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HomeMy WebLinkAbout34494-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33958 Date: 09/18/09 THIS c~KTIFIES that the building ALTERATION Location of property: 1240 VILLJ~GE LA ORIENT (HOUSE NO.) (STREET) (HAMLET} County Tax Map No. 473889 Section 25 Block 1 Lot 25 subdivision Filed Map No. Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 24, 2009 purs,,~-t to which Building Permit No. 34494-Z dated MARCH 11, 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 MINOR INTERIOR ALTERATION TO AN EXISTING BUILDING AS APPLIED FOR. The certificate is issued to MARY VAN NOSTRAND ( OWNER ) of the aforesaid building. S~FOLK~I]I%~£YDEPAR~TOF}~F~%LTHAPPROVAL EI~L-rKIC3~L C~RTIFICATH NO. I~LU}~ERS c~KTIFICATION DA'£~U3 N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN( 8EP ] 4 2009 BLDG. DEPT. TOWN OF SOUTHOLD 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 ofelecttical 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: [. 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. Certi~ate~f~ccupancy~Newdwe~ing$25.~Additi~nst~dwe~ing$25.~m~B~s`t~$~:~'} Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00~usine~es $50701~ 2. Certificate of Occupancy on Pm-existing Building - $100.00 3. Copy ofCertificateofOccupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resideatial $15.00, Commercial $15.00 Date. New Construction: LoCation of Property: Old or Pre-existing Building: ~ (check one) HOuse No. Owner or Owners of Property: SuffoLk County Tax Map No 1000, Section Subdivision PermitNo. ~ ~t~%q Z- DateofPermit. Health Dept. Approval: Planning Board Approval: }0 J A Request for: Temporary Certificate Fee Submitted: $ -)_~ Street Hamlet Final Certificate: ~ (check one) Applicant Signature ©'~- Block Ooc~ ~ Lot Filed Map. Lot: ~l I, [~o~ Applicant: ~. o, ~T Unde~fitem Approval: ~ ~ ~ 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) PEItMIT NO. 34494 Z Date MARCH 11, 2009 Permis'sion is hereby granted to: MARY VANNOS TR3kND PO BOX 153 ORIENT,NY 11957 for : MINOR INTERIOR ALTERATION TO AN EXISTING BUILDING AS APPLIED FOR at premises located at 1240 VILLAGE LA ORIENT County Tax Map No. 473889 Section 025 Block 0001 Lot No. 025 pursuant to application dated FEBRUARY 24, 2009 a~d approved by the Building Inspector to expire on SEPTEMBER 11, 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~,/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING / STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CO_~iUCTION [ ]FIRE RESISTANT PENETRATION REMARK~:~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ~FRAMING / STRAPPING [ ]FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RF. SISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: .~~~- DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ].~UGH PLBG. [ ] FOUNDATION 2ND [~ INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT ~NSTRUCTION [ ] F~RE RESISTANT PENETRATION REMARKS: ~'2~ DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ~]_INS~TION [ ] FRAMING / STRAPPING [~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS.[ ] FIRERESI.STANI'CONSTRUCTION [ ] FIRE RESISTANT PENETRATION~/~ ~ ~ DATE INSPECTOR FIELD INSPECTION REPORT I DATE I COMMENTS FO~DATION (2ND) -- ROUGH F~G & INS~ATION PER N, Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF SOUTHOLD P~l~ ~D CARD OWNER STREETL I ~ ~l/- C) VILLAC~E DIST SUB. LOT FO~E~ OWNER N . ( I E ACR. J S ~ ' w ~ ~PE OF BUILDING AGE BUILDING CONDITION ~ ~ N~ NOeL BELOW ' ABOVE ~ ~ ~ . Voodland ;wamp~nd FRONTAGE ON WATER Iru~land FRONTAGE ON ROAD ~ouse Plot D~PTH ....... ~ BULKH~D COLOR v~. Bldg. [xtension !xtension ~xtension ~orch ~orch Breezeway ';arage Potio Total Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Driveway Both Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Dinette K. LR, .DR. BR. FIN B. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined ~Y'J[~' , 20 ~ ff Approved ~,~/~! .20 O5 Disapproved aJc PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the tbllowmg~ before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey ~/'~ Check '~4t "a ~1:~ Septic Form N Y SDEC Trustees Flood Permit Storm-Water Assessment Form Contact: Mailto: ~-., O* ~./~.~l ~spector ?LICATION FOR BUILDING PERMIT 8LDG. I)EPI. INSTRUCTIONS Date F~.,l~ ~,.~ ,20 ~ a This application MUST be completely filled in by type~iter or in ink ~d submitted ~o the Building Inspector with 4 sets of pills, accurate plot pI~ to scale. Fee according to schedule b Plot plm showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or ~e~, ~ld waterways c The work covered by this application may not be commenced before issu~ce of Building Permit d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applic~t Such a pe~it sh~l be kept on the premises available for inspection throughout ~e work. e No building sh~l be occupied or used in whole or in p~ for m~y pu~ose what so ever until the Building Inspector issues a Certificate of Occup~cy E Eveu building pe~it shall expire if the work authorized h~ not commenced within I2 months after the date of tssu~ce or h~ not been completed within 18 months from such date If no zoning ~endments or other regulations aB~cting the property have been enacted in the interim, ~e Building Inspector may authorize, in ~iting, the extemion of the permit for an addition six months Thereafter, a new pe~it shah be required APPLICATION IS ~REBY MADE to the Building Dep~ment for the issu~ce ora Building Pe~it pursuant to the Building Zone Ordin~ce of the To~ of Southold, Suffolk Count, New York, ~d other applicable Laws, Ordin~ces or Regulations, for the construction of buddings, additions, or ~terat~ons or for removal or demolition as herein described The applic~t agrees to comply wi~ all applicable laws, ordin~ces, building code, housing code, ~d mgulations, ~d to admit authorized inspectors on premises ~d in building for necessa~ inspections. (Signature of applicm~t or name, ifa corporation)' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architecb engineer, general contractor, electrician, plumber or builder Name of owner of premises l¥~ ~ UO~ ~%~OS't~. ~, N} I~ (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 Traders License No. 1. l.ocation of land on which proposed work will be done: Itous¢ Number Street Hamlet County' fax Map No. 1000 Section "~ Block O ! Lot ~.,~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair ~i' ~I'1... Removal Estimated Cost ~p If dwelling, number of dwelling units If garage, number of cars Addition Alteration Demolition Other Work Fee ,d~ ~. ~ ~2. O O (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. I 7. Dimensions of existing structures, if any: Front_ I/~° ~ Rear ti fO '"L~' Depth Height I '2.., ~ ~ Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height__ 8. Dimensions of entire new construction: Front ~1~_ Rear Height Number of Stories 9. Size of lot: Front ~.~} Rear ~-. ~ Depth 10. Date of Purchase i'¢-./[t~ 1 ~ ~ Name of Former Owner I I. Zone or use district in which premises are situated Rear Number of Stories _Depth t 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO ~/ Will excess fill be removed from premises? YES NO "~ 14. Names of Owner of premises 11¢1. ~fl~l I~'IIl~dress/¢~.~.~J% M.I~ ~ PhoneNo. ~t~;~O 'T Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fi-eshwater wetlm~d? *YES NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 i'eet 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. &TI' ~ t4.~' 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__ NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YO~K) o&¢dC: ~:~..'~ ~.&~.~.I~.'T"T ~ being duly sworn, deposes ~d says that (s)he is the applic~t (Nm~}e of individual signing contract) above rimed, (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 m~d to make and file this application; that ail statements contained in this application are rue to the best ofh s knowledge and belief' and that the work will be performed in the manner set forth in the application filed therewith. Swo~..~o betbre me this ~ t - t'~ ~ ~ ~ ~ ~T~.~,~dN~~~~ / j Not~ Public ~, g~6190696 - s g~amre of Applicm~t ~ C~mmission ~i~ July 2~,2~ Robert Barratt PE CEng FIMechE Eur Eng 4295 Vanston Road Cutchogue, NY 11935, USA Tel, 631 875 0275 Fax, 631 734 2730 robertbarratt~optonline.net ~'~]~,~ ~ 2009 I~LDG. DEPI'. __ TOWN OF $OUTHOLD March 11th, 2009 Attention: Patricia Conklin, Building Permits Examiner Southold Town Hall 53095 Main Road PO Box 1179 Southold, New York 11971 Subject: Building Permit application, 1240 Village Lane, Odent, NY 11957-1255, SCTMg 1000-25-01-25.00 Gentlemen, In response to your inquiry, the wall and ceiling finishes shall be Class B in accordance with ASTM 84 and the Building Code of the State of New York, Chapter 8. In the event that class B finishes are not readily available, Class A may be substituted. I look forward to hearing from you, Yours sincerely, Robert Barratt PE Town _o_f Southold ~r~?~i~°~n~,c^~?l~.~?~ation & Storm-Water Run-off ASSESSMENT FOR~, Item Number: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL pLAtl CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, (NOTE: A Check Mark (~) for each Question is Required for a Complete ApplicationI Yes No Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Ra nfall on Site? (This item will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show A~ Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade ~nvolving more than 200 Cubic Yards of Matedal within any Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Sudace? Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within On~ Hundred (100') feet of a WeUand or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Verlical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped [o Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Witl this Project Require the Placement of Matedall Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation wRhin the One Hundred (100) Year Floodplain of any Wa ercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Bex, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Bu diag Permitl EXEMPTION~ -- -- Does this project meet the minimum standards for classification as an Agdcu ural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl Ye~s STATE OF NEW YORK, C'x r f ......................................................... ocmg au y swo ~, aeposes aha says tba£ he/she is thffi applicant for Penni~, (Name of individual signing Document) (Owner, Contractor, Agent, Coq)orate Officer, etc) Owner and/or representaUve of the Owner of Owner's, and Is duly authorized to perform or have per£ormed 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 pert-ormed in the m~umer set forth in the application filed herewith. Sworn to before me this; ............................................... day or .......... ?:~Y~Z.. ................... ~0.(~ C~ FORM - 06/07 , ..N,.o. 01'1'06190696 ~ uumitied in Suffo k County., Commission Expires July 28,20 I ~ Plot Plan Please refer to survey of property SCTM# 1000-25-01-25 Dated January 28, 2008 Flood hazard - Zone "X" Ground Water Table -- EL 2.0 ft Repair Flooring and internal walls Replace "in kind" as required by inspection All work in accordance with the Building Code of New York State, Chapter 8, Interior Finishes BLDG. DEP[ TOWN OF $OUTHOtO 0CC "~ -~.-;~Z~ ',-1802 , "L!NDA; ROUGH- ,4.~ULA /!r';AL - COt . .. F,,. '~ MUST BE ¢OMrt--.= (3.0. L GONSTBUGTiOiq ~H;-,~_L MEET THE ~UiREMEk' rS OF THE CODES OF NEW 71,( STATE. NOT RESPONSiBLE'FOR b=SIGN OR CONSTRUCTION ERRORS. ALL CON? 3:;:)ES OF ~, ·- RCtR !1240 Village Lane, Orient, NY 11957 .. v ~ I Client: Maw van Nostrand - Owner I I I .tv.o Ro~" 0 Barrafl IRepairs to pre-existing one sto~store [ Cutchogue I These plans are an instrument of the se~[ce and am the prope of the design professional whose I I I [ Phone 63~ 875 0275 I shaft verify all field conditions and dimensions and be solely responsible for field fit. The design ~ J SCALE [ ~=~ R~2 7~ 2730 I professional assumes no habthty for omissions due to unknown or unforeseen fie d cond t one and I or additions based u on commen~ not formall acknowled ed as revisions to these plans. ,I I " , / SCTM# t 000-25-01-25 Dated January 28, 2008 -r¢~' ~-" ,, Flood hazard - Zone "X" ~: · Ground Water Table = EL 2.0 ft J IO ~ Repair Flooring and internal walls Replace "in kind,, as required by inspection All work in accordance with the ~ :~ ~ '~' Building Code of New York S~, P ~-~, ~ ~.~, . .i , ' ROB 1240 Village Lane, O~ent, NY 11957 ~w~ .o Client: Ma~ van Nostrand - Owner Ro~ O Barren Repairs to pre-existing one sto~ store Professional En~neer DRAWN 4295 Vanston Rd Cutcho~ue T hesepia~sareaninstru~entofthe se~icea~daFetheprope~ofthedesig~professio~alwhose CH[C~D ~ NY 12935 seal is affixed hereto. Infringemen~ ~ill be prosecuted to the fullest extent of the law. Co~ractor Phone 631 875 0275 shall veri~ all field conditions and dimensions and be solely responsible for field fit. The design F~ 631 734 2730 professional assumes no liability for omissions due to unknown or unforeseen fie~d conditi~s and or additions based upon commen~ not focally acknowledged as revisions to these plans. ~V ~ ~ ~ ~ ~, All work in accordance with the DRAWING NOTES Building Code of New York State, Pm-exisfinu structure With special reference to sections Any floor and wall materials that have deteriorated are to be replaced in Interior Finishes, Mechanical and Electrical kind Footinus 3000psi minimum compressive strength, air entrained between 5 and 7% Pour '181n x 24in footing 8in deep incl (4) it4 rebar OC 8in Piers Install each pier over footing incl. 2 x ft4 rebar in each pier OC 6in. Construct 16in x16in piers with a minimum of 6in above grade to align with existing foundations using concrete blocks cemented together. ~_ To resist uplift loading, install girder I~ii ',il to pier connection EPB44T to be . buried to a minimum depth of 7in in I ~ ~. each pier using epoxy or cast in ~, ~e~_~ ,,~ ~c~.~ c~ ~ , i ii Provide continuous termite shield as -:.. - / i 3 x 2in xein Douglas fir grade 2 or equivalent supported on piers OC 8ft ~ ~ ~ or equivalent ~ % _ ~ ~ ~ ; ~ ~ . -~ Supported at ends by TICO's off 2 x ~'~.~Ii;!,; ~ ~ ~ ': ~' ~' ' 2in x 8in vertical base boards Center supported off girder I - ~! described above under "Piers" I'_ ~ ~i~ Finish floor-client choice ]. : I I CeilinR and walls ~ All exposed surfaces to be finish ~ ~o~ ~ ~ ~'~- ' ASTM spec 84 class B ¢liont: Mar van Nostrand - Owner . Rol~rt 0 B rratt Dotailo of repairs to pro- xisting building Professional En~n~ DRAWN BY ~ ~ ~ 4295 Vanston Rd ~ ~ ~ ~_~/ These plans am an ins~ment of the sewice and am ~e pmpe~ of ~e d~ign prof~sional wh~e CHECKED ~ ~'~ ~ C~chogue seal is affixed ~mto. Infringemen~ will ~ pms~uted to the fullest e~nt of the law. Con~ctor NY 11935 shall vefi~ all field conditions and dimensio~ and ~ solely ~ponsible for field fit. The design Phone 631 875 0275 pro~ssional assumes no liabili~ for omissions due to unknown or unforeseen field conditions and ~ ~ ~ To c' ~ ~ ~.~ ~ ~s SCALE ~ ~ ~ ~+ F~ 631 7~ 2730 or additions based upon commen~ not fo~ally acknowledged as mvisions to the~ plans. ~ ~ ~,~ ~eA,~. '' ~/~0~ SURVEY TOWN SUFFOLK S.C. TAX OF PROPERTY SITUATE ORIENT OF SOUTHOLD COUNTY, NEW YORK No. 1000-25-01-25 SCALE 1"--10' JANUARY 28, 2008 AREA -- $,584 sq. ff. 0.082 ac. TEST HOLE DATA ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUbl EXISTING ELEVATIONS ARE SHOWN THUS: N.Y.S. Lic No 50467 THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORO, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Fox (651)727-1727 MA~ING ADDRESS P.O. Box 1931 Riverheod, New York 11901-0965 ~7-4§ PHONE (651)727-2090 Nathan Taft Corwmn III Land Surveyor