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HomeMy WebLinkAbout36770-ZTown of Sonthold Annex 54375 Main Road Southold, New York 11971 11/1/2011 CERTIFICATE OF OCCUPANCY No: 35265 Date: 11/1/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: AS BUILT ALTERATION 1455 New Suffolk Road, Cutchogue, Sec/Block/Lot: 109.-7-10.4 Filed Map No. conforms substantially to the Application for Building Permit heretofore 10/11/2011 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: "As Built" Alterations to an Existing Single Family Dwelling; Lot No. filed in this ofliced dated 36770 dated 10/21/2011 Attached Garage Conversion to Living Space, (Bedroom & Bath), as applied for. The certificate is issued to Beebe, William (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 #: 36770 Permission is hereby granted to: E/O Beebe, William Date: 10/21/2011 1407 Middle Rd Calverton, NY 11933 To: "As Built" Alterations to an Existing Single Family Dwelling; Attached Garage Conversion to Living Space, (Bedroom & Bath), as applied for. At premises located at: 1455 New Suffolk Road, Cutchogue SCTM # 473889 Sec/Block/Lot # 109.-7-10.4 Pursuant to application dated To expire on 412112013. Fees: 10111/2011 and approved by the Building Inspector. CO - ALTERATION TO DWELLING SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $7O2.4O $752.40 Building Inspector Form No. 6 TOWN OF SOUTHOLD. 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 w!th the follo~ving: A. ]For new building or new use: 1. Final survey °f Pr°perry with accurate'location of all buildings, propetW lines, streets, and unnsual naomi, or topographic features. 2. Final Approval from Health D.opt. of wate~ supply and s~werage.disposal (S_9 form). 3. Approval of electrical installation from Board 6f Fire Underwfitem. 4. Sw. om statement from plumber ceaifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance'from architect or engineer responsible for the building= 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957~ fen-conforming ns~, or buildings and "pre-existing" land uses'.' I. Accurate survey of property showing all propca-ty lines, streets, building and unusual natural or topographic features. ' 2. A properly ~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. ertifica~¢ of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50_0~, , Swimmilig 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 · 4_ Updated Certificate of Occupancy- $50.00 5_ Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property: '~'~ ~ '~ ~x_~Ls~ ~ ~ ~< (~d. House No. Street Suffolk Cosmty Tax Map No 1000, Section \ C9 q Bioek "7 Subdivision P~mitNo. ~:~ ~), ~) DateofPermit. (check one) Health Dept. Approval: Planning Board Approval: Filed Map. Applicant: Undoretriters Approval: Request for: Temporary Certificate Final Certificate: Foe Submitted: $ ~'-0. ~' Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG_H PLBG. FOUNDATION 2ND [ ] I/~ULATION / [ ] FRAMING/STRAPPING [//] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTR~AL (FINAL) REMARKS: DATE INSPECTOR DONALD G, FELLER *ARCHITECT 11725 Main Rd · Box 1692 · Mattituck, NY 11952 · 631 298.5453 · Fax 298.1380 October 21,2011 Mr. George Gillen Southold Town Building Department Southold Town Hall Main Road, Southold, New York Re: As Built Plans for the William Beebe Esf~t~ 1455 New Suffolk Road, Cutchogue, NY Mr. Gillen: I have investigated the existing sewage disposal system at the above mentioned project, and can verify that its capacity meets the requirements of the Suffolk County De~ent of Health Services for four bedrooms at the existing single OCT 21 2011 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN.HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net PERMIT NO. OCT 11 2011 BtDG DEPT. TO~h'N OF SOUTHOLD Building Inspector ~.PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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 Flood Permit Storm-Water Assessment Form Contact: Phone: '2A$- I°/ll ,2011 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 issuancc 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 Pemfit 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, andlregulations, and to admit authorized inspectors on premises and in building for necessary inspection~~ ~ (Signature o"~"fapplicant or name, if a corporation) (Mailing address of dpl~li~ant) '~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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 No. Location of land on which propo? work will be done: House Number Street C_x.)--r-c.,q© Hamlet County Tax Map No. 1000 Section ~ O C~ Block "'1 Lot I0.4 Subdivision -- Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~[¢,~IL. rC ,-r~i2~/h'311~ l~V~&.~tkJ ¢o b. Intended use and occupancy ~/"~¢vq ~ 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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ' Rear Height_ Number of Stories I Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear. 8. Dimensions of entire new construction: Front Height. Number of Stories 9. Size orlot: Front I t2-~ Rear I'Z,~- Rear .Depth 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 )4. 13. Will lot be re-graded? YES__ NO Will excess fill be removed from premises? YES__ NO ~ i 4. Names of Owner of premises 1:¢>-6, 0~ Nlq ~t~ddress Name of Architect dPoN ~ ~51 ~.t:2~[ Address Name of Contractor -- Address Phone No. Phone No 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 .>q * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ~ 16. Provide survey, to scale, with accurate tbundation 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 · IF YES, PROVIDE A COPY. NO X' STATE OF NEW YORK) SS: COUNTY OF ) (~)Of-3 ¢>~q~O -~1 ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~-~ L ~ "~ (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. Swomlo before me this __ '~7 Aayof ~:g~ 20// Notaw Public 0ualified in ~ass~u / Suff~ C0mt~s Sign~ of Applicant Commission Expires /~/~///~ 3977o BUILDING PERMIT EXAMINER CHECKLIST Architect/~ J~) ~-~-- SCTM# lOOO -- [ ~-- 7 ]~9, ~'~ Subdivision: *DateSubmitted: l°-l(-II Oate Reviewed: Property Address: t¥-S"---C- ,A/.A4.v~~ /~, City: Building Permits (Open/Expired): BP__-Z / C/0 Z-__, Info: BP Estimated Cost: Zone: L-.~ Conforming? ~ Pre COs? __ -z / c/0 z- ., Info: BP__-Z / C/O Z- ,Info: BP -Z/C/O Z~ ,Info: BP .-Z / C/O Z-__., Info: Single & Separate Search Required? Y o~Determination:; - ' REQ. Lot Size: . ACT. Lot Size: REQ. Lot Coy. ,lo% ACT: Lot'Cov. ~Q. Front ACT. Front ~Q Side ACT. Side ~Q. Re~ PROP. Rear ~Q. Height. 3~ ~ ACT. Height R~. ~o~ SIb~5 ~,~ ~T . water,fortifY or~ ' ' Ify~, water body: Panelg ~ Flood ~ne: ' .BUl~ea~BluffDistaace: A~DITIONAL APPROVALS ~QUI~D fLn~ S ~) $1~ Suffolk County Health: Y or N- If yes, *Bedg *Date: / / *Permitg] Town Septic: Y~ - If no, certification required: Y or N Received: Y or N By: ~S DEC: ea~gcw~ao Y or~ Date: / / Permit ~: or NJ Letter - Notes: Southold Trustees: Y or ~Date: / / Permit ~: or NJ Letter - Notes: Southold ZBA: Y or~- Date: ~/ /~ Permit ~: -Notes: Southold Planning: Y or~ Date: / ~/ Permit ~: - Not~: Town Landmark C of A: Y o~DTE: /_ _( *~S CODE ~ompliance (page 2): Y or N Co~rR~ LIc~-~ ~DI~A~iLi~~ Ll~lLlYy~og~ Co~P~T/O~ ~ Fee Structure: Calculation: Foundation: SF First Floor: ~ '?~- SF Second Floor: SF Other: SF Total: ~ 7' ¥ SF BTZ. x$ ,' + Initial Fee: $ + Addition~d Fee ( ): $ SF X $, :$ + Initial Fee: $ + Additional Fee ( AS BUILT FEE -~3-~l,;;"o TOTAL:$ ):$ ,2-0 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: · Grounll Snow Load: 2.0 Weathering: Severe __ Frost Depth: 36" __ Design Temp: 11 - 'Ice Shield Underlay: YES __ USE/OCCUPANCY CLASSWICATION: - HEIGI:tT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/pREscRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: YfN CEILING JOISTS: Y/N FLOOR JO£STS: YfN LUI~BER SPECIES AND GRADE: Y/N __ Wind Speed: 120MPH__ SelsmicDes gn Categeryi B , Termite: M-H Decay: S-M Flood Hazards: GIItD ERS~ YfN ROOF ILalrFERS: Y/N wI3qDOW AND DOOR SCHEDULE: · MISSLE TEST REQUIRENIENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: ¥/N 'VENT 4 %: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: YFN PLLrMBING PdSER DIAGRAIvI: Y/N LOCATION OF FII~ PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIXICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/Iq (RETURN TO PAGE ONE N JOH1N C. ~.I~]~.S ~ SLPR~OR DON,~,LD G, FELLER °ARCHITECT 725 Main Rd - Box 1692 · Mattituck, NY 11952 - 631 298.5453 * Fax 298 1380 ,/ ~ ~OTED ~L'ARTMENT AT 4 PM FOR THE ' !C'NS] REOUlRED NCRETE :LUMBING, : _£CTRICAL & CAULKING ~ - ' '~STRUCTION &ELECTRICAL ',' : ~ LOMPLETE FOR C.O ;,, L _ NSTRUCTION SHALL MEET THE ~ ~ ) JiREMENTS OF THE CODES OF NEW fORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ~4~-~SNEH'm-~gNS~F S~D TOWN Z~: ~,s. DEC ELECTRICAL INSPECTION REO!J!R ED PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WA TER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. PLUMBING __ WA~R UNES NEon TESTING BEFORE C6~ING