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HomeMy WebLinkAbout38151-Z Town of Southold Annex 9/6/2013 ~ P.O. Box 1179 =.y~ 54375 Main Road ~ S~ Southold, New York 11971 .~~1 ~ ` CERTIFICATE OF OCCUPANCY No: 36492 Date: 9/6/2013 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 53610 Route 25, Southold, SCTM 473889 Sec/Block/Lot: 61.-4-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/25/2013 pursuant to which Building Permit No. 38151 dated 7/2/2013 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: Alteration to an existine office buildin~as applied for. The certificate is issued to Joseph Cowley Jr & Patricia Jordan-Cowley (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t riz Signa 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 38151 Date: 7/2/2013 Permission is hereby granted to: Burns, Margery 4135 NE Brasher Dr Marietta, GA 30066 To: Alteration to an existing office building as applied for. At premises located at: 53610 Route 25, Southold SCTM # 473889 SeclBlock/Lot # 61.-4-3 Pursuant to application dated 6/25/2013 and approved by the Building Inspector. To expire on 1/1/2015. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $462.80 CO -COMMERCIAL $50.00 o a . $512.80 Building nspector 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: I. 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 I % lead. 5. Commercial building, industrial building, 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. B. For existing buildings (prior to Apri19, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I . 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 $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, 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. y C / Z~F~~3 New Construction: Old or Pre-existing Building. (check one) ~ ~ Location of Property: ~ ~ ~ Mr• N ILOC House Nop. p Street f Hamlet Owner or Owners of Property: 1 A~ti`.~-n ~~D's l~~lG Cel~l£ Suffolk County Tax Map No 1000, Section ~ ( Block ~ Lot Subdivision Filed Map. Lot: Permit No. ~ ~ ~ rJ ~ Date of Permit:? - Z - l ~j Applicant ~ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ? (check one) Fec Submitted: $ SO. d~ _ ~''t/ ' a Applicant Si,nahu 3~~~~--- * ~oF~,~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ] RO PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ] FI FETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ] ELE (FINAL) REMARKS: s~- DATE ~ INSPECTOR 3 ~ o~~o SW'~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: L DATE ~ INSPECTOR ' . FIBSLD ~ HE,4pR'P D CONIlVI$NTS . ~ro FOIINDA~'ION (1ST ~ t-3~ FOUNDATION (2ND) z 0 d~ ROUGH FRg1v1YrTG & PLU~IIVG ~ C R INSULATION PERN.'Y. ,Z STATE ENERC4Y CODE p FINAL ADDITIONAL COMNDCNTS , O O m ~ ~b TO`rVN 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 e ~ Survey SoutholdTown.NorthFork.net PERMIT NO. ~0' ~ ~ Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Z Flood Permit E.eamined ~ ~20 Single & Separate Storm-Water Assessment Form Contact: Approved- ~ ~ ~ , 20 Mail to: Disapproved a/c__ 6 / Phone: ~ Expiration , 20 ~J Building Inspector APPLICATION FOR BUILDING PERMIT Date . 20 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 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 nor 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. ~ Sry~ (Signature of appli ant or name, if a corporation) (y~ ~ o~,~\~ o~.~~ 5,~~..~ N~ (Mailing address of applicant) ~~q~ 1 State whether applicant is owner, lessee, agent, architect, engineer. general contractor, electrician, plumber or builder Name of owner of premises JoSLJ;'^ ls_ ~aWlL.~s?-• Ph~4:c:•n ~a~~^^' -~oW`f-"~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) DIXIr GUN ~ Builders License No. Notary Public -State of New York Plumbers License No. No. 01GU6093375 Electricians License No. Qualified Ir. Suffolk County ~ Other Trade's License No. My Commission Exrires .June 2, ~ 1. Location of land on which pr1~opo~d work will be d~e: House Number Street Hamlet County Tax Map No. 1000 Section Block ~ Lot Subdivision 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 b. Intended use and occupancy QcL•o~t,5s~b.+K~ OFF'CLS _ yws \ w•WC~~, s 3. Nature of work (check which applicable): New Building Addition Alteration~~~-_ Repair ~e R6emoval Demolition ~ Other Work p,~-~+~.-+.~~c~C ~-'~t Yt~~- S M,rov... P'•4~ v+ c~.~, N'U..1 ~Y T s '(a5~1«~:dv e~^.+A ~S*~ (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 s 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Q ~ a 7. Dimensions of existing structures, if any: Front ~ 3 Rear 3 Depth 3 3 Height Number of Stories ~ Dimensions of same structure with alterations or additions: Front 1Jo C.Mn+vS~ Re r lU~ ~^''~C, Depth ND ~^N ti~ Height c~^ « Number of Stories rw r _ 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories I 9. Size of lot: Front Rear Depth 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~e I A 13. Will lot be re-graded? YES NO k Will excess fill be removed from premises?,`YES NO ~ 14. Names of Owner of premises~Ofr~•- ~''I~f`1 Address b~,° ac•~\y Or~phoneNo. ~'(,~~$`E'3D 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 REQUIRE b. Is this property 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 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. DIXIc GUMER STATE OF NEW YORK) Notary Public -State of New York I SS No.01GU6093375 COUNTY OF~ Qualified in Suffolk County ~~nn~~~~ My Commission Expires June 2, ._-s~ 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 true to the best of his knowledge and belief; and that the work will be performed in the manner seC forth in the application filed therewith. Swor~o before me th da ~ Cl e 20 i~~~ '1 4Y ~ 6i ~ - Notary Public Signatu e fApplicant COMcheckSoftware Version 3.9.2 Envelope Compliance Certificate 2009 IECC Section 1: Project Information Project Type: New Construction Project Ttle Construction Site: Owner/Agent: Designer/Conhactor: JOSEPH COWLEY Donald G. Feder -Architect Section 2: General Information Buildig Location (for weather date): SuffoNc, New cork CNmate Zone: 4a Buibig Type for Envebpe RequkemeMS: NonresWaMiel Vertical Glaring / WaN Area Pct.: 12%6 AetlWly TvoNsl Flocr Arne i -story (Office) 532 Section 3: Requirements Checklist Climate-SpeCifle Requirements: Component WmalDesalpdon Grwe Cavity Cont. Proposed audgM Area or R-Value R-Value U-Facoor LLFactoryel Perirrletar Roof 1: Attic Roof with Wood Joists 532 0.0 21.0 0.044 0.027 6dertor WaA 1: Wood-Framed, 16" o.c. 712 15.0 0.0 0.093 0.089 Window 1: Wood Freme:Double Pane, Clear, SHGC 0.33 85 0.320 0.400 Door 1: Insulated Metal, Swinging 35 0.140 0.700 Fbor 1: Wood-Premed 532 21.0 0.0 0.046 0.033 (a) Budget U-factors ere used for software baseline calculations ONLV, and are not code requirements. Air L.~kage, Component Certdication, and Vapor Retarder Requirements: ~ 1. AN joins end penetrations are ceu&ed, gesketed or covered with a rtgisture vapor-pemteeble wrapping materiel inste9ed rtt accordance with the manWacturer's installetbn instructions. ~ 2. Windows, doore, end skylights certified sa meeting leakage requ'vements. ~ 3. Component R-values 8 U-tactas labeled as certified. ~ 4. No roof insulation is installed on a suspended ceiling wNh removable ceiling panels. ~ 5. 'Other' components have supporting documemati0n for proposed U-Factors. ~ 6. InsWation instatled azxordiig to manufacturer's instructions, in substaMid contact with the surface being insulated, end in a manner that achieves the rated R-value wNhout compressing the insulatlon. ~ 7. Stair, elevator shaft vents, end other outdoor ac intake ant exhaust openings b the bustling Gwelopa are equipped with motorized dampers. ~ 9. Cargo doors and boding dodo doors ere weather sealed. ~ 9. Recessed lighting fixtures installed in the buibirg envebpe are Type IC rated as meeting ASTM E283, are sealed with gasket or caulk. ~ tO.BuiWing entrerx:e doors have a vestibWe egWpped with selfcbsing devices. Exceptions: ~ Building emrences with revolving doors. 0 Doors not interded to be used as a building enirence. ~ Doors that open directly from a space less then 3000 sq. tt. in area. Project Title: Report date: 0&21/13 Date filename: Cowley Office.cck Page 1 of 2 r , ~ - ? Doors used primarily to facilitate vehialar movemem or materials handling and adjacent personnel dons. ~ Doors opening directty Bom a sleeping/dwelling unit. Section 4: Compliance Statement Carrgiliance Statement The proposed envelope design represented in this document is mnsistem with the building plans, specifications end other calculations submitted with this permit application. The proposed enveope system has been designed to meet the 20091EGC requirements in COMcheck Version 3.9.2 and to compty with the story re uiremems~n th~ equirements ChecMist. DoNOao C~ ~ Lt~2 • ~tIlT~1 G 2l tb j 3 Name -Title Signature - Date Project Title: Report date: 06/21/13 Data filename: Cowley Office.cck Page 2 of 2 ~ 'Z 0 1 _ _ - I - ~ - N i wlp ww?. Z - I c- _ ~J 2 ~i c ~ W I IV rJ o 1.+1 N d "f' E S ~1 L..- - _ VT, ilk CArtMrwllMe y.::. aPENING -w V u~'~NCY OR ~z > ,t x ~ L-._I < <; ~x~ ~~R ,z, : X g USE IS UNLAWFUL ~ - W~+? ~ 244E woN 2912 f1C ~ ~IIG~ ~ ~ '9~ Vi< ~ o ~ > ~r, ~ G~ ~ E-~. F~~ ~ i=Q " E~ . P+Ro ~E''TGH ~ >6, O ~y - AP R VED AS NOTED ~ p l-1 I N DC~ i~IS I o ? ~ A # _ DATE: 2 ~ B.P. # ~IS/ - ~ Q FEE. ~ _ v ~ ~ # NOTIFY BUILDING ?,~1cNT AT 765-1802 SAM TO 4 P",i FORT ~ FOLLOWING INSPECTIOPJS: - 1. FOUNDATION - TWC p FOR POURED CO 2. ROUGH - FR I I 9 BESCOMPLETE R C.1---;~ _ _ T-I 4. FINAL - CONST CTIO til' i V ! ~ ALL CONSTRUCTI SHALL MEET THE ~ r REQUIREMENTS 0. HE C ' _ " ~ ~ YORK STATE. NO S~B~F.FOR ~ _ ~ DESIGN OR CON UCTION ERRORS.~~ I ~ ~ ' I ~o R~ ~ ~ r ~ _ _ " i ~ _ ~Q /4 3EUu~6~TEES 1~ L~~ -,.~2 rte' C i ! rt '/t' .a?.._: - .