HomeMy WebLinkAbout35398-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
7/14/2011
CERTIFICATE OF OCCUPANCY
No: 35063
Date:
7/14/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ADDITION/ALTERATION
370 Bay Shore Road, Greenport,
Sec/Block/Lot: 53.-4-42
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/20/2010 pursuant to which Building Permit No. 35398 dated 3/18/2010
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:
alterations and additions, including screened porch and covered porch, to an existing one family dwelling as applied for.
The certificate is issued to
Eckardt, Patricia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 5/24/11
R10-09-0064 6/22/11
35398 2/7/11
/2 Jim Williams
'~l~jS~ature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35398 Z Date MARCH 18, 2010
Permission is hereby granted to:
P & T ECKARDT
370 BAY SHORE RD
GREENPORT,NY 11944
for :
DEMOLITION OF GAR3~GE & ADDITIONS & ALTERATIONS TO AN EXISTING
DWELLING AS APPLIED FOR
at premises located at 370 BAY SHORE RD GREENPORT
County Tax Map No. 473889 Section 053 Block 0004 Lot No. 042
pursuant to application dated JANU~RY 20, 2010 and approved by the
Building Inspector to expire on SEPTEMBER 18, 2011.
Fee $ 798.00
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 residences 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 alt 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 Bui}ding 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
Swimming pool $50.00, Accessory building $50.00, Additions to accessory
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.
Date.
Old or Pre-existing Building:
Street
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision ¢{ ~0¢~ C.. ~OA.
Permit No...)),9 I b Date of Permit.
Health Dept. Approval:
Planning Board Approval:
~ t~mtions to dwe_l!i.n_g
(check one)
Hamlet
Request for: Temporary Certificate
Fee Submitted: $ ~D '~
Block ¢
Filed Map. Lot:
Applicant: ~lJ00tktA/x .~,q?4
Underwriters Approval: I/
Final Certificate:
Lot
(check one)
Town Hall Annex
54375 Main Road
P.O. Box ! 179
Southold, New York 11971 0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer r chort~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN eli' SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Eckardt
Address: 370 Bayshore Rd City: Greenpod St: NY Zip: 1194~1
9uilding Permit Ct: 35398 Section: 53 Block: 4 Lot: 4;
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: JEK Electrical Cont LicenseNo: 44397-me
SITE DETAILS
Office Use Only
Residential l~~ Ind°°r ~ Basement I~ SorviceOnly
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicolph ~ Heat ~ Duplec Recpt ~ Ceiling Fixtures ~] HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures[~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~ TVSS
Other Equipment: 2-exhaust fans, 2-paddle fans, 4-arc fault circuit breakers
Notes:
Inspector Signature:
Date: Feb 7 2011
81-Gert Electrical Compliance Form
Town Hall Annex
54975 Main Road
P.O. Box 11'/9
Southold. New York 1197
BUILDINO D~PARTMIm~r
TOWI~ OF ~IOUWHOLD
Tclephm!o (63 t ). 765, t 802..
.CERTII~ICATION-
Date:
~u.aa~ ~e~t No. % 5 3 q
(Please priltt)
· (Please print)
lead.
I certify that the solder used in.the water supply'system containk less.t}ian 2/10 of 1%
Sworn to before mo thi~ ~. qq'% '
' .(Plumbers flignatum} '. ':..:: ....
SUSAN MARIE P,~DAV
Notary Pubhc, State of NeAwNYork
_ No 01GL50135A,~
Corn t~ualified in SuffOlk ~un~
mission ,~xp,res September 1'~, ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ~/]~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SA~g ~ ~ INSPECTION
[ ] ~RE REmT~T C0.STRUCn0. [ ] ~1~ ~'~rr
REMARKS: ~ ~ ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]~JNDATI/~N~ [ ] INSULATION
[/,/]"FRAMING/~RAPPING~ [ ~] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ ~'~ ~ ,~/~ ~'~J~/~._ ~'r.~:~
DATE
INSPECTION
[ ] FOUNDATION 1ST __ [ ] ROUGH PLBG.
[ ]/~}UNDAT~.ND---_...~ ]INSULATION
[,~] FRAMING ~.~PPINGJ ]FINAL
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENLq'RAI'ION
REMARKS:
DATE INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
I NSPECTI T ON
FOUNDATION 1ST [//]~FIOUGN PLBG.
] FO~ATION 2ND [ ] INSULATION
FRAMING / STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS. ~~~._~--
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]fiRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
~I~ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
iNSPECTOR~"'~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ]~-ETY INSPECTION
[ ] RRE RES~AKr CO~TR~ [,/] RRE RE.ST~'r ~:.ETRAT~N
REMARKS: ,../~/ ~
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]~ PLBG.
[ ] FOUNDATION 2ND [//]~INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENE11~llON
REMARKS: t-~ ~-~ -
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING / STRAPPING
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
REMARKS:
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ I FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [/~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] I:IRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS.-- ~.~'~ '"~ ,~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~,~UI. ATION
[ ] FRAMING / STRAPPING [ ,r~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONS~UCTION [ ] RRE RESISTANT PENETRATION
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)
':.~_ ,~_:-,/ / -
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork. net
Approved ,20__
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before appl~?
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:
Phone:
Expiration ,20__
Building Inspector
~/ ~N 20 ~1~ INSTRUCTIONS
~~~e_gea~e co~pletelYccodingtoc edle__filled in by Wpe~ter or in ~ ~d submi~ed to the Building Inspector wi~ 4
f P~~t"(nofI~e a~d°rfbU~dinSgsh°nUpr~ mises, relationship to adjoining premises or public sweets or
~eas, ~d wate~ays.
c. ~e work covered by this applicmion may not ~ commenced befo~ issu~ce of Building Pe~it.
d. Upon ~proval of this ~plication, the Building lns~ctor will issue a Building Pe~it to ~e applier. Such a pe~it
shall be kept on the premises available for inspection t~ou~om ~e work.
e. No building sh~l be occupied or used in whole or in p~ for ~y pu~ose what so ever ~til the Building Inspector
issues a CeWfficate of ~cup~cy.
f. Eve~ b~lding ~it sh~l expi~ if ~e work authored hm not commenced wi~in 12 mont~ ~er ~e date of
iss~ce or h~ not been completed wi~in 18 months fiom such ~. If no zoning ~endments or o~er regulafio~ ~fing the
prope~ have been enacted in the intedm, the Bulldog Inspector may authod~, in writing,
addition six monks. There~er, a new ~it s~ll be ~quired.
APPLICATION IS ~BY ~DE to the Building ~p~ent for the iss~ce of a Bulldog Pe~it pm~t to ~e
Building Zone ~din~ce of ~e Town of Sou~old, Suffolk Co,W, New Yor~ ~d o~er applicable Laws, Ordin~ces or
Regulation, for the cons~ction &buildings, additions, or ~temtio~ or for ~mov~ or demolition m he,in described. ~e
applic~t ~ees to comply wi~ ~1 applicable laws, ordinates, building ~de, housing code, ~d re~lmions, ~d to a~it
authorized ins~cto~ on premises ~d in building for necess~ imp~fions.
(Signature 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
Name ofownerofpremises -~&C~ [R.~ q "~ I%/~ ~(-/k-~YJ ~'
(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 LicenseNo.
Electricians License No.
Other Trade'sLicenseNo.
1. Location of land on which proposed work w~ill be done:
House Number Steer
County Tax Map No. 1000 Section ~"~ Block 0¢ Lot ¢~
Subdivision Filed Map'No. Lot
2. State existing use and occupancy of premises andJntended use and occupancy of vropqsed construction:
a. Existing use and occupancy ~ic4xl~ ~,.44~,C~ Tz$t~ v.~/~ ~2~a~r-~
-f 4¢4, ub.,0 o u
b. Intended use and occupancy ~1 ~ lr~,_~i ~
3. Nature of work (check which applicable): New Building. Addition ~:~ Alteration
Repair RemovalC~Lea-Q~ Demolition Other Work
(Description)
4. Estimated Cost ~t O~ Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing strlactures, if any: Front ,~oc L 6) ~ Rear
Height o2 I ~- I 0" ~./'~ Number of Stories [. ~'
Front
Dimensions of same structure with alterations or additions:
Depth ~?'L$ * Height ~/'-/O/' *//- Number of Stones
8. Dimensions of entire new construction: Front /TL~/* Rear
Height ~/ '-/0' */- Number of Stories cSZ
9. Size of lot: Front 100. or) t
Rear /t~. OZ> r .Depth
10. Date of Purchase
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 )Q~
13. Will lot be re-graded? YES )(~ NO Will excess fill be removed from premises? YES__ NO ~
,4. NamesofOwnerof.premises{9'* T ee~-aa~(c~* Address ~.~.~.~e~
Name of Architect M~hk4 ~q,.g~r~ Address
Name ofContractordokm~ O~t~[c.~i c,~ Address ~, I',
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 BxEfl. EQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
Phone No.
Phone No
Phone No.
NO
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)
COUNTY OF~ t4~
p,.)0~64_/~ -]'-'~b~([~ being duly sworn, deposes and says that (s)he is the applicant
(Name of indiedual signiffg contract) above named,
CONNIE D. BUNCH
'~..~I Notary Public, State of New Y0~
(S)He
is
the
No. 01BU6185050
(Contractor, Agen~UCo~orate Officer, etc.) (lualltie0 tn uun0~ ~ount~ ,
Commission Expires April 14, ~0~
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
~ 0~'/-'~ day
Notary Public
SEAS.
IMP. ',
~o0
TOWN OF SOUTHOLD PROPERTY
STREET VILLAGE
OWNER'
LAND
AGE
Tillable
Tillable :2
Tillable 3
Woodland
Swempland
Brushland
House Plot
Total
NORMAL
VL. FARM
TOTAL
37~a
COMM. CB. MISC.
DATE RE/~RKS
r-I,..//
· "/-L..IJ~,
BU ILDI NG CONDITION
BELOW ABOVE
Value Per
Acre
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
RECORD CARD
ACR. i
SUB. LOT
:'Xtension
.[xtension
Extension
Porch
Porch
Breezeway
Patio
Total [______.~_.
cOLOR
TRIM
Ext. Wails
Pll ~ce
Roof
reotion
Driveway
:joors
[nter'~or Finish
Heat
Rooms 1 st Floor
Rooms 2nd Floo,
(63t)
chertCa~oo (w~.,~au~.ny. us
BT)II,DING DEP~
'rOWN OF SOUTHOLn
.APPLICATION FOR ELECTRICAL INSPECTION
BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
Date: //(~//0
JOBSITE INFORMATION: (*IndiCates required information)
iiq¥¥
Block: Oz/' Lot:
353q
1000 Se~ion: .
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please .Circle All That Apply)
*Is job ready for Inspection:
*Do you need a Temp Certificate:
Temp'lnformation (If needed).
*Service size: 1 Phase 3Phase
*New Service: Re-connect
Additional InfOrmation:
100
Underground
~"/NO
YES / NO
Final
150 200 300 350 400 Other
Number of Metem Change of Service Overhead
PAYMENT DUE WITH' APPLICATION
82-Request for Inspection Form
BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: //~t/~g~*DateReviewed://~/~t~
Applicant: ~~ ~ ~C~wner. ~ ~/~ ~ ~
~~ngineer: ~~ ~ ~stimated Cost:~ ~01 ~ ~
8CTM~ 1000- ~- ~ ~ Subdivision: ~one: ~- ~.Conforming?
Property Address: ~ 7 ~ ~ Pre COs?
Building Permits (Open/Expired): Bp ~] ~-Z / ~0 Z- ~7~, Info: ~ Bp -Z / C/0 Z- ,Info:
BP ~ -Z / C/0 Z- , Info: BP~-Z / C/0 Z- , ~fo: BP -Z / C/0 ~ ~ Info: ..
Single & Separate Search Required? Y or N Determination:
~Q.~tSize: ~> ~oD. ACT. ~t Size: ]~_)~o o~ ~Q. LotCov. ~ ACT:~tCov~/6,I
~Q. Front fl~ ACT. Fro~ ~ff ~QSide_/o ACT. Side~~Q. Re~ ~a-- PROP. Re~ ~
~Q. He~ht. ~ ~7,Height. ~1 /~'~7 ~_~~ .~ ~,2 ~T ~ ' '
. ~.~ ~ ' ~ ~ , , ~ . , ,
W terUo t V 4 )
If yes, water body:. Panelg ~ F~od Zone: ~ Bul~ead/BluffD~tance: ~-
ADDITIONAL APPROVALS REQUIRED
Health/~or~_~ N-If yes, ;Bed#: ~ *Date: I~/g/O~*Permit#: RI0 -Oc]-0d&~LTown Septic&r
Suffolk
County
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PRE-DEC 9/1/7fi Y 0O- Date:
Southold Trustees: Y or~- Date:
Southold ZBA: Y o~ Date: __/ __
Southold Planning: Y oN~ Date: ~/ /
Town Landmark C of A: Y c~/DTE: / /__
Notes:
/ Permit #:
Permit #:
Permit #:
Permit #:
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE Compliance (page 2)~r N
Fee Structure:
Foundation:
First Floor:
Secon~Floor:
Othe '.~E/~oL
Total:
Calculation[
SF 1. ( SF)- ( SF)= SFX $ =$
SF +hfitialFee:$ om0o, oo
SF=~t//3-7-z7~//_._ &lB I ~c? +AdditionalFee( ): $ ~-'/oo-, U:O
SF 2. ( SF)- ( SF)= SF X $__=$
SF + Initial Fee: $_ 7~, O ~
+ Additional Fee ( ): $ /,5, ~ o
TOTAL: $ 7~ ~, tgO
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
· Ground Snow Load: ~ r Wind Speed: 120MPH P 7/( Seismic Design Category." B
Weathering: Severe iV4( ·Frost Depth: 36" ~4~ Termite: M-H'6~ Decay:
DesignTemp:ll O'~ ' Ice Shleld Underlay: YES '0X lqlo0dHazards:
USB/OCCUPANCY CLASSIFICATION: ] ~,~ /(~.c~_~',
TYPE OF CONSTRUCTION: ~ oo ~ ~ ~
DESIGN CRITERIA: BtqOF~--~Et;EEDCREs~RIpT~ }O~_% ~
FULL FRAMING DESIGN ELEMENTS:~N
HEADERS: ~q VqALL sTUDs: ~
CEILING JOISTS:~/N FLOOR JOISTS~yJN
LU1M[BER SPECIES AND GtL&DE: Y/N
GLRI)ERS~ ~N _
ROOF 1L4FrERS '~
WH%DOW AND DOOR SCHEDULE:
EGr. SS --
LIGHT 8 °/o j~N
VENT 4% :~
NA[L~G/CONSTaUCTION scHEDuL~
ME~S OF EG~SS~
PL~B~G ~SER
LOCATION OF F~ PROTECTION EQUmMENT:~
T~US3 DESIGN:
CERT~ICATION:
E~RGY CALCS ~
TOTAL COMPLIENCE?~N (~TU~ TO PAGE ONE)
Eros,on, Sed,mentation & Storm Water Run off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M,#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMI881ON OF ~
STORM-WATER. GRADING; DRAINAGE AND EROSION CONTROL pi. AM
CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application)
Yes No
Will this Project Retain All Storm-Water Rue-Off Generated by a Two (2") Inch Rainfall on Site? V r~
{This item will include all mn. off created by site clearing and/or construction activities as well as all Site
Improvements and the permanent creation of impervious surfaces.)
Does the Site Plan and/or Survey Show AIl Proposed Drainage Structures Indicat ng S ze & Location? '/~ D
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl
Will this Project Require any Land Filling, Grading or Excavation where there is a change th the Natural r~ ~
Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel?
Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r~ z~'
Five Thousand (5,000) Square Feet of Ground Surface?
Is there a Natural Water Course Running through the Site? ~ r/~
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? L~J --
oneWill there be Site preparafion on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise tOHundred (100') of Horizontal Distance? r~ ~
Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ~ .,~
nfo and/or in the direction of a Town right-of-way9
Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of r'~ .,~-
any Item Within the Town R ght-of-Way or Road Shoulder Area? L~J --
(This item wilt NOT include the Installation of Driveway Aprons.)
Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? [~ ~F~
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permifl
EXEMPTION:
Y e._~s N~o
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: IfYouAnsweredYestothtsQuestion, aStorm-Water, Grading Drainage&ErosionContro P an is NOT Required~ -- ~
STATE OF NEW YORK, ,~,..k~_~
COUNTY OF ........... ................ ! ............... SS
That I, ...~..&lO.l~l -~.'~ ~ being duly sworn, de'poses and says that he/she is the applicant for eennit,
(Na~e of individuar signing Document)
And that he/she is the ..........................................~/~ N°tary:P~bNO~F~°~i~.,w. Y°rk
...................................... o "m &,'sa l 'Coiiii .......................
( n~r, Co"tr~¢~or, As~nt, Corpomt~ Ofti¢~, .t~bmmissi0n Expires Apr I 14, ~YO i~..-
Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the salt) work and to
make and file this application; that all statements contained in this application are tree to the best of Iris knowledge and belief; and
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to before me tiffs;
.............. ..~-.--~.-~....~... ................ day o f ..~{~.0..~ .........
FORM. 06/07
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone (631 ) 765-1802
Fax (63 I) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 1, 2011
P & T Eckardt
370 Bay Shore Rd
Greenport NY 11944
Re: 370 Bay Shore RD
TWO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
/
__ Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
iA fee of 50.00.
Final Health Department Approval.
JPlumbers 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 Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 35398 - Addition and Alterations
3T~ NcY~ure of work (check which applicable): New Building ......~, ........... Addition .................. Alteration ..................
Repair ............... ;..., Removal ....................Demolition ....................Other Work (Describe) ........................
If g~oge, number of ~rs ...................................................................
6. If b~siness, com~rcial or mixed ~cupancy, sped~ natureand extent of each type of use ............................. L..
ns f i~Tone
~eighf ............................ Numeral Stories ................................................................................ ~..
Dimensions of ~ ~r~ct~wi~ alferatJons ~ a~itJ~s: Front ....... ,,,~ ...... Re~ ......................
D
Height ....... ~, .................. Number of Stories ............................. ~ ....
~ ~ 100 ~t. Rear 100 ~t. J
10. ~te of Purchase .,..~...~,~..~.g~.~ ....................... Name of Former ~ner Bru~o
12. ~e~ pr~ose~ cmstructJon violate any zoning law, ordinance or regulati~? ....~.~ ............................................
Name of Architect r~ono
...................................................... Address ............................................ Phone No ................. ~...
PLOT DIAGRAM
Locate clearly o~d distinctly all buildings, whether existing or pm~sed, and indicate all set-~ck dJm~nsions fr~m
property liOes. Give street and bilk humors or description according to d~, and sh~ street names and i~ic~te
wh~tHer inferior or corner lot
--
STATE O~ NEW Y~R~,, ") S S
COUN ,OF
/
above named. He is the ..~.~-~.~ ............................................................................................................................ i ....
(Contractor, agent, corporate officer, etc.) .'
of said owner or owners, and is duly authorized to gerform or have performed the sdd work and to make ard file
this application; that all statements contained in tills application are true to the best of his knowledge and bi~llJef;
and that the work will be performed in the manner set forth in the application filed therewith.
J
Sworn 'o ~e~r~, e this '~-~'~ '.~... '~"~
Notary Public, . ...................................................... -~ ( 'g applica )
Date /~)''7~1-- I~
TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint: '~O"~R'{'~HO~E"~T' SCTM#
PmpertyOwner: P~,~,, E~,,,M'~ ~ Phone
NATURE OF COMPLAINT:
%
ACTION TAKEN:
Optional:
Complainant:
Address
Report Taken By:
Date Referred to Code Enforcement
By Phone__
Phone:
Date
Mail In Person
CODE ENFORCEMENT REPORT
SITE INSPECTION REPORT/DATE:
ACTION/DATE:
~i,jK¥~r'NO' 772.44 IOrST: IO00iSCCTiON: 5.~ IBLOCK: 4 t'rAXLO~': $9 MAP OF~.,~P~OPE~
~ ~ * ~ ~ ~ ~' TOWN Of ~OUTMOL~
LOT NUMB~;
,
~ ~ , ~ HAYNES LAND
~ ROAD
gA¥SHOR~ ~
cO~muc~O~ ~~a¥'~v' ~
N
SURV£Y OF w ~
LOTS 86 & 87
AMENDED MAP A OF
"PECONIC BAY ESTATES"
FI. ED MA y ~, t~JJ R~E NO. ~
A T ARSHAMOMAQUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 53 - 04 36
Scale 1" = 20'
Dec. 31, 1990
CERTIFIED TO,
?'H~,~ F~ MA~&4N,4NT
TOTAL AREA = 12,500s~ ft.
BASEMAP PREPARED BY:
ANTHONY LEWANDOWSKJ
DATED AUGUST 14. 1007
~ O0 00'
2 5TOI~Y
FRAME HOUSE
I ALL NEIGHBORING PROPERTIES VACANT
OR SERVED BY PUBLIC WA~R.
2 EXISTr~ RESIDENCE, DETACHED GARAGE,
AND W~LKWAYS TO BE REMO~D.
3. EXISTING SEPTIC SYSTEM TO BE ABANDONED
IN PLACE IN ACCORDANCE ~TH APPLICABLE
REGU~TIONS
PROPORTY OF ECKARDT
370 BAYSHORE ROAD
GREENPORT, NY 11~4
SCTM# 1000153/04/42
GROUNDWATER MANAGEMENT ZONE IV
SINGLE AND SEPARATE TH PARCEL~1001 T~ MAP
SINGLE FAMILY USE = ~ GPD
6 BEDROOM RESIDENCE;
DUE TO SHALLOW GROUNDWATER ON SITE USE ALTERNATE SEWAGE
DISPOSAL SYSTEM; ADDENDUM FIGURE 12
PROVIDE ONE (1) PRECAST 1 ,~ GAL TANK
PROVIDE FIVE (5) 8' DIAM FOOLS, 4' DEEP
REQUIRED DRY WELL STORAGE CAPACI~:
ROOF AREA = 1,~SF
STORMWATER VOLUME = CIA = 09 X [2"/(12"/1')] X 1,8~SO FT = 270CF
VOLUME OF 1' DEEP 8'0 DRYWELL RING = 42,2CF/FT
NUMBER OF RINGS REQUIRED = 270CF / 42.2CF/FT = E.4FT
NUMBER OF RINGS PROVIDED = 2 RINGS ~ 4FT EACH
TOTAL STORAGE PRODDED 3~CF
51TE PLAN
SCALE 1:30
LOCKING COVER AT GRADE
FINISHED GRADE EL. 11' ~
1' MIN.
MIN. RESIDENCE ~
EFFLUENT 'NV' EL' 9'3' -- ~;l~;~l:~ ~] '
10'O
1,500 GALLON
SEPTIC TANK
s
- CONCRETE CHIMNEY
RECEIVED
NOV 2 3 2O99
SUFF. CO. HEALTH SERVICES
OFFICE OF WASTEWATER MGT....~_J
LOCATION MAP
Conklin¢ P
SUFFOLK COUNTY DEPARTMENT OF HEALTH SER~CES APPROVAL STAMP
/--MIN. EL. 9,0'
4 ................ / r- BACKFILL AROUND SYSTEM
~- ~)~/; ,~4/;;uu ;-',i-'12 / ~WITH COARSE SAND AND G~VEL
// ~_ .........~ / ~,'NISHED G~DE EL 10.6'~
3' MIN.~ 4 '¢ CROSSOVER PIPE BE~EEN MIDDLE RING AND FOUR OUTSIDE RINGS, 18" ABOVE BOSOM
The Wooden House CO.
PO Box 1958
Shelter Island, NY 11964
(631) 749-930U
N 70' 54'~0¢''
209.3
~o~
O
100.(
2
100.00'
00" xN
79'54' LoTQ-5~
? oF ONE
L~
0
0
SURVEY OF PROPERTY
SfTUA T£
ARSHAMOMAGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-53-04-42
SCALE 1"--20'
JUNE 7, 2011
AREA = 12,500 sq. ft.
0.287 ac.
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE L.IA,L S. AN D ADOPTED
FOR SUCH USE TE LAND
TfTLE AS~
N.YS. Lic No 50467
Nathan Taft Corwin III
Land Surveyor
UNAUTHORIZED ALTERATION OR ADD~TION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT SEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING iNSTITUTION LISTED HEREON, AND
TO THE ASSIONEES OF THE LENDING INST[
TUTION CERTIFICATIONS ARE NOT TRANSFERABLE
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
Successor To: Stanley J. Isaksen, Jr LS
Joseph A Ingegno LS
fil/e Surveys Subdivisions --
PHONE (631)727-2090
OFEICES LOCATED Al
1586 Main Road
Jamesp0rt, New Ycrk !~947
Site Plons -- Construction Loyout
Fox (631)727 1727
MAIL/NO ADDRESS
PO Box 16
.amesport, New York 11947
~31 1 0
Print - Maps Page 1 of 1
Bing Maps
270 Bayshore Rd, Greenporf. NY '11944
My Notes
Bird's eye view maps can't be pdnted, so another map view has been substituted.
http ://www.bing.com/maps/print.aspx?mkt-en-us&z=2&s=b&cp--qvdtp 18zl ljw&poi=270... 9/8/2009
51TE PLAN
SCALE: e =
5CTM: 1000-58-4-4-2
~nformat~on taken from
survey prepare~ by
An~kony Lewandowskl, ~nd Surveyor
5ou~hold, New York
PXOPER~ AREAS:
Existing House:
(to be removed) 352 5q.~. ~IT$1NG GAUGE
Proposed New: 1088 sq.~. TO BE REMOVED
Mouse wl~h Alterations: 20
CON~TRU~EION
BAYSHORE ROAD
ECI<,AP,,DT R.E IDENCE
NEW' CONSTP-,LICTION
ALL CONSTRUCTION SHALL
MEET TFIE REQUIREMENTS OF THE
bODEoOF NEY '~OrJ,SIATE.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
LJLLLLLII~J~[JJ U II II II II
OCCUPANCY OR
USE IS UNLAWFUL
¥1]iTl--lOUT C, EKFIFICKTE
0r OCi'}UPAN'?¥
CERTIFICATION OF
NAILING & CONNECTIONS
REQUIRED.
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 OF 1% LEAD,
FRONT ELEVATION
5CALE~ ¼" = I ' O"
BUILDING DEPARTMENT CP, ITER. IA
OCCUPANCY CLADDIFICATION ~, 3 RESIDENTIAL 5ECTIQN 3 J 0 BUILDING CODE
USE DWELLING UNIT 5ECTION 3 IO - 310.2
H~rGlflT TOTAL 2 I '-2"
PI~E AREA (Df) 2260 DO. 5T
TYPE OP CONDTP-.UCTION WOOD E~ME CONDTP-.UCTION
DESIGN CRITERIA PREDcP. rPTIVE DESIGN J 995 MIGM WIND EDITION WECM
=RAMING EL~MENT6 DEE FLOOR PLAN5 AND 6ECTrQN6
)EDIGN LOAD CALCULATIOND DEE PAGE B
WINDOW AND DOOP.. DCHEDULE DEE PG 2
LOAD PATH R[EE~, TO BUILDING DECTIOND
NAILING 6CIfiEDUL~ DEE PG 9
~GR.E55 D~ DOOR ¢ WINDOW 5CHEDU LE
PLUMBING AIDER DIAGRAM PAGE '7
FiRE PROTECTION DEE ELOOA PLAND AND DECTIOND
TITUS5 DEDrGN DI~AWINGD N/A
END~G¥ CALCU LATION5 ATTACHED
CLIMATIC AND GEOGRAPHIC DEDIGN CR. ITER, IA
3. INSULATION
ALL CONSTRUC%ON bHALL ~EEI' THE
DESIGN OR CONSTRUCilON bRRORS.
PLUMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING BEFORE COVERING
UNDERWRITERS CERTIFICATE
REQUIRED
EXI5TING FRONT ELEVATION
PAGE.
JUL~RF ul
L
~IGMT SIDE ELEVATION
5CAL~: ~"= ILO''
~INDO~AND DO0~ SCHEDULE i
W2 OX 145 CADEMENT O 6 ~ 8 O0 lO 5 25,~ 34,7 50 7 MODIFIED CHECK EAIL
~ WITPI 51DELI~MT ALT~RNATIV~ PO~ OP~NIN~ PROTECTION
I ~ TABLE 1~09.1.4
, ,,
6~ING MUDT blE~ ASTM ~ I DDG TEST ~[QUIREblENT5 AD PEK N~ YOBK 5TAT¢ R~]DENTIAL CONDTRU CTION CODE i A~ACFIED UTILIZING VIB~TIO N RESISTA~ ANCHO~ HAVING A MINIMUM WffM D~WI.
W'INDOW' AND DOOR SCHEDULE i
i I
ALTERNATIVE POR OPENING PROTECTION
TABLE I ~09. I .4,
JUL3BF JUL
IFil- lit
/1', j.-I iii
III ~
~ I~l N~"X¢"ACQd.J._ ,', b III W/I'-4'XJ'-4"X~"POU~D
g Jl ~,~o.c. 1::1 ¢ III CONC.~GW/¢4~DAR
~',, d ~,~,~.~. II
I'.' ' '" ' '" ': '"' "~' / *~ ~o*z*~o~ ~ ~$'
~ov ~o~,~ , . [.,1~ II1~
INTO ~ISTING FOUNDATION ~ I ;1~~ ~111 ~ ~ ,,; ~w C~WL
WALL~N~WALLAB~ING k I .I ~ '"~ JH~,
~ICAL ALL A~5 % I 'l ~ x '" %
....................................... ~ ~~ ill
~ISTING BASEMENT *
~ 5TRDCTU~ TO REMAIN ~; [~ ~ t ................. ~ .........
~ISTNG 5ASEM~NT , I I ~ISTING C~WL SPACE , ~ ~ ,o
~ ............. I~ I"~
~- ~ [11 [ [ '"
~ ~ · .-I ,,~o~,.~'~.o.,
I ................... I ~ ~: HANG ~.J. PROM
//
SPACE NEW CONSTRUCTION
FOUNDATION PLAN
"~ PORCH
CEILING MATE~AL
o¢¢ NEW O l N I N G KO0 M
z N~7~"LV[ PJ ~ / I NEWT~"LVLPJ~ O
Z = ~ ~ WALL L[GEND:
BEDEOOM5 ~CATED ~ ~
TO 5~COND FLOOR ~
COHSTRUCTIOH TO ~CI~
FIRST FLO0~ PLAN
NEW BEDfR.QQM
~, ' 765-1802 8AM ~O 4PM FORTHE
"' - ~
2"X G"CJ ~ IG"OC. ~¢ 2 ROUGH - ~RAMIHG & pLUMBIf~G
~ ~ 3 INSULATION
~ ~
~ ~', N ~;EQUIREMENTS OFTHE CODES OF NEW
yOD4 STATE, NOT RESPONSIBLE
,n MALL
. RELOCATED FROM DO~NSTAI~ ~ I I WALL TO ~MAIN
5ECOND PLOOR PLAN
I
o~ ,-,,~,,,e ~-~~ ~ ~~ .... :. . - . ,~ ~ ~ ~ <
......... ~ ~ W/ I ~' PL~OOD ~ ~
, ~,,~ ~,, ~T~ ~ ~ ~ e
=: * U5~ WOND~DOA~ ON ALL A~ Z Z ~ ~
SECOND FLOOR PLAN
BATH 3 - ~ ~ -
COI ......
2"x ~o" ~ ;~"o.c.
PLUMBING RISER DIAG~M ~.~ __
Z z
II I ? '
Zz~
I I
NEW CONSTRUCTION
ROOF P~N
J~"X D21'' LVL F~IDGE W/
6IMF~ON C~20 CONNECTOR.
2"X 4" BTUD WALL
D(IDTING DILL ?L&TE
TO REMAIN
EXISTING GIRDER.
SECTION A-A
SCALE: I/4"= ILO''
I. A conbnuous load path b~bween Footlnsj5, foundations wails, floors, stud5 and
the Standard Bulldlnej Code, Table 2306. I shall be installed in accordance w~h
3 Mebal ?late5, connectors, screws, bolts, and nails e*~posed ~lrec~ly
8il1 Plate to Foundation Anchorage: 55 pla~e shall be anchored to ~he
WIND RP~515TANT CONDTKUCTiON CONNECTOP.~
INDULATION
',%
~" GYPDUM BOARD
~ TYPICAL ALL AI~ZAD
SECTION 5-5
SCALE: l/4"= ILO"
NEC/TR.IPLP FJ
LVL FJ ¢ I G"
N~W 4" POUF. ED CONC. DLAB ON COMPACTED FILL
PAGE;
8
2"X 4" 5TU D WALL e 5T~PPING ABOVE ALL CEILING MAT;
2"X6"AOQSILLP~TE ~ % ~JCALALLA~5
TO HOUS~ F~M~
~" DIAM~'ANCHOEBOLT5 ~ ~ ~R2J INSU~TION ~(3) 2"X J O*61~=~ ?r N~2"Xa"ACQPJ
DESIGN LOAD CALCULATION5
MINIMUM UNIFORMLY DISTRIBUTED LIVE LOAE]5 (IbsF)
I