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Home My WebLink About36514-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/5/2012 No: 35733 Date: 6/5/2012 THIS CERTIFIES that the building ALTERATION Location of Property: 52325 County Road # 48, Southold, NY, SCTM #: 473889 Sec/Block/Lot: 135.1-1-45 Subdivision: Filed Map No. conforms substantially to the Application for BuikYmg Permit heretofore 6/16/2011 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 Lot No. filed in this officed dated 36514 dated 6/24/2011 which this certificate is issued is: Lobby Entrance Door, as applied for. The certificate is issued to North Fork Beach Condos (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED hpqized/~gnat ure 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 #: 36514 Date: 6/24/2011 Permission is hereby granted to: North Fork Beach Condos 34-03 Broadway Astoria, NY 11106 To: Alterations to Condominium; Replace Lobby Entrance Door, as applied for. At premises located at: 52325 County Road # 48, Southold, NY SCTM # 473889 Sec/Block/Lot # 135.1-1-45 Pursuant to application dated To expire on 12/2312012. Fees: 6/16/2011 and approved by the Building Inspector. CO - ALTERATION TO DWELLiNG NEW COMMERCIAL, ALTERATION OR ADDITIONS Total: $50.00 $250.00 $300.00 Building Inspector Form No. 6 TOWN OF $OUTHOLD 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 and unusual 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 New Construction: ~ Location of Property: ~D"~-~ -~.Z_) House No. Owner or Owners of Property: ~'~{L~-I~ Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: Old or Pre-existing Building: Date of Permit. (check one) Street I z2 ~'", [ Block Filed Map. Hamlet Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ 5~0 - Final Certificate: _ (check one) ure TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~,ATION [ ] FRAMING / STRAPPING [.~']"FINAL REMARKS: [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~NSULATION [ ~ FINAL [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUG.H) [ ] ELECTRICAL (FINAL) TOWN OF SOUTHOLD BUILDING DEPART~,IEN~ TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net ^pp,'oved 6 II ×piration I a , :0 J JUN 16 2011 PE.M,T NO. 3 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the fbllowing, 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 Single & Separate Storm-Water Assessment Form Contact: Ma, to:dr U'Xr Phone: %(¢'qqq "511 0 Building Inspector ~LICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,2011 .. BLDG DEPL · This app~elt~lOdl~i[[ be cornF etely filled in by typewriter or in hlk and submitted to tile Building Inspector with 4 sets of ans, 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 'aork covered by this application may not be commenced before issuance of Btdlding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to tile applicant. Such a permit shall be kept on tile 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 tile Building Inspector issues a Certificate of Occupancy f. Every building permit shall expire if the work authorized has not commenced within 12 montbs after tile date of issuance or has not been completed within 18 months fi'om such date. If no zoning amendmeuts or other regulations affectiug tile property have been enacted in the interim, the Building Inspector may authorize, in writing, tile extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to tile Building Department tbr the issuance ora Building Permit pursuant to the Building Zone Ordinance of tile Town of Southold. Sufl'olk 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, bailding code, housing code, and regulations, and to admit anthorized inspectors on premises and in building for necessary inspections. t / (Signatureofapplicant or name, ifa corporation) (Mailing address of applicant) applicant is owner, less~rchitect, engineer, general contractor? electrician, plumber or builder State v, hether Name of owner of premises ~k..~3.-.~ ~h/k,~/_.,- [~)_'b'~'l~ ~r)N}t00,~ (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. work will be done: Cottnty Tax Map No. 1000 Section Subdivision Hamlet Block ~ 1 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 (check which applicable): New Building. Repair Estimated Cost If dwelling, number of dwellingsupits Ifgarage, number of cars Addition Alteration Removal Demolition Other Work ~'~_~'1'_0~. (Description) Fee (To be paid on filing this. application) Number of dwelling traits on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. (./0~...~ 7. Dimensions of existing structures, if any: Front Height_ Number of Stories Rear 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 l 0. 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 13. Will lot be re-graded? YES NO~ Will excess 1511 be removed from premises? YES N'~ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address 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 MAYBExREQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO NK * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO% 16. Provide snrvey, to scale, with accurate lbundation 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. and restrictions with respect to this property? * YES NO% 1 8. Are there any covenants · IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~ ,, ,, SS: COUNTY OF"~'t.lr [~'~/~- ). ~:::j: ..... p=~-.--q being duly sworn, deposes and says that (s)he is the applicant (l~ame of md~wdual signing contract) above named, (S)ae 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 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. Swornlo_bcfore me this /3'-~dayof ,~'-'(,ane 20 l{ /Nota~ Pub~-~/ Signature of Applicant BUILDING PERMIT EXAMINER CHECKLIST Applicant: Architect/Engineer: SCTM# 1000 t - Property Address: Subdivision: *OateSubmitted: ~-/6-/I DateReviewed: ~-?~-/f Estimated Cost: Zone: Conforming? __ City: ~ Pre COs? 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 orN Determination: BP __ -Z / CJ0 Z- , Info: , Info: BP __ -Z / C/0 Z- , Info: __ REQ. Lot Size: REQ. Front REQ. Height. ACT. Lot Size: __ ACT. Front REQ Side ACT. Height ACT. Side GOTH Stl)~$ REQ. Lot Coy. __ REQ. Rear__ ACT: Lot Cov. PROP. Rear Project Description: Waterfront? Y or~ If yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance: A-DDITIONAL APPROVALS REQUIRED ~L/ts/S(t0 SI6'~v~:l)~-~,n/_~t) SurVeY oR SITE P/-AP/ 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: PRE-DEC 9/1/75 Y or N - Date: Southold Trustees: Y or N- Date: / Southold ZBA: Y or N- Date: / / Southold Planning: Y or N- Date: / Town Landmark C of A: Y or N DTE: Notes: / / / Permit #: / Permit #: Permit #: / Permit #: / LIABILITY/ or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE ~_ompliance (page 2): Y or N M/oI~I~,,at~:.~L~ ~o,,~P~!'N...q',~'F/b,4l . Fee Structure: Foundation: First Floor: Second Floor: Other: Total: Calculation: SF SF SF SF SF t" oF o F'EI~ ~P~V'O, o 0 X $., ~'~ =$ + Initial Fee: $ + Additional Fee ( ): $. SF X $. + Initial Fee: $ + Additional Fee ( ): $. FEE ~ ' - TOTAL: $ ~t._~--~, OO NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: . Grolmtl Snow Load: 20. , Wind Speed; 120MPH Seismic Design Category." B . Weathering: Severe__ ..Frost Depth: 36" __Termite: M-H' Decay: S-M. Design Temp: 11 -Iee Shield Underlay: YES . Flood Hnza/'ds: USE/OCCUPANCY CLASSIFICATION: HEIGI:IT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CR/TEILIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEAJDERS: YfN WALL STUDs: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: Y/N LUNIBER SPECIES AND GRAX)E: Y/N GLILDERS: YfN ROOF ILA_ITTERS: YfN WINDOW AND DOOR SCHEDULE: · MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT8% :¥/N ~rENT 4 %: Y/N NAILING/CONSTRUCTION SCHEDULE: Yfl',l MEANS OF EGRESS: Y/N PLUMBYNG RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ~ SOUTHerN P~NN~NG ~ARD APPROVEDASNOTED NOT~FY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH-FRAMING, PLUMBING, STRAPPING. ELECTRICAL & CAULKING 3. INSULATION 4 FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR