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HomeMy WebLinkAbout35063-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34565 Date: 09/17/10 THIS U~KTIFIES that the building ACCESSORY GARAGE Location of Property: 2685 BOISSEAU AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 5 Lot 14 Subdivision FiledMap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 2009 pursuant to which Building permit No. 35063-Z dated OCTOBER 8, 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 UNHEATED ACCESSORY BARN WITH NO ELECTRIC AS APPLIED FOR. T~e certificate is issued to ROBERT G & CAROL A BOHN ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO~rAL E~.R~-rKICAL c~KTIFICATE NO. pLUMBERS C~K'rIFICATION DA'r~u3 N/A N/A N/A ~~~ature Rev. 1/81 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. 35063 Z Date OCTOBER 8, 2009 Permission is hereby granted to: ROBERT G & CAROL A BOHN PO BOX 55 PECONIC,NY 11958 for : CONSTRUCT ACCY BARN IN REQUIRED REAR YARD, NO HEAT OR ELECTRIC, PER APPROVED PLA-NS AS APPLIED FOR at premises located at County Tax Map NO. 473889 Section 055 pursuant to application dated OCTOBER Building Inspector to ex]Dire on APRIL 2685 BOISSEAU AVE SOUTHOLD Block 0005 Lot No. 014 1, 2009 and approved by the 8, 2011. Fee $ 668.00 Authorized Signature Rev. 5/8/02 ORIGINAL Form No. 6 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUP3 ~ICy This application mU~t be filled ia by typewrlter or ink and submitted to the Building D pallment ~~ng: A. For new builrHug or new "1. Final. ~urv~y of proplm'y with accurate location of all buildings, proPerty lines, streets, and unusual natural or topographic features. .2. Final APProval fxom Health Dept. of water aupply and sewerage-disposal (S.9 form). 3. Approval of electrical installatiOa'lSom Board of Fire Underwriters. : 4. Sworn statemeat from plumber ceitifying that the solder used in system contains less than 2/! 0 of 1% !eacL '5. C°mmemial building, industrial building, multiple resideneas and Similar buildings and installations, a ~fi~te · o f Code Compliaace from arohiiect, or engineer responsible for the building. '6. Submit Plan,i-g Board Approval of~completed site plan requirements. B..For existingbuildings.(prior to April 9~ 19S7) non-eanforming uses, or buildings and ~'pre..existing- land uses: 1.. Accurate survey of property showing all property lines, s~'eets, building and unusual natural or topographic features. 2. A properly completed application and consent to tnSpect signed by the applicant. If a Certificate of Occupancy is denied, thc 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, Swilnming pool $25.00, ./gecoSsory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of OccupancyonPre~existing Building- $100.00 3. ' Copy ~f'Certificate of Occupancy ~ $.25 4. Updated Certificate of Occupancy - $50.00 5. Tempogary C, ertificate ot~Occupaney - Residential $15.00, Commercial $15.00 'New Comstmction: Locatign 9f Prope~. / Date· ,. L~ Old or Pm?existing Building: House N& ' ..Owlier or owanr~ of property:. ',' .~(~, J~ Subdivision Health Dept. Approval: Planning Board ApProval: Request for: Temporary Certificate Fee Submitted: $ ,e~ ~-'~,~49 ~ (check One) Hamlet ' Dat6'0fPermit. Street Filed Map. Applicant: Lot: Undmvrit appro :. Final Certificate: (check one) CONSPECT ENGINEERING P.O. Box 162 Pearl River, New York 10965 845-300-0707 9/10/2010 RE: Bohn Garage ~ 2685 Boisseau Avenue, Southold, NY 11971 Permit # 35063 The concrete foundation at the above location has been built according to the approved plans and to all applicable building codes and standards. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JL-~TION [ ] FRAMING/STRAPPING [/./]"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION _[ ] RRE RESISTANT PENETRATION REMARKS: (~'9~ ~ ~. jty-.__.~ ~ ~ INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAI~L SOUTItOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: "7(.~ ~'--- [ I i ~] ['1' ( ~ ,20 [I Expiration ' , ~ ] Buil~n~-spector l~0 A~[CATION FOR BUILDING PERMIT  Date 6) ~,,T \ ,20 O ~ INSTRUCTIONS a. This application MUST be completely filled in by t~ewriter or in ink and submitted to the Building ~spector 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pemfit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu~ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. 5 Eve~ building pemit shall expire if the work authohzed 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 prope~y have been enacted in the interim, the Building Inspector may authohze, in writing, the extension of the pe~it for an addition six months. Thereafter, a new pemit shall be required. ~PLICATION IS HEREBY M~E to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces 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 auth°rized inspect°rs °n premises and in building f°r necessa~ inspecti°ns'C~~ ~ ~ignamre of applicant or name, if a co¢oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ (~,.eq- ~-~0 blOk.) (As on the tax roll or latest deed) If apj2~icant is a corporation, sigl~ture of duly authorized officer (Name and title of corporate officer) Builders License No. 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 County Tax Map No. 1000 Section Subdivision Hamlet Block Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occugang~ of proposed constructi,,n: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost /5~o~ o -- Fee If dwelling, number of dwelling units If garage, number of cars t,-~ Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height~.----------~~ Number of Stories Depth Dimensions of same structure with alterations or additions: Front Depth Height, 8. Dimensions of entire new construction: Front Height ~ -2~ Number of Stories 9. Size oflot: Front I g~,(~' Rear I~o 5"- Number of Stories Rear /4 ~ .Depth ff'-'~g) .Depth Rear L[O 10. Date of Purchase 7.000 Name of Former Owner (/_A 5~- 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zo~ law, ordinance or regulation? YES NO / 13. Will lot be re-graded? YES NO d,/ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. ray/ Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE ~UIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO t/' * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO J 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 sm, v'ey. 18. Are there any covenants and restrictions with respect to this property? * YES NO f · IF YES, PROVIDE A COPY. STATE OF NEW YORK) CO~ ( } ("'-.---'~''''k4 ~ 7~ being duly sworn, deposes and says that (s)he is the applicant '"--4,Ndme of imf~vidual signing c-"~ct) above named, (S)He is the (Contractor, Agent, Co,orate Officer, etc.) uommissi0n of said owner or owners, and is duly authorized to perfo~ or have perfo~ed the said work and to m~e and file this application; that all statements contained in this application are tree to the best of his ~owledge ~d belief; and that the work will be perfo~ed in the manner set fo~h in the application filed therewith. Sworn to before me this . r 1~ day of C)~~ 20 C) c3 Notary Public TOWn of Sout old sion, Sedimentation & Storm-Water Run-off ASSESSMENT PERTY LOCATION: $.C.T.M. ~ THE FOLLOWING ACTIONS MAy REQUIRE THE SUBMt;=;nN OF II ~ ~,r~ED BY A u~ r~ur~lO~L IN ~E STATE OF N~ YO~, ~ Num~n (~: A C~ M~ (~) ~ ea~ O~m Is ~ f~ a ~ta ~i~n) Yee No 1 Will Ihla Project Retain All 8tarrn~Water Run-Off Generated by a Two (2") Inch Rainfi;dl on Sita? .(This Item will thdude all mn-off c~eated by site cleadng and/or construction activities as well asjll Site ~mprov ,ef~is and the permanent =reatlofl of Imper~,ous surfacas.) ~'~u ~ O~ -~ _~c, k 2 D°es ~he alta Plan and/°r Survey Sh°w NI Pmp°sed Dmtnage Stroct~as 'ndica0ng Size & L°cati°~ ~ ~ This item shall include all Proposed Grade Changes end Slopes Conbollln~ Surface WaterFta~ 3 Will ~his Project Require any Land Filling, Grading or Excavation where there is a change to the Natural r'~ Existing Grade Involving moro than 200 Cubic Yacks of Matadal within any Parcel? Five Thousand (5,000) Square Feet of Ground 8udace? Is thie Project within the Treateas ledediotion or within One Hundred U00' toot of a Wetland or Se~ch'~ 6 OneWill thereHundredbe Siteog0,]preparationof Horizontal°n ~xistingDisthnce?Orado Slopes which Exceed Fifta~n It 5~ tact of Vertical Rise to 7 ~,f'~ll Driveways, Parking Areas or other Impervious Surfaces ~e S~oped to Direct Star'-Water Run-Off r'~ into and/or in the direction eta Town ;ight-:of-way? 8 Will this Project Require the Placement of Material. Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulck~ Area? ~L~ (This item will NOT include the Installation of Driveway Aprons.) 9 Wtil this Project Re0uire Site Preparation within the One Hundred (100)'Year Floodplain of any Watemourse? r'~ NOTE: If Any Answer to Questions One through Nine is Aeswered with a Check Mark In the Box, a Storm.Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Subreitted for Review Prior to Issuance of Any Building PermRl EXEMPTION: Yes N._.9.o Does this project meet the minimum standards for cisssitication as an Agricultural Project? Note: ~fY~uAnsweredYest~thisQuest~n~aSt~rm~ater~Gradtag~Dreth~ge&Er~si~ntr~PianisN~TReq~ired~ STATE OF NEW YORK, z-/-- . C C0~NIE o. BUNCH oou , ........... ' No. 0i806185050 ..................................... C0 Ou~ ~,~,~un~ )~ {Na~ of indMdual s~iag ~tl Sworn to before mc this; Notary Public: .%..~ ............ ..% ........... And that he/she is the (Owner, Contractor, Agent. Corporate Office~. etc.) Owner and/or representative of the O ncr of Owner s, and ~s duly authorized to peffom~ 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 herewith. (Signature of AO01~:a~t} FORM - 06/07 TMf: 1000-55-5- GUAK4NTEEO TO: Robert G. 8ohn Carol Ann gohn Chlcogo ~#e ins. Co. Cendont Mortgoge Corp. N/F Ouod . ~ CUL~IVATED RELD ~ N/F Miloski SURVEY OF DESCRIBED PROPERTY SITUATE SOUl'OLD. TO~ O~ SOU~HOLD SUFFOLK COUNT~, NEW YORK SURVEYED: '7 Ju~, 1988 SCALE: I '~60' AREAS, 94,706.82 S.F. or l ; 7~ ACRES 'l'o~n ltall Annex 51375 Main Road P.O. Box 1179 Southold, N Y I 1!t71-0959 Telephone (631) 765-1802 I:ax (63 I) 7(;5-9502 131 IILI)ING I)EPARTMENT TOWN OF SOUTHOLD August 23, 20'10 Robert Bohn PO Box 55 Southold, NY 11971 RE: 2685 Boisseau Avenue, Southold NOTE: Please submit certification of foundation per the Building Inspector's request. TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35063-Z accessory barn 07-30-09;05:51AU;R@S ESTIMATING DEPT ;631 996 3456 # 3/ 4 6.5-7 ' e.~7 7.1~. 1-B-B 07-30-09;05:51AM;RBS ESTIMATING DEPT ;631 996 3456 ,, ! ,iii - O! I I~.,_:~ i i, , WIND-BORNE DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL '"' [ : I I i, ~, ~,' ~,,, / i ,,'l i il ' ~ /~\' !,, ,,,/ :, ,, ~, , I ,,, ,, ,, ,, ,iL ' ~ i," '/ [, ' ~' ' ' ' ' l >,, ! n,, [ i sc~, ~: ms WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS i · ~iDE WALL FLY,MING D~ BY: ~ ~' "~ ~J ~'~ ;5~1 SHEET NO: N E RAL N CT E S W,ND F.AM,NG NOTES I N^.L,.G S..ED.LE, P~..O.TE.TS~ ROOF FRAMING: _o _c _CU.ANCy CLASS,.~C^T,O. R3 RES~D~nA~ CONSTRUCTION NOTES: inelc~e~ld°fthec°~lar,eneedn~exceedlfletal~lated.um~r°fSdll~in~ RAFTERTO 8'WALL:~C~MM~N EACH TOE4~jli a~ ~ tM~e 3.3. I,~, ~ter ~- ~u do rm~ fall I~1 line wl~ ~uds b~, taffeta DESIGN CRITERIA ,~,,~ s~ =~,..,., ~...~.~,. ~,~... ~ ? ~,.. ~. ,~,.m WALL FRAMING: ST~.S ~1 W~,~..,,,.~,~,~.t.~,"~r~'~.t~.'~'~". ~I.~,~,~'~O.S"~.W~CO..~CT~C~= ~o~rro~ ~.~TO: ~. F~ I CLIMATIC & GEOGRAPHIC DESIGN CRITERIA FOUNDATION NOTES: r~ll~m~e~l~.¢~e31~btim.~a~ FL~J~ST,~Dj~ 2.1~M~ F~ i~NOTE:I,: ~d~l)~i~e ,) I~RI~S~LC~NEC~ONS: FLOOR F~MING: I ~n~~.~unh~l~ ~) ~EC~S~OUNOE~R~RW~L~NINGS: SlLLT~ORGI~R 4'~C~M~ I JOinT ~ ROOF SHEATHING REQUIREMENTS FOR WIND LOADS: s) ~ ~ ~ ~ ~ a ~ 18~4' ~.ln~a, o~ ~e~. ~ JaST ~ NOTES ~"~"'" ~' DECK AND COVERED PORCH NOTES: Jo~LEO~E. ~. T~ F~MING NOTES ~.~,~'~'~"'~'~"~"~ : ~ ~ ' 2) U~n~,~l"O~l~l~"2+B~ ~g~.~,~l~di, ~,i,~ ~UC~P~EL ~ ~,~T~,e WALL SHEATHING REQUIREMENTS FOR WIND LOADS: 4~ ~J~= ~ ~' U~ =n O = CEILING SHEATHING: ~1~ L~ h~ ~ h~ (3)~ ~ and (=)~ len~ ~ ~ "~ '"' d WALL SHEATHING: NOTES .~.~,~m PLUMBING NOTES ?/~ ~U~I ~OC.E~ ~ ~. ~ ~,~ ~ ~ ~ ~ ~h~. ELECTRICAL NOTE S: ~ ~ ~ ~' ~ ~'~ ~' OCCUPANCY OR USE IS UI,!LAWFUL WITHOUT CEF;TIF!CATE OF OCCUPANCY -'p ~,~ P... ALL CONSTRUCTION SHALL MEET TIdE REQUIF;EMENrS OF THE CODES OF NEW "/O~}K STATE RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, APPROVED ~,S NOTED NOTIFY BUilDiNG D?hRTMENT AT 76548O2 8AM TO 4P'~ FOR THE FOLLOWING JHSPECT~ONS: 1. FOUNDATION - TWO REQDtRED FOR POURED CONCRETE 2. ~OUGH - FRAMING &PLUMB[NG 3, INSULAT~ON 4, FINAL * CO[iqTRUCT~ON MUST BE COMPLETE FOR C 0 ALL CORSTRUCTION SHALL ~EET THE REQUIREM~NTS OF THE CODES OF NEW YORK STATE, NOT R~SPONSJBLE FOR DESIGN OR CONSTRUGTIOA ERRORS. CERTIF!CATION OF NAILING & CONNECTIONS REQUIRED. L f- SCALE: I/Z-I ~'~ DATE: APPROVED BY NUMBER :L