HomeMy WebLinkAbout36723-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
10/6/2011
No: 35253
Date: 10/6/2011
Location of Property:
SCTM#: 473889
Subdivis~n:
THIS CERTIFIES that the building OTHER
2555 YOUNGS AVE SOUTHOLD,
Sec/Block/Lot: 63.2-1-19
Filed Map No.
conforms substantially to the Application for Builffmg Permit heretofore
11/3/2008 pursuant to which Building Permit No.
Lot No.
filed in this ofliced dated
36723 dated 9/28/2011
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:
handicap ramp addition to existing condo unit # 8D as applied for.
The certificate is issued to
Clayton, Betty
(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 #: 36723
Date: 9/28/2011
Permission is hereby granted to:
BETTY M CLAYTON
2555 YOUNGS AVE UNIT 8D
SOUTHOLD, NY 11971
To:
CONSTRUCTION OF HANDICAP RAMP TO EXISTING APARTMENT AS APPLIED FOR.
REPLACES EXPIRED BUILDING PERMIT # 34279
At premises located at:
2555 YOUNGS AVE SOUTHOLD
SCTM # 473889
Sec/Block/Lot # 63.2-1-19
Pursuant to application dated
To expire on 3/2812013.
Fees:
11/312008
and approved by the Building Inspector.
PERMIT RENEWAL
CO - ADDITION TO DWELLING
Total:
$125.00
$50.00
$175.00
Building Inspector
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PEi~4IT NO. 34279 Z
Date NOVEMBER 6, 2008
Permission is hereby granted to:
BETTY M CLAYTON
2555 YOLrNGS AVE I/NIT 8D
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF HANDICAP R3~MP TO EXISTING APARTMENT AS APPLIED
FOR.
at premises located at
2555 YOUNGS AVE
SOUTHOLD
County Tax Map No. 473889 Section 063.002 Block 0001
Lot No. 019
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
Fee $ 250.00
3, 2008 and approved by the
ORIGINAL
Rev. 5/8/02
Form No. 6
TO~N O~ SOUl'OLD
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 foltosving:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unnsual 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 6fFire Underwriters.
4. '.qw. om statement from plumber certifying that tho solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residenc~ and similar buildings and installations, a certificate
of Code Compliance'from architect or engineer responsible for thc buildiag~
.6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957} fion-conforming useS, or buildings and "pre-existing" land uses~
1. Accurate survey of property showing all property line~, streets, building and unuso~it naturai or topographic
features.
2. A properly ~c~, mpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, thc 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,
, Swimmixig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~
2. Ce[tifieate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $:25
· 4. Updated Certificate of Occupai~cy - $50.00
5_ Temporary Certificate of Occupancy - Residential $15.009 Commercial $15.00
New Construction:
Location of Property:
Old or Pre-existing Building:
Date.
(check one)
House No.
Owner or Owners of Property: ~7_ Tr- "t'
Suffolk Copnty Tax Map No 1000, 8ecti0n
8ubdivisi0n
P~-mitNo. ~(~'~ DateofPermit. ~-Z~ - I!
Street Hamlet
Ffl~ Map. ~t:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'"0
Underwr~ers Approval:
Final· Certificate: ~'/ (check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-t 802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] IN/SULATION
FRAMING / STRAPPING [//,]"FINAL/ ~
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ~(/~ ( ~__.~
DATE
INSPECTOR /
Fo~ATION (1ST)
FO~DATION (2ND)
ROUGH F~G &
PLI~G
~S~ATION PE~ N. Y.
STATE ENERGY CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLI~ NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO.
Examined
Approved
Disapproved a/c
it[ (-p ,20o
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: .~...
Mailto: ~'~ ~/{~02~f/
Expiration ~ I ((~ , 20 [0
j' OJ~7 [~ ;, Building Inspector
i' l - I~LICATION FOR BUILDING PE~IT
' :~[~O&p~ Date
INSTRUCTIONS
Phone:
,200
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 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 issuance 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 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 inspections.
(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 of owner of premises .~72-~ ~----~--~AJ
(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. 7~r ~ ~_
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
Hamlet
B ock lot
Filext ~ ..... Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~e=:~/~-g~77~)(
b. Intended use and occupancy ~(--~/~C--TC~'[;~v~_
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cost ~ ~.t ~1~
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work ~-/9/-~-~
(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 Rear
Depth Height Number of Stories .
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear .Depth
9. Size of lot: Front
Rear _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 If
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES __ NO__
14. Names of Owner of Erem,ses Z~tff. ed ~d~4~g~' Address2~7~--~ P/GL~..~t4~Phone No. ~(, ~[3. ~ ~
Name of Architect ~ ~/~/~_/~t/ Address .;'~3gdv ~/.~?t./g,.~tphone No F~. q-----------------ff~ ~(~Z'lt:__
Name of Contractor Address v · Phone No.
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 BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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)
SS:
COUNTY OF~
-
~,r2kTg~'~.t'~'Z'[e~//d~t/ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)Heis the ~~
(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 the manner set forth in the application filed therewith. ~
Sworn to before me this
N~tarJ Phb/ic
Signature of Applicant
OCCU-::~i,CY OR
USE iS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
COMPLY
-- ~ SO~
.3ODES OF
'OWN CODES
-)NDITIONS OF
TC~VN F~ANNtNG ~
. ~0~'~ T~USTEES
NY,S, ~ '
ALL CONSTn~L ~,ON SHALL
MEET THE REQUiREk4ENTS OF THE
CC3ES OF NE~? YO~K STATE.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
APPROVE3 AS NOTED
765-1802 8AM '0 4PM FOR THE
FOLLOWING INS' 2CTIONS:
1. FOUNDATIOH - ~JO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & FLUMBING
3. INSUlT]ON
4. FINAL - CON~ ;RUCTION MUST
BE COMPLETZ FOR 0.0.
ALL OONSTRUCTION 8HALL MEET THE
REQUIREMENTS OF THE CODE8 OF NEW
YORK STATE. NO[ RESPO;,;Si~LE FOR
DESIGN OR CONSTRUCTION ERRORS.
-- ' ' ~ Z ALTERATION
-- __-- _NON-CONFORMING- NOExcEEDsHANDRAILS1:12 SLoPEEXISTING RAMP: ~ ~PERMIT APPLICATION OF EXISTINGRAMP
+ i RESIDENCE
SECTION ~ ~i ~IFOUNDERS VILLAGE
' " .~~~ .- .... i~ 2555 YOUNGS AVENUE
~ c/ ~ ~/ ?/~;~:,'~ ~:4.~'-:~ ~ ~K UELLEN~HL
, ~ ~ , ~ EXT'G CONCR~E WALKWAY
P~N VIEW ~ ' DETAIL ~~lOWNER
EXISTING RAMP EXISTING RAMP ; ~
f ~ PROPOSED CONSTRUCTION UN~D
~l so~uom, ~ n971
TEL: ~1-815-8~5
_PROPOSED TEMPORARY RAMP:
F - 1/1/4" DA ~D~I~, 1-1/2' MIN. CL~E
- E~'G. ~P TO ~ 1~6~AD IN N~ ONE: ~ 2 M HAGONY TOP ~IL
- EXI~ING ~RINGE~ TO BE S~RED ~ ~ ~ 1-1/~" DIA HANDRAIL I ~
W/ N~ DBL 2XS's, ~U~D TO ~'G SLOPE
i -~- , TO INCREASE CL~R WIDTH
SECTION m ~- -~ i '
/,. 4'-6" 4'-6" 20'-0" 4'-6" 4'-6" 2'-¢ 5/4"X6 DECKING
~ ] PANTED, TO ~TCH EXSTNG
~~NDINGEXT'G CONC. DIi, ........ I u u ~MP u ~ I' ~ , u, I . ~ _ ~~~1 , i ;'~: '~ ~F ~,~:,' '-> ~ ~l ~'" ~IE' I]~" = !'-0'11/03/2~
VIEW
RAMP
DETAIL
DETAIL
DETAIL
PROPOSED RAMP ~P. POST BOLTED INTO FRAMINO POST AT END OF RAMP ~~ A-~
DW&NO