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Home My WebLink About36513-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 1/24/2012 No: 35411 Date: 1/24/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 44600 County Road # 48, Southold, NY, Sec/Block/Lot: 63.-1-23 Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/24/2011 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: Alterations to a Commercial Building with an Apartment in a LB Zone~ Lot No. filed in this officed dated 36513 dated 6/24/2011 Rear Wood Deck Renovations, as applied for. The certificate is issued to PeconicLand Trust, Inc. (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 #: 36513 Date: 6/24/2011 Permission is hereby granted to: Peconic Land Trust, Inc. 296 Hampton Road P. O. Box 1776 Southampton, NY 11969 To: Alterations to a Commercial Building with an Apartment in a LB Zone; Rear Wood Deck Renovations, as applied for. At premises located at: 44600 County Road # 48, Southold, NY SCTM # 473889 Sec/Block/Lot # 63.-1-23 Pursuant to application dated To expire on 12/2312012. Fees: 6/24/2011 and approved by the Building Inspector. CO - BUSINESSES NEW COMMERCIAL, ALTERATION OR ADDITIONS Total: $50.00 $306.40 $356.40 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 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 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. B. 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 andunnsual natural or topographic features. 2. A properly completed 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. 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, 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. -~ J ~.r~ New Construction: Location of Property: Old or Pre-existing Building: House No. re Owner or Ownem of Property: OYCr.202& / r ~ Suffolk County Tax Map No 1000, Section 6 ~ Block Subdivision Permit No. Health Dept. Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: (check one) Hamlet Lot Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submilted: $ _ ..~P, ~ Final Certificate: (check one Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ].~ULATION [ ~ FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCl'ION [ [ ] ELECTRICAL (ROUGH) [ DATE INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net 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 Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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 issttes a Certificate of Occupancy. tl 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 [S HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suftblk 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 anthorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation l (Mailing address of app icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plnmber or builder Or,ode-t- Namc ofownerofpremises ?e.r.z:l,,'& ~oacx/"~,--~5~, ~,,o,~/~9 (As or~ the tax-rtJli' or latest deed) a c~..~s~ignatu~e of duly authorized officer (Name and title of corlSorate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proRosed work will be.done: House Number / Street Hamlet Count? Tax Map No. 1000 Section ~5~.~ Block I Lot ~Q-~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occuoancy of pl;oposed, c,onstruction: \ a. Existing use and occupancy_ 4- cz. ~ ~o'.~t-~-~.~. o~----e~ F,~w~zht-.~. ) b. Intended use andoccupancy ~'a.,,~- oO'r'~[t Nature of work (check which applicable): New Building Repair X Removal Demolition 4. Estimated Cost ~, OOO 5. If dwelling, number of dwelling units if garage, number of cars Depth ,.~,~ - Height ---.--- 8. Dimensions ofenn~ew,~onstruction: Front Height <~t q_~# Number of Stories Addition Alteration Other Work ~ (Description) Fee ,:/tO/-) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy~ sp{cify nature and extent of each type of use. :~'e~e_- Dimensions of existing structures, if any: Front ~'~,~ Rear ~ q Depth Height ~.~ Number Qf Stories Dimensions of same structurdwith altei'ations or additions: Front ~',,~ Rear Number of Stories ------- Rear ISl,O Depth 9. Sizeoflot: Front I~ Rear IlO 10. Date of Purchase q/12/ll Name of Former Owner I I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES Depth __NO 13. Will lot be re-graded? YES NO ,)< Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises Ic~co~- ;~ ~l~..,,~t~ddress~)C/~,/-Ja~-~aO ~2~. Phone No. bO~,~(_~l~5'- Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ora 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 ora 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. S1 ATE OF NEW YORK) COUNTY O F-~o/kS)S: :~rt~tOa ._..~o~ being duly sworn, deposes and says that (s)be is the applicant (Name of individual signing contract) above named, (S)He is the ~iS>f-~Cr(.~ ~ ~ ~'~_~ /,~,,~ (ConYractor, 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. Sworn to .~lbre me this_._..._- i'"/TM day of .~,,]t~ 20 I [ , Notar~ ~ubli~ ' ~ Signature of Applicant l\ SURVEY OF PROPERTY $]TUATE ~OUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-63-01-25 SCALE ~"=20' OCTOBER 5, 1990 Nathan Taft Corwin III Land Surveyor BUILDING PERMIT EXAMINER CHECKLIST Applicant: *Date Submitted: Owner: SCTM# 1000-- (03- / -- c~-3 Subdivision: Building Permits (Open/Expired): BP__ -Z / C/0 Z-__, Info: BP __ -Z / C/0 Z- , Info: BP -Z / C/0 Z- Single & Separate Search Required? Y o rmination: REQ. Lot Size: ACT. Lot Size: REQ. Front ACT. Front REQ Side ACT. Side REQ. Height. ACT. Height_ R~. ~,OTH Projeet~,s~i~ptlon: Waterfront? Y If yes, water body: ~-f~'-/( OateReviewed: Estimated Cost: _~2 L~ Zone: ]---~ Conformiag? ~ City: ~ Pre COs? __, Info: __~ Info: BP -Z / C/0 Z- BP -Z / ci0 z~ REQ. Lot Cov. __ ACT~ Lot ~ov. REQ. Rear__ PROP. Rear · , .... Panel# Flood Zone: --Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED pt~4$ ~ht) $16W~1}, Sent_Il> SuRV~-¥ oR SITE PLAN Suffolk County Health: Y or N- If yes, *Bed#: *Date: / / *Permit#: Town Septic: Y-N - If no, certification required: Y or N Received: Y or N By: NYS DEC: ea~-vE¢ 9nns Y or N - Date: / / Permit #: or NJ Letter- Notes: Southold Trustees: Y or N- Date: / Pernfit #: or NJ Letter - Notes: Southold ZBA: Y or N - Date: / / Permit #: - Notes: Southold Planning: Y or N - Date: :/ / Permit #: -Notes: Town Landmark C of A: Y or N DTE: / Notes: / L I~l&t Ty *NYS CODE ~_ompliance (page 2): Y or N xA/ o g l~,nt ~. /q ;5 C o ~ per At $ ,q T t O A/ Fee Structure: Calculation: Foundation: SF /¢[ X $, ~L0 =$ ~'~'~ · 5L0 First Floor: /¢/ SF + Initial Fee: $ 27-.5-0 , O o Second Floor: SF + Additional Fee ( ): $ Other: SF SF X $, --$ Total: SF + Initial Fee: $ c oF o F~m 5t-5-0, o0+Additi°nalFee( ):$ NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC D~SIGN CRITERIA: ' ~ Wind Speed: 120MPH., Selsrrde Design Category." B . Grolm~l Snow Load: g0 Weathering: Severe__ · 'Fr°st Depth: 36" __ Design Temp: I1 __ -Ice Shield Underlay: YES ~ USE/OCCUPANCY CLASSIFICATION: · HEIGIZlTfFIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: YfN WALL STUDS: Y/N CEILING JOISTS: YfN FLOOR JOISTS: YfN LUIVIBER SPECIES AND GILkDE: Y/N Termite: M~H' . Decay: S-M. Flood Hazai'ds: GL/LDERS: Y/N ROOF IkAFTERS: Y/N WI2xFDOW A_ND DOOR SCHEDULE: · MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGP,2kM: YfN LOCATION OF FIKE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) . II I I ~'/ ~d. ~, ~'~ v, ~o~T PbAM oJ DBG~ ~1~" : I'- O" I I '1 I t z [ 11 (~GF~CTIOI1 ~. DF_,G.I,5 0 FgAMIMG PI, AM lye'' = I" O" ~, = I"O" (, COIVIPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ~ $0tJ~0LD TOWN ZBA APPROVEDASNOTEO y BUILDING DEPARTMENT AT B02 8 AM TO 4 PM ~OE ~ ,NSPECTIONS' NDATION - ~ REQUIRED ~OR POURED CONCRETE qOUGH - FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING FINAL - CONSTRUCTION & ELECTRICAL ~ OR ~NS~TION ER~S. L Ira Hasp, d Architect, p,C. $outhold, N.Y. 11971 631-765-2075 - phone 631-76~5715 - fax 516-398-8753 - ecu ihaspel~iraha~pel.com .~, 1}mMI 5our/-/OUD, NY