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Home My WebLink About37431-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 10/1/2012 No: 35914 Date: l 0/I/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: AS BUILT APARTMENT 1700 Hyatt Rd, Southold, Sec/Block/Lot: 50.-1-5 Filed Map No. conforms substantially to the Application for Building Permit heretolbre 7/25/2012 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: "as built" alterations to an existing one family dwelling for an accessory apartment with kitchen, 2 bedrooms, 2 bathrooms, living room and sitting room as applied for. Lot No. filed in this officed dated 37431 dated 8/8/2012 The certificate is issued to Leudesdorf, Arthur & Ors (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 #: 37431 Date: 8/8/2012 Permission is hereby granted to: Leudesdorf, Arthur & Leudesdor[, Frances 1700 Hyatt Rd PO BOX 1275 Southold, NY 11971 To: 'As Built', Alterations to a Single Family Dwelling; Accessory Apartment, Kitchen, 2 Bedrooms, 2 Baths, Living Room, Sitting Room, as applied for. At premises located at: 1700 Hyatt Rd, Southold SCTM # 473889 Sec/Block/Lot # 50.-1-5 Pursuant to application dated To expire on 2/7/2014. Fees: 7/25/2012 and approved by the Building Inspector. CO - ALTERATION TO DWELLING S1NGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $1,822.00 $1,872.00 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: For new building or new use: 1. Final survey of property with acCUrate location of all buildings, property lines, streets, and unusual natural or tol~graphic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3.. Approval of electrical installation from Board 0fFire Underwriters. 4. S~om statement frora 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 rezpousible 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" laud uses~ 1. Accurate survey of property showing all property lines, steers, building and unusual natural or topographic features. 2. A properly v4)mpleted app}ication and cor~sent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant 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 Tem?orary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: House No. Owner or Owners of Property:. Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~} ¢?P./ Date of Permit. Old or Pre-existing Building: _ (cheek one) Street Filed Map. Applicant: Underwritem Approval: Hamlet Health Dept. Approval.'. Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ ,~--~. oo Final Certificate: (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH~BG. [ ] FOUNDATION 2ND [ ] I/N~,~ULATION [ ] FRAMING/STRAPPING [/~INAL /~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) .[ ] ELECTRICAL (F!NA~L) REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG . [ ] FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ~NA~/~~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETTINSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ]/E~I. ECTRIC.AL (FINAL) REMARKS: .)~ ,,; /7 / I, DATE 7/~ ~/~//.~ INSPECTOR ~~ '/,;/' FOUNDATION (2ND) PL~G ~S~A~ON PER N. Y. STA~ E~R~ CODE TOWN OF SOUTHOLD BUI L D.1l~i/DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net JUL 2 5 20]2 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: Mail to: Charles R. Cuddy PO Box 1547, R±verhead, IqY 11901 Building Inspector Phone: (631) 369-8200 APPLICATION FOR BUILDING PERMIT Date July 16, ,2012 INSTRUCTIONS a. This applicatiou MUST be completely filled in by typewriter or in ink and submitted to tile Building Inspector ;vith 4 sels of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plata showing location of lot and of buildings on premises, rclationslfip to adjoining premises or public streets or areas, alid waterways. c. The work covered by this applicatkm may not be commeuced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to tbe applicant. Such a permit shall be kept ou the premises available for inspection throughout the work. e. No building shall be occupied or osed in ;*,llole 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 ,xork authorized has not commenced within 12 months after tile date of issuance or has not been completed within 18 months from such date. If no zouing amendments or other regulations affecting the properly have been enacted in the interim, the Buildiug 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 tire Building Department for the issuauce of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County. New York, aud other applicable Laws, Ordinances or Regolations, for the construction of buildings, additious, or alterations or for removal or demo]ition as herein described. Tile applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit anthorized inspectors on premises aud in boilding for necessary inspections. (Sign~tu~pplicant or name, ifa corporation) PO Box 1275, Southold, NY 11971 (Mailing address of applicant) Statc whether applicant ~s ov,,'l]er, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer N/A Arthur W. Leudesdorf and Frances J. Leudesdorf (Name and title of corporate officer) Builders License No. Iq/A Plumbers License No. Electricians License No. Other Trade's License No. (As on the tax roll or latest deed) I,ocation of land on which proposed u, ork will be done: 1700 Hyatt Road I louse Number Street Southold ,, Hamlet 01 05 County 'Fax Map No. 1000 Section 50 Block Lot Subdivision N/A Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy single family dwelling b. Intended use and occupancy dwelling with accessory apartment 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units 2 If garage, number of cars 3 Aheration accessory apartment (Description) (1-o be paid on filiug this application Number of dwelling units on each floor 2 6. If business, commercial or mixed occupancy, specit~' nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front 62 Rear Height. 35 Number of Stories 2 62 Depth 50 Dimensions of same structure with alterations or additions: Front same Depth Height Number of Stories ~ sq. ft. -.4-8 2 6"~ ~e ssor¥~par tment- 1539~) Dimensions o't enf]re new construct~ofi~ Pront N/A ' R~ar Height Number of Stories Size of lot: Front 100 Rear 100 Depth 380 _Depth Rear 10. Date of Purchase 2001 Name of Former Owner William L. Handel 11. Zone or use district in which premises are situated R-40 12. Does proposed construction violate an5' zoning law, ordinance or regulation? YES NO x · O ' X 13. Will lot be re-graded? YES NO x Will excess fill be removed from premises. YES NO 14. Names of Owner of premises Arthur Leudesdor~t~ddressPO Box 1275, Southq~ne No. Name of Architect N/^ Address Phone No Name of Contractor N/A Address Phone No. 765-2030 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES x NO * 1F YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, xvith accurate fbundation plan and distances to property' lines. 17. If elevation at any point on property is at 10 feet or below, nmst 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) SS: COUNTY OF SUFFOLK) Arthur W. Leudesdorf being duly swora, deposes and says that (s)be is the applicant (Name of individual signing contract) above named, (S)He is the Owner (Contractor, Agent, Corporate Officer. etc.) of said owner or owners, and is duly anthorized to perform or have performed the said work and to make and file this application7 that all statements contained in this application are trse to the best of his knowledge and belief: and that tbe ~ork will be performed in the manner set forth in the application filed therex~idL Sworn to before me this. ~ ~ {4~_ dayof Jt,~ Notary Public 20 i2 IWONA KODYM Notary Puhlio, State of Nh. 01KO6088386 Ouailfied tn Suffolk ~mmt~lon ~pires M=ch BUILDING PERMIT EXAMINER CHECKLIST Architec~ ~2)C-z~,~ SCTM# 1000 -- ,_~-0 _ I -- -~" Subdivision: *D,,te S.t,.,itte,t: % ~';-I~D,.te re,,ie.,ea: Estimated Cost: Zone: Conforming? City: ~'~0~'¢~ Pre COs?__ Building Permits (Open/Expired): BP -Z / C/0 z- , Info: BP -Z / C/0 Z- Info: BP -Z / C/0 Z- , Info: Single & Separate Search Required? Y oS)Determination: REQ. Lot Size: ACT. Lot Size: BP __-Z / C/O Z- , Inf0: BP -Z/CIO Z- , Info: __ · STogrX,W4:'r'~.K Rt~N t~ REQ. Lot Coy. ~o~o ACTJ Lot Coy. __ REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear__ PROP. Rear RBQ. Height· 3,5'/ ACT. Height Rff.~,.l~ovH $lb,~.S A?T , Pkroj eCtO'-~D ~/, · . ~t~4~'~' "'d-~"~(-4..*' ~,-~_,.~_~L. 3t~ ..(.9~-',,~<7.c.~a.~ Waterfront? Y off._~/~-~ ~ ) ~ ~ .~-~- L~ ~-- ) If yes, water body: ~ rj Panel# ~'Fl6od Zone:~ Bulkhead/Bluff Distance: ~-- ADDITIONAL APPROVALS REQUIRED pttlt4-~(~) $16WEI~,$e~LEb' SURVEY ~¢, 51r~ PLAN County yes. *Date: 0__0*Permit#: glO-- Se.tie: ¥- - If no, certification required: Y or N Received: Y or N By: NYS DEC: ras-aeCWUTS Y or~- Date: / / Permit ~: or NJ Letter - Notes: Southold Trustees: Y o~ Date: / / Permit ~: or NJ Letter - Notes: Southold ZBA: Y or(Iq) Date: / / Permit #: - Notes: Southold Planning: Y o~/)Date: / / Permit #: - Notes: Town Landmark C of A: Y o~.~TE: / / *NYS CODE ~ompliance (page 2): Y or N . .~~' . ~ - . ~ - -,~ ~ _ ,, ~ ~ ]Fee Structure: Foundation: .------ SF First Floor: ~'~,.4~ S,F Second Ftoor:__ 7~}._4- SF Other: - SF Total: /'-,g' ? 0 _SF Calculation: + Initial Fee: + Additional. Fee ( ): + Additiona, Fee ~): NEW YORK STATE CODE COMPLIANCE CHECICLIST C¢IMATIC/GEOGRAPHIC DESIGN CRITERIA: · Ground Snow Load: 2.0__ Weathering: Severe__ -Frost Depth: 36"__ Design Temp: 11 __ Ice Shield Underlay: YES USE/OCCUPANCY CLASSIIqCATION: ' HEIGI:IT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERJ_A: ENGINEERED/pREscRIPTiVE FULL FPcAIvIING DESIGN ELEMENTS: Y/N HEAl)ERS: Y/N WALL STUDS: CEILING JOISTS: Y/N FLOOR JOISTS: YfN LI. JI~BER SPECIES AND GRADE: YfN Wind Speed: 120MPH__ Seismtc Design Categoryf B Termite: M-H Decay: S-M Flood Hazards: GLRDERS: ¥/N ROOF P, AIZTERS: YfN WD4DOW AND DOOR SCHEDULE: MISSLE TEST REQUIP~MENTS: Y/N EGRESS 5.'7 S.F.: Y/lq LIGHT 8%: xd~ENT 4%: NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING PdSER DIAGILAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: ¥/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) Accessory Apartment Check List One accessory apartment in an existing one-family dwelling, subject to the issuance of a rental.permit in accordance with § 280-13D and the following requirements: The accessory apartment shall be located in the principal building. The owner of the existing dwelling shall occupy one of the dwelling units as the owner's principal residence. The other dwelling unit shall be leased for year- ./' round occupancy, evidenced by a written lease for a term of..er1~J~r more years. ~g one-family dwelling shall contain not less tha~ ,600 j~:,quare feet of . ./(..._ livable floor area. The accessory apartment shall contain not less than 450 square feet of livable floor area. The accessory apartment shall not exceed 40% of the livable floor area of the existing dwelling unit and any addition thereto permitted under § 280-13B(13)(j) hereof. A minimum of three off-street parking spaces shall be provided. v'/' Not more than one accessory apartment shall be permitted on a lot. t"/' The accessory apartment shall meet the requirements of an apartment as defined in § 280-4 hereof. The extedor entry to the accessory apartment shall, to the maximum extent 'v/ possible, retain the existing extedor appearance of a one-family dwelling. Subject to all other restrictions and requirements in this Code, a reasonable expansion of the existing foundation, not to exceed 25% of the living space of the existing dwelling unit, may be permitted to accommodate the creation of an ~// accessory apartment. All conversions shall be subject to the inspection of the Building Inspector and .,,/7 issuance of a certificate of compliance. The dwelling which is converted to permit an accessory apartment shall be in existence and be eligible for or have a valid certificate of occupancy issued prior ~ to January 1, 2004, or proof of legal occupancy prior to that date. The existing building, together with the accessory apartment, shall comply with · all other requirements of Chapter 280 of the Town Code of the Town of ~ Southold. Notwithstanding the previsions of § 280-13B hereof, no site plan approval by the I / Planning Board shall be required for the establishment of an accessory ' / S~ly and sewage disposal systems shall be required, f- _. ~ "'No bed-and-breakfast facilities, as au onze - 4) I~e~eof, shall be permitted in or on premises for which an accessory apartment is authorized or x,s s. equ~ ements Check L~st Page I of 1 Accessory Apartment Rental Permit applications pertaining to accessory apartments in accessory structures, by the Special Projects Coordinator. The Chief Building Inspector shall not issue a rental permit unless the application includes all of the requisite information enumerated in § 280-13D(1) through (3) and wdtten approval by the Special Projects Coordinator that the requirements of § 280-13B(13)(j) have been satisfied. The Chief Building Inspector shall have the dght to inspect the property to confirm compliance with the New York State Uniform Fire Prevention aQ~ ,..., Building Code and this Code. ~, ~ Fees. A nonrefundable annual perrj~Jt ap lpg_cation fee in the amount 0 ~ 5~__~.~/ -be paid at the time of filing of ar~plication for~ re~al per~q~ or ~k~en~,.~" rental permitfora_a__nnacces o "' ~'~~g.A '~.~ nrefundable annu~ fee in the amoun o a ~ , ~/'~__~the time of filir~j~.of an~ppllcat~~r ~ntal permit '"f"-o'r an acces.~'ory apartment in ar~ ~cture~ / Registry of permits. It shall be the duty of the Chief Building Inspector to maintain a register of permits issued pursuant to this chapter. Such register shall be kept by name of applicant and street address and set forth the date of expiration of the rental permit. Annual renewal. Rental permits issued pursuant to this chapter shall be valid for a period of one year from the date of issuance and must be renewed by application to the Chief Building Inspector in accordance with the procedures for the issuance of the initial rental permit within 10 days of expiration. Penalties for offenses. In addition to any other penalties for violations of this chapter, the Chief Building Inspector or Zoning Inspector shall revoke a permit when he or she finds that the owner has caused, permitted or allowed to exist and remain upon the premises a violation of any prevision of the Code of the Town of Southold for a period of 14 days or more after written notice has been given to the owner. Should the owner permit any such violation of this Code, the laws and sanitary and housing regulations of the County of Suffolk and the laws of the State of New York to remain uncured for a pedod of 30 da~,s or more after written notice has been given to the owner, the Chief Building Inspector may revoke the certificate of compliance for the accessory apartment. Appeal by owner. An appeal of a denial, revocation or renewal of a rental permit by the Chief Building Inspector based upon the owner's failure to satisfy the requirements of § 280-13B(13)(j)[1] and [2] may be taken to the Housing Advisory Commission, by wdtten request, made within 30 days from the date of such revocation. The Housing Advisory Commission shall hold a public headng on such appeal within 30 days after receipt of wdtten notice of such appeal and, after such headng, shall make wdtten findings and a decision either sustaining such denial or revocation or issuing or reinstating such permit within 30 days after close of such public headng. Any appeal of the revocation of a certificate of compliance must be presented to the Zoning Board of Appeals within 30 days ~--.~.m the date of reyocation. 84-AA-Rental5 L!_"t ~ 12/30/10 ~/',' -- /Page 2 of 2 ~ MEMORANDUM OF AGREEMENT I. Carroll A. Grimes is the sister of Frances J. Leudesdorf. Carroll A. Grimes desires to occupy a designated apartment at the single family residence known as 1700 Hyatt Road, Southold, NY which is owned by Arthur W. and Frances J. Leudesdorfi The parties have agreed that the apartment area noted on the attached floor plans, 1 ~ and 2nd floors, is to be for the exclusive use and occupancy of Carroll A. Grimes during her lifetime, unless circumstances require the sale of the dwelling. 4. The parties have separately agreed upon the consideration for use and occupancy. Use and occupancy of the apartment is personal to Carroll A. Grimes and is not to be occupied by any other person except for transient guests of Carroll A. Grimes. Dated: July ~t~, 2012 Arth~tr W~.~I~ eude id ~¢~ Frances Jc/Leudesdorf Mai ling Address: I).O. Box 154; lliverhead, NY 11901 ~IJES R. CUDDY AqTORNI~;Y AT I ~A W 445 (h'ifl'ing Avenue lliverhead, Nq,u York 11901 TEl2 (Ii31) I AX. (631) 3(19-90N0 E-mail: charh~s, cuddV~!v(q,izot July 20, 2012 Building Department Town of Southold PO Box 1179 Southold, NY 11971 RE: 1700 Hyatt Road, Southold, New York-Accessory Apartment Dear Sir/Madam: in connection xvith the accessory apartment within a single family dwelling at 1700 Hyatt Road, S~outhold, e. nclosed is th~ ...... 1, .Application for Building Permit 3. Four (4) sets of floor.plan..s 4. ,Certificate of~Occupan? 5. Lease Agreement 6. C~um-of $1,431.2_~_,20 Please note that existing single family dwelling has 4,826 square feet of livable floor area and the ,accessor a~.2.~rtment will have 1 539 squar feet of livable floor area~The garage includes t___~ee (3~ The enclosed check in the amount ors 1,431.20 is based upon 1539 sq. fi. at $ .80 sq.ft, plus the base fee of $200 00 ' ttlae enclosures are in order please advise when an inspection will be made. t2d- Thank you. Very truly yours, Charles R. Cuddy Town Hall Annex 54375 Main Road P.O. Box 1179 Southol(L NY 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 September 25, 2012 BUILDING DEPARTMENT TOWN OF SOUTHOLD Arthur Leudesdorf PO Box Southold, NY 11971 Re: 1700 Hyatt Rd., 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 $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. (Planning # 765-1938) ~/ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 37431 - "As Built" Alterations SURVEY OF PROPERTY iCITLMTED AT HORTON POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C TAX No. 1000-50-01-05 SCALE 1"=50' JdNE ~9, 2000 TEST HOLE DATA SUTTON LAND SERVICES, L.L.C FID[UTY NATIONAL TITLE INSURANCE COMPANY OF N£W YORK Joseph A. Ingegno Land Surveyor PHONE (e$1)727-20~0 ~Qx (631)727-1727 ? SOUND VIEW AVENUE SURVEY OF PROPERTY HORTON POINT /q / CHANGE(S) INS suPPlY sYSTEM ', EXCEED 2/10 OF'I ~ LEAD; r 'PLUMBING ALL,PLUMBING WASTE & WATER LINES NEED ~ '~TESTING'BEFORE COVERING ELECTRICAL REQUIRED kS NOTED BUILDING DEPARTMENT ATd 8 AM TO ,~ PM FOR T~E - )WING INSPECTIONS: REQUIRE~i ,ST~PPING. ELECTRICAL & ~ULK~'G ,T RESPONSIBLE~,q COMP ; REQUIRED,~ EOARD , i Uh '~