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Home My WebLink About37202-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 8/1/2012 CERTIFICATE OF OCCUPANCY No: 35853 Date: 8/1/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 560 Village Ln, Orient, Sec/Block/Lot: 25.-1-11 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/9/2012 pursuant to which Building Permit No. 37202 dated 5/9/2012 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: 7 windows replaced in an existing one family dwelling as applied for. The certificate is issued to Mclntosh, Madeline & Pavone, Christopher (OWNER) of the aforesaid buikFmg. 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 #: 37202 Permission is hereby granted to: Mclntosh, Madeline & Pavone, Christopher 42 W 9th St New York, NY 10011 To: Date: 5/9/2012 replace windows (seven) per Landmark Pres. Commission as applied for At premises located at: 560 Village Ln SCTM # 473889 Sec/Block/Lot # 25.-1-11 Pursuant to application dated To expire on 11/8/2013. Fees: 5/9/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00 CO - ALTERATION TO DWELLiNG $50.00 Total: $250.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN tIALL 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 buildiugs, property lines, streets, and uuusual natural or topographic features. 2. Final Approval from Healtb 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 I% lead. 5. Commercial building, industrial building, moltiple residences and similar buildings aud installations, a certificate of Code Compliance from amhitect or eugineer respousible for tbe building. 6. Submit Plauniug Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" ',and uses: I. Accurate survey of property showing all property lines, streets, building and unusual uatural or topographic features. 2. A properly completed application and consent to respect signed by the applicant. Ifa Certificate of Occnpaucy is denied, the Buikling Inspector shall state the reasons therefor in writing to the applicant Fees t. Certificate of Occupancy New dwelliug $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 $5000 CertificateofOccupancyonPre-existmgBuildmg- $100.00 3. Copy ofCertil]catc of Occupaucy- $.25 4 Updated Cmtificate of Occnpancy - $50.00 5. Temporary CertificateofOccupancy Residential$1500, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: k/ Locatiou of Property: --~- ~'"/~qh ~ \ LA.,~,~ '[~t=~'- I louse No. Street Owner or Owners of Property: ~C~ ~¢~0 ~ Snffolk County Tax Map No 1000, Sectiou ~ Block Filed Map. Applicant: SulJdivisiou PermitNo. '~'~'"/ ~(..92 Date of Permit. (check one) Hamlet Lot ~ ~ Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: e~.. (check one) A TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN/SU~ATION [ ] FRAMING/STRAPPING [~/J' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FiRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Examined 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form ? Contact: Approved ~ , 20 /r~ Mail to: Disapproved a/c Phone: '~I~ ~f!f~ 1]-~ ~1 t Building Inspect°r i APPLICATION FOR BUILDING PERMIT Date ~ / ~ .1 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 pa~ ~br any purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building permit shall expire if the work authorized has not commenced within 12 months aRer the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an addition six months. ThereaRer, 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, Suflblk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additim~s, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ho~ authorized inspectors on premises and in building for necessary inspections. .~code, and regulations, and to admit nature of applres~t or name, if a corporation) (Mailing address ofapplicant) ~ tq O~ State whether applicant is owner, lessee, agent, archttect~,engmeer, general contractor, 9]et~rtclan, plu~er or builder Nameofownerofpremises NOTIFY ILDIN D &RTMENT AT (As on the tax roll or If applican~c°x~r~°~ signature ° f dulyauth°rized °filter * ffOU~ATION - ~ ~IRED (Na~ and titi~ ~f ~orate officer) . ~ ~~ECTRICAL l CAULKING Builders License No. ~J ~ ~ D~-~ ~me ~ ¢~ ~. Plumbers License No, Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 4 FINAL-CONSTRUCTION &ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTIO~ ~ MEET THE REOUIREMENTS OF THE COOES OF NEW YORK STATE. NOT RE,~.E FOR c.~,p_.l~.~R CONSTRUCTION ERRORS House Number Street Hamlet County Tax Map No, 1000 Section 7_.-~ Block i Lot I / Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 3~Oeex~5_. b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars \ Fee Addition Alteration OtherWork ~l ~v~ D,3x*~ock/~¢ c~ ~> ~-x'*~Descripti°n) (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 Depth_ Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front 10. Date of Purchase Rear Depth Name of Former Owner 1 I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ,,/ 1_~. Will lot be re-graded? YES NO v/ 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__ * 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. NO / 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 · IF YES, PROVIDE A COPY. NO ~ STATE OF NEW YORK) COUNTY OF~)/ SGS: ~ ~ Iq'k.~,~ ~k},~\~ being duly sworn, deposes and says that (s)be is the applicant (Name of indt~l~ ~mmg~ofl~flee) abm e named, (S)He is the '¢ ' ' · ' (Co,htrg~tor Agent, Corporate Officer, etc.) of said owner or owners, and).s dcly authorized to perform or have performed the said work and to make and file this application; that all statements cotat~Jn~d in :~/s application are tree to the best of his knowledge aud belief; and that tbe work will be performed in the man~er $~ forth in the application filed tberewitt~N~¥ L gUKLA : · . ;,,'4; ~ ~40TARY PUBLiC-STATE OF NEW YORK Signature of Ap~t Town of Southold. Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION,_4 (All Requested Information is Required for a Complete Application) APPUCANT NAME: Owner - Agent - Consultant (Conb*~o~.,~r Other Circle One) ProperS- OWNER: (If Different then Applicant) 'r°perty~s~)~.~tnc;~:a~ ~; (~t24.q~~' BecfDcsc~ptionofCons~uct~onAcdvi~,ProposcdStrucmralBMPs, Soil i Stal~diz~tion BMPs, Project Scope and/or S~qucnc~ of Construction Ac~ S.C.T.M. #: Dl~tflct1000 Se~fl~r,"~"' B~c~ LOt'~ (Provide Addi~alPege~ asNe~ded) Name of ~)s~Responsible for Installation & Maintenance of Erosion Control Practlc~: Will this Project Disturbs five (5) or More Acres at Any One Time During the Proposed Development ? Yes No a. Does the Applicant have n Qualified Inspector On [--~ Staff To Conduct the Reduir~ Inspections ? Yes No ¢. Does tho SWPPP Adequately Identify AIl Temporary and/or Permanent Soil Slabalization Measures ? Yes 'No d. Does the SWPPP Adequately identify a Complete Project Phasing Plan ? Yes No e. Does tho SWPPP ledicato Additional Site Sl~¢iflc ~ ~ status of Impacted Waterbody: (eg. TMDL. 303(d) Listed, Impaired..) by the Town of Southold ? Yes No STATE OF NEW YORK. couNq~ of .J~..!~ .......... ss 'II,at I, ..?....~......~. ~...~--~(C.w'~ being duly swo,~n, deposes and says that he/she is the applicant fo,' Permit, (Name el inclividual ~i~'~c~ment) .............. ~d na~ be/~be i~ ~e ........ ..C....o..~--..~.~ .... ~:~ ........ Io~o~. ^,,,t. c.,wo~fi'Bh~E~'t~3 ................................................................ Owner and/or representative of the Owner or Owners. anc~is duly authorized to perform or have performed the said work and to make .and file this application; that all statements con,ned ill ~1i$ application are true to the best of his knowledge and belief; mid that the work will be performed in the manner set forth in die appllcatioii fried herewith._ Sworn to before l~qe this; ...... ........ ....... b,ic: ......................... SWPPP Assessment FORM: O: 01KU6176871 Qualified In Suffolk County My Comml;lloll Explre~ November 05, 2015 Telephone (631) 765-1802 Fax (631) 765-9502 Town Hall. 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION ADMINISTRATIVE PERMIT Applicant: Madeline Mclntosh Date of Receipt of Application: March 28, 2012 SCTM#: 1000-25.-1-11 Project Location: 560 Village Lane, Orient, NY Date of Resointionflssuance: April 20, 2012 Reviewed by: Commission Project Description: Per scope of work, replace existing cedar shingles with Maibec, double dipped R&R cedar shingles, replace existing clapboard siding in grey, and match existing shingle patterns. Replace all fascia, freeze boards, rake boards and crown moldings with Versatex, PVC boards, matching the look of the original style. Replace existing entrance platforms with mahogany decking and railings. Replace seven first floor windows with Anderson Woodright custom windows to match existing. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 170 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as described in the application received on March 28, 2012. Special Conditions: No additional work permitted beyond the scope of that outlined in the above referenced application. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in the Southold Town Code, a Certificate of Appropriateness will be required. This is not a determination from any other agency. Landmarks Preservation Commission Madeline Mclntosh 560 Village Lane Orient, NY 11957 347-277-8439 Mailing address: 42 West 9~ St,/121, New York 10011 Town of Southold To whom it may concern: I have authorized Tom Mulligan of RW Mulligan Co., Inc. to sign and submit on my behalf a Certificate of Appropriateness Application to the Town of Southold. This will relate to restoration work required on the exterior of my house at the above address in Orient. Sincerely, MadelineMcIntosh R. W. MULLIGAN CO., INC. Madeline Mclntosh Residence 560 Village Lane Oriem NY ~_COPE OF WORK CEDAR SIDIN(~ At present the house has wood clapboard siding on the first floor, and cedar shingles on the second. We will be installing Maibec, doubled dipped R & R cedar shingles, and clapboard siding in grey. At present the house is white. The existing second floor cedar shingles include some octagon "fancy cuts"creating a unique pattern. We plan on matching that pattern when we install the new shingles. TRIM All fascia, freeze boards, rake boar& and crown moldings will be replaced using Versatex, PVC boards. We will match the look of thc original style as close as possible. The seven new windows will have trim made from Versatex PVC boards but will be duplicated to match the other windows. The front porch area includes some very detailed trim work which will not be replaced but painted. There are two smalI enlxance platforms with railings. Both wSll be replaced using mahogany decking and railings. There will be no change in size. The front porch area will be left as it is and painted. WINDOWS There are about 25 windows. The majority of the windows are to be re-glazed. There are, however, seven windows on the first floor (living room/den area) that are beyond repair. Those will be replaced with Anderson Woodrite custom size replacement windows. They will have p~tmanently applied inside and outside grilles to match the existing windows. Interior trim will be fabricated to match the existing trim. Tel: (631) 727-7555 E'd 246 W. Main St. · Riverhead, NY 11901 Z66ZZEZ L~9 Fax: (631) 727-7997 ue~!llnlN n~j