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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 -