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HomeMy WebLinkAbout35568-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 10/28/2011 No: 35264 Date: 10/28/2011 THIS CERTIFIES that the building SHED Location of Property: SCTM #: 473889 Subdivision: 625 Henrys Ln, Peconic, Sec/Block/Lot: 74.-1-17 Filed Map No. conforms substantially to the Application for Building Permit heretofore 5/7/2010 pursuant to which Building Permit No. 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: Lot No. filed in this ofliced dated 35568 dated 5/19/2010 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to Tenedios, Panagiotis & Tenedios, Varvara (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 #: 35568 Date: 5/19/2010 Permission is hereby granted to: Tenedios, Panagiotis 65 _Bayridge Ave Brooklyn, NY 11220 To: CONSTRUCTION OF AN ACCESSORY SHED AS APPLIED FOR At premises located at: 625 Henrys Ln, Peconic SCTM # 473889 Sec/Block/Lot # 74.-1-17 Pursuant to application dated To expire on 11/19/2611. Fees: 5~7~2010 and approved by the Building Inspector. ACCESSORY BUILDING Total: $100.00 $100.00 Building Inspector Focm Ho. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWH 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 DgpL of water supply and sewerage-disposal (S-9 form). 3. Approval ofeleOaieal installation from Board 0fFire Underwriters. ' 4. 'Sw.om statem0nt from pluml~¢r certifying that the solder used in system contains less than 2/10 of 1% lead. . 5. Commet~al building, ind. ustrial building, multiple residenoes and similar buildings and installations, a certificate of Cede ComPliatme'fi'om amhitect or engineer responsible for the building: .6. Submit planning Board Approval of completed site ptan requirements. B. For existing buildings (prior to April 9, 1957) nOn-conforming us~s, or buildings and "pre-existing" land uses~ 1. Accurate survey of property showing all property lines, streets, building and unusufil 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, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. C~rtifica{e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00; Swimming po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00,. ~. 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 New Construction: Location of Property: Hous~ No. Own6r or Owners o~ Property: Suffolk .Co.unty Tax Map No 1000, Sectiqn 8abdivision Permit lqo..~ 5,5'6~ ~' l:I~al~ D~pL Approval: Planning Board Approval: Request for: Old or Pre-existing Building: Street Temporary Certificate Date of Permit. Block Filed Map. Underwriters Approval: Fee Submilled: $ (check one) Hamlet Lot 7 Final Certificate: ~/ (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] RO/U/GH PLBG. [ ] FOUNDATION 2ND [ ]/J,NSULATION [ ] FRAMING/STRAPPING [~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) REMARKS: [ ] ELECTRICAL (F/INAL) DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION []FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFEI~ INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL} [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS: ! /? INSPECTOR TOWN OF SOUYFHOLD BUILDIN(~ DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined -~l( 9 , 20 /0 Approved_ ,)('//I1 ,20 /a Disapproved a/c Expiration )iii q,20 /] PERMIT NO. 3 5-,~ ~" BUILDING PERMIT APPLICATION CHECKLIST ~ui~tor 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: (~ ~ CATION FOR BUILDING PERMIT Date ,20 / ~~'"/ INSTRUCTIONS ila...Tb.~p~~n~S~T be ~ompl~tely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accu~ 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 buildiag 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 inspectms 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 ?A~ ~-I_?-,O-'[-~ ~ ~.~--"~1',-.~.~_~ ~o c~ (As on the tax roll or latest deed) If applicant is a corporati,gn, signature of duly authorized officer (Name and titk(of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which pr,oposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section 7c// Block z.P/ Lot ~ Subdivision tStCr'o,'~/~' ,~I~-3~ Filed Map No. t~f~,/ ' Lot State existing use and occupancy of prem~es andj_ntended use and occupancy of proposed construction: a. Existing use and occupancy {.J~( i~/°~L~. b. Intended use and occupancy -- ~t. Jq} C}~- .ewJ ,(-~ ~- 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units- ~ - If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ~ 1, '-7 Rear '-] I. ~ Height. Number of Stories I Dimensions of same structure with alterations or additions: Front Depth_ Height. Dimensions of entire new construction: Front- '~iX~'~ ~)' Height \ ~2_' '1" Number of ~fories Size of lot: Front /[0¢' Rear lQ<Date of Purchase 11. Zone or use district in which premises are situated Number of Stones Rear 20'D Depth Depth Name of Former Owner Rear.~ Depth ,¸3 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO/hO Will excess fill be removed from premises? YES NO __ 14. Names of Owner of premise~&~:~Address~f'~ggl,-'4,~d t..~,lt22~Phone No.-'] ~ {~,'~ ~ .a} -./t~ 0 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. ls 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. 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/n survey. / 18. Are there any covenants and restrictions with respect to this property? * YES NO v · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~ (~a/lJ/~t ~7--/b 77 3 '~' ./~/L'c.~.) ~_.C being duly sworn, deposes and me of individual signing contract) above named, says that (s)he is the applicant (S)He is 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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the a~lication ,filod]therewgth~/z ...... ~worn to De,ore me th~s c'~ day of __ :ounty _ .Town of $outhold B~r~?iio,, Sed,mentat,o, & S---~o~ ~ ASSESSMENT FOR.'.'. KiT LOCATION: S,C.T.M.#: THE FOLLOWING I LOTIONS rMAY REQUIRE THE S~RM;=~SION OF 1 ~I'E GR~i~ DRAINAGE'AN~-EROBiON ~n~L PI ,N Item Number: (NOTE: A Check Mark (,~) for each Oues0on is Required for a Complete Applicaiton) Yes No 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? /'/ (This item will Include all run-off oreated by site clearing and/or consl~citon activities as well as afl Site Improvements and the permanent ~eaflon of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Struc~ljres Indicating Size & Location? This item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowi Will this Project Require any Land Filling, Grading or Excava§on where there Is a change to the Natural J=~ ' Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? W~II this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? r~ Is there a Natural Water Course Running through the Site? Is this Project within the Trustees iudsdiction or within One Hundred (100') feei of a Wetland or Beach? r'~ ~ Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Matadal, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder.area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? r'~ 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 Permitl EXEMPTION: .Yes N~O Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answerod Yes to this Qcestlon, a Storm-Water, Gradthg, Drainage & Erosion Control Plan ts NOT Requlredl STATE OF NEW YORK, COUNTY OF ............... SS Thatl, .~....~....~...~.~'107-/.5 ~.~...~('c,.~ bein dui ............................................................................ g y sworn, deposes and says that he/she is ~e applicant for Permit~ (Nam of InciMduai signing Oocumt) And that he/she is the /'~(-~c//'/~:7C. ....................................................................... (Owner, Contractor. Agent, Corpoeate Officer. elc.) Owner and/or representative of the Owner of Owner's, 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 belie~, and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; It~I~WYKW. I~M! //~nature of Applicant) t (V,4C,4NT) II0.00' r LANE:' B.O,H. No,88 - SO - 138 CERTIFfEI) 1'~: LOHe I~.A~, Me~TOAgE CORP. Ri: i?J~t STORM WATER RUNOFF PURSUANT TO CHAPTER 236 APPROVED AS NOTED k ~ETTHE~: 'N~TFY BU)LDING DEPAR~ENT AT CO~SOF(j ' ©~)H~02 8 AM TO 4 PM FOR TH~ 1. FOUNDATION - TWO REQUIRED STRAPPING, ELECTRICAL 3 )NSU~T)ON -, ~:~CY 0R 4. FINAL-CONSTRUCTION&~LECTRICAL )~ ~, aUST BE C0aPLETE FOR CO. ': UNLAWR _ ALL CONSTRUCTION SHALL MEET ~E YORK STA~. ~T RESPONSIB~ FOR '" OOOU PAN~RWRi~fis CERTrF~ R[QUIRED SOUTHOLD BUILDING DEPARTMENT CRITER~ JSE D~LLING UN~- SEOnON 310- 3~0.2 =IRE AR~ (S~ 280 SQ FT ~PE OF CONS~UC~ION WOOD F~ME CONS~UC~ON DESIGN 2,{~R~ PRESCRIP~E DE,,,GN - 1~5 H~ WIND EDmON =~MI~ ELEME~ SEE FLOOR P~NS AND SEC~ONS DESIGN LOAD ~LCU~ONS SEE SPEC SHEET ~INDOW AND DOOR SCHEDULE .DAD PA~ SEE SEC~ ENERGY ~LCU~ONS ~A ,i SOUTHOLD BUILDING DEPARTMENT CRITERIA DCCUPANCY CLASSIFICATION R-3 RESIDENTIAL- SECTION 310 BUILDING CODE N.Y.S. JSE DWELLING UNIT- SEC~ON 310 - 310.2 "- HEIGHT 12'-7" =IRE AREA (sl~ 280 SQ FT : TYPE OF CONSDRUCT|ON WOOD FRAME CONS~UC33ON DESIGN 3,:~r]~RIA PRESCRIPTIVE DE,,~GN - 19s5 H~*I~ WIND EDmON ~VFCM : =RAMiNG ELEMENTS SEE FLOOR pLANS AND SECTIONS ': DESIGN LOAD CALCULATIONS SEE SPEC SHEET WINDOW AND DOOR SCHEDULE N/A .DAD PA~ SEE SEC33ON ': ~JAILING S~HEDULE SEE SPED SHEET 1' ~LUMBING RISER DIAGRAM N/A 1: FIRE PRO~CTION N/A 1: TRUSS DESIGN DRAWINGS N/A 1' ~NERGY CALCULA~ONS N/A ,i ____x__/ L_-~ ..... ~__/ P~OPO~E~ NOI~TH ELEVATION P~PO~E~ ~ST ~L~VATION Z ~ ~ ~ Z . . ~ L_~ ............ J ........ ~-J . _ L_~-. ~_J I i ~ I~ : ' ~'~" .~ , - I . F~At~TIAL ~,ITE PLAN A-3 30F6 i; I"X&" ImA~-..IA inl/V'IN't'L VI~N"I"~ ~OFt=IT #4 .C, ONTINUOU~ ~a~ (TYP) tEC, TION A-A DOUBLt~. 4" C,LAPBOAt~,D ',/IN"KL. SI~IN~ (C, OlOt~, tO HATC, H t~XI~TIN~ HOU~I~) OV~l~ 'I"r'VI~K ON ~" C.~X PL'r'. ON #:2 ~.t=. 2."x4" ~TUI~.~ ~ I~" O.C,. (.~EE ~PEC, ~HEET) C, ON~T. 4-" 'P.C,. 1,4SI'~. ~ ld/~"X~" IO/Io PIPI. I"L 4'-0" O.D. I'-O" FIROH ~tRNEtRD DILL PIAtl~/~lll ~EAL ~tt~l~HI i= ~IIt~LP ~ #: 1,2~ DATE: 4-"~-I0 40F6 PLAN .C, ON'I'ENT~': ROOF ~,AI~IIN¢ NAILIN~ 5,¢_,,HEIDLJLE: ,IAIALL Ft~AivlIN~ NAILIN® DC, HF:DULI=: ~ i~,-i i i,~-i ~,~ i i ~LL SHEATHIN~ ~E~UI~ENT5 ~0~ ~INO LOADS, . G~ILIN¢ ¢HEATHIN~ NAILING s~u~'m/~L PANEl. e" ox~. ~ NO~ ' mlm ~mi~..~l m ~ .~,=~=~re I ~,1~ . ~ D~N~N, J P,~91~VIG4 7' 5C,.N..E: NONE 'DATE: 4-~.-I0 60F6