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Home My WebLink About35890-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34770 Date: 12/29/10 THIS CERTIFIES that the building RECONSTRUCT BARN/GAR-AGE Location of Property: 51680 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 63 Block 6 Subdivision Filed Map No. __ Lot NO. __ SOUTHOLD Lot 3 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 8, 2010 pursuant to which Building Permit No. 35890-Z dated SEPTEMBER 23, 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 RECONSTRUCTION OF ACCESSORY ONE CAR GARAGE/BARN AS APPLIED FOR. The certificate is issued to RONALD J & ADRIANA NOLLET (OWNER) of the aforesaid building. S~FFOLKCO~TI"fDEPART~TOF~EALTHAPPROVAL N/A EL~t-rKICAL U~KTIFICATE NO. 35890 12/20/10 PLIERS c~KTIFICATION DA'r~u N/A ature 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. 35890 Z Date SEPTEMBER 23, 2010 Permission is hereby granted to: RONALD NOLLET 51680 MAIN RD SOUTHOLD,NY 11971 for : RECONSTRUCTION OF AIq ACCESSORY GAR3tGE & BARN AS APPLIED FOR at premises located at 51680 MAIN RD County Tax Map No. 473889 Section 063 pursuant to application dated SEPTEMBER Building Inspector to expire on MARCH SOUTHOLD Block 0006 Lot NO. 003 8, 2010 a/Id approved by the 23, 2012. Fee $ 100.00 -- Authorized Signature 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, pvope~ty 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 residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Pl.a~ing 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state thc 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: Old or Pre-existing Building: L°cation of ProPerty: D/i (0 ~> 0 ~ ~,,~ ~ ~ House No. Street . OwnerorOwners°fProperty: ~ t~]c[ ~ ~r~/xx~.u~ .. Suffolk County Tax Map No 1000, Section ~ [~ 2,~ Subdixdsion PermltNo.'3~)~ ~ ~ DateofPermit. (~1~.~/ I{) d (check one) Block ~ Filed Map. Hamlet Applicant: Health Dept. Approval: 'Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ {) - ~) ~ Underwriters Approval: Final Certificate: ~' Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southol& NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 roger, richert~,town.southold.ny, us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Ronald Nouet Address: 51680 Main Rd City: Southold St: NY Zip: 11971 Building Permit #: 35890 Section: 63 Block: 6 Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: C-Cat Co License No: 953-me SITE DETAILS Residential Commedcal New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor ~ Basement ~ Service Only ~ Outdoor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Heat ~ DuplecRecpt ~ Hot Water GFCI Recpt A/C Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures [~ TVSS Notes: detached garage Inspector Signature: Date: Dec 20 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 //INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SA~-,.. ( INSPECTION FIRE RESISTANT COflSTRUCTION[ ] FIRE RESISTANT PENETRATION REMARKS~~r~,~,, ~.~ ~ DATE INSPECTOR 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 CONSTRUCTION [ ] FIRE RESISTANT PENETRATION /~ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE iNSPEcToR'~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-.. ~ ,/' INSPECTION [ ]FIREI~SIST~tI'CO#SIRUCTI~ [ ]FIRERESISTANTPF. NETRATION REMARKS: DATE / / '- / ~ -/0--..---- INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAUING /STRAP, qNG [ ~ [ ] FIREPLACE & CHIMNEY [ ] IqRERESiSTANTC~ REMARKS: ~ DATE INSPECTOR OF SOU~~~ BUiLDiNG DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [×ELECTRICAL (FINAL) REMARKS: DATE FOUNDA't'][ON (1s'r) FOUNDATION (~N~) , . ROUGH FRAMING & STA~ E~ CODE ~D~ON~ C0~$ " TOWN OF SOUTHOLD BUILDING DEPARTMENT, TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Exanfined ~///,&3 20 Approved I/.5~20/0 Disapproved a/c Expiration 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: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 l0 SEP 8 2010 BLDG. DEPT. TOWN OF SOUTHOtD a. This application MUST be completely filled in by typewriter or in ink and subtnitted 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 lbr 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 l 8 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 buildin :s, additions, or alterations or tbr removal or demolition as herein described. The applic ble laws, ordinances, building code, housing code, and regulations, and to admit author ,uilding for necessary inspections. (Sig~tur~-'of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~,~3r~0_\ ~ ,_~ ~[~\\0..,'3~, A~ ¢,o,,'~0,, (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. 1. Location of land on which prot~osed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~3 Block ¢ Subdivision Filed Map No. Lot 3 Lot State existing use and occupancy of premises and intended use and occupancy ofproi~osed construction: a. Existing use and occupancy ~ ~ ~. pd / [~ P~ 1~ ~ L* ~, b. lntended use and occupancy ~,~¢~ / k0 J~ ]'~JS~ ~ ~ 3. Nature of w, wk (check which applicable): New Building Repair V' Removal Demolition 4. Estimated Cost ~ ~0Q 5. If dwelling, number of dwelling units If garage, number of cars 2, Fee Addition Alteration Other Work (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 [ Height ~ '-'( Number of Stories Rear I ~ Depth Dimensions of same structure with alterations or additions: Front Depth 7- L~ Height l 8. Dimensions of entire new construction: Front ~ ~, Height \ "~ Number of Stories 9. Size of lot: Front (4 1~ Rear ~ 0k .Depth 10. Date of Purchase Z ~ 0 ~ Name of Former Owner 0, k) 1 /' k I ~ Rear Number of Stories Rear I ~ Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO X 13. Will lot be re-graded? YES__ NO X Will excess fill be removed from premises? YES__ NO X 14. Names ofOwner ofpremises I~ ~ %~_\ ~, fi~l~ ,r~ Address ,.q'l~l t 0 /6,~,~ ~.~Phone No. Name of Architect Address Phone NameofContractor r{/~1',~~ ~ {.{~d'$"~f~'¢6'B~4kddress PhoneNo. 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 X ' * 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 X · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OFfal f~01 IS)s: ~OP~O. 1,4 X)O[ ~4v-~ being duly sworn, deposes and says that (s~s the applicant (Name of individual signing contract) above named, (S~s 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 ~ day of ~°vv'~ 20~ ! ~ t ~o~ ~ / ~ NOTARY PUBLIC~oIN~Y*~ ~ No. 01~6059257 Qualified In Suffolk Cou~ Commission ~pir~ May ~, ~ '~'own Hall Annex 54375 Main Road P.O. Box 1179 $olafliold, NY 1 t971-0959 Tclephol~c (631) 765-1802 . J;0x (63t~ 765-9502 roqer.richert(o),town.southoFd, ny. us REQUESTED BY: Company Name: Name: BI. III,DING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Date: License No.: PI~ ~'~ ,-~ Phone No.: c~q,~'-. O_ ,f' i ./ 71 JOBSITE INFORMATION: (*Indicates required information) *Name: ,l~ Pt) O~ *Address: ~'/(o ~ /1.'t.~.llO ~ -~t'3i~-X, OL~ *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: *B, RIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: ~/'~NO YES~ Final Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: 3Phase 100 Underground 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for inspection Form ToWn of Southold Erosion, Sedimentation & S,torm'Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~ t 0 0 0 e~on (~ 3 STORM-WATER, GRADING, DRAINAGE AND EROSION coNTRoL Dish*itt Btock Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOI~ [ - $COPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK~.gSMENT Ye~ No la. Wbet is the Totol Area oHhe Praject Parcels? (Inelude Totol Ama of all Parcels located within I Will this Project Retain N~ Storm-Wator.Run-Off the 8cope of Work for Proposed Construction) ~ 'Z ~ ~ ~ Generated by a Two (2") Inch Rainfall on Site? b. What ts the Total Ama of Land C~ea~ing ' s~='/~s) clearing(This item will Include all run-off created by stieendlor const~uctien activities as well as all ~'/ and/or Ground Disturbance for the proposed construction activity? ~ 0 0 Site Improvements and the permanent creation of Impervious surfaces.) (e~=.,~.) 2 Does the S~e Plan and/or Survay Show NI Proposed PRO'~D'~. BR]~ ]~,OJ'~-~ DT. SCT(~'~t']ON' ~,~ ~,~ ~a ~,~') Drainage Structures Indlca~g Size & Local~n? ~ Itsru shall Include all Proposed Grade Changes and /~ R ¢~'(~ '£ ~P e..~ t ,..[ .-~ ~ Y~...~ g~pV~ Slopes Controlling Surfaca Water Flow. ' 3 Does the Bite Plan and/or Survey describe the erosion and sediment centr°l practices that will be used to ~ control site erosion and st~ra water discharges. This Rera ruust be malntsined throughout the Entire Construction Period. 4 Will this Project Require.eny Land Filling, Grading or Excavation where there is a cflange to the Natural Existing Grade Involving mom than 200 Cubic YardsL~U of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in ExCess of Five Thousaed (5.000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Bite? Is this ProjeCt within Ihe Trustees jurtsdic~on ~eneral DEC SWPPP Requirements: or within One Hundred (t00~) feet ora Wetland orI-..J "~ Submission ct a SWPPP is requited fo~ all ConslnJction activities ir~olvlng SOil Beach? disturbanceso one(1)ofm eacms;thcludingdislurbancesoflessthanoneacfetha 7 Wlli'therebeSitepreparatioaonExistingGradeSIopeer----~ am pert of a larger common plan that willullimately disto~b one or moce ac~es of land; which Exceed Fifteen (15) lest of Vertical Rice to I inclnding Construction acUvllles involving ~ disturbances ct less then one (1) acre where One Hundred (1 00') of Horizontal Distance? the DEC has determined that a SPDES permit is required for sit-in wate~ discharges. SWPPP's She# meet the Minimum Requlmmonls of the SPDES General pemlE 8 Will Driveways, Parking Ames or other Impewinus f~ Stone Water Diocharges from Construction a~tfvRy. Permit No. GP-0-1~-O01.) Surfaces be Sloped to Dlre~ StonmWa~r Run-Off~ L The SWPPP shall be pmbemd prior to the submittal of the NOL The NOI shall be submllt~ io Ihe Department ~ to the co~rr~er~em of co,~i~ctlon actMiy, into and/or in the direction of a Town right-of-way? 2. The SINPPp shell de,tribe Ihe efosinn and seal,neat control practices and where 9 Will this Project Require the Placement of Mats~al, requlm~ post-c~nstoJC~l storm water management prec#ce~ that ~ be used and~r ReraovM of Vegetstl,on and/or the Co~ of any r~ constm~te~ to reduce ~ ix~ulanis in storm water discharges and to assure Itera Within the Town $$ ...... ................. Owam' ami/or reprme~am,¢ of the Owner or Owners, ami ~s duly authorized to p~form or haw pm'formed the sa~d work a~d 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. ........................... ....... ........... .......... :.: ....................... ....................... FORM- 061' ) ,;,,e LeRose NOTARY PUBLIC, State of No. 01LA6059257 Qualified In Suffolk County CommJaslon Expires May 29, ~..~,,. /~.o~-. ~-~-z TOWN OF SOUTHOLD P~OPERTY RECORD .CARD OWNE~ ~E~ ~t~',~0 SUB. ,/ E ~. ACR. W LOT TYPE OF BU1LDING RES. lAND SFAS. IMP. TOTAL J~:ARM Mkt, Value COMM. CB. REMARKS MISC. Total House Plot Swompl¢md BrushIand Tillable 1 Tillable 2 Tillable 3 Woodland Value Per VQJue Acre AGE BUILDING CONDITJON NEW NORMAL BELOW ABOVE FARM Acre DATE DOCK BULKHEAD DEPTH ~h~Joo -L Izo$( F~ONTAGE ON WATER FRONTAGE ON ROAD Exte~io~ Extensio~ Extension Porch Porch Breezeway Gorage Tara{ Foundation Basement Ext. Walls Fire Piece Type Roof Recreation Roorr Friveway Interior Finish 4eat ~- Rooms 1st FIo~r Rooms 2nd Flom D[n~e FiN. B. FRONT ELEVATION BACK ELEVATION I.= h,= ILO" SCALE: 4 SCALE: 4 ~~%~ OCCUPANCY OR ~.~%,~,¢~,-4 .. ~o. ~.~ USE IS UNLAWFUL P ?4&O~,d~G tN~E~TIONS. ~ ~eu~.~e~ ~ TWO.~OU..~', W~THOUT CERTEICATE ........ ~ , N~'~':' ~"; ~ ~' LE~ 51DE ELEVATION ~ ~A~ NOT~E'"3~i~'BL~FOR ;- ~ ' 5CALE~ {" ILO" '¢ ' ''" ~" ~ ' " UNDERWRITE~S C~RT~FICAT~ ~ ~ R~QU~R~9 GENERAL NOTES: ELECTi~I CAL NOTESr ~OUNDATION NOTE~: I*:[ ,, ]~'1 i~ I,~1 I*:1 i ~ I.'::1 I"1 .~ ANCHO~ AT ALL CO~E~ ', ' a'-O" X 7'-0" OO0~ I ~~' ~ :' '"' ~" k FOUNDATION PLAN FLO0~ PLAN 5CALE: ~"= I' 0" SCALE: ~"= ILO'' TAOLE R30 I .~ BTRUCTURAL MEMBER ALLOWABLE DEFLECTION CB20 CONNECTOR (TY~. ALL ARCHITEGTUP~AL ASH PALT ROOF gARAGE COMPACTED PILL UNEXCAVATED 6" POURED CONCRETE FOUNDATION WALL W/ BUILDING .SECTION "A" SCALE: ¼"= I'-0" WIND REDISTANT CONSTR.UCTION CONNECTO~5 CONNECTION LOCATION' FART NUMBER: RIDGE TO-RAFTERS CB20 @ 2 ]" RAFTER TO-WALL H 7 pLATE-TO-WALL 5TUD 2ND. FLOOR WALL-TO- J ST. FLOOR WALL H8 or H2.5 C520@ 18" FTA or C520 @ 36" NOTF~' APPLY TO EACH RAFTER APPLY TO EACHF, AF-E~ APPLY TO EACH WALL STUD APPLY TO EACH WALL STUD HEADER-TO JACK, STUD C520 ~ I 2" __ APPLYTO EACH JACK, 5TUD CRIPPLE STUD TO-HEADER H3 APPLY TO EACH CRIPPLE 5TUD 5HEAR WALL HOLDDOWN ANCHOR 55TBI G APPLY TO EACH SIDEWALL END WRAP UNDER DOUBLE 5ILL pLATE Z PAGE: 3