HomeMy WebLinkAbout36443-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
8/26/2011
CERTIFICATE OF OCCUPANCY
No: 35178 Date: 8/26/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
SHED
925 Willow Terrace Lane, Orient,
Sec/Block/Lot: 26.-2-31
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/16/2011 pursuant to which Building Permit No. 36443 dated 6/3/2011
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:
accessory 10' X 12" shed as applied for.
The certificate is issued to
Lewis, Evan & Lewis, Lynn
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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 #: 36443
Permission is hereby granted to:
Lewis, Evan & Lynn
40 W 24th St
New York, NY 10010
Date: 6/3/2011
mo~
AdditJon, to a Single Family Dwelling;
10' x 12' Storage Shed, as applied for.
At premises located at:
925 Willow Terrace Lane, Orient
SCTM # 473889
Sec/Block/Lot # 26.-2-31
Pursuant to application dated
To expire on 12/2/2012.
Fees:
5/16/2011 and approved by the Building Inspector.
CO ~ ACCESSORY BUILDING
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
Total:
$50.00
$248.00
$298.00
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG~
[ ] FOUNDATION 2ND [ ].~UCATION
[ ] FRAMING / STRAPPING [j/]~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[]ELECTRICAL (ROUGH)/~ //~I ] ELE~,~I~AL!~I_.NAL)
REMARKS: ' ~
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[~FINAL
[ ] FIRESA~:~flNSPECTION
( ] F1RERES~AHTPBIET~A~0H
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
] FRAMING / STRA~HG
] FIREPLACE & CHIMNEY
[ ] RR~R~'r~cr~TRUC~'~
REMARKS:
INSPECTOR~
· TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 1197 I
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.North Fork. net
Examined · 20
MAY 16 20II
BLDG. DEPT.
TOWN OF SOUTHOLD
PERM,T O. 3 f¢3
BUll.DING PERMIT APPLICATION CHECKLIST
Do you have or need the tbllowing, before applying?
Board of Ileahh
4 sels of Building Plans
Planning Board approva]
Survey.
Check
Septic Form
NYSD E C
Flood Permit
Mail to:
Building Inspector
BUILDING PERMIT
INSTRUCTIONS
a, This application MUST be completeJy filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan ~o scale. Fee according to schedule.
b. Plot plan showing location of lot and of buddings on promises, relationship to adjoining premises or punic streels ot
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 penni}
shall be kept on Ihe premises available ~br 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.
£ Every building permit shall expire it' the work authorized has not commenced within 12 months after the date of
issuance or has not been cmnpleted within 18 months from such date. I fno 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. Therealier, 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 Fown of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for }be construction of buddings, 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 of applicam or name, ifa corporation)
(Marling address of hppliean~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name o f owner of premises _~-"V~A ~'/q~g
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporale officer)
Builders License No. s./~ .q/~A~,_ ~
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. L_ocatjon of land q.n. wlfich propzsed work will be done:
q. \\m',t "Rxct . La e Or;O, a[
}louse Number Street l lamlet
CountyTaxMapNo. 1000 Section_ ~¢ Block ~
Subdivision Filed Map No.
Lot
State existin~ use and occupancy of premises and intended use and occupancy of' propo, s~d comtructiorl:
a. E'xist?ng use and occupancy ~LK~I~ ~'l/k_e'~ -~O ~ ~i~
b. lntendea use and occupancy B~ ~h{~ ~ ~~ e~~,b~m¢~,, ,
Nature of work (check which applicable): New Building ~ Addition Alteration
Repair. Removal Demolition Other Work
Estimated Cost_
If dwelling, number of dwelling units_lA
If garage, number of cars
Fee
(Description)
(To be paid on filing thislapplication)
Number of dwelling units on each floor ~ !_t~,
If business, commercial or mixed occnpancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front -~ Rear
Height. ~ Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth .---' Height. ~' Number of Stories
8. Dimensions ofenllre new construction: Front t ~.~'f Rear
Height [ 2~ ~ ~ Number of Stories
9. Sizeot'lot: Front [2~'''~5 I Rear I~ 4 t Depth
Depth ~'
Rear
Depth
Purchase~C6.,C.~__Name of Former Owner It~ -
1
0.
Date
I 1. Zone or use district~'Jin which premises are situated [tr)r ~t¢~'~
12. Does proposed c()nstruction 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
· 4 0 W~¢
14. NamesofOwnerofpremises~ ~ Address~ ~ IO}~ PhoneNo. 9 1~,.~.~
Name of Architect ~ [~ ~ Address t ~ [~
15 a. Is this property within 100 [~et ora tidal wetland or a freshwater wet a .
· W YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIREP.
b. Is this property within 300 feet of a tidal wetland? * YES NO ~
· IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. p~,~i~j¢ ;u~ to scale, with accurate lbundation plan and distances to property lines.
17. IPelevation 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 OFFS)S:
Eqr d f,' ' ;3' being duly swor,,, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named.
(S)He is the ~ ~
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the saki work and to make and file this application;
that all stateenents contained in this application are true to the best of bis knowledge and belief; and that the work will be
performed in the manner set forth m the application filed therewith
BUILDING PERMIT EXAMINER CHECKLIST
Applicant:
Architect/Engineer:
SCT # oo0 - -
Property Address:
*Date Submitted: ,5-.~[~--t { Date Reviewed:
2-
Estimated Cost:
Subdivision: tdvt~Lt't~'- ~-~ e: Conforming?
IAJ ~ -'ff~ ~ City: O~ Pre COs?
Building Permits (Open/Expired): BP__-Z / C/0 Z- , Info:
BI'__ -Z / C/0 Z- , Info: BP __-Z / C/0 7_,. , Info:
Single & Separate Search Required? Y o~)Deterrnination:
REQ. Lot Size: ACT. Lot Size:
REQ. Front ACT. Front REQ Side .lO / ACT. Side
REQ. Height. ACT. Height R~. ~e'r8 $Ib~.$
Project Description:
Waterfront? Y or~_~
If yes, water body:
BP __-Z / C/0Z- , Info:
BP__-Z / C/0 Z- , Info: _..
REQ. Lot Coy. __ ACT: Lot Coy. ~
REQ. Rear PROP. Rear
~ Panel~ Flood Zone: Bul~ead~luff Distance:
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Y o If yes, *Bed~: *Date: / / *Permitg: Town Septic: Y- - If no, certification required: Y or N Received: Y or N By:
~S DEC: ea~-~c w~as Y o~ Date: / / Permit ~: or NJ Letter- Notes:
Southold Trustees: Y 0r~- Date: ~/ / ~ Permit g: or NJ Letter - Notes:
Southold ZBA: Y or~- Date: / / Permit ~: - Notes:
Southold Planning: Y o~- Date: '/ /~ Permit ~: - Notes:
Town Landmark C of A: Y oraTE: / / *~S CODE ~ompliance ~age 2): Y or N
Fee Structure: Calculation:
Foundation: ~ SF
First Floor: ~ ~ SF
Second Floor: -- SF
Other: ~ SF
Total: SF
BUILT FEE
+ InitialFee: $ [ OO~ oO
+ AdditionF1 Fee ( ): $
SFX$, :$
+ Initial Fee: $
+ Additional Fee ( ): $.
TOTAL:$ / ~f ~Z'. oo
NEW YORK STATE CODE COMPLIANCE CHECICLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: ~.0 , Wind Speed; 120MPH Seismic Design Category." B .
Weathering: Severe ·Frost Depth: 36" __ Termite: M-H' Decay: S-M
Design Temp: 11 __ 'Ice Shield Underlay: YES . Flood Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGI~IT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIJk: ENGINEERED/pREscRIPTIVE
FULL FRAMING DESIGN ELEMENTS: y/N
HEADERS: YfN WALL sTUDs: YfN
CEILING JOISTS: Y/N FLOOR JOISTS: YfN
LU1V[BER SPECIES AND GRADE: Y/N
GIRDERS.'- YfN
ROOF 1LAFTERS: YfN
WINDOW AND DOOR SCHEDULE:
.NIISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: ¥/N
'~rENT 4 %: Y/N
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: YfN
PLUMBING RiSER DIAGRAM: Y/N
LOCATION OF FIP,_E PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
Town of Southold
Building Department
Town Hall Annex Building
PO Box 1179
$outhold NY 11971
May 10, 2011
To Whom It May Concern:
MAY ] 6 2011
BLDG. DEPT.
TOWN OF SOUTHOLD
Please find enclosed the necessary permit application to install a shed on our property located at 925 Willow Terrace
Lane in Orient NY, 11957.
Per the application, we have enclosed a copy of the covenant and spoken to Mr. James Rodney Douglass, the current
administrator of the covenant, who has approved the installation of our shed. As/if necessary, he can be reached at:
Mr. Rod Douglass
735 Major Pond Road
Orient, NY 11957
631.323.3944
If you have any additional questions regarding this application, please don't hesitate to contact me as follows:
Evan Lewis
40 West 24th St., Apt. 9E
New York, NY 10010
p. 917.848.5702
e. elewis~m-iq.com
I look forward to hearing from you and receiving our permit.
Regards,
Evan Lewis
05/16/2011 11:50 FAX
Town of Southold
Building Department
Town Hall Annex Building
PO Box 1179
Southold NY
May 16, 2011
To Whom It May Concern:
2129418612 ~ 001/002
Please find attached a picture of a shad very similar in Istyle to the one we're hoping to install - and for which you have
the application - on our property at 925 Willow Terrace Lane in Orient, NY.
Note two differences between the picture and the shed we hope to instail:
1. Our roof pitch will be slightly higher (overall height is accurately indicated in the application)
2. I believe that we will have a six-pane window On both of the sho~t ends of our shed.
If you have any other questions or require more detailed information, please don't hesitate to contact me, as below.
p. 917.848.5702
e. elewls~m-ia.com
I look forward to hearing from you and receiving our pi~rmit.
Regards,
Even Lewis
'50P. VE'T" Ot:: LOT IO
PI, Ap Ot:: I,"41LLOI~ TERRAg. E..5,EOT'ION ,O!42
N
'-. JOHN C. EHLERS LAND SURVEYOR
~ 10/30/2007 16:32
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PAGE
83
r
feet
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tS,: Every ow=er 6f'~i~?r~m~.~me,', or ar~y po/~i'cn"ti~e~66~,.., ,~Y me
the let da~ o~ May in ea=h ~nd e~ry ye~, au ~ ~'~' ~ ~'~e~ B~
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BUILDING PERMIT EXAMINER CHECKLIST
Applicant:
Architect/Engineer:
SCTM# 1000 - ~'~
Property Address:
*Date Submitted: ,.~-~-I ~-- I { Date Reviewed:
Estimated Cost:
Subdivision: ~,t~/~-f-.~one:~.~1~ Conforming?_
city: Pre COs?
Building Permits (Open/Expired): BP__
BP__-Z/C/0 Z- , Info:
8Ingle & Separate Search Required? Y o~)Determination:
RBQ. Front ACT. Front REQ Side x~i: ACT. Side
REQ. Height.
-Z / C/0 Z~ , Info: BP __-Z / C/0Z- , Info:
BP__-Z / C/0 Z-__, Info: , BP -Z/C/0 Z- ,Info:_
REQ. Lot Coy. __ACT: Lot'C~v. ~
REQ. Rear PROP. Rear
Project Description:
Waterfront? Y or~/
If yes, water body:
'---'-- Panel# Flood Zone:
B~lkhead/Bluff Distance:
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Yo If yes, *Bed#: *Date: / / *Permit~:
- If no, certification required: Y or N Received: Y or N By:
Town Septic: Y- N
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED A~J~LO;)N~T-G~E-QF
~ ......... ~,;'~ ?Lg,'~',,'~ gO~,%~
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE,
ELECTRICAL
INSPxE~TION REGUmED
APPROVED AS NOTED
/Y[ BY
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOV~NG INSPECTIONS:
1 FOUNDATION - T~ REQUIRED
FOR POURED CONCRETE
2 ROUGH- FRAMING PLUMBING,
STRAPPING ELECTRICAL ~ CAULKING
3 INSULATION
4 FINAL - CONSTRUCTION & ELECTRICN.
MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHN. L MEET THE
REQUIREMENTS OF THE COORS OF NEW
YORK STATE NOT RESPONSII~E