HomeMy WebLinkAbout36384-ZTown of Southold Annex
54375MainRoad
Southold, New Yorkl1971
11/17/2011
CERTIFICATE OF OCCUPANCY
No: 35291
Date: 11/17/2011
THIS CERTIFIES that the building
Location of Property:
SCTM ti: 473889
Subdivision:
RESIDENTIAL ADDITION
45 OAK RD NEW SUFFOLK,N.Y. 11956,
Sec/Block/Lot: 110.-8-9
Filed Map No.
Lot No.
filed in this officed dated
36384 dated 5/16/2011
conforms substantially to the Application for Building Permit heretofore
5/16/2012 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:
foundation alteration and mud room addition to an existing one family dwelling as applied for per ZBA #6335, dated
2/25/10.
The certificate is issued to
Krug, Lauren
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
133429C 7/22/10
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 #: 36384
Date: 5/16/2011
Permission is hereby granted to:
LAUREN T KRUG
P.O. BOX 587
NEW SUFFOLK, N.Y. 11956
To:
FOUNDATION ALTERATION AS APPLIED FOR.REPLACES EXPIRED BUILDING PERMIT
#34476
At premises located at:
45 OAK RD NEW SUFFOLK,N.Y. 11956
SCTM # 473889
Sec/Block/Lot # 110.-8-9
Pursuant to application dated
To expire on 11/16/2012.
Fees:
5/16/2012 and approved bythe Building Inspector.
PERMIT RENEWAL
Total:
$75.00
$75.00
Building Inspector
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KE+PT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34476 Z Date MARCH 4, 2009
Permission is hereby granted to:
LAUREN T KRUG
PO BOX 587
NEW SUFFOLK,NY 11956
for :
FOLrNDATION ALTERATION AS APPLIED FOR. THIS PERMIT REPLACES 32088.
at premises located at 45 OAK RD
County Tax Map No. 473889 Section 110
pursuant to application dated MARCH
Building Inspector to expire on SEPTEMBER
NEW SUFFOLK
Block 0008 Lot No. 009
4, 2009 and approved by the
4, 2010.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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)
PERMIT NO. ~88 Z Date JUNE 8,
2006
Permission is hereby granted to:
LAUREN T KRUG
PO BOX 587
NEW SUFFOLK, NY 11956
for :
FOUNDATION ALTERATION AS APPLIED FOR
at premises located at 45 OAK RD
County Tax Map No. 473889 Section 110
pursuant to application dated JUNE
Building Inspector to expire on DECEMBER
NEW SUFFOLK
Block 0008 Lot No. 009
6, 2006 and approved by the
8, 2007.
Fee $ 150.00
Authorized Signatu e
ORIGINAL
Rev. 5/8/02
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR C-ERTIFICATE OF occUPANcy
This application must be filled ia by typewdte~ 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 loeaOon 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 ofeloetrieal installation from Board 6fFire Underwriters.
4. Sworn statement fwm plumber oe~ng that the ~older used in ~ystem contains less than 2/10 of 1%'lead..
5. Commercial building, industrial building, mtiltiple maldcacea and similar buildings and installations, a ccn'tifieate
of Codo Compliance from architect or ~mgineer responsible for the building.
6, Submit planning Board Approval of cempleted site plan requirement.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property shgwing all property lines, streets, building and: unusufil naturai or topographic
features.
2. A properly completed app[icati0n 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 t6 the applicant.
C. Fees
1. C, ertificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00.,
. Swinuning pogl $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~_
2. Certificate of Occupancy on Pre-existing Building - $t00.00
3. Copy of Certificate ofOcx:upancy - $ 25 '
4. Updated Certificate of Occupancy - $50.00
· s. Tempo Certi cate ofO upau y- identi.l mOO, Commer 0
New Construction:
House No.
Own6r or Owners of Property:
Suffolk .County Tax Map No 1000, Section
SubdivisiOn
ltoalth Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Foe Submitted: $
Filed Map.
Unde~rite~ Approval:
Final Ce~ifi~te:
· Date o f PormiL
Hamlet
(check one)
~ '~" Ao~[cant Si,vn~tu'~e
i~ue D~te
7/22/20~0
Electrical Inspection Certificate
Ele~b'lcsl Inspe~n ~en,'ic.e, Inc. Application Number
3T~ Dunto~ Avenue 133429C
~t Patchogue, NewYo~ 11772
1631) 2B6..~42
Issued To:Lauren Krug
Street: 45 Oak Road
Village: New Suffolk Zip: 11956 Town: Southold
~-tion: Block: Lot:
Swttchas Recep~clas FIx~ras GFI Heaters A/C Fans
2 2 2 1
Dishwasher IA/esl;er~Amps Dryer/Amps Oven Range/Amps Microwaves
I 20 I 30
Furnace 011 Gas C~rculetors Smoke Detect~r Bell Tranm'ormer
M~tor Amps Phase UG/OH Jacuzzi Television CO Detector
/
Bldg. Permit:
Other Equipmen.t~_
Hugo S. Surdi
President
03/3t/'2010
]nspectm*: Salvatme Frang~na
T~ ced~flcate must not be alterecl i~ any manner. Inspectom may be Identified by Ih~i' c~s.
Town Hall, 53095 g4ain Road
P.O. Box 1179
Southold, New York 11971-0950
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTI~OLD
CERTIFICATION
Building Permit No.~
(please print) ,3
(please print)
lead.
I certify that the solder used in the water supply system contains loss than 2/10 of 1%
Sworn to before me this
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~FOUNDATION 1 ST [
[~FOUNDATION 2ND [
] FRAMING / STRAPPING
] ROUGH PLBG.
] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI~,' ;.ATION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND ~NSULATION
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PE#I:ilIATION
REMARKS:~
INSPECTOR ~/~/~-~
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
[ ] RRE RESISTANT CONSTRUCTION
REMARKS:
DATE
INSPECTOR.._~~. ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
~FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION [
REMARKS:
DATE -~ '~; ~ - / o INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
~'~F~ING / ST~I~ING
[ ] FIREPLACE & CHIMNEY
[ ] IqRE RESISTANT CONSTRUCTION
REMARKS:
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE PJ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
From RESmSTJ.T coMs'm~CTmO.
INSPECTION
[ ~OUGH PLBG.
[/]INSULATION
[ ]FINAL
[ ]flRESAr~it'INSPECTION
[ ]RRE RESISTANT FENETRAI10N
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~N~flgATION
[ ] FRAMING / STRAPPING [ ~] FINAL
[ ] FIREPLACE&CHIMNEY [ ] FIRESA~INSPECTION
[ ]~ERE~ST~TC0.SmUCn0. [ ]F~ERES~TJNTPENEmAT.~
REMARKS: ~ ~---~2 ,
FIELD ]~SPECT~ ~RTI DATEI COMMENTS
...................................... ~¢~ ~. ~ ~
ROUGH F~G &
STATE E~R~ CODE '
/ ///P/~,.,.~ ~~
//~-~/.~' /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southoid/
Examined L [ ~(, 20 O~
Approved
Disapproved a/c
Expiration ~.~(~ ~ ,20 O 7
PERMIT NO.
~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
APPLICATION FOR BUILDING PERMIT
Date .~,.,JOtJ 7
INSTRUCTIONS
,20bS"
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 Depamnent 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 ~ode, and reg~Jations, and to admit
authorized inspectors on premises and in building for necessary inspections.
L./~...---~ (~gl~ature of appflc~tnr~r nam{~i~ a corporation)
'(Mailin~ ac~dre% ~f applica][g
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~.c~. ~ ~4 Kx'<,x~,--
(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 License No.
Electricians License No.
Other Trade s License
1. Location of land on which proposed work will be done:
House Numb~ S~eet
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
~ ~ rD Block
Filed Map No.
Lot 0 9
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisfinguseandoccupancy .~,o~_e.. ~rtao,.d,, .~)t,,,,.lI~,._~ / tOa~.ooD
b. Intended use and occupancy ~r~.q4~a.~ ~ t~,,~x~./ -
3. Nature of w/ork (check which applicable): New Building Addition__ ,_ __ Alteration
Repair /' fig mdt;~t~emoval Demolition Other Work
4. Estimated Cost .~' ~ ~"(~)(D Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(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.
Rear ~)5- '
7. Dimensions of existing structures, if any: Front ~
Height rQ.C' Number of Stories
Depth
10. Date of Purchase
11. Zone or use district in which premises are situated
Dimensions of same structure with alterations or additions: Front .~o '
Depth .~ ~' ' Height r-2,.,z-'' Number of Stories
8. Dimensions of entire new construction: Front ,:,~O Rear ~9~5-' .Depth
Height ~O. SJ Number of Stories ~
Size of lot: Front ._C-'D. O// Rear ,_-C{-~, O~ /
9/q (a Name of Former Owner
Rear
Depth
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO /
13. Will lot be re-graded? YES
14. Names of Owner of premises L~.tx re.r~.,o ~.t~.a
Name of Architect ~,~O~,q ~rrze.~ ,J
Name of Contractor ~am~ [.a_.~ ~ ~
__ NO v/ Will excess fill be removed from premises? YES 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.
Addresso?q8o ff--p_al~,to,~l {.. Phone No. 73
Address ~-~/~_~t~~ Phone No
Address ~7~,~.t~Phone No. 7
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.
STATE OF NEW YORK)
~k'X3,t~k being duly sworn, deposes and says that (s)he is the applicant
(Name of individual'v~gning contract) above named,
(S)He is the ~x>.b~
(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.
Sw. om. to before me tllis
'wk.~'- day of ~X.~,~dO~_ 20 ~-~
Not~y Public ~ ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802 ,
FAX: (631) 765-95'02
SoutholdTown. NorthFork. net
Examined ~20
Approved ,20
Disapproved a/c
Expiration ,20
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the fo]lowing, before app ying?
Board of Health
4 seB of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Watar Assessment Form
Contact:
Mail to:
Building Inspector
· \ , APPLICATION FOR BUILDING PERMIT
- -~ INSTRUCTIONS
' a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of_p~ms 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.
e. 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.
£ Eve/-j building permit shall expire if the work authorized has not commenced within 12 months a~er the date of
issuance or has not been completed within 18 months fi.om 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 constxuction 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 ragulatinns, and to admit
authorized inspectors on premises and in building for necessary
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises L/~ o_vt., w~l A~s ~n t,~.~a
( ' the t3x roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section [ I O Block OO
Subdivision Filed Map NO.
Lot Oq
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy _~'~aaLe~ x~,~--t"~,l~x~ "l>~,~,~Lt.~.~.ta /~a~a.~
b. Intended use and occupancy ~r~, ~.t.
I
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost ~ ooo
5. If dwelling, number of dwelling units
If garage, number of cam
Fee
I
Addition / Alteration
Other Work
(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. bt//&
7. Dimensions of existing structures, if any: Front ~ O ! Rear ,O $"/ Depth .~o /
Height .2..5-- Number of Stories ~
Dimensions of same structure with alterations or additions: Front ~,9 / Rear ~ ~- '
Depth ~ ~ / Height .,2 S-- Number of Stories ~
8. Dimensions of entire new construction: Front ..9 o Rear
Height ,w<,<7-" Number of Stories
9. Size oflot: Front ..5--O. O ! e .Rear
Depth
Depth
10. DateofVurchase 9 - ~'b Name ofFormar Owner
11. Zone or use district in which premises ~e situated
12. Does pro~sed ~onstmction violate ~y tuning law, ordin~ce or regulation? ~S NO
13. Will lot be re-graded? YES ~NO ~ Will excess fill be removed from premises? YES ~O
14. N~es of Owner ofRrgmises ~ ~d~es~q8
N~e of Architect Ck~sto~ ~r~ JAddress~Phone No
Nme of Con,actor '~ ~ ~ ~ Address Phone No.
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 R~QUIRED.
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 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)
Lcx,r r0. .. kma. beinguydl sworn, deposes and says that (s)he is the applicant
(Name of mthvldual sign/rig contract) above named,
(S)He is the
(Contractor, Agent, Coq~orate 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 befiefi and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn Io before me this ~ _ [~~-~~~.~
'~2~I'~ day of X~ ~\~/ 20~c~
BONNIE W. MAZZAFERRO
Notary Public. State al New
~'MA46676t!
Commission Expires August 31,-ZO\
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined ,20__
Approved
Disapproved a/c
,2O
Expiration ,20
PERMIT NO.
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.
Tmstees
Flood Pem~it
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date x~.,,/~.~. _ O'/:, , 20 O9
e 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 aPter 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 cod~e, a/ggd-~aftJons, and to admit
authorized inspectors on premises and in building for necessary inspections.. /.~/,/ J&
'-'"" (S~gnature of apphcant na, I~, if a corporaaon)
or
(Mailing address of applicant) ' /
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises L~ ~o-- i~ KI
(As on the tax ro, lj or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will
House Number Street
County Tax Map No. 1000 Section [ t o Block Oo ~ o'9, Lot o c/
Subdivision Filed Map No. Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existinguseandoccupancy ~', ,,a[.e.. Ft~"'~'l"t "~"""J]~4~ //[:~''~''~'~i ~'~"~°?'"
b. Intended use and occupancy ,r,..,~.~ ~c. t ~.,~..-_,- ~
3. Nature of work (check which applicable): New Building.
Repair Removal Demolition
4. Estimated Cost gSr~C>~Ooo
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
Addition
Other Work
Alteration
(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 .O.D / Rear
Height r.2.C ~ Number of Stories g.
Dimensions of same structure with alterations or additions: Front
Depth ~/ _:;9' ' Height ~,PD '
Depth ,.3D
Number of Stories:
Rear ,) ~ ~epth o-" q
Depth c--2 <95~r ......
J
8. Dimensions of entire new construction: Front ~O
Height ..25- Number of Stories
9. Size of lot: Front ~-O ' Rear r~
10. Date of Purchase 6]/j q ~ (,, 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__
13. Will lot be re-graded? YES
NO
NO /'
Will excess fill be removed from premises? YES / NO__
14. Names of Owner of premises LAut>e~d }(o ,~
~ct
Name of Contractor 'j'^.~.a:s
15 a. Is this prope~y within 100 feet ora tidal wetland or a ~eshwater wetland? *YES~
* 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~R~QUIRED.
b. Is this propeAy 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 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)
oia .ess:
COUNTY ,'~ )
Lomcerv? nindiv dUal sitr~i being duly sworn, deposes and says that (s,he is the applicant
(Name ofind' 'd 'grff' g contract) above named,
(S)He is the ,~OO~.ff¢._-
(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.
~ONNIE W-
Sworn to before me this ~ . Notary Public, Sram
~ dayof k~\tA~Xl 200q . ~o,O~MS~ .r
~otaw Publ~ ~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date: August 11,2009
To:
Lauren Krug
2980 Grathwohl Rd.
P.O. Box 587
New Suflblk, NY 11956
Please take notice that your application dated July 28, 2009:
For a permit fbr addition at:
Location of property: 45 Oak Rd, New Suffolk, NY
County Tax Map No. 1000 Section 1 I 0 Block 8 Lot 9
Is returned herewith and disapproved on the following grounds:
The proposed one story addition to this single family dwelling on this nonconforming
10,250 +/- sq. ft. parcel, comer lot, in the R-40 District is not permitted pursuant to
Article XXII1 Section 280-124 which states:
Lots measuring less than 20,000 sq. ft. shall have a front yard setback of 35 feet.
The survey indicates a front yard setback of 26.2 feet from Oak Road.
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application may
require further review by the Southold Town Building Department.
CC: file, Z.B.A.
Office Location:
Town Annex/First Floor, Capital One Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTI-IOLD
Tel. (631) 765-1809 Fax (631) 765-9064
FINDINGS, DELIBERATION AND DETERMIN.Z
MEETING OF FEBRUARY 25, 2010
Mailing Address:
53095 Main Road
P.O. Box 1179
Southold, NY 1197i-0959
ZBA FILE 6335
NAME OF APPLICANT: Lauren Krug
PROPERTY LOCATION: 45 Oak Road, New Suffolk, NY
CTM 1000-110-8-9
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration
in this application and determines that this review falls under the Type II category of the State's List of
Actions, without further steps under SEQRA.
SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the
Suffolk County Administretive Code Sections A 14-14 to 23, and the Suffolk County Department of
Planning issued its reply dated September 21, 2009 stating that this application is considered a matter
for local determination as there appears to be no significant county-wide or inter-community impact.
PROPERTY FACTS/DESCRIPTION: The subject property is a non-conforming 10,250 +/- sq. ft.
rectangular shaped pamel in the R-40 district. The property has a northerly lot line along a neighbor's
property measuring 204.53 feet, an easterly lot line along another neighbor's property measuring 50 feet,
a southerly lot line along Oak Road measuring 205.42 feet, and a westerly lot line along Grathwohl Road
measuring 50.01 feet. The parcel is improved with a modest 2 story, 943.11 sq. ft. single-family
residence, and a detached 286 sq. ft. accessory garage, as noted on the site survey drawn by Stanley J.
Isaken, Jr. and dated July 24, 2009.
BASIS OF APPLICATION: Request for a Variance from Code Section 280-124, based on an application
for a building permit and the Building Inspector's August 11, 2009 Notice of Disapproval concerning a
proposed addition to a single family dwelling, at less than the code-required minimum front yard setback
of 35 feet, at 45 Oak Road (and Grathwohl Rd.), New Suffolk; CTM 110-8-9.
LWRP: This application is not subject to review under Chapter 268 because the variance relief
requested does not involve features that relate to a regulated naturel feature or a bulkhead or other
shoreline.
RELIEF REQUESTED: The applicant requests an area variance in order to construct a 8 ft. x 9 ft.
addition onto a part of the front of the dwelling, to be used as a mud room/entrence. The Notice of
Disapproval issued by fhe Building Department states: "Lots measuring less than 20,000 sq. ft. shall
have a front yard setback of 35 feet.
They survey indicates a front yard setback of 26.2 feet from Oak Road." The closest distance of the
southeast front corner of this existing dwelling to Oak Road is measured at 14.4 feet, as shown on the
site plan submitted, and dated July 24, 2009. The proposed addition is noted with an increased setback
of 26.2 feet from Oak Road.
Page 2- Februa~ 25, 2010
ZBA File#6335 - Krug
CTM: lO00-110-8-9 at 45 Oak rd., New Suffolk
ADDITIONAL INFORMATION: The Applicant has submitted an Agricultural Data Statement which
indicates that the subject property is within Agricultural District # 1., and that there is no active farming
done on this parcel.
The Applicant has also submitted a completed Town of Southold Erosion, Sedimentation & Storm-Water
Run-off Assessment Form.
FINDINGS OF FACT/REASONS FOR BOARD ACTION:
The Zoning Board of Appeals held a public hearing on this application Jan 21, 2009, at which time
written and oral evidence were presented. Based upon all testimony, documentation, personal
inspection of the property, and other evidence, the Zoning Board finds the following facts to be true and
relevant and makes the following findings:
On the basis of testimony presented, materials submitted and personal inspections, the Board makes the
following findings:
1. Town Law §267-b¢3)(b)(t}. Grant of the variance will not produce an undesirable change in the
character of the neighborhood or a detriment to nearby properties. The applicant's property is a corner
lot with two front yards in a fully built-out neighborhood. The lot is very narrow and deep and the
proposed small entry mud-room addition will be set back from the side street (Oak Rd) at a much greater
distance than the existing house. It is proposed at 13.6 ft. in height and will not be visible from the
primary street (Grathwohl Road), and will have no adverse visual impact on neighboring properties.
2. Town Law §267-b(3)(b}{2). The benefit sought by the applicant cannot be achieved by some
method, feasible for the applicant to pursue, other than an area variance. The existing dwelling has a
non-conforming front yard setback that includes almost the entire building envelope. Any addition, even
as modest as proposed by the Applicant requires an area variance.
3. Town Law §267-b(3){b){3). The variance granted herein is substantial at 25% relief. However, the
applicant proposes to construct a small 72 sq. ft. addition, at an increased front yard setback of 26.2
feet, on an existing single-family dwelling with a non-conforming front yard setback of 14.4 feet.
4. Town Law §267-b~3)Cbl{4i No evidence has been submitted to suggest that a variance in this
residential community will have an adverse impact on the physical or environmental conditions in the
neighborhood.
5. Town Law §267-b(3)(b){5). The difficulty has not been self-created but is a result of the pro-existing
non-conforming location of the existing dwelling on a narrow, deep lot with two front yards.
6. Town Law §267-b. Grant of the requested relief is the minimum action necessary and adequate to
enable the applicant to enjoy the benefit of a small mudroom/entrance while preserving and protecting
the character of the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test
under New York Town Law 267-B, motion was offered by Member Horning, seconded by Member
Goehringer, and duly carried, to
GRANT the variance as applied for, and shown on the on the site survey drawn by Stanley J. Isaken,
Jr. and dated July 24, 2009 and 3 hand drawings (elevation, floor plan and building section) by James
Sanna of F&J Contractors dated Aug. 1, 2009.
Page 3- February 25, 2010
ZBA Fi1¢#6335 - Krug
CTM: I000ol 10-8-9 at 45 Oak rd., New Suffolk
Any deviation from the variance given such as extensions, or demolitions which are not shown on the
applicant's diagrams or survey site maps, are not authorized under this application when involving
nonconformities under the zoning code. This action does not authorize or condone any current or future
use, setback or other feature of the subject property that may violate the Zoning Code, other than such
uses, setbacks and other features as are expressly addressed in this action.
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration
that does not increase the degree of nonconformity.
Vote of the Board: Ayes: Members Ayes: Members Weisman (Chairperson), Dinizio, Goehdnger,
Homing and Schneider. This Resolution was duly adopted (5 -0 ).
Leslie Kanes Weisman, Chairperson
Approved for filing- ..3./Rf /2010
TOWN OF SOUTHOLD PROPERTY RECORD CARD /~-V
FORMER OWNER --)
~,E~..~/O SEAS. VL.
LAND
AGE
NEW
Farm
'illable 1
'illable 2
'illable 3
Vaodland
;wampland
;rushland
touse Plot
! 'oral
IMP. TOTAL
40o
N
s /fi. ad.
FARM COMM.
DATE REMARKS
BUILDING CONDITION
NORMAL BELOW
Acre Value Per Acre
DISTRICT SUB.
ACREAGE
TYPE OF BUILDING
lIND. CB. MISC. Est. Mkt. Value
ABOVE
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD ''~''~
BULKHEAD
DOCK
~ ~ ,~undati°q C~ Both
~sement ~ ~ Floors
Ext. Walls Interior Finish
Fire Place , Heat
Porch ~ Roof Type
Porch Rooms 1st Floor
Patio Rooms 2nd Floor
Driveway Dormer
/
1
2
3
4
5
6
7
8
9
impmvefn, ents end the. pemument omatkm.oflmpe~lous s~.) . . . / ~
O~s ~e Site P~ ~or 8~W~ ~ P~ ~ 8~ I~ S~ & ~n?
~ Item s~ll ~de aa P~ Grade ~ ~ ~ ~ Su~ W~
~, ~is P~ R~uim ~Y ~d ~l~, Gm~ ~ ~ ~em ~ ~a ~a~ to ~e Natumt ~ ~
~s~ Grade I~ ~ ~an 2~ ~ Y~ ~ ~ ~ln an~ Pa~?
~e ~ed (5,~) ~ F~ ~ G~ ~
Is ~em a Natural Wat~ ~me ~ ~gh ~e SRe? ~ ~
Is ~is P~e~ ~ln ~e T~te~ ~ ~ ~ln ~ H~ (10E) feet of a wetland or Beth?
Will ~em ~ Site preparation on ~sflng Grade Slo~s ~1~ ~ed FiEeen (15) ~eet M Ve~l ~se to ~ ~
One Hu~ (10~) of Ho~l ~s~?
~11D~veways, Pang ~eas ~ o~er Im~us Su~s ~ ~o~ to Dim~ Sto~-Water RunOff ~ /
into aRdlor in ~e di~ ~ a T~ flght~
Will ~is Pmje~ Re~im ~e Plac~ent of Mate~l; Re~l Of V~e~t~ a~or the ~s~ of ~ ~
any Item Wi~in ~e T~ ~ght~[-way ~ R~d ~d~ ~ea?
~hls item wilt NOT Include ~e Ins~llation of Ddveway Aprons.)
Will this p;oje~ ~quim Site preparation ~thln ~e ~e Hund~ (100) Year Floodplain of any Water~urse? ~ /
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 ....... permtil
-- - Yes No
F_XEMP'nO~: /
Does_this proJe~ meet the minimum standards for dasslfic~tlo~ ~ an Agricultural project? ~/
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl __ __
STATE OF NEW YOILK,
coui~ o~.:..'-.~.-~.-.~.. ................. ss
That I
(Name o! individual sign~ Documenl)
And that he/she is the ..-~.-.~-'-~---"-~" ""'": ...................................................................................................
Owner and/or representative of the Ownex of Owner's, and is duly authorized to peffonlx or have perforated the said work and to
make and file this application; that all statements co~itained in this a~plication are true tc the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the application filed herewittz
Sworn to before me this;
Notary Publ ..........................
I
FORM - 06/07
Southold Town Building Department
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 110.-8-9
Permit #: 34476
Permit Date: 3/4/2009
Expiration Date: 9/4/2010
BUILDING PERMIT RENEWAL LETTER
Dated: 5/2/2011
Applicant:
Location:
Work Description:
LAUREN T. KRUG
45 OAK RD NEW SUFFOLK,N.Y. 11956
FOUNDATION
FOUNDATION ALTERATION AS APPLIED FOR.
A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT, THANK YOU.
Owner:
Address:
LAUREN T KRUG
P.O. BOX 587
NEW SUFFOLK, N.Y. 11956
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. Ali work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
COpy
SOUTHOLD TOVqN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 31,2011
Lauren Krug
PO Box 587
New Suffolk, NY 11956
RE: 45 Oak Road, New Suffolk
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.
A fee of 50.00.
Final Health Department Approval.
Plumbers 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: 36384-Z alteration
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971 0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 7, 2011
Lauren Krug
PO Box 587
New Suffolk, NY 11956
Re: 45 Oak Rd., New Suffolk
TO WHOM IT MAY CONCERN:
The Follov~ng Item(s) Are Needed To Complete Your Certificate of Occupancy:
· ~ ^pplication for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
~/"A fee of $50.00.
Final Health Department Approval.
'~/'/Plumbers 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: 36384 - Alteration
~mmmm mmm m~ ~mmm
S
7.5'21
~ 73'2~'00"~ ~ ?~'~ I 12°s'42
OAE _ROAD
GUARANTEED TO:
LAUREN T. KRUG
SuRvEY OF
DESCRIBED PROPERTY
SITUATE
NEW SUFFOLK, TOWN OF
SUFFOLK OOUNTY,
SOUTHOLD
N.Y.
SURVEYED FOR: LAUREN T. KRUG
SURVEYED: 24 JULY 2009
SCALE 1"= 30'
AREA = 10,249 S.F.
OR
0.235 ACRES
30 July 09
T~# 1000-170-08-009
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFF/~LK. N.Y. 11956
4~YS Lic. J~o. ~492~'} 09R1737
REScheck Software Version 4.3.0
Compliance Certificate
Energy Code: 2007 New YoH( Energy Conservation
Construction Code
Loca~on: Suffolk County, New York
Consffuc~on Type: Oetach~ t or 2 Family
Heating Type: Non-Electric
Glazing Area Percentage: 21%
Heating Degree Days: 5750
ConstmctJo~ Site:
Owner/Agent:
AN T's~ HOUSE
CUTCHOGUE, NY
---' r1-1-1'I
Compliance: Maximum UA: 37
Your UA: 37
Designer/Contractor:
MARK SCHWARTZ, ARCHITECT
631-734-4185
Floor 1: All-Wood JoistJTruss:Over Unconditioned Space
Wall 1: Wood Frame, 16' o.c.
Window 1: Wood Frame:Double Pane with Low-E
Door 1: Glass
Ceiling 1: Cathedral Ceiling (no attic)
72 30.0 0.0 2
240 13.0 0.0 15
30 0.330 10
21 0.320 7
72 21.0 0.0 3
The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted
with this pamlit applica~on. The proposed systems have beerl designed to meet the 2007 New York Energy Concerva~on Construction
Code requirements. When a Registered Desig~ ~ ara attesting that to the b~st of his/her
Name - Title
Project Titia: Report date: 03/11110
%.;-' L E~'.' Ti:' ¢,.~ ~; ) '"'"'"'-,,
'.% -%
GENERAL NOTES
CONSTRUCTION NOTES:
FOUNDATION NOTES:
FRAMING NOTES
WIND FRAMING NOTES
DECK AND COVERED PORCH NOTES:
PLUMBING NOTES
HVAC SYSTEM NOTES
ELECTRICAL NOTES:
NAILING SCHEDULE
ROOF FRAMING:
WALL FRAMING:
FLOOR FRAMING:
ROOF SHEA FHI NC,:
CEILING SHEATHING:
NAIL NA L
WALL SHEATHING:
NAIL NAIL
LOOR SHEATHING:
NOTES:
PLAN CONTENTS:
CLIMATIC & GEOGRAPHIC DESIGN CRITERIA
ROOF SHEATHING REQUIREMENTS FOR '~JIND LOADS:
WALL SHEATHING REQUIREMENTS FOR WIND LOADS:
~OTES
NOTE:
CONTRACTOR TO PROVIDE SOIL TEST TO VERIFY
EXISTING CONDITIONS. MINIMUM 3000# CAPACITY.
WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS
USE T!~E FOLLOW~NG APPROVED USP METAL CONNECTORS FOR PROPER WIND RESISTANT GOOD CONSTRUCTION. FOLLOW MANUFACTURE'S RECOMMENDED NS~rALLAT!ON INSTRUCTIONS TO ACHIEVE MAXIMJM UPLFT LOAD CAPACITy
't mm
~X, qND LOAD PATH CONNECTION AND CONSTR. UCTION DETAIL DR. AX~VJINGJ;
' NA LNG & CONNECT QN8
, , REQUIRED,_:,
RETAIN STORM WATER RUNO~
PURSUANT TO SECTION 45-10C
OF, THE TOWN CODE. ' '
"f~EREQUIREMENT OF, NEW YORK
usF.... ls
' UT 6ESTIFICA
OF OCCUPANu~ ~
r " .i ApPROYED /~$ No'TEO ~. ,"
,AU ~u.
FOR ¢OUR .... & pLUMBiNG
~E. NOT RESPONSIBLE FOR
~ORK ~T~ cONSTRUcTiON ERRORS.
,;, ';, , . ', , ,
/
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