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HomeMy WebLinkAbout35791-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 9/13/2011 No: 35212 Date: 9/13/2011 THIS CERTIFIES that the building Location of Property: SCTM ti: 473889 Subdivision: RESIDENTIAL ADDITION 1370 LATHAM LA ORIENT, Sec/Block/Lot: 15.-9-1.4 Fried Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/10/2010 pursuant to which Building Permit No. 35791 dated 8/19/2010 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: EXTENSION OF AN EXISTING DORMER AS APPLIED FOR. The certificate is issued to Casey, Lisa (OWNER) ofthe aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35791 4/21/11 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35791 Z Date AUGUST 19, 2010 Permission is hereby granted to: LISA MARIE CASEY 200 HICKS STREET #6-S BROOKLYN,NY 11201 for : EXTENSION OF AN EXISTING DORMER AS APPLIED FOR at premises located at 1370 LATHAM LA ORIENT County Tax Map No. 473889 Section 015 Block 0009 Lot No. 001.004 pursuant to application dated AUGUST 10, 2010 and approved by the Building Inspector to expire on FEBRUARY 19, 2012. Fee $ 200.00 Authorized Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF SOU'FI]OLD BUILDING D]~PARTMENT TOWN HAL[, 765-1g02 APPLICATION FOR CERTItqCATE OF OCCUPAIN This application must be filled in by typewriter or ink and submitted to tile Building Department with the following: A. For new bnildlng or I)ew use: l. Final survey of property with accurate location of all buildings, proper~ lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of warm- supply and sewerage-disposal (S-9 form). 3. Approval of electrical inst~llation from Board o£Fire Underwrlt~rs. 4. Sworn statrment ii'om plumber ceiiiP/ing that the solder used in s),stcm contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Corapliancc from architect or cng'inter responsible for the building. 6. Submit Planning Board Approval of completed sit~ plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming u*e~, or buildings and "pre-existing" land user;: ~. Accurate survey of property showing all property lines, streets, building and unusual natural or ~opogrnphic I'calurcs. ^ properly completed application and consent to inspoct signed by thc applicant. Ifa Certifical~ of Occupm~cy is denied, the Building Inspector shall stale the reaaon~ therefor in writing to the applicant. C. Fees I. Ce~ificate of Occupancy - New dwelling $50.00, Additio~ to dwelling $50.00, Alterations tn 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 Updated Certificate of Occupancy- $50.00 5. Temporary Certificate o f Occupnncy - Residential $15.00, Commercial $15.00 New Construction: ~ Locatiou of Property: 1 ~ P~C~J House No. Owner or Owners of Prope~y: .L..~.~ ~ ~ Suffolk County Tax Map NO 10~, Section Subdivision PermR No. *~ ~- Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificst¢ Fee Submi~Icd: $ __ Date. Old or Pre-existing Building: .lc. / II (obeck onc) Street Hamlet Filed Map. Lot: DateofPermit, ~ I I~ I~OlO Applicant:~0~.~ t.)~t~--~J-~?~.,Z-~c Final Cc'rtificate:, / (check one) Applicm~l Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York I 1971-0959 Telephone (631) 765- 1802 Fax (631 ) 765 9502 ro.qer r chert~,town southold.ny, us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Casey/Martin Address: 1370 Latham Lane City: Orient St: NY Zip: 11957 Building Permit Cf: 35791 Section: 15 Block: 9 Lot: 1.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Alan Hubbard Elec Cont LicenseNo: 4285-me SITE DETAILS, Office Use Only Residential ~ Ind°°r IX~_~] Basement [X~ Service Only~ Corn merical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures [~] HID Fixtures Wall Fixtures ].~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixtures~ Time Clocks Exit Fixtures L_J TVSS 2-paddle fans, 1-combo smoke/co detector, 1-exhaust fan with timer Notes: Inspector Signature: Date: April 21 2011 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~ATION 2ND [ ] INSULATION [~"FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION )FIRERmSTAHTCOHSTRm [ )FIREI~SlSTJHTmL=TR~TIO. / DATE //~/7/ ~ INSPECTOR~~/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO N [ ] FOUNDATION 1ST [ ] R/OOGH PLBG. [ ] FOUNDATION 2ND ~/,/] INSULATION REMAR~(~: FINAL fiRE SAr,-, ~' INSPECTION fiRE RESISTANT PENETRATION [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION DATE INSPECTOR-/~:/:/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~~_ ATION [ ] FRAMING I STRAPPING [ ~]' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:i ~//~ TOWN OF SOUTHOL, ~) BUILDING DEP/~TMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a~c 20/0 Expiration AUG 1 0 010 BLDG. DEP'[ PERMIT NO. ~: 2/ . 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 Contact: Mail to: Phone: Building Inspector PPLICATION FOR BUILDING mnmvn'r Date q.)LJL.,~ ~ . ,20 INSTRUCTIONS pletely 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 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 i~suance 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 buil'aings, 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 applicant or nan]e, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises fi~D"~l O'IP~-TI~J ~ ~& ~ (As ' on the tax roll or latest deed) If applic~t is a co¢oration, si~ature of duly authohzed officer ~me ~d title of co¢orate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location ofland on which proposed work will be done: 13-I t --Tt4- r · House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Nme) Block q Filed Map No. Lot J~ 4' Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ [ M (~kt_t~ ~4~['~ U..,'~ b. Intended use and occupancy [XJ 0 ~ G: ~-'. 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 2 (~2 ~ 5. If dwelling, number of dwelling units b. Jfir- If'garage, number of cars ~,~ Addition'-~t°' fln~ ~ Alteration Other Work (Description) Fee (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. I t 7.Dimensions of existing structures if any: Front "7"'1'~- Rear '7~, ~ Depth Height ~. t-O~tJct/-- Number of Stories I Dimensions of same structure with alterations or additions: Front Depth b30 C~r_..;~__~ Height 8. Dimensions of entire new construction: Front ~(:~ Height Number of Stories 9. Size of lot: Front i -:-~{ ' Rear 1 q,O~. O Depth Depth '2.-'~.0~ ~ 3c/~.o 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 13. Will lot be re-graded? YES__ NO ~Will excess fill be removed from premises? YES NO 14. Names of Owner of premises kt3~ ¢4~ftt-~ PA~5"{Address !~"/0 L.~ Phone No. ~ 2-~d -- O ~--/'. Name of Architect Address Phone No NameofContractor IE~t.l.~A-~r I/~c- Address :~O i~"'lct-/ 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 * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 1'6. 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 '~ ~"~)0"~ 0 ¢,,~'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCI~ (S)Hc is the ~) t~ ~"~'O~'-:~(2~. NotaW Public, State ofNew Yor~ Nh. 0lltUC185flSO (Contractor, Agent, Corporate Officer, etc.) Oualffiefl in Suffolk County ,-, Commission E~ires April 14.20 I d.- 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 t /l"~ dayof,..~,&~-,...S"j-- 20Jo Notary Public ' - o App lcant Town OF SOUTHOLD PROPERTY llKORD CARD ~ '~ · )~_~I~RL~J~'~'P..' (q /'~gA~l ~ ,~0 VI~ .~ S W ~PE/OF BUiLDiNG ~'~/0 ~ S~. X'~ F~ CO~. CB. MICS. Mkt. ~ [ I c ~bbie , FRONTAGE ON WATm ~la~ FRONTAGE ON R~ / L-~-9-1.4 Patio ~'e~a~ ~ Founc~tion Basement Ext. Walls Place Floras Inter~ar Flnis~ ~-, Heat ~'~//~ Rooms 1st Floor RecreatiOn Room P~aaer~ 2ncl Floor Driveway Town o_ f $outhold . ..... Erosion, Sedimentation & Storm-Water Run-off A~Kr:=SK__ -.T FOR. PRO~ L~N~S.C.T~ , ~E FO~ A~ON8 ~y .pm.u. ~E ..... emu ~, _ , ~p~ n~ ..... 8~=~ ......... Itam Number. (NOTE: ^ Cboek Mark (~r) for e~h Que~Uon is Requirad for a Domptata Appti~tion) Yes No 1 2 3 4 5 6 ? 8. Will this Prajeof Retain All Starm-Watar Run-Off Ge~ratsd by n T~o (2") Inch Rainfall on Site? (This item Mil Inuiude cll mn-off created by site deering and/~ aonstruction ectlvtttas as ~ as afl Site Improvements and the permanent orea0on of Imper~ou~ surfaces.) -- Does the Site Plan and/or su~ey Show All Proposed Drainage Structures Indi~ting Size & Location? V// r~ This Item shall Include ell Proposed Grade Changes and Slopes Controaing Surfaon Waten~lowl Will this Pi'eject Require any Land Pilling, Grading or Excavatkm where there is a change to the Natural r~ Existing Grade Involving mom than 200 Cubic Yards of Material wrddn any Pamer? __ Will this AppflcaUon Require Land Diskablng Activities Encompassing an Area In Exsese of Five Thousand (5,000) Square Feet of Gro~.und Sudaee? r~ is there a Natural Water Coume Running through the Site? Will there be Site preparation on Existing Grade Slopes which Exceed FiReen (15) feet of Vedical Rise to r~ v/ One Hundred (100') of Ho~ontal Distance? __ Will Driveways, Paddng Areas or other Impervious Surfaces bo Sloped to Direct Storm-Water Run-Off Into and/or iff the dire~Jon of a Town flgtlt, of. way? r~ Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construct)on of any Item Within the Town Right-of-Way er R°ad Shoulder Area? r~ (This Item witl NOT Include the Installation of Driveway Apmne.) -- 9 Wtil this Pr°ject Require Site Preparation within the One Hundred (100) Year Floedplain of any Watercoume? NOTE: If Any Answer to Questions One lhreugh Nine Is Answered with a Check Ma~: In the Box, a Storm-Water, Grading, __ & a .lon CoaSt Plan ts and ,net bo S. m,Ited = ..EXEMPTION: Ye~s N._.~o Does this proJect meet the minimum standards for ~tlon as mt Agrlcuttural PmJ~:~? Note: If Y°u Answamd Yea to thta Qnestion, a Stoml-Water, Grading, Drainege& Erostan Contrcl Plan la NOT Required! ETATE OF NEW YORK, ~ ~ U~)P~EDTBD~C~ ........ COUNTY or ~lll~r [~::=~)~d-'- .SS N0tay Public, State of New Yor~ ........................................... No. 01BU6185050 Qualified in Suffolk County · Commission Expires April 14 20 (Name of Individual algn~g Docume~) d*a h / he i *e .... C ................................................................................ (Ovmer. continuer, AgenL Cormrae Oft~e-, e~.) Owner and/or representative o£ the Owner of Owner's, and is duly au~orized to perform or have performed the said work and to make and £de this application; thaZ all slatements concerted in thb application are true to the best o£ his knowledge and beliefi and fiat the v~rk will be performed in the manner set forth in the application filed herewith. Sworn to be[ore me this; FORM - 06107 54375 ~ P.O. B~x~ ! · .Southoki, NY' 11 ~71-~59 BUILDINO DI~PA~TMEN~ TOV/trN OF SOUTHO!.~ 17 APPLICATION FOR ELECTRICAL ,I,,NSPECTION REQUESTED BY: Company Name: Name: License No.: Address: PhoneNo.: '~,'~ t q ~.'~ j ~'r~ -, ' JOSSlTE INFORMATION: (*!ndibates req.uJred information) *Name: *Cross Street: *Phone No.: (.~'~ Permit No.: Y ~-'~ Tax Map. District: 1000 Section: *BRIEF DESCRIP' r'lON OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is.job ready for inSPecti0n:l *Do you need a.Te~np| Ce~tificete. Temp Informat,or/(If needed) "Service size: *New Service: Additional Infbrm; 1 Phase Re.connect ;on: 3Phase 100 Underground YES/.,No~ Rough In Final YES L 150 200 300 390 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION R?-,q~'u~est for {nso~ :i{on Form l,'d ~,~St~gZi, g9 ql3Jnquelnots Jeled e9~:90 01, t,~ §nv T~m F/~II Am~ P.O.J~o~ 111~9 BtL)G DEPf TOWN OF SOUTHOLD APP.LICATION FOR ~1 FCTRICAL INSPECTiOI,'. Date: I ~- ~-~o% 1© *Address: · *Cross Street: *Phone No.: JOBSI'TE INFO'RMATION: (*Indicates. required informati°n) Tax Map D. isfltct: .1000 / *BRIEF DESCRIPTION OF WORK. (Please. Print clearly) 5~c~,,J O--- -- " · - , k-/o~/~ , ../~,+~-~ / ,,~i.~ . m~sT~F- k~egL~ . .~,c.~ .~,r~,~ .~ .(Pl~a~e.cir~e All That .,~IY)' ~l~job ready for inst. n: .*Do you ~c.c.d. a T.emp Cel~if?a{e: Final- Temp-lnforma~on (If needed}- *Service SEe: 1 Phase 3Phase 100 150 . 200 300: 350 400 Other *New 8e~i~e: Re-connect Additional Information: Underground Num~rofMet;m Change0fSe~ce Overhead.[© PAYMENT DUE WITH AppLICATION O ~ ) ~"~ .. \'~' /4. ~ SURVEY FOR AT 0~1 · TOWN OF ~OUTUOI~ ..... SUFFOLK COUNTY, NEW YORK f: ..... AUG. 4-., /~SZ ' ~6-~: : ~,'l'q~l, DATE: *~. R, H~I "~* SCALE: J"t~O' ..... ' ~' ' ' NO. bl~ t~1 ." 'V~I INI~ I~ V~l IM~_ 4OO'C~I~RAVEWE ~.x~.~l ~ · ,/uUI X~ ~R~AD, NEW ~RK AND ~AND SURVEYOR N.Y.S, UCENSE NO. 12845 "OWARO*W. You~G,H g :*;ANO ~Y bRVE OR ' '* : ' "* "'?;''::'' ~ ' , ~.' ,' ~ ,;~,; ,* .... : EXISTING BEDROOM ~.iCCUPANC/OR E iS UNLAWFL . . ,. t---- CERTIF,,..- ·/~,NCY APPROVEDAS NOTEB ~-??/ FEE: NOTIFY BUILDING DEPAP 765-1802 8 ~ TO 4 PM FOR ThE FOLLOWING INSPECTIONS FOUNDATION- ~ REQUIRED FOR POURED CONCRETE 2 ROUGH-FR~ING, PLUMBNG STRAPPING, ELECTRICAL & CAULKING 3 INSU~TION 4 FINAL- CONSTRUCTION & ELECTR,CAL MUST BE C~EfE F~ C.O ALL CONSTR~TI~ ~L ~E~ THE REQUIREMENTS OF THE CODES OF NEW ~ ~K~T RE~I~ FO~, ~ ' ~~8~ER ~1~. ~N~ ~ ~ ........ . . 2-~ H~R ~2 · J ..... -~:'~.~i~ ................ J REMOVE SINGt. E DOOR & .ADO 2-2'6' X 6'8' TWO P~ POCKET DOORS 0'-6"- ADD CLOSET EXISTING Al'nC CASEY/MARTIN RESIDENCE DORMER EXTENSION 1/4"= 1'-0' 8.4.10 ENVIRONMENT EAST INC. NEW 2 X 8 R~- ~ =RS Q EXTENDED DORMER NE1N 2 X 8 I~ 16' 0C~CEII.. JOISTS ~ SISTER TO EXIST. CO{.LAR TIES -- EXIST. FLOOR JOISTS EXIST. FLOOR JOISTS EXIST. FLOOR JOISTS EXIST. MASONRY FOUNDATION SECTION TO EXISTING FOOTING THRU DORMER EXTENSION VENT SOFFIT 2-2X8 HEADER ~ WINDOW NEW CONSTRUCTION EXTEND I EXISTING ¥ flNDOWS I XISTING~ VINOOW ~ ·////// ~ // // // ~0 NEW Et, iSS WINDO~ // // ~0~ ////// 3/4" HORIZONTAL CEDAR SIDING TO MATCH EXIST. 'rYVEK HOUSE WRAP 1/'Z' CDX PLYWD SHEATHING R-15 HI-DENSITY INSUL 2 X 4 I~ 16' OC WALL FRAMING 1/2' SHEETROCK ¢~ INT. CASEY/MARTIN RESIDENCE EAST ELEVATION DORMER EXTERNSION 1/4'= 1'-0' 8.9.10 ENVIRONMENT EAST INC.