HomeMy WebLinkAbout36641-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
6/22/2012
CERTIFICATE OF OCCUPANCY
No: 35765
Date:
6/22/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
BASEMENT ALTERATION
280 SHORE LA PECONIC, N.Y. 11958,
Sec/Block/Lot: 86.-1-4.13
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/20/2007 pursuant to which Building Permit No. 36641 dated 8/19/2011
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:
basement alteration to existing one family dwelling as applied for.
The certificate is issued to
ROBERT & KAREN MONCRIEFF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 3/27/12
08-0168 5/7/12
.~Joseplh Tantillo
Autf~ed yg(gnatu4e
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 #: 36641
Date: 8/19/2011
Permission is hereby granted to:
ROBERT & KAREN MONCRIEFF
280 SHORE LANE
SOUTHOLD, NY 11971
To:
BASEMENT ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
REPLACES EXPIRED BUILDING PERMIT # 32953
At premises located at:
280 SHORE LA PECONIC ,.N.Y. 11958
SCTM # 473889
Sec/Block/Lot # 86.-1-4.13
Pursuant to application dated
To expire on 2/18/2013.
Fees:
4~20~2007 and approved by the Building Inspector.
PERMIT RENEWAL
CO - ALTERATION TO DWELL1NG
Total:
.~ctor
$200.00
$50.00
$250.00
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32953 Z Date APRIL 26, 2007
Permission is hereby granted to:
ROBERT & KAREN MONCRIEFF
280 SHORE LANE
SOUTHOLD,NY 11971
for
BASEMENT ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 086
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
Fee $ 200.00
280 SHORE LA PECONIC
Block 0001 Lot No. 004.013
20, 2007 and approved by the
26, 2008.
COPY
Rev. 5/8/02
Electrical Inspectors, Inc.
308 East Meadow Avenue
East Meadow, NY 11554
Office: (516) 794-0400 (631)396-7474
Fax: (516) 794-5854
Website: www.electricalinspectors.com
Email: in fo~electricalinspectors.com
Mail To:
Nassau/Suffolk Electric
Richard Yudess
401 Railroad Avenue
Westbury, NY 11590
License#: 3955E
Certificate Number: 08-0168
Municipality,- Southold. Town Of
Inspector: 124
Issue Date: 5/7/2012
Property Address: ~
Moncrieff
280 Shore Lane ~- ,~
Peconic, NY~
ELECTRICAL APPR 0 VAL TIFICA TE
AREAS LISTED BELOW ARE APPR~ YY INSPECTION
hNeOre~inS;;lloC'we ofeCnl;~vere found for the eleclrical inspection prov~nsatisfactory conditions were found in the areas
Residential Inspection ~
Basement Renovation: Bathroom, Family Room, E om
15- Duplex Receptacles, 1- GFI Receptacle, 2- cles. 22- Switches, 1- Cook Top, 25- Recessed Fixtures. 3-
FInalR°ughFlU°rescent 5/4~121~11~08Fixtures' 1- Exhaust Fan,~*
Richard M. Bivone
President
Philip F. Goehring
Chief Electrical Inspector
CERTIFICATION
Building
Owner:
(Please print)
Plumber: ~-0~ ~ h -~cxm_~ct t [ 0
(Please print)
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1%
Sworn to before me this
dayof [fiO.;¢~x , 20~2~
~ ~mm~°~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST ,~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~ INSULATION
[/N~MING~ STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
DATE
/~- ~-- 0 r INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRE RESISTANT CONSTRUCTION
INSPECTION
~/~ ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
INSPECTOR~ ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN~,~ULATION
[ ]FRAMING/STRAPPING [~]~FINAL
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH~ [ ] ELECTRICAL (FINAL)
REMARKS:~~'~"/~/''- ~__
DATE ~ INSPECTOR
IFI~LD'~SPECTION REPORT ! DATE [ COMMENTS
FO~AT~ON OST)
FO~DATION (ZND)
~S~ATION PER N. Y.
STATE ENERGY CODE
~DITION~ CO~ENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined (~ ,20 77
Approved ,20
Disapproved a/c
Expiration ,20
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 v//
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
2 0
APPLICATION FOR BUILDING PERMIT
Date J~i:P~[b ~DRh ,20X~-
INSTRUCTIONS
a. Tiffs application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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
issues a Certificate of Occupancy.
f. 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.
(S :~na~ur~J~ applicant or name, if a corporation)
(Mailing~d'dre~ of appl~caht) '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
rr-r 4-
Name of owner of premises ~35>~)~J~T ~i ~ Ll~r)k[0l~lF,~,~
(As on thYtax 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 land on which proposed work will be done:
House Number Street
Hamlet
Lot 4' ~
County Tax Map No. 1000 Section ~ Block [
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed conatruction:
a. Exisfinguseandoccupancy ,~_ I F}~[.~ ~:d'z~'ll{t,t ~[~f£~tT(~
·
b. Intended use and occupancy ~[JQ~lg2 ~q//l~ ~°/d(Z4~c-~e~
3. Nature of work (check which applicable): New Building Addition
Repair Removal Demolition Other Work
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Alteration
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. Dimensions of existing structures, if any: Front
Height. Number of Stories
Rear Depth
Dimensions of same structure with alterations or additions: Front !~ ~ Rear
Depth. Height. Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Sizeoflot: Front
Rear Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated /~ - ~r v
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__ NO
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 NO __
* 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 to,~ographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF~ .. ~:f die )
0'~ q.(l. ,4 I ~- /~(L/~ (vx qo. being duly sworn, deposes and says that (s)he is the applicant
(Name df individual signing contract) above named,
(S)He is the A ~ ¢ ~ '~
(Contractor, Ageht, 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 forth in the application filed therewith.
Swom to before me this
'ZO*~ dayof ]K (~.'x ~ 20 O1
~Notary Public~
John M Judge
NOTARY pUBLIC, State of New York
No 01JU6059400
Qualified In Suffolk C~.r~t~9 20 0
Commission Expires y , ~
Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM
Yes 1~o
EXEMPTIONS:
A. Does this project meet the minimum standards for classification as an Agricultural Project.
Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required.
ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER, GRADING~ DRAINAGE & EROSION
CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
Item Number: (A Check Mark (,/) for each question is required for complete application)
Will this project retain all Storm-Water Run-off generated on Site?
(This will include all run-off created by site clearing and/or construction activities as well as all
Site Improvements and the permanent creation of impervious surfaces.)
Will this project require any land filling, grading or excavation where there is a change to the
natural existing grade involving more than 200 cubic yards of material within any parcel?
Will this application require land disturbing activities encompassing an area
of five thousand (5,000) square feet of ground surface or more?
Is there a Natural Water course running through the site or is this project within
One hundred (100) feet of wetlands or a beach?
Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to
One hundred (100) feet of horizontal distance?
Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off
into and/or in the direction of a Town Right-of-Way?
Will this application require the placement of material, removal of vegetation and/or the
.construction of any item within the Town Right-of-Way or road shoulder area?
(This item does not include the installation of driveway aprons.)
Note:
Yes No
Will there be site preparation within the one hundred (100) year floodplain of any watercourse? ~']
I! any answer to questions~ne through eight is answered with a check mark in fha Box, a Storm-water, Orading,
Dreinage & Erosion Control Plan is required and must bo submiffed for review prior to issuance of any building permit.
STATE OF NEW YORK,
COUNTY OF ss
atI ................... being duly sworn, (ieposes and says that he/she is the applicant for Permit,
(Name of individual~igning Documen~
And that He ShOe s the .................
Owner and/or representative of the Owner or Owner's, and is duly authorized to perfom~ 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 belier; and that the
work sill be performed in the mariner set forth in the application filed herewith.
Sworn to before me this;
............ ......
I%tary Public, Stats of N~w York )
No. 4855805
Qualified in Suftolk
Oe~l~ioc E~plrs$ ,~pril
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET .~ '. ' VILLAGE DIST. SUB. ~. ~..~
FORMER OWNER N E ACR.
RES. C~ /~/~' SEAS. / VL ~-~-/7~,,4r, , FAR~ CO~. CB. MICS. Mkt. Value
~N D IMP. TOTAL DATE R~RKS
, , , , (~ p r~/~ ,
Tillable FRONTAGE ON WATER
W~land FRONTAGE ON ROAD
Meadowl~d DEPTH
H~ Plot BULKH~D
Tara I
86-1-4.13 2/04
R
TRIM
M. Bldg.
Exte~'~ion
Extension
Extension
Porch
Porch
Breezeway
Garage
Patio
Total
Foundation
Basement
Ext. Walls
Fire Place
Type Roof
Room
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Dinette
LR.
DR.
BR.
Southold Town Building Department
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 86.-1-4.13
Permit #: 32953
Permit Date: 4/26/2007
Expiration Date: 10/26/2008
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 7/25/2011
Applicant:
Location:
Work Description:
ROBERT & KAREN MONCRIEFF
280 SHORE LA PECONIC , N.Y. 11958
BASEMENT ALTERA~ZON
BASEMENT ALTERATION TO AN EXIS'T~N6 5INGLE FAMILY DWELLING A5
APPLIED FOR.
7010 1060 0001 1566 8640
7010 1060 0001 1566 8169
A FEE OF $200.00 I5 P. EQUIRED TO RENEW THIS BUTLDIN~ PERMTT.~7~'
Owner: ROBERT& KAREN MONCRIEFF
Address: :>80 SHORE LANE
50UTHOLD, NY 11971
The permit listed above has expired. Please contact our office as soon as possible to begin
the renewal process. All work on the project must stop on the expiration date.
THANK YOU,
5OUTHOLD TOWN BU:I:LDIN~ DEPT.
Town Hall Annex
54375 Main Road
P.O, Box 1179
Southold, NY I 1971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
December 29*h, 2010
BUILDING DEPARTMENT
TOWN OF 8OUTHOLD
FIRST NOTICE
Robert & Koran Moncrieff
280 Shore Lane
Southold, N.Y. 11971
RE: 280 Shore Rd. (BASEMENT ALTERATION)
SCTM: #1000-86.-1-4.13
Dear Mr. & Mrs. Moncrieff,
Please be advised that your Building Permit # 32c253 issued April 26th, 2007 has
expired. According to the Code of the Town of Southold, a Certificate of
Occupancy must be issued before use of the structure.
To renew your Building Permit, please submit a fee of $200.00; at that time, we
can schedule an inspection by one of our Building Inspectors.
/f you have any questions, please cell us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN O1' SOUTHOLD
October 11,2011
Robert & Karen Moncrieff
280 Shore Lane
~8Ouu ,u,d, NY
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: 36641 - Basement Alteration
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 20, 2011
Robert & Karen Moncrieff
280 Shore Lane
Peconic, NY 11958
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
xx',4 Electrical Underwriters Certificate. (Contact your electrician)
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.
Final Landmark Preservation approval.
BUILDING PERMIT: 36641-Z basement alteration
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
April 30, 2012
Robert & Karen Moncrieff
280 Shore Lane
Peconic, NY 11958
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
__ Application for Certificate of Occupancy. (Enclosed)
(~.,~Electrical Underwriters Certificate. (contact your electrician)
__ A fee of $$0.00.
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. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
BUILDING PERMIT: 36641 - Basement Alteration
PLOT PLAN
LOT 13
MAP OF
RICHMOND SHORES AT PECONIC
PECONIC
window w/
Window to
have 44" afl
- E~ST BOCK, 40
WATER T/~IK.
(Model # 4OCT)
ROOM
- Weft to be bulR
out as IndiCated
w/It moisture resistant
E~STING
une of soffit
CABINETRY
WASTE UNE 79" A.F.
1 BASEMENT FLOOR PLAN
:2/4" = 1'-0"
I--Dropped (elllng
STORAGE
NEW STAIR AND
R~UN6
REC ROOM
L
LINES
84* A.F.
outas Indk~ted
(8"Hx6"W)
-- 24' x 24'
3 B DETAIL @ CEILING COVE
1 1/2 "=1'~)"
A DETAIL @ RADIANT FLOOR
1//2 "=1'-0"
PLUMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING BEFORE COVERING
P;. UMBER CERTIFICATION
~ , LF-AD CONTENTBEFORE
~ , ,'71FICA TE OF OCCUPANCY
,.SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 OF I% LEAD.
S OF
CODES
NS OF
~NN[NG E~OARO
OCCUPANCY OR
USE S UNLAWFUL
WITHOUT CERTIFIC
OF OCCUPANCY
APP. ROVJ~D AS NOTED
DATE: ~_~ BP.#
FEE:~ BY~
~OTIF~ BU[LD~NG DEP~MENT AT
765-1802 ~AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - ~WO REQUIRED
FOR POURED CONCRETE
~ 2. ROUGH - FRAMING & PLUMBING
3. ;NS~LAT;ON
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOg CO
ALL CONSTRUCTION SHALL MEET T~
REQUIREMENTS OF THE CODES OF N~
YORK STATE. NOT RESPONSIBLE F(
DESIGN OR CONSTRUCTION ERROE
COMPLY WITH ALL CODES
NEW YORK STATE & TOWN C
AS REQUIRED AND CONDITIO
.. SC, UT"OLD TCWN P~NN[
~ //~ SOLTHOLD TOWN TRUSTI
N,Y S. DEC
UNDER~RSOER~BA~
REOU~EO
:: ::~::::::: F :::'::::: { ::: ~.:: ~ ~
SECTION VIEW
1/2" = 1'-0"
FOUNDATION WALL SECTION
1"=1'-0"
ExistingI Floor Joi~ts ,, ,
Furred out walls- 2 ~ "
TYP.-See Section Al- ~ ' '"'
Radiant flooring -.
See Detail 3, this sh et
SITE DATA
SCTM# 1000-86-1-4.13
PROPERTY ADDRESS 280 SHORE LANE, PECONIC, NY
OWNER ROB irT & KAREN MONCRIEFF
DOOR SCHEDULE
A1