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HomeMy WebLinkAbout36113-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34801 Date: 01/14/11 THIS CERTIFIES that the building ACCESSORY STABLE Location of Property: OFF EAST END RD (HOUSE NO.) Coualty Tax Map No. 473889 Section 10 Subdivision FISHERS ISLAND (STREET) (HAMLET) Block 6 Lot 1.7 Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 2010 pursuant to which Building Per,it No. 36113-Z dated DECEMBER 29, 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" ACCESSORY STABLE AS APPLIED FOR. The certificate is issued to HIRIAM F & SARAH R MOODY JR ( OWNER ) of the aforesaid building. SUFFOLK COUNTYDEPARTM~T OF HEALTH APPRO~-AL EL~t-rKICAL C~K'rIFICATH NO. PL~Ei~S C~KTIFICATION DA'r~o ~/A N/A N/A Rev. 1/81 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 residences and similar buildings and installations, a certificate of Code Compliance fi-om 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 a 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. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 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: ~ (check one) Location of Property: ~ House No. Street Hamlet Owner or Owners of Property: Block Lot I,! Filed Map. Lot: __ Applicant:~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Permit. Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~ (check one) Applicant Sig~. a?re FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIIJ)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36113 Z Date DECEMBER 29, 2010 Permission is hereby granted to: HIRIAM F MOODY PO BOX 506 FISHERS ISLAND,NY 06390 for : "AS BUILT" ACCESSORY STABLE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 010 pursuant to application dated DECEMBER Building Inspector to expire on JUNE OFF EAST END RD FISHERS ISLAND Block 0006 Lot No. 001.007 15, 2010 and approved by the 29, 2012. Fee $ 846.40 ? ? Auth"ri zed Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/~AL [ ] FIREPLACE&CHIMNEY [ ] FIRESAf..~¥1NSPECTION [ ] RREnEmStANTCONS'mUc'no~ [ ] RRERESm'~T~ETR~T~ REMARKS, ~ ~ (~'~ /// DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Ex,mined / '- ,20 t O Approved 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: BLOB. DEPT. TOWN OF SOUTHOL~} Building Inspector ATION FOR BUILDING PERMIT INSTRUCTIONS Date~ 20 ~_l~ 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 fi.om 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 Pemfit 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 inspecti~ h PI I i ~ - - ~(lSignature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee~ngineer, general contractor, electrician, plumber or builder Name of owner of premises If appli~y Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. ~ ('As on the tax roll or latest deed5 authorized officer 1. Location o£ land orhwh~a proposegkwor.k will~g clone: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block 6 Lot 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 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ ~ ~ 5. If dwelling, number of dwelling units If garage, number of cars 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 Depth Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions of entire new construction: Front Height !/~ Number of Stories 9. Size of lot: Front ~ Rear Number of Stories Rear' .,~, ~ Il Rear Dep ' 10. Date of Purchase lq.T! Name of Former Owner ~=[j~,4~ 11. Zone or use district in which premises are situated 1~-- [ 2~2) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES NO KWill excess fill be removed fi.om premises? YES 14. Names of Owner of premises~,~_~C~Address~hone No. Name of Architect Iq~- ' I Address. .Phone No. Name of Contractor ~- Address Phone No. __NO X __NO ~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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 on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO ~ · IFflSES, PROVIDE A COPY. (2.*-) o.eC Co-t- STATETOF N~W YC,~*() ss: oo& dc CO~ OF~J~ ~ln &~ ~ being duly swom, deposes md says that (s)he is ~e applic~t ~m~f individuai si~ing con~) above nmed, (S)He is · e~ (Con2actor, Agent, Co,orate 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 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,12efore me this )q' ~ dayof~ Notary Public 20~0 sUSAN M. LALUMIERE, Notary Public My Gommi~ion Expi~l Februa~ 28, 2013 BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: ]$--]S- -/O Date Reviewed: Applicant: tCTM# 1000- t~0 ~(~ [~"Z Subdivision: I~ullding Permits ~): BP I D/o~-Z / ~0 ~ ~', ~o: ~- ~ tP -Z / ~0 Z-~~ BP -Z / C/0 ~ , ~fo: t~gle & Separate Search Required? Y or N Determination: ~. ~t S~e: ACT. ~t S~e: ~Q. ~t Coy. ~Q. Front ACT. Front ~Q Side ACT. Side ~Q. Estimated Cost: Zone: Conforming?_ cit : cos? -Z / CJ0 Z- ., Info: BP -Z / C,/0 Z- , Info: _ IBQ. Height. ACT. Height ?roject Description: Naterfront? Y o~. if yes, water body~ Panel# ACT: Lot Cov. PROP. Rear __ Flood Zone: Bulkhead/Bluff Distance: ~ iDDITIONAL APPROVALS REQUIRED luffolk County Health: Y o(~- If yes, ~Bed#: __*Date: / / *Permit#: - If no, certification required: Y or N Received: Y or N By: ~IYS DEC: PRE-DIgCg/1/75 Y or ~- Date: louthold Trustees: Y o~- Date: __ __ louthold ZBA: Y o~ Date: /__/ louthold Planning: Y or~- Date: :/__ ['own Landmark C of A: Y o~)DTE: __ ~otes: Town Septic: Y or N / / _ Permit#: Permit #: Permit #: Permit #: / or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: CODE Compliance (page 2~Y)or N tee Structure: Calculation: ~oundation: SF ~irst Floor: lecond Floor: SF )ther: SF ?oral: SF Yo - SFX$ ,q* =$ + Initial Fee: $ + Addition.al Fee ( ): $ SF X $ =$ + Initial Fee: $ + Additional Fee ( ): $ T~sTA I · g2 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: · ~rolin~l Snow Load: ~0 Weathering: Severe ..Frost Depth: 36"__ Design Temp: 11 'Iee Shield Underlay: YES. USE/OCCUPANCY CLASSIFICATION: HEIGI:IT/FIRE AREA: .., TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEBREDfpREsCRIPTIVE · Wind Speed; I20MPH ~olsmlc Design Category." B Termite: M-H' Decay: S-M_ Flood Haza/'ds: FULL FP,2kMING DESIGN ELEMENTS: Y/N IlEAl)ERS: Y/N WALL STUDs: YfN CEILING JOISTS: Y/N FLOOR JOISTS: LUI~BER SPECIES AND G1LADE: Y/N GLRD ERS: Y/N ROOF ~ERS: Y/lq WINDOW AND DOOR SCHEDULE! .MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N '~rENT 4%: NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YfN PLUMBING RISER DIAGRAtd: Y/N LOCATION OF fi[RE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE¢~)/N (RETURN TO PAGE ONE) CME Associates Engineering, Land Surve.Cng & Architecture, PLLC 32 Crabtree Lane, PO Box 849, Woodstock CT o6e8~ Phone: 86o.9e8.7848 Fax: 86o.9~8.7846 December 13, 2010 Ms. Connie Bunch Town of Southold Building Department 54375 rout 25 P.O. Box 1179 Southold, NY 11971 Re: Hiram F. Moody Shed and Barn Dear Ms. Bunch, Please find attached a site plan showing the location of both the shed and stable which require permitting and certificate of occupancy preparation. I believe that the following actions are required to obtain the certificates for each structure. Shed: Existing permit no. 18360 Z dated August 8, 1989 requires extension and the structure requires inspection in order to obtain the CO. Stable: A building permit is required based on the attached "as-built" drawings and the structure requires inspection in order to obtain the CO. After your review of these attachments and permit applications, please advise me of the associated permit fees and any further steps required to bring these projects to closure. We are hopeful that you will be able to inspect the properties on your visit to the island on Thursday of this week. Thank you for your attention to this matter. Evelyn Cole Smith, AIA, LEED-AP Director of Architecture Cc: Stephen L. Hamm, III Attachments / ~ / ' MART~A A~NE ~ / N/F (aLOCK 41-LOT 8) ~ / HENRY L. FERGUSON MUSEUM, INC, / -- 5 PORTION OF / ~ / ~ AREA=77.75~ ACRE5 "=400' ' LOCATION MAP SCALE 1 .... ~ S 1983, 65 s 893520 E 5od TOTAL ~ 540.00 / ~y~ ~I"N~" ~ ~ -~' ' r I 1.) F~N OF PROPER~ TO BE CQNV~ED BY FISHERS IS~ND DEVELOPMENT CORP. TO HElM F, MOODY, dR,; BLOCK 41 LOTS g,10,11,12; FISHERS / RESID~CE~ '~ / // ~ I NEW YORK; SCALE: 1"=100 ~,; CHANDLER, PALMER ~ KING; NORWICH, CONN.; I~ // V .... ~H R, GOU~RD ~~, .' ~ r J YORK; SCALE: 1"=100 ~*; CHANDLER, PALMER ~ KING; NORWICH, CONN,; NOV, /~ BLOCK ~ I-LOT 9 ,/ 1979 · // AR~ = ~,21~ ACRES ~ / ~ I ~ 3,) PROPOSED LOT LINE CHANGE PREPARED FOR K. LOUISE NOBLE BOGERT; , BLOCK 41; FISHERS kS~ND, NEW YORK; C,M.E./C,P.K, DESIGN GROUP; NORWICH, CT,; DATE: 02/21/03; SCALE: 1"=100'; SHEET 1 OF 1 ~ ~F~GPOLE / / / / / ,.) P~N OF PROP~ TO BE CONVEYED BY F, SHERS IS~ND DEVELOPMENT ENGAGEMENT, W 2.) IT IS A VIO~TION OF THE STATE EDUCATION ~W FOR ANY PERSON, UNLESS ~/~/~/ ///? ACTING UNDER THE DIREOTION OF A MCENSED ~ND SURVEYOR, TO ALTER AN ~ ~ ...... " / iTEM IN ANY WAY. ~ ~ &) ONLY COPIES OF THIS SURV~ MARKED WITH THE ~ND SURVEYOR'S SIGNATURE AN~ AN ORIGINAL EMBOSSEB OR INN SEAL ARE THE PRODUCT OF ~ ~ . JF: ~ , SURV~ TRIANGU~TION STATION "NTH" SECTION 10, BLOCK 6, LOTS 1,4,1.5,1.6 · 1,7. H ~ ' //' 6,} IOTAL AR~ = 9,87~ ACRES, 7.) SiTE iS LOCATED IN R-120 ZONE. ~ DATE: 11 / 15/2010 QUALI~ CONTROL CERTIFICATION _v_v_v_v_v_v_ EDGE OF ~WN T-Ill ~TABLE APPROX. i'4~TE~, aND ~l~T G FLOOI~ PLAN E'oC, AL..~ ~ I/4'"= I"O" ~LE pAI~L DO0~ T.O. PLATE PAINTEm T-Ill elPlNO QFI 2NT FI FVATION ~9A/~% I/4"=1'-0" PAIN'i'ED T-Ill ~IDINE, SHEATHIN~ HALL, HOf~IZONT,~..LY NAILED PIAL.L 12 OII OHIN~hE~ OABLE END "/h'NT 4) 2X~,' E~'AM 2X,~" ~O I~" O.G. 2X4" TOP PLATE 5Ill OATE FOUNDATION' h %0. PLATE _~v~ CERTIF!CATION Of NAILING & CONNECTIONS REQUIRED, 114 =1-0" ELECTRICAL INSPECTION REQUIRED /M.UHINUM IX PAINTEI2 'ftKIH O'q P.T. ~ND, LANDINO ~ PAINTED T-III J ga, 0 GONG. PIE~* C~ml G 5112E ELEVATION ~C. ALIE~ 1/4"= I"O" 12 COMPC~ WrTH At.L CODES OF NEW YORK STA-i-F & TOWN CODES AS REQUIRE~ONS OFFS. _ / . S(Y~HOLD TOWN Z~Z~&~ ../~__.~ SOUTH'~T/~PCNflING BOARD .~ ....~.s RETAI~ STORM WATER RUNOFF PURSUANT TO 6HAPTER 236 0F THE TOWN CODE A~E~ DOUBLE DOOR WJ E, ABLE ~INCLE HUNE, PAINTED T.O. PlAT~ _ GObOUIT ~UILT UP APPROVED AS NOTED DATE /2 %~'~'/~' B P. # ~ ~' / / FEE BY - NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWtNG INSPECTIONS' 1 FOUNDATION - T~ REQUIRED FOR POURED CONCRETE ~ ~ uu~H - ~RAMING, PLUMBING, STRAPPING. ELECTRICAL & CAULKING 3 INSU~TION 4 FINAL-CONSTRUCTION&ELECTRICAL MUST BE COMPLETE FOR C.0 ALL CONSTRUCTION SHALL ~ET ~E REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ER~S CME ASSOCIATES ENGINEERING, LAND SURVEYING & ARCHITECTURE, PLLC 32.Crabtree Lane, Woodstock, CT 06281 55 Main Street, Nontvlch, CT 06360 333 East River Drive, E. Hartford, CT 06108 50 Elm Street, Southbddge, MA 01550 Phone 868-29t-3227 veww. cmeengineedng.com · ~GUPANY ¢;4~C~P, U - UTILITY C~ON~TPJ.~.TION TYPE, V - E~LO~EO - ~lO ~. LIVE LOAD~ 15 ~F IHPO~TA~E FACTO~ CATE~Y~ IV ~EI~HIG F~TO~ I,OO MOODY STABLE ISABELLA BEACH ROAD FISHERS ISLAND, NEW YORK REVISIONS Date Description PLAN, SECTION, & ELEVATIONS PROJECT NO SCALE DATE DESIGNED DRAWN CHECKED 2010841 AS NOTED NOVEMBER 29, 2010 RAC ECS, RAC DRAWING NUMBER A1