HomeMy WebLinkAbout36342-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
5/26/2011
CERTIFICATE OF OCCUPANCY
No: 34937
Date:
5/26/2011
THIS CERTIFIES that the building DECK
Location of Property: 1300 Founders Path, Southold, NY 11971,
SCTM #: 473889 Sec/Block/Lot: 64.-4-6.1
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/12/2011 pursuant to which Building Permit No. 36342
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" deck addition to an existing dwelling as applied for.
Lot No.
filed in this officed dated
dated 4/25/2011
The certificate is issued to
(OWNER)
of the aforesaid build'rog.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
~uthori~rd Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36342
Date: 4/25/2011
Permission is hereby granted to:
Brown, Karen
22 S Washington St
Port Washin~lton, NY 11050
To:
"as built" deck addition to an existing dwelling as applied for
At premises located at:
1300 Founders Path, Southold, NY 11971
SCTM # 473889
Sec/Block/Lot # 64.-4-6.1
Pursuant to application dated
To expire on 10/24/2012.
Fees:
4/12/2011 and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ADDITION TO DWELLING
Total:
$608.80
$50.00
$658.80
Building Inspector
Form No. §
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application ~nust be filled in by typewriter or ink and submitted to the Building Department with
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and um
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation frown Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/l
5.
natur~ or
ot 1% lead.
Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate sm'vey 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. Ifa 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 Pm-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
Date. ,5'-/,..5'-//,
Old or Pre-existing Building:
New Construction:
Location of Property:
(check one)
House'No.
Owner or Owners of Property: /~/~ ~'~ g
Suffolk County Tax Map No 1000, Section
Subdivision
Per,nit No.."~ ~C-°.'~_ q "~
Street Hamlet
O ~t Block ~-/ Lot
Filed Map. Lot:
Date of Permit. /2- 7- IF_.) Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fcc Submitted: $ ,~'-~). Or--)
Final Certificate:
(cbcck one)
~Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING ~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~-~ (~-~'-~ ~)
DATE
INSPECTOR
'TOWN'OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. nor th fork.net/Southold/
Examined J'//~-'~'. 20[(
Approved
Disapproved a/c
PERMIT NO.
Expiration ,/
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
NYSDEC
Trustees
Contact:
Mail to:
Phone:
INSTRUCTIONS
Date April 4 ., 20 11
a. This ~
according to schedule.
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 Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Couaty, New York, and other applicable Laws, Ordinances or
Regulations, for die conslruction 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 r~e~ions, and to admit
authorized inspectors on premises and in building for necessmy inspections.
(Signatm~o f a~plicant or n~me, if a corporation)
160 Main Street, Suite 200, Sayville, NY 11782
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Architect is applicant
Name of owner of premises Karen Brown
(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 proposed work will be done:
i
'~50 ~ ~ t-, Founders Path
House~Nufiab~' '~ Street
Southold
Hamlet
County Tax Map No. 1000 Section 64
Subdivision
(Name)
Block 4
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 Single Family Residence
b. Intended use and occupancy Same as Existing use / occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work ~' (existing deck)
(Description)
4. Estimated Cost N/A (existing dock) Fee $608.80
(To be paid on filing this application)
5. Ifdwelling, number ofdwclling units 1 Numberofdwellingunitsoneachfloor 1
If garage, numberofcars 2
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any:Front 39.6' Rear 39.6'
Height 17.6' Number of Stories 1
Dimensions of same structure with alterations or additions: Front 39.6'
Depth. 39.4' Height_ 17.6' Number of Stories 1
8. Dimensions ofentire new constmction: Front 21.75' Rear 21.75'
Height 3.0' Number of Stories 1 (deck)
9. Size of lot:Front 76.56' Rear 75' Depth 268.94'
N/A
Depth 27.4'
Rear 39.6'
.Depth 12.0'
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated R-40
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
22 South Washington St,
14. Names of Owner of premises Karen Brown Address Pod Washington. NY 11050 Phone No.
160 Main Street Suite 200
Nalneoffikrchitect NemschickSilvennanArchitec[s,P.C Address .qnwilln NY11'782 PhoneNo
Name of Contractor Address Phone No.
NO ~'
(631) 563-2130
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 on survey.
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Raymond W. Nemschick, JlA being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contxact) above named,
(S)He is the Agent
(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 true to the best of his knowledge and belief; and that the work will be
performed in thc manner set forth in the application filed therewith.
LAWRENCE F.. BILVERMAM
Notary Public, State of New Yon~
Reg. NO. 01Sl4977025
Qualified in Suffolk Cou~y
Commission Expires January
/-~r~Pplicant
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOC TION: S.C.T.M. th THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
. Cb:K, ,ra=u BY A RESIGN PROFESSION/d. IN THE STATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION ITJCM# / WOlqKA~SF_~ [ Yes No
a. What is tho Total Ama of the Project Parcels?
(Indude Total Ama of all Parcels located within ~-'/~' J(~o.,-v~ I Will this Project Retain AJI Storm-Water Rea-Off
the Scope of Wed( for Proposed Constroc~on) .,i~/.a.~z~..: Generated by a Two (2") Inch Ralofall on Site?
(S.F. I .~) (This item will include all mn-off created by site ~'
b.
What
is
the
Total
Ama
of
Land
Cleating
clearing and/or constmciton activities as well as all
and/or Gmued Disturbance for the pmpesed ~ .~ ~ Site Improvements and the pem~anent creation of
construction activiiy? impervious surfaces.)
3.F.,,,~) 2 Does the Sita Plan and/or Survey Show Alt Propesed
PROVIDE BEI~F PRO. I-F.C~ D.Y, SCEtP'HON (P~d. ~ p~. Nee4ed} Drainage Stmctaras Indicating Size & Location? This '~
Item shall include all Proposed Grade Changes and
Slopes Controlling Surface Water Flow.
~--~ ~1./~ ]'"~-~- 3 Does the Site Plan and/or Survey descdbe the erosion
and sediment control practices that will be used to I I
control site erosion and storm water discharges. This
item must be maintained thmugheut the Entire
Constmctfon Period.
4 Will this Project Require any Land Filling, Grading or
Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards
of Matedal within any Parcel?
5 Will this Application Require Land Disturbing Activities r~-~ ~
Encompassing an A~ea in Excess of Five Thousand
(5,000 S.F.) Square Feet of Ground Surface?
6 Is there a Natural Water Course Running through the O ~
Site? Is this Project within the Trustees jurisdiction
General DEC SWPpp Requirements: or within One Hundred (100') feet of a We§and or
Submission cf a SWPPP is required for all Co~sb~cfion activities/avoWing soil Beach?
disturbances of one (1) or mom acres; including disturbances cf ~ess than one acre that 7Will there be Site preparation on Existing Grade Slopes
am FaA of a larger comroon plan that will ultimately disturb erie or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise fo
im:~udleg Construction activities involving soil disturbances of less than one (1) acre where OPe Hundred (100') of Horizontal Distance';'
2. T~e SWPPP shall descgbe tha erosion and sediment control practices arKI vd~ere 9Will this Project Require the Placement of Material.
requ!~d, post-construction storm water management practices that will ha u"~:l aed/or Removal of Vegetation and/or the Construction of any r~
COUNTY O]'. ........... ~ ............ SS No. 01BU6185050
Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the .~aid work and to
make and file this application; that all statements contained in this application are ~'ue to the best of his knowledge and belief; and
that the work will be performed in the rnanller set [orth in the application filedhereWlth, j
Sworn to before me this;
FORM - 06/10 ~
To~n 1 lall Annex
1373 Mai,
P.(). Box I
Soutl~old, NY 119714)!159
Tclcphonc (631) 76,5-1802
Fax (631)
BUII,I)IN(; I)EI'ARTM ENT
TOWN OF SOUTHOLD
May 3, 2011
Karen Brown
22 S Washington Street
Port Washington, NY 11050
RE: 1300 Founders Path, Southold
TWO WHOM IT MAY CONCERN:
,,~Following Items Are Needed To Complete Your Certificate of Occupancy:
App cat on for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of 50.00.
__ Final Health Department Approval.
__ Plumbers Solder Certificate. (Ni permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board Approval.
__ Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36342-Z deck addition
~ ~~ PESK, 2~1 5F EXISTIN5 1250 NOUN~EN5 PA TH 5ECTION~
TO ~MAIN ~UTHOLD, NY IIqTI BLOCK:
'. NES/~ENT/AL ZONE: N-dO LOT: 9
MINION LOT 51ZE: ~000 5F I~ 9F EXI~TIN~
PLOT PLAN I~ BA~ED ~INI~ LOT MIDTH /~' 75,00'
.' . ON ~Y BY HINI~H LOT ~EPTH I 17~'
~OFE5510N~ LAND NINIHgH F~ONT YA~ i ~5' ~1.~ ' EXIS~ TO ~HAIN
MAXIMUM LOT d~E 20~ ~ EXIS~ TO ~MAIN
. MAXI~M ~IL~IN~ HEIGHT ~5' EXISTIN~ - NO 6HAN~E
~ ~ FOU~DATIO~
~ PROJECT TffLE DAT~ ~A PROJECT
Nemsohiok 8ilverman Architects P.C. ~ ~-~ ~~ ~~~ -- ~ ~ ~ -- ~~ PROPO~D PORCH & PECK ADDITIO~ A~MOTED04/04/11__ __1~1002
"...Ihe~u~im~,fARCHITEC~RE" ~ _ ~ ~ ~ ~ 1250 rOUnD, PATH SCA~. DRAWING NO..
~ ~ ~ /OUTHOLD. ~Y
430 Green Way, Cutchogue, NewYo~ 11935~ DISTRICT: SECTION: BLOCK: LOT: DRAWN BY, ~ ~'
Phone: 631-734-7007 Fax: 631-734-7~7 ~
http :lie. ns-arch.co, ~ i , c~,~ m ~m ~cm,c 1000 04 04 O~&O6 TC
51T = IN =O I ATION
1250 FOUNZ2EI~ PA TH .SE~ T/ON:
50UTHOLD, NY IIqTI ~LO~K, 4
~ESI~ENTIAL ZONE: ~-40 LOT: ~ ~
PES~R/PTION ~I~NT EXISTIN¢ /
H/N/~H LOT ¢IZE, ~000 5F I~¢ 5F EXIST/N~
HINI~H LOT MID TH I~' 75.00'
MINION LOT PEPTH 17~'
M/N/HUH FRONT YA~ ~5' ~/.~ ' EXIS[ TO ~HA/N
HIN/~H 5/PE YA~ I0' I/.4' EXISE TO ~HA/N
H/N/NUN ~TH 51DE YA~5 25' ~. 75' EX/5E TO ~A/N
H/NI~ ~AR YA~ ~5' I~.0' EXISE TO ~HA/N
HINIHgH L/V~ FLOOR A~A ~' ~/2 5F EXISE TO ~HAIN
HAXINEN LOT ~¢E 20~ ~ EXI¢~ TO ~NAIN
NAXI~N ~ILPlN~ HEIGHT ~5' EXISTIN~ - NO ~HAN~E
HAXIHUH NUNBEN OF STORIES 2-1/2 EXISTIN~ - NO ~HAN~E