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HomeMy WebLinkAbout38213-Z Town of Southold Annex 8/13/2013 P.O. Box 1179 54375 Main Road °b Southold, New York 11971 f =ten CERTIFICATE OF OCCUPANCY No: 36441 Date: 8/13/2013 THIS CERTIFIES that the building PORCH Location of Property: 1725 Village Ln, Orient, SCTM 473889 Sec/Block/Lot: 25.-3-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/19/2013 pursuant to which Building Permit No. 38213 dated 7/26/2013 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: repay existingporch in-kind with Bluestone as applied for The certificate is issued to Smith, Kathleen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut S' atur ,..a,:. TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFICE '8®~~~ SOUTHOLD, NY ~~1 i" ~~zn4i 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 38213 Date: 7/26/2013 Permission is hereby granted to: Smith, Kathleen 1725 Village Ln - _ PO BOX 358 _ _ _ Orient, NY 11957 To: Repair existing porch, in-kind, with Bluestone as applied for per Landmark Preservation Commission approval. At premises located at: 1725 Village Ln, Orient SCTM # 473889 Sec/BlocklLot # 25.-3-8 Pursuant to application dated 7/1912013 and approved by the Building Inspector. To expire on 1/24/2015. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $233.12 Total: $283.12 Building Inspe . Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPtkNCY 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: 1. Final survey of property with acctirate location of all buildings, property Ilnes, streets, and unusual naturaF or topographic features. 2, Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Boazd of Fire Underwriters. 4. Sworn statpnenE from pltimber certifying thaE the solder used in system contains less than 2110 of 1 % lead. . 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliahce'from architect 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, ar buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property tines, streets, building and unusual natural or topographic features. 2. A properly spmpleted applica[ion and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state [he reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmittg pool $50.00, Accessory building $50.00, Additions [o accessory building $50.00, Businesses $50.00. 2. Certificate oEOccupancy on Pre-existing Building - $100.00 - 3. Copy oECertiftcate of Occupancy - $25 . 4. Updated Certificate of Occupancy - $50.00 5- Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. SCI II L ~ c~-b ( ~ New Construction- i'~ Old or Pre-existing Building: (check one) Location of Property: 17~ ~ V ~ ~ /~rC-t ~ I Alec E o R i ncT House No. Street Hamlet Owner or Owners of Property: Suffolk Coun[y Tax Map No 1000, Section o2 ~ Block ~ 3 Lot Subdivision Filed Map. - Lot: _ Permit No. 3 8a ~ 3 Date of Perarit. Applicant I ~ Z S n^!1 I ? Ilealtfi Dept. Approval: N ~ k Underwriters Approval: Planning Board Approval: ~I/} Request for: Temporary Certificate _ Final Certificate: ~ (check one) 00 Fee Submitted: $ x Applicant Signature ~ CJ~ ~ ~ ~~,OFSWTy~ ~ y zs r/~~~~~~f TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMAR S: ~ ~ n~ DATE r INSPECTOR ho~~,OF SOIIT,y~6 V l TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUG LBG. [ ]FOUNDATION 2ND [ ] I CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE ~ ~ INSPECTOR F1EI,D ~ RE40A'T D CONIIvl$NT8 . OTC,` b BOUNUA~'ION1(IST) ~a o ~ y FOUPTDATION (2xD) ' z o 1 ROUGH FIt~VG & PLUIV~IlVG , S p INSULATION PER N. Y. STATE ENERGY COpE ' ~ FIlVAL ADDITIONAL CONIIYIENTS ~^t m z . T©WN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ~ Do you have or need the following, before applying? TOWN HALL ~ Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Sep[ic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit _ Examined , 20 Single & Separate Storm-Water Assessment Form Contact: Approved L , 20 Mail toi~Ohl~ t'~ O.UL~ Q,~- S Ifs' ~ Disapproved a/c ~'jD`,c'I `~'v M0.{~1 I IIC.~C 1 (Q,Sa~ Phone: ~q~ Expiration , 20 ~ ~ IS ~ ~ ~ Building Inspector JUL 1 g 2013 PPLICATION FOR BUILDING PERMIT stns. oFPt. Date J CU, U ~ ~ , 20 ~ 3 tn,,ti~snr~;o!~,n~otn INSTRUCTIONS a. This application MUST be 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 who]e or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. £ 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 properly 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, i corporation) oti-~~a-r ~r 1 ias~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~Wh~l' rr Name of owner of premises ~>R zL I,U ~ LL ~{dt-~'h I ~ ~ ~ , i } (As on the tax roll or latest deed) If ap~Ga~ t is a corporation, signature of duly authorized officer ame 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: ~ `l ~ y i ~ 1, A-t~ ~ ©21 ~ nt i House Number treet Hamlet e.K,•, County Tax Map No. 1000 Section ~ s Block 0 7j Lot f~ Subdivision~ I ff Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupanc}~ of proposed construction: a. Existing use and occupancy O h f -FLt m i L U !'P S 1 L~~Er~e P 1 ~h FC~ b. Intended use and occupancy S~ rnP / 3. Nature of work (check which applicable): New Building Addition Alteration RepairRemoval Demolition Other Work ~Ctef r„e ~ of - hz"`d d ccf o rr t csa ~ e~c~u M cL s e . (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cars 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 Depth Height Number of Stories /1 o G{~p,rt ~ ~ Dimensions of same structure with alterations or additions: Front QI R ar Q M ~ Depth ~CLy~P, Height S~~ Number of Stories - 1~ort~J 8. Dimensions of entire new construction: Front Rear ' Depth' Height Number of Stories ~ CSur J ccc-E#ac4.ec~ \ 9. Size of lot: Front I~QVt~~ CS - Rear ~ /Depth 10. Date of Purchase Name of Former Owner P.~e 11. Zone or use district in which premises are situated L~ISThgRQ~i ~1P ~ E'xcepi- ~ Laceyv.~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ? ~ ror• f~a-'c~'~"~:J 13. Will lot be re-graded? YES_ NO ~ Will excess fill be removed from premises? YES_ NO Sm i 14. Names of Owner of premisesTQZe/A)El7'~~~~~e~eddress ~7~5 ~r~~or~No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 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~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. S u v ~iTA~I e~ 16. Provide survey, to scale, with accurate foundation plan and distances to prope~rt~ (S~l ~ U o~p oY 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFS~~~) Y R7P ~ J )/Y) j being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~tJJ VV P~1~ (Contractor, Agent, Corporate Otlicer, 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 performed in the manner set forth in the application filed therewith. Sworn to before me this r /q~dayof J~L~ 20 ~3 p ~'9y~1~/lr'~-(j~~~~,,~~f.3-RgPL BBL CF.~KOWA~ YORE( Notary Public NO 52-4824771 Signature of Applicant'Tf~Z~~LL S/'~-J7~1 OUA~IFIED IN SUFFOLK COUNTY - COMMISSION EXPIRES NOV 30, 20~ o~a0f SO(/jyo~~"" Telephone (631) 765-1802 ~ ~p Town Hail, 53095 Route 25 Fax (631) 765-9502 * ~ P.O. Box 1179 w a~ Southold, New York 11971-0959 ~ SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION ADMINISTRATIVE PERMIT Applicant: Kathleen Smith Date of Receipt of Application: July 19, 2013 SCTM#: 1000-25.-3-8 Project Location: 1725 Village Lane, Orient, NY Date of Resolution/Issuance: July 26, 2013 Reviewed by: Damon Rallis, Commissioners Project Description: Repair and replace existing concrete porch, in-kind, with new bluestone fmish. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 170 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as described in the application received on July 19, 2013. Special Conditions: No additional work permitted beyond the scope of that outlined in the above referenced application. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in the Southold Town Code, a Certificate of Appropriateness will be required. This is ination many other agency. l Damon Rallis Administrative Assistant Landmarks Preservation Commission TOWN. OF SOUTHOLD PROPERTY RECORD CARD ~ 4 ~ y s--,t - . OW ~ tom, rl^~ STREET I o2 ~ VILLAGE DIST. SUB. y,.. ~ , ~~ww~~././~ l l , S~9I~ ' l ? ~ ^ y h e A d'~ 2c c ~ ~JQ~'YlQ S S, S W TYPE OF, BUILDING RES. ~ SEAS. VL. FARM COMM. CB. SC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ~ 5,24 63 - L 5359 ~r%n ~ ~ ! ag 9~- l~e~.. dcc~asPd .doaY~ eP~f ~-3-g~ i~ o o ~ G o o ~ r~/. ~ e r 4~ -L I I l50 ~ SSbc`;c 7~0 `IOe~ca Ssoc~ z IZ 9 ~ ~ ~~'~530 _ , -?00 400 (~~ao ~ 30 0 ~ s - ll9`10- Z - , n l~ ?y~ ~ z~b. > E BUI ING C DITI 4 zoEi¢ 3IQ2- (3P~ 831- gcC~~~nYU NEW NORMAL BELOW ABOVE ~ 15 aq 10~- Udd i t~~ + alteratia~ ~ FARM Acre Value Per Value c~ y-~ c Acre Z Z"7 (p - L ~ Z ~ y O ~ (7 ~`(Yj 1 i ` ~ JYYl l~ l~' L Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD ~ ~ a ~ , _ y House Plot DEPTH r BULKHEAD Total ~ DOCK .i r I pl~ :OLOR ~ ~ o 3 rRl ~Qb ' 1~ / r a~ _ r i 25.3.8 garage 01/03 a Dinette _--",._"".~-°w"'"` qa (Foundation .jf-v1~.2 Bath M. Bldg. y ~ ~ = P raa ,5~. Floors D/~/~~ K. - SSS. Basement a s/N ~ ~ n Extension ~~5- "r ~ a n LR. _ ~-3 0O Interior Finish ~t}c s=.~' sYa xx,ez RZa Ext. Walls ~n Ffl Extension ~ S--X r.cl = Z ~ b Heat SPr~c~ DR. ~ p~> K, , ~ o_~ igv Fire Place Qy K'. Extension ~ 2 x i ~ Rooms 1st Floor gR' Type Roof a FIN. B. Recreation Roo ~~/d {1 2 Rooms 2nd Floo q ~Lt ~ Porch i ~ X _ s Dormer ~~y.da Porch g~y,~. Dr' Y Breezeway 4 Garage ~e o~2 - - ~ ~ 1r.~,~~r+~.,,'~~ara~tir k;,,,~ 3a-ta~' ~ ~ ~F511CC In-O .r;.4 C ~~.10.Ub~ POYIO O. B. iqq ~ ='f~ ~~~tu" - 3 Total ~ y _ lO 3 ~ L., c,, . ~ A2?eao' ,(rj K,,~ ra, 1. s ,3 --n.."~. 7-O i _ _ , s COLOR Z z 1~ I TRIM - - . - r.;~' 25-3-8 1/04 _ 1st 2nd ~ M. Bldg. ~ ~ ~ ~o0 36 O Foundation oe Fin. B. Bath Dinette PULL COMBO ~ 1C -7 .2 F1 Basement CRAWL PARTIAL Floors Kit. sue S Ex ns on ' = I ~ !2¢~b b zs ~9 Ext. Walls Interior Finish L.R. 3r xtension 1"I K ~ $ - ',Atp So I ~ZOf~~ 5?~ 26 3p Fire Place yPS Heat D.R. Patio Woodstove BR. 1 - Porch t~ 1-t c ,,70 ~3~ ~ t-7~ Dormer Baths ? Deck Dock Fam. Rm. A.C. au. Garage IbX23< ?,(o$ 2 ~s z OI~c~ _ O.B. Pool _ ~r, f J I YY?~~ N rCi~ ~P'?~CI.CC? r`:, T y,." ~ 1~!- K I f1C;~' 11'~ i~~ : ; ( r (:~[t.;~ Er, ~~l'f f !t fti':?' ~ Px:fi ~.~.14{Q~~'C (,'CT 7.•~ r~ Y"'•_` N(] yJ 1~k~'~~ •,~L "J~L°.:~~ ~ !~lJ yy-~ C~Let~w~,_.._.__ _ fill tNS`~e YiN~-;C Ups;"r1~, s ~ ~ , ~ /7D Lt 5 C f h t~. v~^ c~Fi I l ~!n%, ~ ~ ~ " c~ r ' x ~ l ~ ~ h ~ ~ ~ m L:__l 1 j ~;~_1~-y ~ i ~ ~ C_-_~ ~~c.drelF S'si~~' ~ I ' / / Oys SURVEY OF PROPERT Y ~ s'ksr A T ORIENT ~ ~P oo;~"~ s ~ossoo_ ~q~ s TOWN OF SOUTHOLD ~ F °~rr SUFFOLK COUNTY, N. Y. U, 0 ` '+4°~ 1000 - 25 - 03 - 08 R•• SCALE• 1" . 30' ~P c, , `O~_ t``" i3~e3• MAY 28, 2003 o. ~z,e • a .fir v ~ ~ c~ 4F ~ 'l ~y" ~ ~ /i ~Da- 'c W b ~3y ~ N G y Nry . j ~Z `g ~ ~ puQ~. ~ J 3220 ~ ti°,~ / ~ . ~ ~ m ~ 5• R~. ' 1~~~'~ ate'' ~ST~, ~~Fr - ,~ZEOF ~flvl, Jr~ T. MpTr, AREA = 12519 sq. ft. - ~ ANY ALTERATION OR ADDITION TO THIS SUP,V£Y lS A VIOLATION '1~<ta, ^ OF SECTION 7209 OF THE AEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 - SUBDIVJSION 2. ALL CERT~ICATIONS HEREON ARE VALID FOR THIS MAP AND COPAES THEREOF ONLY ~ ~ N.Y.S. LIC. NO. 496/8 SAS MAP OR CORES BEAR THE MIPRESSED SEAL OF THE SURVEYOR WHOSE S/Q4ATURE APPEARS HEREOlK ADDIT/ONALLY TO CQNPLY WITH SAID LAW TERM 'ALTERED BY • EYORS, P.C. MusT sE usED eY ANY AMO ALL sIx~VErORS uTLRN6 A cOrr (63(1 765 - 5020 FAX (6311 T65 - 1797 OIF ANOTHER SIA4VEYOR'S MAP. TERMS SUCH ' /NSPECTED ' AAb P. O. BOX 909 BROUGHT - TO -DATE 'ARE NOT W Cg4WCUNCE WITH. TI,E LAW. 1230 TRAVELER STREET SOUTHOLD, N. Y. 1197/ 02 - 113 A