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HomeMy WebLinkAbout35984-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34683 ~te: 11/16/10 THIS c~KTIFIES that the building ALTERATION Location of Property: 540 TAKAPOSHA RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 87 Block 6 Subdivision Filed Map NO. __ Lot No. __ SOUTHOLD LOt 9 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15, 2010 purs,,~t to wb/ch Building Permit NO. 35984-Z dated OCTOBER 28, 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 "AS BUILT" HALF BATH IN GARAGE AND HEAT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to P~ALPH L & ELAINE B PANELLA TRUST ( OWNER ) of the aforesaid building. SuFfOLK COU1TI"f DEPARTMENT OF HEALTH APPROI~%L ~,R~-rKICAL c~KTIFICATH NO. PLUMBERS C~K'rIFICATION DA'rKO N/A N/~ ~/A 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. 35984 Z Date OCTOBER 28, 2010 Permission is hereby granted to: PJtLPH & ELAINE PANELLA 8 MARINER LANE ROYONDA WEST, 33947 for : ALTERATION OF HEAT & HALF BATH AT A SINGLE FAMILY RESIDENCE AS APPLIED FOR at premises located at Co~knty Tax Map No. 473889 Section 087 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 540 TAKAPOSHA RD SOUTHOLD Block 0006 Lot NO. 009 15, 2010 and approved by the 28, 2012. Fee $ 472.00 ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 residenees 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and cor/sent 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. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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: b/ Old or Pre-existing Building: Location of Property: ._~" ~_~ House No. t Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~Sq~q Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ .~0, P~5,/~X~,-- Date. (check one) Block ~ Lot Filed Map. Lot: Dateofeermit. /L9 -Z~5 - .//) Applicant: ~ Underwriters Approval: / Final Certificate: ~'/(check one) Hamlet 9 Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTIOfl [ ]FInEnESSl'ANTC(X4STmJCTI(m [ ]FIRERESlSTANTPENETRATION REMARKS: , . INSPECTOR Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 October 15, 2010 Ms. Pat Conklin Southold Town Building Department Main Road Southold, NY 11971 Re: Premises, 540 Takaposha Road, Southold, NY SCTM # 1000-8%06-09 Dear As of this date, I have personally visited the above referenced premises and reviewed the existing conditions and documentation provided by the Owner with regard to installation of insulation and electric radiant heat panels ("glass heat"). Based on my findings, the insulation was installed in 1976 and the heating panels were installed in 1977. My research with New York State, confirmed by Richard Smith, concluded that there were no energy code or minimum insulation requirements prior to 1979. Accordingly, the above referenced work predated the energy code and as such is grandfathered for issuance ora C/O. I have attached an application for a building permit for both the insulation and heating as well as an existing powder room which was built in 1972 in the existing garage; together with drawings for the powder room. Please issue the requisite building permit at your earliest convenience so we can call for an inspection and file for a C/0. If you have any questions, please feel free to contact my office. Thank you for your assistance in this matter. Very truly yours, Garrett A. Strang, Architect. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 76~-9502 SoutholdTown. NorthFork.net Ex mined -- 20 /O ? /o Approved /0~' 20 OCT 15 2010 BLDG. DEPT. TOWN OF SOUTHOLD Expiration ~ '- ~, 20. / ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, b~fore 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: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS & 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 atter 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 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.~ __/ (Signature °faPjplicat t or name, ifa corporation) (Mailing add.ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (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. ,,'Z//A' e Other Trade's License No. 1. Location of land on which nroposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~ '7 Block 0 6 Lot d ~ 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 ~ x~ /~ ~__ Nature of work (check which applicable): New Building Repair Removal DemOlition Estimated Cost 7. Dimensions of existing structures, if any: Front Height. ~6 ' Number of Stories If dwelling, number of dwelling units If garage, number of ears If business, commercial or mixed occupancy, ~p~c'~l~'n'~iu/:e an~t ~k~'h'l-O~hitype of use. z/~ ' Rear . z:p ~ / Depth Addition Alteration (Description) Fee ~ (To~ ~aid on filing ~is application) ~umber of dwelling ~s ~ ~ch floor Dimensions of same structure with alterations or additions: Front .5'.e,~ ~ Rear Depth .5'~ ~.~ ~ Height d ,o ~_~ ~Number of Stories ~.~ ~,~._~ 8. Dimensions of entire new construction: Front Rear Height Number of Stories ,~ 9. Size of lot: Front 7 ) Rear ?~- Depth Depth 10. Date of Purchase / ~7/ 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 ~ 13. Will lot be re-graded? YES__ NO /Will excess fill be removed from premises? YES__ NO / 14. Names of Owner of premises ~/o ~C 4 Address /30 ~ /6 ~7r ~'?7/'/~ne No..Tdb-% //~L5 NameofArchitect ~'7~/~v~rG. Address ~,~a~/,~/rcz~.. PhoneNo ?~/~-~ ~-,~-~5~ Name of Contractor ' /ff?~l Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES t~NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS/MAY BE REQUIRED. b. ls this property within 300 feet ofa tidal wetland? * YES t/ 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 on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) r_~-7/C/,/w. ,,c .// e,q. ~ ~ ~ ~, ~.ng d~y swo~ de~seS ~d says ~at (s)he is ~e applic~t ~e of individu~ si~mg ~n~ct) a~ve n~ (Con~or, Agen~ Co~m~ Offi~r, e~.) 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 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. Sworn to before me this /~ dayof ~CT Notary Public /_,:Z:~-a'"7-~',-? TOWN OF SOUTHOLD PROPERTY RECORD CARD F RMER ~ ER ~ I Vi M.AGE :! - JAGE NEW ' Farm TilloJ~le 1 Tillable 2 Tillable 3 Woodland Swampland Brush'nd~'~ House P~at TotoJ NORMAL BUILDING CONDITION BELOW Acre Value Per Acre DISTRICT J SUB. ACBEAGE J TYPE OF BUILDING LOT CB. J MISC. J ABOVE Value J .'I Extension ~ :-', - I Ext. Walls I/~,eT~' .... ' · 3'~,,e~ Interioe Finish Fire Place / He~ ~sion ~ [ Porch j A~ic Porch Reams 1st F~ BreezewayJ Patio Rooms 2nd FJaor Garage ~ J.( I~: A ~/~ l,e0 ~S~.e~ Drivew~' O.B. BUILDING PERMIT E~INER CHEC~ JST ,pplicant: ~ ~ krchitec~Engineer: ~ ~ ~M~ 1000- ~7- ~ ~ Subdivision: ~roper~Addr~,: ~ ~~ ~uilding Per~ (Open~xpired): BP ~Z / ~0 ~ ~, I~o: ~ BP IP -Z / ~0 ~ ~ Info: . BP -Z / ~0 ~, ~fo: ,. BP ,~gle & Separate Seal, Required? Y o~r~i, atiom : ~Q. Mt Ske: 0[~ . ACT. Mt Ske: ~. ~t Coy. ~ *Date Submitted: /t -/3-~ la Date Reviewed: Estimated Cost: Zone: Conforming? -_._.2 -Z / C./0 7_,- , Info: -Z/C/0 Z- .Info:. ACT: Lot Coy. PROP: Rear t, BQ. Front ACT. Front REQ Side ACT. Side REQ. Rear__ [EQ. Height. ACT. Height. g~,/~-_ ~t~$._~./I CT..._;_.A~ ~aterfro~Yo~ ~ ~ ~~, ~ fyi, water body: ~ Panel8 Flood ~ne:~ Bul~ea~luffDistance: kDDITIONAL APPROVALS REQUIRED Juffolk County Health: Yo~]~)- Ifyes,*Bed#: *Date: / / *Permitg~ - If no, certification required: Y or N Received: Y or N By: qYS DEC: PRg-DEC 9/1t75 Y or~- Date: __/__ _ louthold Trustees: y 0~Date: __/ __ louthold ZBA: Y o~. Date: louthold Planning: Y 0~)- Date: :'/__ __ [~own Landmark C of A: YX~TE: __ __ __ / Permit #: / Permit #: Permit #: / Permit #: / / Town Septic: Y orN or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE Compliance (page 2)~2r N Calculation: · ee Structure. ~oundation: SF qrst Floor: g0 SF gecond Floor: SF )ther: SF rotal: ~/0 SF + Initial Fee: $ ~ o r ~ ~ + Addition.al Fee ( ): $ SF X $ =$ \ // + Initial Fee: $ \ ~/~ + Additional Fee ( ): $ ~.~-~, O0 Toque:, ¥ 7;-. o o · CLIMATIC/GEOGRAPHIC D'~-SIGN CRITERIA. Gromad Snow Load: ~.0 Weathering: Severe ~ DeSign Temp: 11 . Wind Speed.'. 120MPH. Seismic Design Category." B ~" · 'Fr°st Depth: :;6" · Iee Shield Underlay: YES . USE/OCCUPANCY CLASSIFICATION: I-I~IGI:IT/FII~ AREA: Termite: M-H i DeCay: Flo~d Hazai'ds: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEEKED/pRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: YiN HEA~ERS: YiN WALL STUDS: ¥/N CEILING $OISTS: ¥/N FLOOR JOISTS: LUIM[BER SPECIES AND GRADE: YiN GIR. DERS: Y/N ROOF IL41~ERS: Y/N WINDOw AND DOOR SCHEDULE! J · MISSLE TEST REQUIREMENTS: Y/N / ~L~IGHI 8 %: Y/N ~ ? \ NAILING/CONSTRUCTION SCHEDULE: Y/N MBANS OF EGRESS: Y/N PLLYMBING P~SER DIAG~M~q LOCATION OF F[P,.E PROTECTION EQUIPMENT: YfN TRUSS DESIGN: Y/N CBRTIFICATION: Y/N .... ~~---~ ' TOTAL COMPLIENCE? Y~ (RETURN TO PAGE ONE) OTIFY BUILDING IDEP/UR311ilE~IT AT ~65-1802 8 AJ~ T~4.1~&I FOR ~ ~/~ FOLLO~NG INSPECT~NS: I FOUNDATION - ~ REQU~D STRAPPING, ELECTRICAL~CAULKING ' N 3 INSULATION AS REQUIRED AND CONDITIONS OF 4 FINAL * CONSTRUCTION & ELECTR~ MUST BE COMPLETE FBR C,O. ALL CONSTRUCTION ~ MEET~ REO,UtEEMENTS OF THE ~E$ ~ ~W YORK STA~, ~T~*F~ DESIGN ~ ~8~ ~, LTM SOLI3H~D TOWN ZBA SOUTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N.Y,S, DEC , , , ...... "~.,,'.architect ,. ' e~le~ P.~x 1412 , .