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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