HomeMy WebLinkAbout37329-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
11/13/2012
CERTIFICATE OF OCCUPANCY
No: 36046 Date: 11 / 13/2012
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 40495 Route 25,Orient,
SCTM #: 473889 Sec/Block/Lot: 15.-8-14.2
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
6/21/2012 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:
partial demolition and repair of an existing accessop/structure: removal of attached shed and
repairs to barn (doors, roof, siding, etc) as applied for.
Lot No.
filed in this officed dated
37329 dated 6/27/2012
The certificate is issued to
Elsky, Norman
(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 #: 37329
Date: 6/27/2012
Permission is hereby granted to:
Elsky, Norman
40495 Route 25
Orient, NY 119571168
To:
Partial Demolition & Repair of an Accessory Structure;
Removal of Attached Shed, Repairs to Barn
(Doors, Roof, Siding, etc.) as applied for.
At premises located at:
40495 Route 25,Orient
SCTM # 473889
Sec/Block/Lot # 15.-8-14.2
Pursuant to application dated
To expire on 12/27/2013.
Fees:
6/21/2012
and approved by the Building Inspector.
DEMOLITION $676.00
Total: $676.00
~spector
Form No. 6
'I'OV~N OF $OU~HOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
~ aPplication must be filled in by typewriter or ink and submitted to the Building Depar~ient with the following:
Be
For new building or newuse:
1. Final aurvoy of property with accurate'location of all buildings, property lines, streets, and unusual natura} or
topographic featur6s.
Final Approval from Health D.cpt. of water supply and sewerage-disposal (S-9 form).
3-. Approval of electrical ins, talIation from Board 6fFire Underwriters.
4. 'Sw. om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead..
5. Commeroiat building, industrial buildin§, 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.
For existing buildings (prior to. April 9, 1957) non-eonfo.rming uses, or buildings 'and "Pre-existing" land uses'~
1. Accurate survey of property showing, all property lines, str~s, building and unusual naturai or topographic
features.
2. A properly e&mpleted 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.
Co
Fees
1. Certificate of Occupancy - New dwelling $$0.00, Additions to dwelling 250.00, Alterations to dwelling $$0.00,
Swimmir~g pool 250.00, Accessory building '250.00, Additions to accessory building $S0.00, Businesses $$0.00~
Certificate of Occupancy on Pre-existing .Building - $100.00
COpy of Certificate of. Occupancy -
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $1S.00, Commercial $1S.00
Old or Pre-existing Building:'
House 1'4o. Street
New Construction:
Location of Property:
Owner or Owners of Property: /~J 0 ~-~ ~ PCr'X
Suffolk County Tax Map No 1000, Section ] ~-'
Subdivision
Date.
(check one) '
Hamlet
V~mit No. ~ :~ ~ Date of Permit.
H~alth Dept. Approval.-.
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ ' 0'~/~ ~
Block . ~ Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Fina} Certificate:
(check one)-
regi weile
architect
905 aquaview, east marion,
post office box 223
e-mail vregiweile@aol.com
new york, 11939
631 477-~73J
Town of Southold
Department of Buildings
Main Road, Southold
New York, 11979
30 August, 2012
Re: Permit # 37329
EIsky - Exisitng Barn
40495 Route 25
Orient, New York 119571168
Sec/Block/Lot #15-8-14.2
AUG 3 1 2012
DEPT.
This is to certify that work performed at the Barn, as per our proposal, for partial
demolition, removal of Shed and repairs have been completed. All doors and windows
on the first level have been secured and sealed in a closed condition thereby protecting
the public from entry and harm. Electricity to the Barn has been disconnected as per
the attached verification by our Electrician.
If you have questions or require an inspection please feel free to call me.
Respectfully,
weile
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork, net/Southold/
Examined
Approved
,20
,20 lB
Expiration I ~'"-- ~9"7 , 20 ] 3
JUN 2 ! _012
PERMIT NO.
373 -
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey.
Cheek
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Building InsPector
APPLICATION FOR BUILDING PERMIT
Date ~.O
Et_DG. DEPT. INSTRUCTIONS
TO~'IN OF SOUTHOLD
a. This 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 ti3 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 Occuparicy.
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.
~ of a~licant or name, if a corporation)
I!
(Mailing address otI applicant) I
State whether applicant is owner, lessee, agent, architect,e ctor, electrician, plumber or builder
Name of owner of premises nolrYt~ti~ ~.$~Y
~ (As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. _l~_ ~t'O (x~, 4 qt~?J'~' H
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamle~
County Tax Map No. 1000 Section
Subdivision ri. ~.
(Name)
Block - b '- Lot .-I~,L'-
Filed Map No. Lot
.o
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy I'~dt,~e_lb ~,1~. ~[~q ~fh
b. Intended use and occupancy, o t~
Nature of work (check which applicable): New Building.
Repair X Removal ~< · Demolition 2{
Estimated Cost~ ~t 1500. O~
Fee
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
If dwelling, number of dwelling units [ Number of dwelling units on each floor
If garage, number~ of cars ~~~~1~~
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
nn~d~sensions ofexis~ng structures, ifany· Front ~ ~O$ Depth ~(~
· ~ t 4. ' Rear
Height r~, O _ Number of Sto~
Dimensions of same structure with alterations'or additions: Front 13o (flee, .~/~
Depth Height Number of Stories
8. Dimensions of entire new construction: Front [/~) ¢~lifl~
Rear
Height Number of Stories v
Rear
Depth
9. Size of lot: Front %%b. 0 Rear r/~q-63 Depth
10, Date of Purchase ~2.1~ IBi Name of Former Owner
~ I
11. Zone or use district in which premises are situated ~$:Jttt~4
R-qO
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO }(
13. Will lot be re-graded? YES__ NO X Will excess fill be removed from premises? YES NO )~
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address. 404~$ ~.4~ q.B
Phone
No.
Address o)~ ~u~X~ea.o I~ Phone No t,,3l.'qq-q'- t°t~ot
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 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 NO X
* IF YES, D.E.c. PERMITS MAY BE,REQUIRED.
i 6. Provide sUrVey, to scale, with accurate fo~n plan and distances to property lines.
17. If elevation at any point on properly is, at i-~ or below, must provide topographical data on survey.
OF NEw YORK) ......
STATE '
SS:
COUNTY OF )
being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIE D. BUNCH
Notary Public, State of New York
(S)He is the No. 01~i,~185050
(Contractor, Agent, Corporate Officer, etc.) C___?~ai?i'~u'_i. ~uhclk County
umm~ss~on expires April 14, ~./..~ ~,
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.
Sworn to before me this
~ "] -[-~) day of O~.. 20 lXo-
Notary Public
J
m S~gnature of Applicant
regi weile
architect
905 aquaview, east marion,
post office box 223
e-mail vregiweile@aol.com
new york, 11939
631 477 - ~-,~,~t~
To:
Town of $outhold
Deparment of Buildings
Main Road, Southold
New York 11979
21 June 2012
Re:
Application for Permit for repair and security work
Demolition, ~epair and S~ecuring Premises
100-15-8-14.2
Exis{ing Barn t° be Secured and Repaired
-404~5 Rout~
'Orient, New York
As per my letter of 23 May 2012 we are hereby applying for a Permit for,partia!
Demolition and ,Repair to the ~ on the above property. The following is a
'~)rief Scope of Work to which we will add items currently unknown but revealed during
Contracted Work. Please see attached photos, Site Survey and Southold Inspection
Report as attached.
Please note that this structure is not in 'imminent danger' as per definition of section
109 of the Property Maintenance Code. This structure is Vacant and shall comply with
Sections 311.1 thru 311.4 of the Fire Safety Code of NYS where applicable.
Scope of Proposed Work
1] Remov~al of central lean-to structure as per photo.
2]'Removai' Of ~x~sting garage d.~2~oor [westerly section lof3] and._replace with .pne
e door and plywood pa_nel attached securely to existing framing or new
, [~s-pe~conaition of same] Replacement of glass in existing doors iT
'-f~ble. This section at one time served as a tl~ree bay garage_ for Orient school
buses.
3] Install plywood panels at all windows on first floo£1evel to safeguard from entry.
~lnsta~lywood doors with locks at two of the existing entry door locations [one to
eas~-and one to west]. -
4] _Install plywood at all holes in barn siding to prevent unwanted entry by pedestrians.
5] ~epair main roof to respond to weather and to keep interior dry._lnstall new wood
. r__afters wher&' and if required to receive new plywood sheathing [if required-b--~
poor Cohdition of existing] at main roof.
6] Remove unwanted debris from interior and exterior of Barn. Rectify any unsanitary
condition, insure ventilation and illumination. Exterminate premises at
completion ~f repairs for rodent and in'ct infestation.
7] Remove all debris and rotted material. Dumpsters to be supplied by Contractor.
8] Seal openings to basement level.
9] Install 3/4" plywood at floor openings where required for safe passage of Owner or
service personnel.
10] All work to be completed in an orderly fashion and site to be clear of all debris upon
completion.
All work to comply with Property Maintenance Code of New York State Section 108
Unsafe Structures and Equipment.
If you have questions related to the above please feel free to call me at 631 477 1797.
Respec, tf~
BUILDING PERMIT EXAMINER CHECKLIST
Applicant:
Architect/Engineer:
$cTM# 1000- /3-
Property Address:
~' Date Submitted:
Owner:
-o2l'~o~ Date Reviewed:
Estimated Cost: -~
Zone: ~- ~0 Conforming?
-- ~ J¥-, ;~' Subdivision:
City: d~)~~' Pre COs?
Building Permits (Open/Expired): BP ~ -Z/C/0Z- -- .,info:
BP__-Z / C/0 Z-__, Info: BP__-Z / C/0 Z-
Single & Separate Search Required? Y o N~etermination:
REQ. Lot Size: '--'--- ACT. Lot Size: --
, Info:
BP__-Z / C/OZ- , Info: __
BP -Z / C/0 Z- , Info:
REQ. Lot Cov. ~ o % ACT: Lot'C;ov.
REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear" PROP. Rear
REQ. Height. 3,~/ ACT. Height. RI~. Ito'rlq $1b~..5 A CT
Pro iect D~esc~~2)~' ~L_ ~ ~ ~ ~.~~~~~.
If yes, water body: - - Panel# ' Flood Zone: ~ Bulkhead/Bluff Distance:
ADDITIONAL APPROVALS REQUIRED [~Ltts/S (q-) Sl6W~1), .n~L~b ~$UeVE. Y oR $'ITE PLAN ~
Suffolk County Health: Y o If yes, *Bed#: __*Date: / / *Permit#: Town Septic: Y-N
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PRE-DECg/1/T5 Y orR- Date:
Southold Trustees: Y. or0- Date:
Southold ZBA: Y or~ - Date: __/__/__
Southold Planning: Y 0r(~- Date:
Town Landmark C of A: Y o~DTE: __ __
Notes:
' or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
/ Permit #:
Permit #:
Permit #:
Permit #: - Notes: ' '
/ / *NYS CODE.~_ompliance (page 2): Y or N
Fee Structure:
Foundation:
First Floor:
Second Floor: ---'-
Other:
Total:
Calculation:
0 4
SF / 79-o x $ ,' 70 =$
SF + hfitial Fee: $
SF + Additional Fee ( ): $
SF SF X $. =$
SF + Initial Fee: $
+ Additional Fee ( ): $
BUILT FE:E ~
]00, oo
roT : $ 76.
NEW YORK STATE CODE COMPLIANCE CHECKLIST
C.LIMATIC/GEOG1LAPHIC DESIGN CRITERIA:
· Groun~t Snow Load: ~0 . .
Weathering: Severe~ -Frost Depth: 36"~
Design Temp: 11 -Ice Shield Underlay: YES ~
USE/OCCUPANCY CLASSIFICATION:
HEIGt:IT/FIKE AREA:
TYPE OF CONSTRUCTION:
DES IGN CRITEIGA: ENG1-N-EER~D/pREscRIPTIVE
Wind Speed; 120MPH~ Seismic Design Category; B .
· Termite: M-H' Decay: S-1M
Flood Hazards:
FULL FP,2AMING DESIGN ELEMENTS: Y/lq
HEADERS: Y/N WALL STUDS: Y/N
CEILING JOISTS: YfN FLOOR JOISTS: Y/N
LUI~BER SPECIES AND GRADE: Y/N
G[ILD ERS :. YfN
ROOF IL41WFERS:
WINDOW AND DOOR SCHEDULE:
· MISSLE TEST REQUIREB'IENTS: Y/N
EGRESS 5.7 S.F.: Y/iN
LIGHT 8 %: Y/N
VENT 4%: Y/N
NAILiNG/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS- Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF F[IKE PROTECTION EQU~MENT: Y,q'q
TRUSS DESIGN: Y/N
CBRT~ICATION: Y/N
/,mRGY CA CS: Ym ( : scs crO
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
Page No.
of
Pages
ICE ELECTRIC
1655 Evergreen Drive
CUTCHOGUE, NY ! 1935
(631) 734-2325 FAX (631) 734-7391
~645
CITY, STATE and ZiP CODE
ARCHITECT
We hereby submit specifications and estimates for:
DATE OF PLANS
PHONE
JOB LOCATION
JOBPHONE
We Propose hereby to furnish maten,al,-and]abor-~-co711~l~te ~r~,~icc~rdance with above specifications, for the sum of:
Payment to be made as follows: i~ L.:,~ i I
^Il material is guaranteed to be as specified. All work to be completed in a workmanlike
manner accordin~ to standard practices. ~ny allomtion or ~oviation from a~ov~ soocifications Authodzod
involvin~ extra costs will bo oxocutod only upon written orders, and will Become an extra 8i~naturo
charge over anO above the estimate. AIl a~reements contingent upon stdkos, acdOents or
delays beyond our control. Owner to car~ tiro, tornado and other nocessa~ insurance. Our
workers ar~ fully covered bg Wo[kman's Gomponsation Insurance.
Acceptance of Proposal above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized to do the Signatur
work as specified. Payment will be made as outlined above.
dollars ($
Note: This proposal may be
withdrawn by us if not accepted within
days.
Date of Acceptance: Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
September 11, 2012
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Norman Elsky
40495 Route 25
Orient, NY 11957
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
t///Application for Certificate of Occupancy. (Enclosed)
Alectrical Underwriters Certificate. (contact your electrician)
fee of $50.00.
__ Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 411184) -
__ 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: 37329 - Partial Demo & Repair of Accessory Structure
!
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O-C,~c,E : lO0's~/''
7654802 8 Aa~
FO t LO~fNG
1 FOitNUATION
FOR PC ,~R
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