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Home My WebLink About35393-ZFORM NO. 4 TOm OF SOUTHOLD BUILDING DEPANTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34549 Date: 09/10/10 THIS CERTIFIES that the building ALTERATION Location of Property: 2955 HYATT RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 1 Lot 11 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 5, 2010 pursuant to which Building Permit No. 35393-Z dated MARCH 15, 2010 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. R~ne certificate is issued to DEBORAH E LEHRER/STUART F FOLICK ( OWNER ) of the aforesaid building. SIIFFOLKCX)~DEPART~T OF }~J~TH~PPRO~L~L N/A EL4~C'~RICJkL c~KTIFIC~%~ NO. 13403C 09/03/11 I~L~ C~TIFICATION DA~D 09/01/10 TODD DAWSON ~/A~t' or/i~S ignat ure Rev. 1/81 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. 35393 Z Date MARCH 15, 2010 Permission is hereby granted to: DEBORAH LEHRER 2955 HYATT RD SOUTHOLD,NY 11971 · for : ALTERATION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 2955 HYATT RD SOUTHOLD County Tax Map No. 473889 Section 054 Block 0001 Lot No. 011 pursuant to application dated MARCH 5, 2010 and approved by the Building Inspector to ex~ire on SEPTEMBER 15, 2011. Fee $ 200.00 Authorized- ~ignature ORIGINAL Rev. 5/8/02 Form No. 6 wow og sotrmOLV It' lUUl sEp .... Iff) ~PLICATION ~R C~T~ICATE OF OCC~~ ~ ~H~on m~t ~ ~ ~ by ~t~ or ~ ~d ~ub~ to ~e B~ ~ent wi~ ~ foHo~: .~ For new bnildl~ or new use: ' 1. F~ ~ 0fpmp~ wi~ a~(e l~8on of ~1 buil~, pmpe~ ~, s~, ~d ~ ~ or 2. - 3. ~pm~ of el~ ~afion'~m Bo~ ogF~ Underpin : 4. Sworn s~ ~m plier ~ ~ ~e solder ~ ~ system ~n~ 5. ~mm~ b~di"E, ~ b~g~ m~tip~ ~id~ ~d ~imil~ b~l~s ~d ~l~io~, a ~fi~- of ~ ~ ~m ~.or ~r ~po~iMe for ~c b~l~g. '6. Sub~t Pl~nlng Bo~ ~pm~ of~let~ si~ pl~ ~. ' B. -gor e~.b~.~or ~ ~ 9, 1~ non~nfo~ us~ or b~ ~d ~e~s~' land uses: 1.. A~te s~y of p~.show~g ~ pm~y lin~, ~ b~ ~d un~ ~ or to~c ~t~. 2. A pm~ly ~mplet~ application ~d ~nsem to i~p~t si~ by the ~pH~t. If a Ce~ficate of O~up~cy ~ ~n Bulldog ~p~tor s~ll state ~e ~o~ ~he~fo~ in Writing to ~c applicant. C. F~ 1. C~ficme °f O~up~cy - New dwel~ng $2$.OO, A~tiom to d~eH~g $2$.OO, ~tc~io~ to dwell~g $2$.~, Sw~ pool $2~.~, A~so~ bufl~ $25.00, Additions to a~so~ b~g ~25.00, B~ $$0.00. 2. C~ifi~tcofO~p~cyonPre~xist~Buil~ng_ $I00.00 3. · Copy 0fCe~ifi~e ofO~up~cy - 4. Up~t~ Celeste ofO~p~cy - $$0.00 ~..T~po~ ~fi~te o~ O~up~cy - Residential $1 $.00, Co~cwi~ $ I $.00 ~lew Co~tmction: Loci~on of Pmporty: · S .uffolk county Tax Map No !0~0, Section.. Subdivision Health Dept. Approval: - . Old or Pre-existing Building: ~/ (check One) Ho~ N~. t~t z H~m/~ Fil~ M~. ~t: Planning Board Approval: R~quest for: Temporary Certificate Final Certificate: Fee Submitted: $ (check one) SEP-7-2010 01:42P FRO~:~ ELECTRIC IN 63173~720~ TO:-F'K925~8 --~, P. 1~1 la6ua Oate 0~010 Electrical Inspection Certificate Electrical Inspection Sewicu, Inc. Application Number 3/5 Dunt~n Avenue 134030C ~8t Patchogue. New York 11772 (63t) a86~42 Zip: Lot: 11971 Town: Southold Issued ?o: Debra Lehrer Street: 2955 Hyatt Road Village: Southold Section: Block: Contractor: Lademann Electric Inc. (L) Lic. ii 4141-E Was examined and found to be In compliance with the Nntiorml Electrice~ Code. ~ Commercial [] NV Defects [] Pool [] let Floor [] IrldOOr [] Basement ~] Hot Tub [] Residential [] DeL Garage [] Attic [._'J 2nd Floor [] Outdoor [] Addition [] Survey $wftches RecePtecles I~turss 15 28 20 Dishwaaher Wesher/Amps Dryer/Amps 1/20A I 20 1 30 Purnace 011 Gas Circulators I X 1 Meter Amps PI;ese UG/OH Jacuzzi 1 200 I / [] GFI Heaters A/C Fans 8 1 5 Oven Range/Amps Microwaves 1 Gas 1/20 Smoke Detector Bell Transformer By Others Television CO Detector 2 Bldg. Permit: Other Equipment )C200 Amp Main Breaker Panel, (1) 30 Amp Disconnect, (1) 15 Amp Air Handler Iisconnect, (1) 20 Amp Welt Disconnect Hugo S. Surdi President ~ixigh Inspection: 06/50/201 / Inspects. J~hn ~Mshon This certiltCate must not be altered in shy manner. Inspectom may be idenarmd by their credentials. Town Hall, 53095 Main Road P.O..Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOVgN OF SOUTHOLD CERTIFICATION Date: Building Permit No. ~ ~'3°/~ Owner: (Please print) (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1.% lead. !,.yom to before me this day o-~o~L~ . 20 I I~ - (PI .umbers~i.~namre) Notary Public. ~ (x-~--O [[(~ Count7 VICKI TOTH Nota~ Public, State of New York No. 01106190696 Qualified in Suffolk County ~., Commission E,r~ims lulv ?8 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FO~4DATION 2ND [ ]INSULATION ~]~FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] I:IP.E RESISTANT C0mTRUCTI~ [ ] FIRE RESISTANT PENETRATI0fl REMARKS: '~~---~ ~ ~-- DATE { ~~'~//'(~ INSPECTOR ~/~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ~ROUGH PLBG. [ ] INSULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUC~ON [ ] FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE _ INSPECTOR -/~. ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] RO~J~H PLBG. FOUNDATION 2ND ~NSULATION [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE ~/~//0/ / ,NSPECTO~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JJL-ATION [ ] FRAMING / STRAPPING [ ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FiRE SAFETY INSPECTION [ ] F~m'~'r~'~m~ [ ] m~ms~~.~o~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 Examined ,20 Approved .~/[//~'~, 2t~~ Disapproved a/c Expiration 20r/ Building Inspector 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: Mailto: A'~,"~' d~4 APPLICATION FOR BUILDING PERMIT Date 3/~'~ INSTRUCTIONS ,20 Ip 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 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 Occupancy. 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~r~ /-~,'et'/J'~/.~-g~ ~ff~/c / (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. /q?9~/-// Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: ¢yy- IYyd/' /?,/ House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block ~/ Filed Map No. Lot State existing use and occupancy of premises and intended use and o{cPljO,ncy of proposed const~ucti0n a. Existing use and occupancy ..~2,,t,f t',_ ~ e'[r,d~,/Itj%. :, : b. Intended useandoccupancy 5'/*lj,/e_ r~'~,/~, Jt~:/{l$ ~ Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost..~7~. ~tJ0 5. If dwelling, number of dwelling units If 9arage, number of cars / Addition Alteration Other Work Fee (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 q 7 Rear 5/7 Height /a° Number of Stories / Depth Dimensions of same structure with alterations or additions: Front Depth ,..*/~ Height. ,~J' Number of Stories Rear 8. Dimensions of entire new cohstruction: Front e/7 Rear Height ~$ Number of Stories ! 9. Size of lot: Front ~O~2 ' Rear ~O,,,~ ' Depth 10. Date ofPurchase Il//I-/~ ~ Name of Former Owner 11. Zone or use district in which premises are situated Depth / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO P' 13. Will lot be re-graded? YES NO I/ Will excess fill be removed from premises? YES __ NO lOO.2/ 14. Names of Owner of premises ~n,b ~ebt?e' Address~s~ ~ to4 4~t q-k ~/.,~,v Phone No. r2/.¢ - 7~ fL FZ.~f Name of Architect ,~re,~h rtT~dkeOt7 ,4,~. Addressl;~-a,~,,,4,t¢~ ...c, od~,otd Phone No O/ Name ofContractork¢ ~qa/~, C,t~a. ,teed, :z'kc. Address A~.&~- ~',*t,, fltt.~tPhone 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 * 1F 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 o)/survey. ,/ 18. Are there any covenants and restrictions with respect to this property? * YES NO v · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~ /: SS: COUNTY OF '¢~.~< ~' ~'/~ O-~'d 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 this l /7// K day ofQ:,]~ 20 / t9 JOA ~- No. O1 D06204526 Oualified in Suffolk County ~3mmiesion Expires/kori120, 201.'1 ~t Tow____n_. of Erosion, Sedimentation & Storm Water Run-off ASSESSMENT FORM PROPERTY L ~O~,TIC)N: S.¢.T.M.~: THE FOLLOWING A~TIOH8 MAY REQUIRE THE.BUBMI8810N OF A Kern Humbert (NOTE: A C~eck Ma~k (~) fo~ eeoh Questien Is Requlrad (o~ a Comp4e~e Appllcatl~) Yes No I Will this Project Retain AIl Storm-Water RumOff Generated by a Two (2') Inoh Ralnfcll on Site? (This item will include all mn-off oreatud by site cleadng end/or ce~toJctkm activffies as well as all Site Improvements and the peonanent oreaiten of Impen4ous surfaces.) 2 D°e' the Site plan aud/or survey Show AIl Proposed Drainage Structures ludlceOng Size & Loca~en? This Item shall include all Proposed Grade Changes and Slopes Centm~ing Surface WateeClowi 3 - Will this Project Require any Lend Riling, Grading or Exceva~Jen where ~ Is s change to the Natoccl Existing Grade Involving mom than 200 Cubic Yards of Matndal within any Pamel? 4 Will this Ap01ica~n Require Lend Disturbing ~ Encompassing an Area in Excess of Five Thousand (5,000) ~ere Feet of Groend Su~ace? 5 Is them a Natural Water Course Runnlng.throngh the Site? Is this Project within the Tmsteee judsdictiofl or within One Hundred (100') feet of a Wetland or Beach? 6 w,I them be Site preparation on F_.xisitng Grade Slopee which Excend FIReee (15) feet of VeStal Rise to One Huudrecl (100') of Hofizental Distance? 7 Will Driveways, Pahking Areas or other Impetviees Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction ufa Town ~ght-of-way? ~'hl~ Rem '~dit NOT Inolade I1~ In$~listion of Dtht~way NOT~:: ff .a.n¥.~,t~ to Question~ Ona through Nine I$ .~erad with a Cheek ~ in the Box, a ~ralna~ & ~'o~lon ~on~ol Plan I~ Bequlr~l ~ad Mast be 8~bmltl~d ~or Review ~or to I~ of Any Belldln~ EXEMPTION: Ye._~s Does this project meet the minimum standards for claaslficaiten as an A~rlcuituml Project? Note: If You Answered Yes to this Question, a Storm4~/ater, Grading, Drainage & Erosion Control Plan Is NOT Requlmdl STATE OF NEW YORI~ ~ ~- COUNTY OF ...~.~.~.e.)...r'~.. ..................... SS CONNIE O. BUNCH No~ Public. Sta~ of N~ ~dMdu~ ~) ...... .Hb310fi ~x~rres April [4, ~d ~at h~she is ~c (~r. ~, ~ ~ ~. ~) ~ ~&or ~p~mfive of ~e ~ of ~er's, ~d ~ d~y au~o~d to ~ffo~ or have ~ffo~ed ~e ~d ~rk ~d to ~e ~d fde ~ zpp~on; ~t ~ s~ ~n~ in ~ appli~6on ~ ~e ~ ~e ~t offs ~ ~d ~ief; ~d ........... ...................... OaM.O6/O ......... ..... NIOIF CL.ARA d' BLOCK To,O0' N. 8Z°O~ O0 0 0 0 CERTIFIED TO' ~ D~B~RAH LEHRER ~ ~ STUART FOLICK ~~ ~0' BANK OF AM~ICA ifs successors ~/~ ~ ~, ,~i~ ~ nM~, ~ SKYLINE TITL~ ' , SURVEY OF PROPERTY . ', A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 54 - 01- 11 Scale, 1" = 20' Sep.t. 24, 2009 SEPT. ~0~ 2009 (CERTIFICATIONS) OCT. 6~ 2009 (rev/s/on) AREA,= 9,456 sq. ft. ANY AL TERA TtON OR ADDITION TO TH~S SURVEY IS A VIOLA TION OF' SECTION ?E09 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION ?~OS-SUBDIVI~ION 2. ALL CERTIFICATIONS H~ON ARE VALID FOR THIS M~P AND COPIES THEREOF ONLY IF' SAID I~P OR COPIES BEAR THE II~RESSED SEAL OF THE SURVEYOR Fi~OSE ~NA TURE APPEARS HEREON. (631) 765 - 5020 - 1797 P. O. BOX 909 SOUTHOLD, N.Y. 11971 09-187 *- - REMOTE DOWNLEVEL DOCUMENT PAGE 1 - 314!~ 0 1:48 86 PM WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS TABLE 3.1 NAILING SCHEDULE ~ I~.--~ I ._ o I SIDE WALL FLASHING ~_ ~ ~ o - TABLE 3.1-- NAILING SCHEDULE TABLE TAKEN FROM WOOD FRAME CONSTRUCTION MANUAL FOR ONE &: TWO FAMILY DWELMNG$ (1995 EDI~10N) WALL SHEATHING Decks: 40 psi .,..o~.~....(B~.~)W A L L r R A'-'"M I N e"~ 5. ~ENERAL CONSTRUCTION NOTES ............ ._..,__, ...,.r...,-.o-...-.,r-----.-.-.--.---c-. .,1 work ah. Il .,so conform [o the requirement, of.nyothar Codes.nd e~[horltle. ~DW~ R~E ~ ~T ~K 5d 4" ¢ 2. contractor shall call the engineer W A L L S H E A T H I N G ~e ownershalla~nge for sa ~vislon ofthec°nst~c['°nw°rk t°lnsure ~ ~ O O" ~ H = * T" ' N O Wood Ir.mod floors walls ..' ceilings ah. II hove on opproved .EN .A~SHEA.IN, IS CON.NUOUS 0.' CONNEC'D MEMBERS, 'E TABULA'D NUMBER OF NAILS SHALL BE 13. fitting non-combu.tIble doors. CLIMATIC ~ ~EOORAPHIC DESIGN CRTIERIA ~ SAFETY 8LASS REQUIREMENTS BESleN ~ENT HAZARDS ,mpoa.d2-'e exIaUn, plum.In, ..,em ,e cop obis of hendIingio.da of the pr. oaed .ddltIom the ASPHALT ~OO~ S HI~OLE ~OTES fo.~ene, for a.ph.lt roof .hlngle. shol, be galv.nlzed .reel, All new windows and glass doors shall meet the requirements to penetrate through the roofing materials and the sheathing, ~ of the large missile teat of AS~ld 1996 and or ASTUE 1896. Asphalt roof shingles sh~ll have the mimimum number of fastenem as ~ required by the manufacturer. ~e Controct~ shall provide pre-cut 1/2" pl~ood penel~ to For hormel oppliceflons, oapholt roof shingles shell be secured to the roof cover the glazed openings · shall pre drll/edgea at 12 CC to with no leas than four (4) fasteners per strip shingle or two (2) fasteners ~1~ accept 2-1/2" ~ wood screw~ and pro,de ~dequate per individuol shingle. number of .crews for foatenlng. Asphalt strip shingles ah,II ha~ ~ minimum of six (6) festeners per shingle ~N~RNE DEB~ ~O~ ~R ~D ~ P~EL where the save is 20 feet or higher obeys grode or where the b~ae wind ~al~[ygB~g~EBie~I~a ~. ,,iJ{,ID,":,;(Jt4 - TWO R~QUIRED ~1 ~, ~O speed Ia 120 mph or greater. ¢)R FOUR~0 CONCRE'IE MEET THE REQ~ ~~~ Pb~ Fb~' ~:''~- ~o~,~,~,o~ ,~,- .... B~ COMPLETE I-Of; C.C. . ........ I I"-I0'~ ~- :QUIREMENTS OF THE CODES OF NEW UNDE~wr*r~ ""~rICATE YCRK STATE. NOr RESPONSIBLE FOR DEGIG ~ ] ROBS PURSUANT TO CHAPTER ~36 OF THE TOWN CODE, - - REMOTE DOWNLEVEL DOCUMENT PAGE 2- 8t4/10 1:48:86/.4 ~ rt. oc~i~i 1~iSf, C¢t~, ~ -.~ COL Ot, J lOW (~ gP. C110N .~lt, ¢0C, - L~_J O~R £4"~4" 511., ¢~, PON WN,C ~ F- -b)~.4-, ¢ I/4" [ ¢ I/~ ~/~ ~" ~1~, ¢0l,, OV~ 24" ~.12" II (~ POUNPA11ON PLAN *-*- REMOTE DOWN LEVEL DOCUMENT PAGE 8- 314110 1:48'36 PM '1 "- *- R EMOTE DOWN LEVEL DOCU M E NT PAGE 4 - 814./10 '1:48:36 PM