~e Placement of Material. Re~l of v~etat~ a~or the ~s~ of ~ NOTE: IfAny Answer to Questions One through Nine Is Answered with a Check MaX In the Bex, a Storm-Water. Grading, Drainage & Erosion Control Plan IS. Required and Must be Submitted for Review Prior to Issuance of Any Building Permltl Yes N._.~o EXEMPTION,' Does. this project meet the minimum standards for classification as an Agd~Jltural project? cOUnTY .............................ss qr~t[, ..~ok~ ~' g;..3cdm~/r being duly sworn, deposes and says that he/she is d'e applicant f°r Pennit' ~d tha~ hdshe is thc ............................ -~ ..... ~' ~ Owner and/or represen~.Uve of the Owner of Owner's, and is ~luly authorized to peffornl or have performed the said work and to m~ke and file ~his applicafon; that all statemen~ contained in this application are ~ue to the best of his knowledge and beliefi and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before nte this; 7 ............ Notary Public: ................... I~rN~ I~g~-~- ~TATE 'OF*~ ~11~ ....... NO, 01HY618~ FORM - 06/07 CERT F'CAT/ON OF NAILING ,r; -)NNECTIONS O~L~ '~-REQUIRED. _1 -.!'? I, - !,!SE U~,~LAWFUL WiTH CERTIFICATE OF O(;0.. UPANCY AS NOTED 3. 4 COMF RE RK Di SIGN OR tNG DEPARTMENT AT TO 4PM FOR THE - TWO REQUIRED /~¢UR :-D CONCRETE & PLUMBING - C( qSTRUCTION MUST. FOR C.C. SHALL MEET THE OF THE CODES OF NEW NOT RESPONSIBLE FOR .~TION ERRORS. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. Founders Village 2555 ¥oungs Avenue Southotd New York SITE FLOOR PLAN MODEL B 5/4" FACIA BOARD TO B "TRIM BOARD_BY AZEK" 5/4" NON-SLIP DECKING TO BE~ "LAKESHORE_BY BLUELINX"~ 2 X 8 ACQ FRAMING @ 16" O.C.- OCCUPANCYOR USEtS UNLAWFUL NITHOUTCERTIFI( 3F OCCUPANCY COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF II1/ / I/// . / SOUTHOLD TOWN ZBA SOUT~OLD TOWN P~NNING BOARD SOU~'H~D TOWN TRUSTEES N.Y.S. DEC 6'-6" 9'-6" ('"'~ P~N VIEW OF RAMP ~..~ SCALE: APPROVED AS NOTED DATE. ~_BP # 1 FOUNDATION TWO REQUIRED .- ~ · - 1. HEIGHT UNDER 30 RISE DOES NOT 5/~ NON-SLIP DECKING TO BE-~ FOR POURED CONCRETE REQUIRE GAURDRAIL AS PER NY STATE ~KESHORE_BY BLUELINX" ~ 2. ROUGH - FRAMING & PLUMBING CODE: ~R316.1 ~ ~ 3. INSULATION ~ ~ ~ 4 FINAL - CON-~H~T ON MUST 2. RAMP SLOPE UNDER 1:12 SLOPE ~ ~ ' BE COMPLETe ~R C 0 DOES NOT REQUIRE HAND,ILS AS PER NY STATE CODE ~R313 2 ~ ~ REQUIREMENTS OF THE CODES OF NEW , ... % . ~. ~ORE RTATF NOT RESPONSIBLE FOR 14 ; ~SiGN ~R ~51 I1 4'-7" 16'-0" CONCRETE SIDEWALK LEFT SIDE ELEVATION SCALE: 1/2'=1'-0" ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE.