HomeMy WebLinkAbout36322-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
1/11/2012
CERTIFICATE OF OCCUPANCY
No: 35392
Date: 1/11/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIHES that the building ALTERATION
1374 Lighthouse Rd, Southold, NY 11971,
See/Block/Lot: 50.-5-6
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
Lot No.
filed in this officed dated
36322 dated 4/14/2011
4/8/2011 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" enclosed porch on an existing one family.
The certificate is issued to
Heiss Margaret M Liv Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIHCATE NO.
PLUMBERS CERTIFICATION DATED
36322 1/11/12
Signature
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 #: 36322
Permission is hereby granted to:
Heiss Margaret M Liv Trust
1374 Lighthouse Rd
Date: 411412011
Southold, NY 11971
To:
enclose a porch as applied for
At premises located at:
1374 Lighthouse Rd, Southold, NY 11971
SCTM # 473889
Sec/Block/Lot # 50.-5-6
Pursuant to application dated
To expire on 4/13/2012.
Fees:
4~8~2011
and approved by the Building Inspector.
CO - ALTERATION TO DWELLiNG
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
Total:
$50.00
$492.00
$542.00
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 with the following:
A. For new building or new use: I. Final survey of property with accurate location 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 of electrical installation from Board of'Fire Underwriters.
4. Sworn statement from plumber certifying 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.
Bo
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines~ streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. Ifa Certi-ficate of Occupancy is
denied, the Building Inspector shall state the reasons fllerefor in writiug to tile applicant.
C. Fees
Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00. Additions to accessory building $50.00, Busiuesses $50.00.
2. Certificate of Occupancy on Pre-existiug 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
New Construction:
Location of Property:
Owner or Owners of Property:
Date.
Old or Pre-existing Bnildiug:
House No. Street
Suflblk County Tax Map No 1000, Section
SubdMsion
Permit
Date of Permit.
Health Dept. Approval:
$15.00
(check one)
Hanllet
Block Lot
Filed Map. Lot:
/ ~'
U nderwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Sub,nitted: $ ~ ({t{
Final Certificate:
t~'~ (check one)
Town Hail Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971 0959
Telephone (631) 765-1802
Fax (631) 765-9502
ro.qer, richert~town.southo d ny us
BUILDING DEPARTMENT
TOWN OF 8OUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Margaret Heiss
Address: 1374 Lighthouse Rd City: Southoid St: NY Zip: 11971
Building Permit #: 36322 Section: 50 Block: 5 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~] Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: sun room
Notes:
Ceiling Fixtures [~[~ HID Fixtures
Wall Fixtures 121 Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur(~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures ~ TVSS
Inspector Signature:
Date: Jan 11 2012
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT~
765-t802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTIOR [ ] RRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~¢~¢ELECTRICAL (FINAL)
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
~ FINAL
[ ] F1RE SAFETY INSPECllON
[ ] RRERE~STANTPENETRA~0.
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE I~SlST~'r co. s~UCTIO.
REMARKS:
DATE / / -/ ~-/?__~___ INSPECTOR ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL /~;
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
] ELECTRICAL (FINAL)
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCI'ION [
[ ] ELECTRICAL (ROUGH) [
REMARKS:
DATE ~/- ~'-// INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOVqN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork. net
Ex,mined 5//C{, =0 //
Disapproved a/c
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
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
/ .hone: '7Co - 67
Expiration JO/[/~, 20
LICATION FOR B~LDING PE~IT
~letely filled in by ~iter or in i~ ~d submi~ed to the Building Inspector with 4
se~ of pl~, accurate plot pl~ to scale. Fee ~cording to schedule.
b. Plot pl~ showing locmion of lot ~d of buildings on promises, relmionship to adjoining p~mises or public s~eets or
~e~, ~d wate~ays.
c. ~e work covered by ~is applicmion may not ~ commenc~ ~fore iss~ce of Building Pemit.
d. Upon approval of~is ~plication, ~e Building I~ctor will issue a Building Pemit to ~e ~plic~t. Such a pemit
shall be kept on the premises available for inspection t~ou~out ~e work.
e. No building shall be occupied or u~d in whole or in p~ for ~y pu~ose what so ever until the Building Im~ctor
issues a Ce~ificate of ~cupancy.
f. Eve~ building pemit sh~l expire if ~e work authorized h~ not co~enced wi~in 12 months ~r ~e date of
issu~ce or h~ not been complied wi~in 18 monks ~om such date. If no zoning men~en~ or o~er regulafiom ~ting ~e
prope~ have been en~ted in the interim, ~e Build~g lns~or may au~od~, in ~fing, ~e e~ension of~e ~mit for ~
addition s~ monks. ~ere~eh a new ~mit s~l be required.
APPLICATION 1S HE.BY ~DE to the Building Dep~ent for the issu~ce of a Building Pemit pm~t to ~e
Building Zone Ordin~ce of the Town of Sou~old, Suffolk Co~, New Yor~ ~d o~ applicable Laws, O~in~ces or
Regulations, for the cons~ction of buildings, ~difions, or ~teratiom or for mmov~ or demolition ~ he.in descried. ~e
applic~t ~ees m comply wi~ ~1 applic~le laws, ordi~s, building code, homing code, ~d ~gulafiom, ~d to a~it
au~od~d ins~tors on premises ~d in bulldog for neces~ im~fions.
(Signature of applicant or name, ifa 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 ~}£ (0~
(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.
1. Location of land on whiffh ?,roposed work will be done:
House Number Street
tct
Hamlet
County Tax Map No. 1000 Section /'~ Block ~ Lot b
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and inte~(~ed use and occupancy of proposed construction:
a. Existing use and occupancy G~ tn~[~_ a,~v~l LcI (z ~ctdA~CC
b. Intended use and occupancy G£t~j
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost Fee
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commemial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front ~0 -.~ ear {~ ~J
Height ,~?td{~ '~ ~,./- Number of Stories [ )/J 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
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 )~
13. Will lot be re-graded? YES NO ~( Will excess fill be removed from premises? YES__
14. Names of Owner of premises ~Lg t G~ Address
Name of Architect lc3/r'~ ~ [~/r-~/ Address
Name of Contractor /~O~}fr ( Address
NO X
Phone No.
Phone No
Phone No.
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 BI~ 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 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 )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIED. BUNCH
Notary Pub~, 8~lt~.o~ New York
(S)He is the No. 01BU01850~
(Contractor, Agent, Corporate Officer, etc.) Oual#~:l in ~ Count'/,~ I"
Oomml~lon Explrea Apri~ ~4, 2LU ~
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 ,~
'~ day of ~ 20 i ]
Notary Public
Signature o A~licant (2/
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
November 22, 2011
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Margaret Heiss Liv Trust
1374 Lighthouse Rd
Southold, NY 11971
TO WHOM IT MAY CONCERN:
The Following Item(s) 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. - Bob Fisher
__ Final Landmark Preservation approval.
BUILDING PERMIT: 36322 - Enclose Porch
/-//-
Town Hall Annex
5437,5 Main Road
P.O, Box 1179
Sour_hold, NY 119714)959
Telephone (63D 765-t80~
ro.qer, r c h e r t (~,t~.~ ~ u~l~la, ny. us
BUILDING DEPARTMENT
TOWN OF $OIJTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Date: !
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address':
*Cross Street:
*Phone No.:
Permit No.:
(*Indicates required information)
/~(VL6d~z-T /J~¢,..,c5' /_./u'/~d 7X(JS'T
Tax Map District: 1000 Section: 5'-C~
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
Block: %-- Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information{If needed]
*Service Size: I Phase
*New Service: Re-connect
Additional Information:
YES / NO Rough In
YES / NO
3Phase 100 150 200 300 350 400
Underground Number of Metem Change of Service
PAYMENT DUE WITH APPLICATION
Final
Other
Overhelad
82-Request for Inspection Form
Town of Southold
Erosion, Sedimentation & Stofln-Water Run-off ASSESSMENT FORM
PIK]PERTY LOCATION: .8~.TJL~ ~HE FOLLOWING ACTION8 NAY REQUIRE ~HE SUBMI~BIOfl OF A
~ C~s, gr[~.u BYA DESIGN PROFEBSiONAL IN THE S'rATE OF NEW YORK,
$COPEOI~WOP~ - PROPOSED CONSTRUu/'ION l'l'l~l# /WORK. ASSF_~SMENT' { Ya No
ia. Wh~ b the Total Ama o~ ~he Pro~c~ pamels?
(Indude Torsi Ama of dl Parc~s k~atsd v~Nn t W~I Ih~s Pro, ct Rma/n Ali Stmm-W~er Run-Off
Ibe S~e of Wink f~r Proposed C, omJmctk~)
(s.~.~*,~) 2
PRO¥1DE BRI~I;' PROJECT DESClui-i-iON
Encor~g an Ama In F. xoeea of Five Thousand
(5,~ S.F.) Sq~ F~ ~ ~?
~a~~ll~~K ~1~ ~ ~ (15) ~V~ ~ I
i~~ ~~~(~)~ ~ ~ (1~') ~l ~?
~'A~ OF NEW YO~ N~a~ P~, ~ ~ ~ Yo~
CO~ O~ .......................................... ~ No. 01BU618~
............. ~.~.~.~.~ ...................
............................................ ~~.~,~ ..............................................................
0~ ~or ~p~6~
~
.......... . .................... ............
FORM - 061t 0
J
WALL LEGEND:
EXIDTING 4" X 4"
WALL TO REMAIN
NEW CONDTRUCTION:
EXIDTING COVERED
PORCH TO ~UNROOM
FLOOR COVERJNG
OVER 5LAD
DOWN
EXISTING DINING ROOM
EXISTING HOUD~
REMAIN
~XIST[NG GREATROOM
FLOOR PLAN
SCALE: ¼"= J'O"
H EI 5 RE I DENCE
5TRUCTUI~ AD
51DE ELEVATION
SCALE: ~" = I ' 0"
g~ ~ RTMENT AT
LD NG D~T-E
~0 rlFY BU FOR THE
7~5-1802 8 AM TO 4 PM
FOLLOWING iNSPECTIONS'
1, FOUNDATION ' TWO REQUIRED
FOR pOURED coNCRETE
~ ROUGH.FRAMING, PLUMBING'
STRAPPING, ELECTRICAL & cAULKING
3 iNsu~TION
4 FiNAL.CONSTRUCTiON&ELECTRICAL
MUST BE comPLETE FO~ C O
ALL CONSTRUCTION SHALL MEET THE
REQUiREb~ENTS OF ~qE ~,~DES OF NEW
ELECTRICAL
INSPECTION RE~QUIRED
z
FOUNDATION WALL W/ ~ I UNEXCAVATED
EXISTING DASEM~NT/ / __~i\il~
~ G~AT ROOM
/ 2"X 4"BTUDWALL~ ]~"OC. ~ SUN ROOM ~IBTING 2"X 0
DEBIGN LOAD CALCULATIONB I=XISTING TO REMAIN
MINIMUM UNIPORMLY DI~TP-,IBUTED LIVE LOAD& (Ib~f)
EXTERIOR &ALCONIE& GC
DECK5 46
ATTIC5 WITHOUT STORAGE 36
ATTIC& WITH &TOP. AGE 4C
ROOM& (OTHER THAN &LREFING ROOMS) 40 I I
&LE E,.GROOM& 30 ffOUNDATION PLAN [SUILDING SECTION "A"
ACTUALWEIGNT& OE MATERIAL5 I~.EFERENCED TO AAA. SCALE: ¼" = ILO''
ARCH ITECTU P~AL G~PHIC
GROUND 5NO~ LOAD 45
SEISMIC TABLE ~30 I .6
DKSJGN CATEGORY
WINO STRUCTUKAL M~MB~K ALLO~ABL~ OEFLECTION
CLIMATIC AND GEOG~PHIC DEDIGN CRITERIA Interior walls $Far~ons HI180
LAYM~NT ~QUI~D 5PECIPICATION5 / 5TATE CODE ~8rlor w~lla - wind load5 w~h
DEBIGN LOAD CALCULATIONB
MINIMUM UNIPORMLY DIDTP-,IBUT~D LIVE LOAD&
EXTERIOR, BALCONIES GC
DECI¢,5 46
ATTIC5 WITHOUT STORAGE 36
ATTIC& WITH STORAGE 4C
ROOM& (OTHER THAN &LREFING ROOMS) 40
IGROU ND 5NOW LOAD
CLIMATIC AND GEOGRA?HIC DE,~IGN CRITERIA
TABLE R30 I .G ~
ALLOWAISLE DEFLECTION OF &TP. UCTURAL MEMEBER5
5TRUCTURAL MEMBER ALLOWABLE DEffLECTION