HomeMy WebLinkAbout37621-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
5/2/2013
CERTIFICATE OF OCCUPANCY
No: 36220 Date: 5/2/2013
THIS CERTIFIES that the building ALTERATION
Location of Property: 1200 HYATT ROAD, SOUTHOLD,
SCTM #: 473889 Sec/Block/Lot: 50.-1-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore ~ed in this officed dated
5/9/2007 pursuant to which Building Permit No. 37621 dated 11/9/2012
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which tiffs c~-tificate is issued is:
alterations to an existing accessory building as applied for.
The certificate is issued to
MARGARET L. BOODY
(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 #: 37621
Date: 11/9/2012
Permission is hereby granted to:
MARGARET L. BOODY
115 WEST BROADWAY APT. 5-N
NEWYORK, NY 10013-3866
To:
ALTERATIONS TO AN ACCESSORY BUILDING AS APPLIED FOR.
REPLACES EXPIRED B.P. # 33050
At premises located at:
1200 HYATT ROAD
SCTM # 473889
Sec/Block/Lot # 50.-1-9
Pursuant to application dated 5/9/2007
To expire on 5/912014.
Fees:
and approved by the Building Inspector.
PERMIT RENEWAL $50.00
CO - ALTERAT~ $50.00
J TotaI~ $100.00
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. 33050 Z Date MAY 21, 2007
Permission is hereby granted to:
OTTO & WF LINDERMAYER
PO BOX 85
SOUTHOLD,NY 11971
for :
ALTERATIONS TO AN ACCESSORY BUILDING AS APPLIED FOR
at premises located at 1200 HYATT RD SOUTHOLD
County Tax Map No. 473889 Section 050 Block 0001 Lot No. 009
pursuant to application dated MAY 9, 2007 and approved by the
Building Inspector to expire on NOVEMBER ~~.~--~
Fee $ 100.00 ~ ~//
Authori~ignatu~
COPY
Rev. 5/8/02
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:
A. For new building or new use:
t. 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 from Board of Fire Underwriters.
4. Sworn statement from 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 amhitect or engineer responsible 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" land uses:
1. Accurate survey of property 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. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. /~'~_1~...- q-~l~,~[~
~// (check one)
Hamlet
Subdivision
Permit No. ~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Block 0 I Lot
Filed Map. Lot:
Applicant: ~--~_~ild~ ~/.f~3,.)l~tt~/-~
Underwriters Approval: ~,~/~
FinalCertificatc: %//~1~!~ (chi~kone)
I' pplicant S~gnature
DateorPermit. ~-- C~_ [3
New Constmctinn: Old or Pre-existing Building:
Location of Property: ]~O -/~ t///~/-~
House No. Street
Owner or Owners of Property: ~.~Of~t~.._~
Suffolk County Tax Map No 1000, Section
TOWN OF SOUTHOLD BUILDING DEPT.
765-t 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [,,~NAL/,~ ~_~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAff.,.; f INSPECTION
[ ] RRE RESISTANT CONS'I1WCTION [ ] RRE RESISTANT PENETRATION
REMARKS: ~
DATE
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN/,~O~ATION
[ ] FRAMING/STRAPPING [~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CO#STR~ [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL(FINAL)
[ ] ELECTRICAL (ROUGH)
REMARKS:
DATE ~INSPECTOR ~
/
FIE..,LD INS~PECTION REPORT } DATE I COMi'VIENTS
FOUNDATION (1ST) ~"
FOUNDATION (2ND) _
ROUGH FRAMING &
PLLrMBI2~G __
INSULATION PER N. Y.
STATE ENERGY CODE
ADDITIONAL COMMENTS '" '
TOV~ OF SOUTHOLD
BULL! ~iN~G ~EPARTMENT
TOV
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved a/c
Expiration
BUILDING PERMIT APPLICATION CHECKLIST
PERMIT NO. ~
3~PPLICATION FOR BUILDING PERMIT
~ Date
L~- ~-J INSTRUCTIONS
T pvlioati°n MUST be
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.
Tmstees
Contact:
Mail to: ~'/~
114(4
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 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 fi.om 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.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nmne of o~vner of premises ~ E5777~ ~_
(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 No.
1. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section C:7,.-~? Block d~'/
Subdivision Filed Map No.
Hamlet
(Name)
· Lot d?d7 ~
' Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed constructio~r.
a. Existing use and occupancy r'~-dS~-~---~:=:e:;t~,/ ~7~ ' {
b. Intended use and occupancy -,O~-~----~z~,~9" O'7~77,J',~t~:,. ~2-~
3. Nature ofw~k (check which applicable): New Building
Repair U" Removal Demolition
4. Estimated Cost q 5~7. ~
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
(Description)
Fee ~/gSvt57~ ~
(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 /~-~ / Rear /~'.
Height ,,,- ~,.~ Number of St~)rie~- /
Dimensions of same structure with alterations or additions: Front
Depth /zfi. 7~' Height 4-' ~,.~
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front 1~5'~.1'~I Rear
Depth
Rear
Number of Stories
Rear ' Depth
.Depth "~/~f~'~.
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction 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 ~ L///Iz~/~'///.,te~.~//"Address/2~9/-~4/i/,~,//w/r~/Phone No.
Name of Architect "~t~lK ~/F~/I,F.~'F_.~t/ / Address .~.g/g; 57r/-gv/t/tqtfP'Phone No ~._~.4'7~.
Name of Contractor ~-~ /~/,t~ Address ~l,W.,~t~J//-~d: l/~-.t Phone No. ~{.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES v/ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT/S MAY BE REQUIRED.
b. Is this property within 300 feet ora tidal wetland? * YES v' 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 topographical data on survey.
STATE OF NEW YORK)
COUNTY OF
;,~----/~" ~,f~dt/~'~/W~'/4 / being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(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 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
q~f~_ day of ~r,,.,~..-- 20 O
I~ot~ Pul~ic
LINDA d COOPER.
~OTARY PUBLIC, State of New York
NO. 01CO4822563, Suffolk
Term Expires December 31, 20./.~
~f Applicant
Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM
Yes
EXEMPTIONS:
A. Does this project mcat the minimum standards for classification as an Agricultural Project.
Note: If you answered Yes to any of the above, a Sterm-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 (4) for each question is required for complete application)
Yes ~o
Will this project retain all Storm-Water Run-off generated on Site?
(This will include all nm-off created by site clearing and/or construction activities as well as all
Site Improvements and the permanent creation of impervious surfaces.)
2. Will this project require any land filling, grading or excavation where there is a change to thc
natural existing grade involving more than 200 cubic yards of material within any parcel?
3. Will this application require land disturbing activities encompassing an area
of five thousand (5,000) square feet of ground surface or more?
4.
Is there a Natural Water course running through the site or is this project within
One hundred (100) feet of wetlands or a beach?
5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to D
One hundr.ed (100) feet of horizontal distance? 4
6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off V//
into and/or in thc direction of a Town Right-of-Way? D
Will this application require the placement of material, removal of vegetation and/or thc
.construction of any item within the Town Right-of-Way or road shoulder area?
(This item does not include the installation of driveway aprons.)
8. ~i~~thereb~sitepreparati~nwithinth~~n~hundred(~~~)year~~~dp~ain~fanywaterc~urse? ~ N///
Note: ff any answer to questions ~ne through eight is answered with a check man~ in the Box, a Storm-water, Grading,
Drainage & Erosion Control Plan is required and must bo submitted for review prior to issuance of any building permit.
STATE OF NEW YORK,
COUNTY OF
That I ................ being duly sworn, deposes and says that he/sha is the applicant for ?crmit,
ONiamc of individual signing Document)
And that He/She is the ........
(Owner, Contractor, Agent, Corporate Officer, cie.)
Owner and/or representative oft. he Owner or Owner's, 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 hast of his knowledge and belier; and that the
work sill be performed in the manner set forth in the application filed herewith.
Sworn Io before me this;
...... ?~ ..................... day of...~ ~-4.~ ..................... 20 .-",)..~
Notary Public: ........ ~.~L... ~ ..................
LINDA J COOPER
NOTARY PUBLIC, State of New York
NO. 01 CO4822563, Suffolk Countic.
Term Expires December 31, 20_/_~
~,~F,- ,~"~-/-? TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
FORMER OWNER
RES.
LAND
SEAS.
IMP.
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Br~o~
TOTAL
DATE
Value Per Acre
House Plot
Zot~ -~ ~-~ "~
VILLAGE
COMM. I IND.
REMARKS
Value
DISTRICT SUB. LOT
^c c,f
/~
CB. I MISC.
Bosernent
Extension
Extension
Extension Fire Pbce
Porch Attic
~ '
Breezeway
/~/ ~ ~: ~/~ / ~Z~ ~-~ ~ Driveway
Garage
o. B.
L
Southold Town Building Department
54375 Main Road
Southoid, New York 11971
(63~) 765-1802
Parcel ID: 50.-1-9
Permit #: 33050
Permit Date: 5/21/2007
Expiration Date: 11/21/2008
BUILDING PERMIT RENEWAL LETTER
Applicant:
Location:
Work Description:
Dated: 12/15/2011
MARGARET L. BOODY
1200 HYATT ROAD
ALTERATION
ALTERATIONS TO AN ACCESSORY BUILD1NG AS APPLIED FOR
A FEE OF $50.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner:
Address:
MARGARET L. BOODY
115 WEST BROADWAY
NEW YORK, NY 10013
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. Ali work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
P.O. Box 1179
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 50.-1-9
Permit #: 33050
Permit Date: 5/21/2007
Expiration Date: 11/21/2008
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Applicant:
Location:
Work Description:
Dated: 4/23/2012
MARGARET L. BOOBY
1200 HYATT ROAb
ALTERA'I'~ON
ALTERATIONS TO AN ACCESSORY BUILbING AS APPLIEb FOR
A FEE OF $50.00 15 REQUIRED TO RENEW THIS BUILDING PERMIT.
O~ner:
Address:
MARGARET L. BOOBY
ll5 WEST BROAbWAY
NEW YORK, NY lO013
The permit listed above has expired. Please contact our office as soon as possible to begin
the ~enewal process. All work on the project must stop on the expiration date.
THANK YOU,
5OUTHOLD TOWN BUILblN6 bEPT.
South#Id Town Building Department
P.O. Box 1179
54375 Main Road
South#Id, New York 11971
(631) 765-1802
Parcel 1D: 50.-1-9
Permit #: 33050
Permit Date: 5/21/2007
Expiration Date: 11/21/2008
Applicant:
Location:
Work Description:
Dated: 10/22/2012
MARGARET L. BO#DY
1200 HYATT ROAD
ALTERATION
ALTERATIONS TO AN ACCESSORY BUILDING AS APPLIED FOR.
Owner:
Address:
MARGARET L. BOODY
115 WEST BROADWAY APT. 5-N
NEW YORK, NY 10013-3866
Your BUILDING PERMIT 933050 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by South#Id Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shall have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a cheek made out to the Town of
Southold in the amount of $100.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
Michael Verity: Chief Building Inspector
South#Id Building Department
cc: Damon Rallis Zoning Inspector
~000 090~ OT02
S 64°50'00"E
N 64°50'00"W
N/F KEMENY
N/F I_ESTER
CHAIN /INK FENCE' __~ ~
-:~ ..... t ATTACHED
456.43'
ASPHALT DRIVEWAY
460.45'
MON
EARTH TRAVELED WAY
GUARANTEED TO:
MARGARET L. BOODY
LANDAMERICA COMMONWEALTH
LAND PTLE INS, CO.
SURVEY OF
DESCRIBED PROPERTY
SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: MARGARET L.
TM# ?000-050-0?-009
BOODY
SURVEYED: 22 MARCH 2007
SCALE 1"= 40'
AREA - 49,077 S.F
OR
1.125 ACRES
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW SUFFOLK. NY. 11956
~/' NYS L'i~ No.
NEW CROSS BRACINGS ON ALL FOUR WALLS - NW CORNER
NEW POST ON CONCRETE PIER
~OVED AS NOTED
DATE:~ B.P. # ~
NO~IF'~ BUiLDiNG .;; '~ARTMENT AT
765-1802 8AM TO ,4PM FOR THE
FOLLOWING iNSPECTiONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL- CONS3rqUCT!ON MUST
BE COMPLETE '-CR C.O,
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
~4; 7'-9 112' 4' 7'-9
,_~ NEW 4X4 TREATED POST , ,
ON 8" DtA POURED CONCRETE PIER ~
III ~,E~T~
Iii
.~_ FOR STORM SHU~ERS
~ GARDEN TOOLS HI
~2) 2x4 CBLING JOISTS ~ 24" O,C.
ASPHALl ROOFING ON
PLYWOOD SHEATHING
/~E~'G 2X4
EXT'G tX4 PLANKS
FLOOR PLAN
SCALE: 1/4"= 1'-0"
oCCUW " - '
WITHOUT
OF OCCUPANC'/
SECTION A-A
SCALE: 1/4"= 1'-0"
AS-BUILT
DATE: 05/09/2007
SCALE:
AS-BUILT SHED
DWG. NA~E
NEW CROSS BRACINGS ON NORTH WALL A -