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34883-Z
Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 3/28/2012 CERTIFICATE OF OCCUPANCY No: 35512 Date: 3/28/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 65490 MAIN RD GREENPORT, Sec/Block/Lot: 53.-5-12.6 Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/17/2009 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: Lot No. filed in this officed dated 34883 dated 7/21/2009 footing repair for existing cottage #24 as applied for. The certificate is issued to Breezy Shores Comnty Inc (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED '~ Autlfdrized Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34883 Z Date JULY 21, 2009 Permission is hereby granted to: BREEZY SHORES UNIT #24 PO BOX 546 GREENPORT,NY 11944 for : FOOTING REPAIR AS APPLIED FOR at premises located at 65490 County Tax Map No. 473889 Section 053 pursuant to application dated JULY Building Inspector to expire on JANUARY MAIN RD GREENPORT Block 0005 Lot No. 012.006 17, 2009 a_nd approved by the 21, 2011. Fee $ 200.00 Aut~o'~ ~z e d Signature ORIGINAL Rev. 5/8/02 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 tile Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all bnildings, property lines, streets, and nnusual 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. Sworn statement from plumber certifyiug that the solder used in system contains less than 2/10 of I% lead. 5. Commercial bnilding, iudustrial bnilding, multiple residences and similar buildings and installations, a certificate of Code Compliance fi-om architect or engineer responsible for the building. 6. Sub,nit Planning Board Approval of completed site plan requirements. B. For existing buiidiugs (i)rior to April 9, 1957) non-conforming uses, or bnildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic l~eatures. 2. A properly completed application and consent to inspect signed by tile applicant. Ifa Certificate of Occupaacy is denied, tim Building Inspector shall state tile reasons therefor in writing to tile applicant. New Construction: Location of Property: C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Acccssory buikting $50.00, Additions to accessory building $50.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildiug $100.00 3 Copy of Certificate of Occupancy - $.25 4. UpdatedCerlificaleofOccupancy $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. Old or Prelexisting Building: ~ (check one) House No. Street Owner or Owners of Property: ~/~q · , ,.~,~,.,~ ~ Suffolk County Tax Map No 1000, Sectiou O 5 -'~ Su6division Permit No. 37~oC) Health Dept. Approval: Hamlet Block ~(~O?'-> Lot OI -7_.,006 Filed Map. Date of Permit. ~__~'71 '76r~) Applicant: "' 0 Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary CetlLificate Final Certificate: . (check one) Fee $t*blnitted: $ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 SlsTPECTION [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] .RE RESISTANT CONSTRUCTION REMARKS: (~ ,~ ~I~ [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAd-,', 1' IILSI~CTION [ ]F~RERES~'rc0f~mUCTKm [ ]~.~'~'r~'~ REMARKS: ..-- ~ DATE /I--/~---/0 INSPECTOR ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING ] FIREPLACE & CHIMNEY [ [ ] ROUGH PLBG. [ [ ] INS~'A~rlON [ [p,~NAL [ [ ] FIRE SAt... ~,/' INSPECTION [ ]~:~'r~'r~ [ ]~-~L~m~'mi REMARKS: ~)/~? DATE INSPECTOR ~'~LD INSPECTION REI~ORT DATE[ COMMENTS ROUGH ~G & PL~m~ ~S~A~ON PER N. Y. STATE E~R~ CODE " // ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net PERMIT NO. Examined Approved Disapproved a/c /R'?' , 20 7/°D/, 20 t~) 7 / Expiration // °~/, 20 // /~ Inspector blCATION FOR BUILDING PER INSTRUCTIONS ely filled in by typewriter or in ink and submitted to the Building Inspector with d 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: /III Btm;. DEPT. TOWN OF SOUTHOLO Date ._'g o e_, / '-/ ,200 sets of flans, 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 cmnmenced 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. 1~ 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 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (St'"'";~'~igna~e o(~licant or name, ifa corporation) /%cro,,/Et H-v. I~ ilin I / l ( a g ~)ddress of applicant ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ¢ ')~O.L~ o , [ (g.k, sdon 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[and on w,hich proposed work will be done, i. Hduse ~mber v S3eet / I ~- ' ' County Tax Map ~ 100~Section 05~ Block Subdivision g Lot }Z,g 012,006 Filed Map No. Lot ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy. 3. Nature of work (c, heck which applicable): New Building Repair ~' Removal Demolition - 4. Estimated Cost ~"q0 If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (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. Dlmenmons ofexlst~ng struetu.~s~iJ,~any: Front Rear _Depth Heigh, t: ,[:41Jrbber of Stories Di~ensiCns of same structure w~h alterations or additions: Front ,¢ ..... ~ ,, , ~ ,,~¢ar, De~th' ~-V ::~¢; J Hqight~ ~ Number df Stories 8. Dim~Asions 0~tire n~ construction: Front ~/~ Rear ~" Depth Height Number of Stodes 9. Size of lot: Front Rear Depth ' 10. Date of Purchase I-~l/D[ t~°l~ Name of Former Owner ~,¢[~e~ -' 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __NO X// / / 13. Will lot be re-graded? YES NO x/Will excess fill be removed from premises? YES __ NO 14. Names of Owner orpremises S-/-~c~ /¢Jf-Q 7daress tor4~ Phone No. 2,t~L - 2q3-t)?f, O NameofArchitect ~4/flr ,-,/ Address PhoneNo Name of Contractor ~Oe4r' ])Oo[M ~,r. Address ~.0. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V * 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· 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 ~g4)q,,,~) 5'TtTt 6~'] ? -t~.Y~-~K~X6~M,'q being duly sworn, deposes and says that (s)he is the applicant (Name of [ndividual signFg contract) above named, (S)He is the (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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forlh in the application filed therewith. Sworn to before me this Nota~ Public ~f gnat're o f Applicant~'"7-~ o_ f Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. ~: TNB FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF ~ STORM-WATERt GRADING~ DRAINAGE AND EROSION CONTROL District Section Block Lot r C£k I~' ED BY A DESIGN PRvr,'~S ONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") nch Rainfall on Site'~ (This item will include all run-off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Ocos the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? ? This Ilem shall include all Proposed Grade Changes and Slopes Controlling Sudace WatenClow~ Existing Grade Involving more than 200 Cubic Yards of Ma ada within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r Five Thousand (5,000) Square Feet of Ground Surface? i ~ ~__ Is there a Natural Water Course Running through the Site? / Is this Project within the Trustees jurisdiction or within One Hundred (100')feet of a Wetland or Reach? ~ ---- oneWti' there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise tOHundred (100') of Horizontal Distance? r~ --~// Will Driveways, Parking Areas or other Impervious Sur[aces be Sloped ID Oirect Storm-Water Run-Off r~ into and/or in the direction of a Town dght-of-way? __ Will this Project Require the Placement of Matedall Removal of Vegetation and/or/he Construction of r-~ ~. / any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? r~ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Rex, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building PermitJ EXEMPTION~ Does this project meet the minimum standards for classification as an Agricultural Project'~ ~ J // Note: If You Answered Yes to this Question, a Storm.Water, Grading, Drainage & Erosion Control Plan is NO~ STATE OF NEW YORK, couNT SS That I, ....,~.....~.....~....../...~..~....~....t~,j~:5'~ ...........being duly sworn, deposes and says that he/she is the applicant for Permit, (Name {bf individual signbg DoCument) And that be/she is ===================================== ................................................................. Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have perfornted the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be perfortned in the manner set forth in the application filed herewith. Sworn to before me this; Notary Public: ...............................................· .., FORM - 06/07 .~ 24 TOTAL AUTHORIZED ISSUE 200 SHARES WITHOUT PAR VALUE COMMON STOCK ~ iS ~ (4 ~[ STACEY TESSEYMAN and FLORENCE PATSY ROTIt, as Joint iS ~[ OW~ O[ Tenants with Right of Survivorship ............................ o~e ~ ........................................... /~/~ ./~ ~' ~ October 13, 2001 5.O .5.0 6.2 ~,.4 6.2 ~red by: L~vel ping o · BOX ~'~ ~head, HY ,722-33g0 Topographic Survey Prepared for 'Breezy Shore~' Part of ~"'1'#1000-53-~12.5 Surveyed June 28, 2005 Situate: Greenport Town: Southold Suffolk County, NY Datum: M.S.L. NGVI)~9 Tide Range: 2.5' +/- O.q 5..0 5..0 0.0 t 5'.4 5..4 4.5 4.q 4.4 5..4 ~.2 5..~ 5..4 4.~ · 4.5 40 V -o.1~-~'''~ , l/J ~ ~ -2~ -2.0 -2.0 . -2.B -2.2 ~ -22 ' ~ ~,u ' -2.~ ;A -2.2 ~'~ ROBERT H. FOX NYS PL.S~ 50197 IDreezy Shores Cottaejes POST-TO- 61RDERCM EADER CONNECTION POUT TO GI~,DER/IflEADED, CONNECTION USE MIN. (2) I/2" DIA. GALV. BOLTS WITH WASPIER5 AND NUTS WOOD JOIST POUT ~G. CONNECTION DESIGN LOAD CALCULATIONS MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS GO 40 3O 40 40 30 5NOW 5EISM lC CATEGORY C/IF*ID GII~DER/HEADEI~ TO PODT/COLUM GIBDEPUIflEADER POST SIMPSON /7 APPLICATION NAILING SCHEDULE 2 8dCOMMON DISTURBED / POORSOIL I~Y q C" LAYER OF CR[JSfl]-D SOME CONt. PIE[~ FOOTING LII G F OC'T 5Y3TEMD F©OflNG pOKM IN ACCOD, DANCE Wlilfl D~CTION I Oq J I OF N Y S P~E5IDENTIAL CODE THIS D~blGN COMPI I~S ~dqhl ~ HE IN] ENT OF TI I]' CODE AND I HE MATERIAL ©FI-~RED 15 AT LE~T TI IE EQ[ IIVAI ~N [ ~N DU KAblLIT¢ AND EFFECTIVENESS ©~ THAT PF~dCSCRIB~D IN TIE CCDE TM[' DIVISION OF COD~ ~N ?Ok,C['M~NT ANU ADM~NIDI k~kllONL5 FINDI5 TIllS PRODUCT WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWING5 FOLLOW MANUFACTURE'5 P~FCOMMENDED INSTALLATION INSTRUCTIONS TO ACHIEVE MAXIMUM UPHFT LOAD CAPACIT~ GENERAL NOTES: The information on this 5et of construction documents 15 bo relate basic design intent and fra~mej c~eballs. They are intended a~ a construction aid, not a5 a substitute for generally accepted good bulldmg pracb~ and are in compliance with current New York 5raCe building codes. The general contractor i~ responsible for providing standard construction detaHs and procedure5 to ensure a professionally finished, 5tructuraliy 5curd and weatherproof completed product These are a general set of plan5 for the cottages lo.ted in Gr~nport; replace only the areas where necessary with Che proper footings ¢ frame a5 indicted on the$e drawings. General contractor bo coordinate all subcontractom, scheduling of work and The contractor I~ rSsponslbl~ for ensurmg that all work and constructor maebs Th~se codes ara Co be considered as part of the speclfl~bOn5 for this budding plan. indicated on [hese drawlng~, the contractor shall s~op work and nobfi/the deslejner $ the engineer irnmedia[aly Should he Jail to [ollow this procedure and continue work, he ~hall assume all respon~:blllby and Ilablhty arising therefrom. Dimensions bak~ precedent over scale DO NOT SCALE DRAWINGS. warrantle~ for a 5peel[lC use expressed or Implied in the use Of these plans. FOUNDATION NOTES: Footings shall bear on Undlstrubed sole within b~rlng capacity of J .5 tons/sq.f~. Concreba shall be PC = 3,500 PSI ~ 28 days General contractor to install cop-r-tax ( or copper) sheet metal termite ShelldS between all wood surface5 that are exposed to concrete or masonry 5ur[aces. FRAMING NOTES: Unless otherwise noted, all framing material to be #1 ACQ pressure treated lumber All fastenem, hangers and anchom bo be galvlnlzed or stainless steel.. ALL CONSTFIr ICTION sHALL Girders for joist5 to be bolbed or anchored ~o ~ch post or peru wlbh washers ¢ nut5 EET TI l~. RFOI ' 'r f ri: 'ITS~¢C~ on concrete pair5 shall ba anchor¢d w~th proper steel connectors anchored into COb~ O[ [;~,, , ....... ~re~e with a minimum ~" dm. x 7" long anchor bolo wl~h washar and rues. ~CUP~ iL., t ~i't Posts 5upporbn, ~,rder5 5hail be anchored 6o a 1'-2" x 1'-2" x 6" bhmch concrete *' "rT' CERTIFICAT5 7Fg.!qO2 8AM TI'I a CLIMATIC ¢ GEOGRA?HIC DES NONE RETAIN STORM WATER RUNOFF PUO,.UAM ,u un~,rl~.ri z:dO OF THE TOWN CODE. Cottaejes $24 hlOUBR LINE 0 0 ] 0 EXISTING FRAME PLAN N, = I SCALE: 4 PROVIDE 51MEBON POST ANCHOR CONNECTOR AT ALL 50NOTUBE5 (~YP.) NEW 8" 50NOTUBE5 3' BELOW GRADE RXIBTING CONC. FOOTING TO REMAIN REPAIR. ffOOTING A5 REQUIRED [XIBTING NOUBE LINE -- F~ISTING HOUSE LINE -- NEW 4X4 ACQ EODT TO REPLACE ALL ~XIBTING (T'r'P) NEW ffOOTING ¢ FRAME PLAN SCALE:4 L, = ILO" BLOCK REPLACE W/4X4 ACQ frOST AND 8" 50NOTUBE 3' BELOW GRADE (TYPO PROVIDE 51MPSON POST ANCHOR CONNECTOR AT ALL 50NOTUBE5 (~(P) O: VEl>Lq >'-- 0 ~ ~_. Z~:z: 'AGE' 5