HomeMy WebLinkAbout37145-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
12/7/2012
CERTIFICATE OF OCCUPANCY
No: 36075 Date: 12/7/2012
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1200 Skunk Lane, Cutchogue,
Lot No.
filed in this officed dated
37145 dated 4/18/2012
SCTM It: 473889 Sec/Block/Lot: 97.-3-11.7
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/30/2012 pursuam 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:
Additions & Alterations to a Single Family Dwelling (2nd Floor):
2 Bedrooms, 2 Baths, Study, Walk-in Closets, Hall, as applied for.
The certificate is issued to
Jeremy Armstrong & Maria Rivera
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
11/29/12
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37145 10/21/12
Walter Marczewski
/~th~ized~ignat~re
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 #: 37145 Date: 4/1812012
Permission is hereby granted to:
Jeremy Armstrong & Maria Rivera
166 Beard Street
Brook!yn, NY 11231
To:
Additions & Alterations to a Single Family Dwelling; (2nd Floor)
2 Bedrooms, 2 Baths, Study, Walk-in Closets, Hall, as applied for.
At premises located at:
1200 Skunk Lane, Cutchogue
SCTM # 473889
Sec/Block/Lot # 97.-3-11.7
Pursuant to application dated
To expire on 10/18/2013.
Fees:
3/3012012 and approved by the Building Inspector.
CO - ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $639.60
Total: $689.60
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUll. DING 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 witb 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 fi'om Board of Fire Underwriters.
4. Sworn statement from plumber certit~iug that the solder used in system contains less than 2/10 of I% lead.
5. Commercial building, iudustrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance frown architect or engineer responsible for the building.
6. SuNnit Plaaning Board Approval of completed site plau requirements.
B. For existing buildings (prin:' to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of properly 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. Ifa Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor m writing to the applicant.
C. Fees
I. 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~ Bnsinesses $50.00
2. Certificate of Occupancy on Pre existing Building- $100.00
3. Copy of Certificate of Occnpancy- $.25
4 Updated Cet'iificate of Occupant3 - $50.00
5. Temporary Certificate of Occupancy - Residential $[5.00, Commercial $15.00
New Construction:
Location of Property:
Date.
t-~ ()Id or Pre-existing Building: (check one)
House No. Street
Hamlet
Owner o,' Owners of Property: ~.'[~rL.~D~ /~ ~-4VV~]WLo ~.J C~ ~
Suffolk County Tax Map No 1000, Section Ot '~/ Block
Lot } I ' '~
Su6division
Permit No. 3'7/q6
Health Dept. Approval:
Filed Map.
DateofPermit. ~{~]~' },,,~k Applicant: ~CLDL~Dq~y
Underwriters Approval:
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 5~ )~"//¥r,../--
/
Final Certificate: L/ (check one)
~f nt~ature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southo}d, NY 11971-0959
Telephone (631 ) 765-1802
Fax (63 I) 765-9502
ro.qe r. dchert~,town, so uthold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Armstrong / Rivera
Address: 1200 Skunk La City: Cutchogue St: NY Zip: 11935
Building Permit #: 37145 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Daniel Wilcenski Elec LicenseNo: 4723-me
SITE DETAILS
office Use Only
Residential ~ Indoor ~ Basement ~ Ser~iceOnly ~
Corn merical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 2-exhaust fans, 4-paddle fans
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures 121 Smoke Detectors
Recessed Fixtures~ CO Detectors
Fluorescent Fixture J.~ Pumps
Emergency Fixtures~.~ Time Clocks
Exit Fixtures ~ TVSS
Notes:
Inspector Signature:
Date: Oct 21 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (63 I) 765-1802
Fax (63 I) 765-9502
B LIILDI~G DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No. 37
Owner: ~ ~/YJ 6-/~/~ b/~J(~)
(Ple~pr~t)
Plumber: ~4~ ]~
(Plebe prat)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this
day of ~\~c-A~4 , 20
Notary Public, ,-~ t_A-~ County
(Plumbers 5rgnature)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)
REMARKS:
[ ] ELECTRICAL (FINAL)
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT O. _N
[ ] FOU/~ATION 1ST [/~ROUGH PLBG.
[ ] F~NDATION 2ND [ ] INSULATION
[)/~FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
I NSPECTI/ON
[ ] FOUNDATION 1ST [ ]/RBUGH PLBG.
[ ] FOUNDATION 2ND [,/] INSULATION
[ ]FRAMING / STRAPPING [
[ ]FIREPLACE & CHIMNEY [
[ ]FIRE RESISTANT CONSTRUCTION [
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~[ ] ELECTRICAL (FINAL)
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765ll 802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]I~TION
[ ]FRAMING/STRAPPING [//] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL IROUGH)_ [ ] ELECTRIC~AL (FINAL)
REMARKS:~ ~
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~F:L~ECTRICAL (FINAL)
REMARKS:
DATE ./¢/*~ ~//* *~ . ,NSPECTO~--~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/ PERMIT NO.
Examined 4~ {0 ,20_] ~
Approved ~ ~'17 ,20 / ~
37/'3_5-
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
Contact:
Mail to:
Expiration / 0"~[ ~ ,20 /.~
Buildin~inspector
/ flflLIC TION FOR BUILDING PE IT
~ I I INSTRUCTIONS
Ia. Thi~ ap~B~ ho comp~4ely filled in by ~e~ter or in i~ and submi~ed to the Building Inspector with 3
sets or,inaccurate plot pl~ to scale. Fee accordNg to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public s~eets or
areas, ~d wate~ays.
c. The work covered by this application may not be commenced before issuance of Building Pemit.
d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such a pe~it
shall be kept on ~e premises available for inspection t~oughout ~e work.
e. No building shall, be ~cupied or used in whole or in pa~ for any p~ose what so ever until ~e Building Inspector
issues a Ce~ificate of Occupancy.
f. Eve~ building pe~it shall expke if the work authohzed h~ not co~enced within 12 monks a~er ~e date of
issu~ce or has not been completed wi~in 18 momhs ~om such date. If no zonNg mendmenB or o~er re~lafions affecting ~e
pmpe~ have been enacted in the interim, ~e BuildNg Nspector may au~ohze, in whfing, ~e exte~ion of the pe~it for an
addition six months. Therea~er, a new pe~it shall ~ required.
APPLICATION IS ~BY MADE to the Building D~ment for the iss~ce ora Bulldog Pe~it pu~uant to the
Building Zone Ordinance of~e Town of Southold, Su~3lk Count, New York, ~d o~er applicable Laws, Ordinances or
Re~lations, for the cons~ction of buildings, additions, or alterations or for removal or demolition as heroin deschbed. The
applicant a~ees to comply with all applicable laws, ordinances, building code, housing code, ~d re~lations, ~d to admit
authohzed inspecto~ on premises and in building for necessa~ inspections.
~ail~g ad,ess of a~plic~t) ' '
State whether applic~t is owner, lessee, agent, mchitect, engineer, general contractor, elec~ci~, plumber or builder
Nameofownerofpremises '~~~ A~/~) ~-p09~ot,4~.-> 4~
(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.
Other Trade's License
1. Location of Iand on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
Hamlet
q-/ Ulock0i3
Lot
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 "~llq~[,,~ ~qlhrfVl'~L~,
b. Intended use and occupancy "St~ ~C,~ ~q'lAiwy ~¢.1~ IA/,tq
3. Nature of work (check which applicable): New Building_ Addition
Repair Removal Demolition Other Work
4. Estimated Cost ~ '~ ~-, O (50 Fee
5. If dwelling, number of dwelling units 0g)~ Number of dwelling units on each floor
If garage, number of cars ~-
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 7 [ ' ~ Rear
Height. ~ (5, S' ' Number of Stories '2.
Alteration
(Description)
(To be paid on filing this application)
Dimensions of same structure with alterations or additions: Front
'It 'q' Depth
'7] .q' Rear
Depth q3'-~, q' Height 2 ~, 5'
8. Dimensions of entire new construction: Front -] ~ · ~
Height '2,~, ..q ' Number of Stories
9. Size oflot: Front I~,~' Rear '~]c~,~O~
Number of Stories '2.
Rear 91 ,o/' .Depth
Depth VAqo~ {~ 3 ([o1'
10. Date of Purchase
92 ' ¢~I "901~ Name of Former Owner
11. Zone or use district in which premises am situated
12. Does proposed constrcction violate any zoning law, ordinance or regulation? YES NO ~/
13. Will lot be re-graded? YES__ NO v/Will excess fill be removed from premises? YES NO ~
14. Names of Owner of premises~ ~ddress ~v~,.N ~ I IzSIPhone No. B ~ - 64~ ' ~¢~
Name of Architect MlCff gUI ~-fl~l~ Ad~ess~¢~*~v nz~hone No ~ ~/G-&~q~
Name of Con~actor~2~g~ 5~1 ~ I~ ..... Address ~ 0 &r~_}Phone No. b~ ~ - ~ 5 b '- ~_b ~¢
15 a. Is ~is prope~ within 100 feet of a tidal wetland or a ~eshwater wetl~d? *YES NO ~
* IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS MAY BE ~QU~D.
b. Is this prope~y 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 I0 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF 5Of~eb, k.)
'~!,~q..~f'~'X/ /~ ~ ~,'Df~ ,",J ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of iAdividual signing contract) above named,
(S)He is the 0
(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
perfe,wned in the manner set forth in the _application filed therewith.
Sworn to before me this A ~
~ /Notai~Public
~AGNER.NEBBIA
NO[AllY PUBLIC, State of New York
No. 4989347
Ouahfied in Su~olk C0unN.
Tetm~xpims Derembet Z..'~
L~ature of Applicant ~
Town of Southold --
I~[~ ~ )~)lErOsi°n' Sedimen~,t°rm'----Wa~SSMENT FOR.'.'.
I ~-.~.~-~-.~ ~ PROPERTY~_~OC_~ATION: ~ S,C.T.M. ~: THE FOLLOWING A~IO~ MAY REQUIRE THE SUBMI~ION OF A
I I
~ ~ ~ Dish,ct Section Bilk L~ CERTIFI~IGH PROFE~IONAL IN THE STA~ OF N~ yoR~
SCOPE OF WORK - PROPOSED
a. What is the Total Area of the Project Parcels?
(Include Total Area of all Paresis located within
the Scope of Work for Proposed Censlmctjon) __
b. What is the Total Area of Land Ctea~ng (S.F.
and/or Ground Disturbance for the proposed
(s )
CONSTRUCTION
PROVIDE BRIEF PRO. IF, CF DF. SCRIPTION ¢',,,~a~,~,~,a~
General DEC SWPPP Requirements:
ide~t~Y Polellflel so~mes o~ pol~tfo~ whfch may reesorlably be expect ed to alfect ~he
~ # / WORK ASSESSMENT
'[ Will this Project Retain All Storm-Water Run-Off
Generated by a Two (2) Inch Rainfall on Site?
(This Item will Include all run-off created by site
clearing and/or construction actMfles as well as all
Site Improvements and the permanent creation of
Impervious surrasas.)
Does the Site Plan and/orSurvay Show All Proposed
Drainage Structures Indicating Size & Location? This
Item shall Include all Proposed Grade Changes and
Slopes Controlling Surface Water Flow.
3 Does the Site Plan and/or Survey describe the erosion
and sediment control practices that will be used to
control site erosion and storm wator discharges. This
item must be maintained throughout the Eotim
Construction Period.
4 Will this Project Require any Land Filling, Grading or
Excavation where there is a change to the Natural
Existing Grade Involving mare than 200 Cubic Yards
of Material with n any Parcel?
5 Will this Application Require Land Disturbing AclivitJes
Encompassing an Area in ExCess of Five Thousand
(5,000 S.F.) Square Feet of Ground Surface?
6 is there a Natural Water Course Running through the
Site? Is this Project within the Trustees jurisdiction
or within One Hundred (10(7) feet ora Wetland Or
Beach?
7 Will' there be Site preparation on Existing Grade Siopes
which Exceed Fifteen (15) feet of vertical Rise to
One Hundred (t0(7) of Horizontal Distar~ce?
8 Will Driveways, Parking Areas or other Impervious
Surfaces be Sloped to Direct Storro-Wa~r Run-Off r~
into end/or in the direction of a Town rkJht~f-way?
9
Will this Project Require the Placemant of Material.
Removal of Vegeta~3n and/or the Constmclioe of any
Item Within the Town Right-of-Way or Road Shoulder O
NOTE:
in a Box and the cop. struetlon site itistsrba~ce Is i=~*viween 5,~ e,F. &
a Storm-Water, Gmdllt9, Drainage & Erosion ~ Plan IS Required b'j the Town of
Southold anit Must be Submitted for Review Pgor to Issuance of Any Building Ps.niL
(NO~E: AChe~Mark(~) amJ~'Nts~'rfo~eachQuestionisRequin~foraC~teApplca~,0~)
STATE OF NEVF YORK,
COUNTY OF .~..~.~...~..[..<~. SS Nota~ Publ~, ~me of N~ Yo~
.............. No. 01BU618~
...... ~ Qual~ in ~ff~k C~n~
~t~,..!~l/.~....~..~/A~ ~ ~,~,,,~,~ ~ . co~as[o~ ~ ~.~, ~2~
, ( , ~. ~;~'~ ............................................................
~cr ~or rcprmcnafivc of~c ~cr or ~, ~d is d~y au~od~d to pcffo~ or have pcffo~cd ~e ~d work ~d to
m~c ~d file ~s application; ~at ~1 s~mcnu con'ned ~ ~s apportion ~ ~c to ~c best offs ~owlcd~ ~d ~ ~d
· at ~c wo~ ~l ~ ~o~ed in ~c m~ set fo~ m ~e appli~don ~cd h~-
S~o~ to ~fo~ ~; [~
..............
.............. .............
FORM - 06/10
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
roflar, fiehe,~,t~w(~o~ u~'~o~§.ny, us
BUII.¥qNG DEPARTMENT
TOWN OF $OUTI-IOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
?' ° ' ~Y~ ~ '5,7 3'~ ~'r~ , / ~
JOBSITE INFORMATION: (*IndiCates required information)
*Name: /z~ f~ ~5 ~ ~ ~
1000 ' Semion: ~ Block:
*BRIEF DESCRIPTION OF WORK (Please PHnt Clearly)
Date:
//??/
Lot: lhq
(Please Circle All That Apply)
*Is.job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed).
*Service Size: I Phase 3Phase
*New Service: Re-connect
Additional Information:
~'~/NO ~
YE8/(~
Final
100 150 200 300 350 400 Other
Underground Number of Meters Change of Service Overflead
,PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
April 11, 2012
VV gner
ARCHITECTURE & DESIG
57 Rollstone Ave., West Sayville, NY 11796
PH(631)563-2283 FAX(631)567-3147
George Gillen, Building Inspector
Town of Southold
Town Hall Annex
PO Box 1179
Southold, NY 11971
RE: Proposed Addition
Armstrong-Rivera Residence
1200 Skunk La.
Cutchogue, NY 11935
SCTM #1000-97-3-11.7
Dear Mr. Gillen:
As per our phone conversation I am sending this letter to certify that the existing sanitary
disposal system at this dwelling is approved for a maximum of four bedrooms.
This system (which is highlighted on the attached survey) is the minimum size system that the
Suffolk County Health Dept. of Wastewater Management will approve for a new dwelling with
one to four bedrooms.
The existing system on this property has a rectangular 1000 gallon septic tank and two six foot
diameter by six foot effective depth leaching pools, which are shown on the attached survey.
The current total number of bedrooms in this dwelling is three (see attached existing floor plans)
and we are proposing to add one to make it a total of four bedrooms.
The existing sanitary system was approved for up to four bedrooms under the SCHD Ref# R10-
05-0049 in 2005 when the house was built.
ner-Nebbia, RA
c.c. Jeremy Armstrong & Maria Rivera
lO',.t,
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
')~xResidential ~ $10 or [] Non-Residential ~ $25
Application No.
Applicant Name: ~v~ /{/L0/X~?~LotqC~ ,~
Applicant Mailing Address: I ~ ~ ~ ~-
Brief description of Propsed Construction or Alteration:
Location o~ rroposea constmctio~Alterat~on:
Owner of Prope~: ~y g~~¢
Owner Mailing Address: ~g~ ~ A ~
Septic Tank [] or Cesspool []
Permit No.
Property Address: 1'2-0o Ul<-~tdl<- L,~t'q~
Name and Telephone No. of Contact Person:
*~ Map No.: Section: ~ ~ Block:
Nearest Cross Street: ~AIN ~,(~S
NOTE: LOCATION MAP MUST ~TTED WITH APPLICATION. NEW
Sig~pplicant
Received by: [~
qd?agner
5 7 Rollstone Ave., W. S'.:4yvllle, NY 11796
PI1(631)56~-2283 F,~' (631) 567-3147
LETTER OF TRANSMITTAl.
WE ARE SEND~G YOU (~ATrACItED )
( )
A?R ~ 3 20~2
BI I)G DE?T
TOWN OF %OUTHOiD
DAm 4-12-1Z
Al'mN
JZoo
UNDER SEPERATE COVER VIA_
PRELIMINARY DRAWINGS ' ( ) ENGINEER'S REPORT
CONSTRUCI'ION DRAWING4 I) 5~--T ( ) COPY OF LETTER
SURVEY ( ) ,
COPYTO SIGNED
[t/ gner
ARCHITECTURE & DESIGN
57 Rollstone Ave., West Sayville, NY 11796
PH(631)563-2283 FAX(631)567-3147
June 12, 2012
George Gillen, Building Inspector
Town of Southold
Town Hall Annex
PO Box 1179
Southold, NY 11971
RE: Proposed Addition
Armstmng-Rivera Residence
1200 Skunk La.
Cutchogue, NY 11935
SCTM #1000-97-3-11.7
Dear Mr. Gillen:
As per my phone conversation with Michael Verity, I am sending this letter to make an
amendment to the approved construction drawings.
The owners would like to remove a bearing wall on the first floor between the study and great
room. Attached are (3) sets of stamped plans of the area where the work is to be done.
Please contact me if you need any additional information.
Sincerely,
Michele Wagner-Nebbia, RA
c.c. Jeremy Armstrong & Maria Rivera
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971 0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
October 1, 2012
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Armstrong
Re: 1200 Skunk Lane, Cutchogue
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 4/1184)
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: 37145 - Addition/Alterations
OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET (C~O~) IVILLAGE I ~ST'I
ACR'c:~, D t
TYPE OF BLD.
IMP.
q100
LAND
SUB. LOT ..~
PROP.
C.~/~(LASS_ ~
TOTAL DATE
17oo
.10~-o0,~
Ogo~v'
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
TILLABLE
WOODLAND
MEADOWLAND
HoUSE/LOT
TOTAL
~ ~ ~ ~/WCRIY~) allo:):ql AJ.tl:ldOtld alOHJ, nos :1o NMOJ. '~') I - ~-z~' ~oo
COLOR
'4
r 'J / J ,
j ~ TRIM
,4"
97,-3-11,? 3/07
~ ~1~1~ ~'T~g It ~..?I~= ~ ~ ~ ~ ~0/~ ~ ~'' ~. Foundation c8 Fin. B. Bath ~ ~Dinette
~ ~ ~ COMBO
~,r ;;~cn ~ x~ , Basement s~BCRAWL PARTIAL Floors
-- / ~ ~ ¢, Walls
Extedsion ~ t~= ,~ ,~,~e ~¢~ Ext. /~r~ Interior Finish
Extension Fire Place ~¢ S%~ C Heat 01~
Patio Woodstove BR.
~5, Dormer Baths '
Deck /~X~ ~.:~j;~,: .~ t~ Dock Fam, Rm,
Garage ~ = ~ '/ ~ I,~S ¢~
O.B.
Pool 08' ~STIP+~ool =)~0 ~o~07
t~0~00
TOWN OF SOUTHOLD PROPERTY RECORD CARD IM~p I Z
OWNER STREET j~ aC) VIL~GE DIST. SUB. LOT ~
*' ~PE Of BUILDING
RES., ~S. ~ VL. ~ ~ I FARM CO~. CB. MICS, Mkt. Value
~ND IMP. TOTAL DATE ~RKS
i, ~,- · ~ . ~ ' ~ ~'~I,~ __
~ I I
Tillable ~, O ~' ~ ~ d,, ~O~ FRONTAGE ON WATERI
W~land FRONTAGE ON ROAD
~eadowland DEPTH
House Plat ~ ~ ~ ~0~) I~OC., BULKH~D
Total I ~C2~ ~
$ 7 / '/'.5'-
BUILDING PERMIT EXAMINER CHECKLIST
Applicant: ~ ~~'~
Architect: /'~~ ~/c~
SCTM#1000- c]7- 3 -- Il, 7' Subdivision:
Property Address:
*Date Submitted: fl ~ / ~Date Revtewed:
Estimated Cost:
~ City:
Info: /:De/-- BP__
, Info:
Building Permits (Open/£Jf~-a~): B? 3q6¥/¢°0 -z/~__90 Z-
BP -Z / C/0 Z- , Info:BP -Z / C/0 Z-
8ingle & Separate Search Required? Y Determination:
Zone: ~X.~0 Conforming?
~~4L Pre COs?
~-- -Z/C/0Z- ~ .,Info:
BP__ -Z / CIO Z-__., Info: __
RBq. LotSiz S0 )o0o ACT. LotSize: Z'°l~'~-~g~g6dc-,~E.Q. LotCov. aO%ACT:Lot(Jov.
REQ. Front ~:0 ACT. Front 7'~,~/ REQSide ~ ACT. Side._~_~_.REQ. Re~ PROP. Rear_/O~-~
REQ. Height. 3~/ ACT. Height ~/~ RI~.~OTH $tb(...<
Waterfront.6 Y or ~_.~v /
If yes, water body: ~ Panel# ~ Flood Zone: ~- Bulkhead/Bluff Distance:
ADDITIONAL APPROVALS REQUIRED pt_~/$(q~) 516W~D, ~t-[b ~K Su~V~-¥ ~g 51r~ Pt/la/ ~'~
Suffolk County Health: Y o~- If yes, *Bed#: *Date: /~--4~_ *Permit#: ~, Town Septic: Y- N
- ~ ~ -I fpo2 certification requir~:~yN Received:C~Jor N By:~,~---~
I~YS DEC: PRE-DEC 9/1/75 Y O~- Date: / / Permit #: or NJ Letter - Notes:
Southold Trustees: Y orc/N~- Date: / / Permit #: or NJ Letter - Notes:
Southold ZBA: Y o~ Date: /~/ Permit ~: - Notes:
8outhold Planning: Y or~- Date: /~/ Permit ~: - Notes:
Town Landmark C of A: Y ~DTE: / / *~S CODE ~ompliance (page 2): Y or N
Co~Tg~g ~c~-~ ~/~ILI~Y '- LI~I?T~O~~ Co*P~S~IO~ , ~'~,
Fee Structure:
Calculation:
Foundation: SF 10qc~ X $ ;c/-0 =$ L~3 t~, {~0
First Floor: SF + Initial Fee: $ ~O 0,00
Second Floor: 10~ SF + Additional Fee ( ):$
Other: SF SF X $, :$
~ ~ + Initial Fee: $
Total: ~ 0 SF + Additional Fee ( ): $
C OF o F~ ~ ~0tO0
AS BUILT F~E ~- TOT~:$ ~3~,~0
NEW YORK STATE CODE COMPLIANCE CHECICLIST
C.LIMATIC/GEOGtLAPHIC DESIGN CRITERIA:
Grounll Snow Load: gO
Weathering: Severe __ -Frost Depth: 36"__
Design Temp: 11 Ice Shield Underlay: YES .
USE/OCCUPANCY CLASSIFICATION:
· HEIGI:IT/FIRE AP,_EA:
TYPE OF CONSTRUCTION:
DES IGN CRITERIA: ENGINEERED/pREs CPd~TIV~
FULL FRAMFNG DESIGN ELEMENTS: Y/N
HEADERS: Y,'N WALL sTUDs: Y/N
CEILING JOISTS: Y/N FLOOR JOISTS: YfN
LUI~BER SPECIES AND GRADE: Y/N
Wind Speed: 17,0MPH__ Seismic Design Category.; B __
Termite: M-H Decay:
Flood Hazards:
GERJ) ERS: YfN
ROOF IL4irTERS: YfN
WI2xl-DOW AND DOOR SCHEDULE:
.MISSLE TEST ILEQUIREhiEINTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%:
~rENT 4%: YIN
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RiSER DIAG1Ladvi'~
LOCATION OF lqP,_E PROTECTION EQUI)MENT: Y/lq
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
5'c'7~ I oeo
/ 4'-0
I
$7"0"
:I
(USES PUSUC WAT~)
O/L N.
0
t
t
DWELLING
(USES pUBLIC ~ATER)
ELIZABETH
NOTES:
N
1. ELEVATIONS ARE REF£RENC£O TO AN ASSUU£U DATUU
EXISTING ELEVATIONS ARE SMOWN THUS: 2o.o
200.00,
J~ ON ~E~U4~Y m, 20OZ)
',
N.Y.S. LIc. No. 50467
SURVEY OF PROPERTY
SITUA TED A T
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-97-03-11.7
SCALE 1"=40'
MARCH 8, 20O5
DECEMBER 29. 2005 LOCA3E 17" MAPLE 3REE
JANUARY 10, 2005 SET PROPERTY CORNER & FOUNDA3qON STAKES
APRIL 20, 2008 UNDER CONSTRUCTION SURVEY
DECEMBER 1. 2006 RNAL SURVEY
JULY 6, 2007 ADDED PROPOSED POOL HOUSE
AREA = 87,664.55 sq. ff.
2.012 ac.
_CERTIFIED TO:
DENNIS HEFFEENAN
SUZANNE HEFFERNAN
FIDELITY NATIONAL TITLE
ULSTER SAVINGS BANK
INSURANCE COMPANY OF NEW YORK
SEPTIC SYSTEM TIE DISTANCES
COVi:'~ HOUSE CORNER"A" HOUSE CORNER"B"
SEPTIC TANK
OUTLET COVER 12' 19'
CESSPOOL I 34' 13'
CESSPOOl_ 2 46' 26'
Nathan Taft Corw n IIi
Land Surveyor
PHONE (631)727-2060 F~x (631)727-1727
0
r~
N 86'33"36" E
O/L N.S ~
N/O/~
JERRY $IANI
& LORRY SCHULT
DWELLING
(USES pUBLIC WATER)
0.4%
491.75'
W
DwELDNG
~us~s pu~uc WATER)
~1o1~
ELIZABETH FEISS
3_4*
Dp~o~
FOUND
CONC. MON. ·
N
200.00,
NOTES:
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: 2Go
TEST HOLE DATA
17'
Z
GQ
SUFFOLK
S.C. TAX
SURVEY OF PROPERTY
SITUA TED A T
CUTCHOGUE
TOWN OF SOUTHOLD
COUNTY, NEW YORK
No. 1000-97-03-11.7
SCALE 1"=40'
MARCH 8, 2005
DECEMBER 29, 2005 LOCATE 17" MAPLE TREE
AREA = 87,664.55 sq. ff.
2.012 ac.
CERTIFIED TO:
DENNIS HEFFERNAN
SUZANNE HEFFERNAN
FIDELITY NATIONAL TITLE
ULSTER SAVINGS BANK
INSURANCE COMPANY OF NEW YORK
SEPTIC SYSTEM TIE DISTANCES
COVER HOUSE CORNER"A" HOUSE CORNER"B"
SEPTIC TANK
OUTL.ET COVER 12' 19'
CESSPOOL 1 34' 13'
I¢:.E'gSPOOL 2 I 46' 26'
THE EXIST£NCR OR RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD, IR
ANY. NOT SHOWN ARE NOT GUARANTEED,
~N.Y.S. Lic. No. 50467
Nathan Taft Corwin III
Land Surveyor
~tle Sur~eys - SubdMsions --
PHONE (631)727-2090
O~TCf5 LOCATED AT
322 Roanoke Avenue
$~te Plon~ -- Construction Layout
Fox (631)727-1727
MNUNG ADDRE6
P.O. Box 1951
Riverhead, New York 11
]: L
~, PJ
Fos~
15 .o
f2A 'R.T I'ST'
P bAz,4
the exterior so ahat wood structural panels (7/~16" plla~ood) can be
for all window and door openints, panels t~ be secured with ~"
~,¥~
THIS IS A F~¢SCfCl FTN~, DESIGN USING T~E AMI~ICAN FOREST At'CD
PAP~ ASSOC. WOOD CONSTRUCTION MANUAL FOR ON~ & TWO FAMILY
DWP~.I.INGS, 2~o~ S~C H1GH WIND L~DITION
Si -)~.tNG ROOMS
ALL OTHER ROOMS
WOOD
A'J~'IC (NO DTOIG~G~)
ATIClC
SNOW L~AD
: 30 PSF Lr~ LOAD, 10 i~F D~tD LOAD
L 40 PSF LIVE LOAD, 10 PSF DEAD LOAD
: 40 FSF LIVE LOAD, 10 PSF DEAD LOAD
: 10 PSF ~ LOAD, 10 PSF DP. AD LOAD
: 20 PSF LIVE LOAD, 10 PSF DEAD LOAD
: ,ZOPSF HVE LOAD (~.~u~o ~.~)
ROOF RAFl'~t($ (NO CATHEDRAL CEILINO): L/180
ROOF RA~TERS (CATHEDRAL C~NG) :
:
flASI~D ONTF3-SECOND WIND GUST OF 1~,0 MPH (FASTEST MILE
REQ!UIRE SEISMIC DESIGN)
REScheckSoftware Version 4.4.2
Compliance Certificate
Project Title: Proposed Addition & Alterations
2010 New York Energy Con~e~tlon
Conllru.~lon Code
euffolk Count, Niw York
5760
4
Owner/Agent:
Jeremy Arnwl~o~0 & Mafia Rivera
OesignerK~ontradtor:
~.~SEV'~t~ fUSE 3000Psl CONCRETr:
: MODISTE TO H~
~BR D~IGN DRY BtIL~ T~TURE: 1 I'F
[C~ SHIED UNDH~YME~ R~R~: AT ~L ~S, FROM THE ~VES
~GE ~ A ~1~ AT L~T 24" INSIDE ~E ~TH~OR WA~ HNE OF THE
$11101g~ p~,T~CTOR AND
CARBON MON~XI])~ D~T~CTOR NOTES
A smoke d~t~ctor is ~t*,]~d i~ ~¢h bed~m~ pl~ one p~
floor. A c~rbon mol~oxid~,detec~or is requ~'ed onc ~r floor,
In ~o~s wherg thc sh0etrock is nol bei~S removed, devices
ELECTRICAL
INSPECTION REQUIRE~
NEW YORK STATE & TOWN
OCCUPANCYOR
USEIS UNLAWFUL
WITHOUTCERTIFICATE
OF OCCUPANCY
5 }NSULATrON
4 RNAL- CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR C 0
ALL CONSTRUCTION 8HALL ~EET ~E
REOUiREMENT8 OF THE COBE8 OF
YORK STATE NOT RESPONSIB~ lOB
DESIGN OR CONSTRUCTION ERRORS.
PLUMBER CERTIF, R~A TION
ON LEAD ~N_7 BEFORE
CERTIFICATE-OF OGGUPANC¥
SOLDER USED IN WA TER
SUPPL,Y SYSTEM,OANNOT
~XOEEP 2/~0 0~ ~ ~ L~ a
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
"iMMeDIATELY"
BNOI..O~I~ POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
0
OL
ASPHALT SHINGLES: SHALL BE SELF-SEA, LING OR INTERLOCKING,
SIX FASTEN~RS RI3Q.UIRED PER SHINGLE. FASTENERS TO BE
GALVANIZED, STAINLESS STEEL, ALUMINUM OR COPPER ROOPING
NAILS, MIN. 12 GAUGE SHANK WITH A MIN. 3/8" DIAM. HEAD, OF A
LENGTH TO PENETRATE THROUGH THE ROOFING MATERIAL AND
FULLY THROUGH THE ROOF'~HF. ATHING.
Nailing Sched
~-i o'12
Wagner
4- Sd 4-10d per joi~t
2- 8d 2-10~[ each ead
3- 8d 3-10d per joist
3-16d 4-16d per joint
2-16d~ 3-16d per foot
~up I~4
lc (:. ONT ~L~_VA¥ I oM