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HomeMy WebLinkAbout38311-Z Town of Southold Annex 9/17/2013 A P.O. Box 1179 54375 Main Road # Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36504 Date: 9/17/2013 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 650 Old Woods Path, Southold, SCTM #: 473889 Sec/Block/Lot: 87.-1-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/30/2013 pursuant to which Building Permit No. 38311 dated 9/6/2013 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: "As Built" foundation under existing house as applied for The certificate is issued to Wells South harbor Corp (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t rized 8 ignatdre — TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERK'S OFFICE 9 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#: 38311 Date: 9/6/2013 Permission is hereby granted to: Wells South Harbor Corp Attn:-Cara Wells Treas PO BOX 942 Southold, NY 11971 To: "As Built" foundation under existing house as applied for. At premises located at: 650 Old Woods Path, Southold SCTM # 473889 Sec/Block/Lot# 87.-1-19 Pursuant to application dated 8/30/2013 and approved by the Building Inspector. To expire on 3/8/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Tot I: $450.00 Building Inspector N , 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: 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 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 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,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 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, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy - $ 5 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate. New Construction: Old or Pre-existing Building: (check one),,-'�y Location of Property: C/ ,/ovl o ise No. - Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No.��3) � Date of Permit. Ia 13 _ Applicant:_ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Subnitted: $ j6 00� Applicant . ignature IIIIIIIIIIIIY VIII M��Igll TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHEC BUILDING DEPARTMENT Do you have or need the following,before apply.. TOWN HALL Board of Health SOUTHOLD, NY 11971 1 4 sets of Building Plans TEL: (631) 765-1802 V Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined . 202� CI�;� �� Single& Separate RD IS Storm-Water Assessment Form t Approved ,20_p, AUG 3 0 Mail to: Disapproved a/c BLDG-DEPT. TO'.0%G OF�OUTn 1. Phone: Expiration , 20 uilding In c APPLICATION FOR BUI DING PERMIT Date 2( 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 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 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. 106* (Si ture of applicant or name, if a corp ration) (M1linVddrps o.a ' ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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�on hIouse Number 0016 —�� Hamlet County Tax Map No. 1000 Section _ Block ( Lot Subdivision Filed Map No. Lot � S 2. State existing use and occupancy of premisSsand in endpd use ano pccupancy of o osed onstructi a. Existing use and occupancy G b. Intended use and occupancy �� Sr 3. Nature of wfark (check which applicable): New Bui ding Addition Alteration Repair V Removal Demolition Other Work a Under/ 74" (Description) 4. Estimated Cost r Fee (To be paid on filing this application) 5. If dwelling, number of dwelling unit umber of dwellin its on each floor If garage, number of cars 'q�0 S 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 V---- Dimensions of sarre structure with alterations or additions: Front Rear 04-2 Depth Height Number of Stories ,^J� 8. Dimensions tire new construction: Front Rear Depth >< of Height Number of Stories�� 9. Size of lot: Front_ Rear Depth 10. Date of Purchase i Name of Former Owner 11. Zone or use district i n which premises are situated J ' 12. Does proposed construction violate any zo g law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES_NO_��Wiill�/exxcess fill be removed from premises? YES NO 14. Names of Owner of premises � (/t wLddress r v '✓° / r Phone 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. 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. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 1:ONNiE D. BUNCH (Contractor, Agent, Corporate Officer, etc.) otaty No.018U61850511 Qualified in Suffolk C:ounly � CF of said owner or owners, and is duly authorized to perform or have performed the sai&amrkakihtEx7aif nd Mlle applic ion; 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 b fore me thisA -�-Q day of 7�L� _20 �j, � r--4I/`' Notary Public Psigngl�fA icG / REVISIONS: O I i ------------------- -------------------- -------------------0------------------ 6--- 0 ' 3X8X16'NEW GIRDER--W i � i e LEGEND = aD 0 EXISTING LOCUST- POSTS - 3x6X2aNEWGIRDER � M Q NEW CONCRETE PIER o 5'X2'-4" EXISTING CONCRETE BLOCK � a FIREPLACENN' 4 .' a ., { a Q w 0 EX. FJ °a o a GIRDER ' BASE ANCHOR w/ BOLT (TYP. Q s ; �---6X1OX12'NEW GIRDER-1 , 4----------�?—:--:o- --0-----------Q C. PIER w 39'-0" I =(2) #5 VERTICL REBAR (TYP.) e II11=-01111=1�I 0 0 MAIN HOUSE AS-BUILT FOUNDATION PLAN =111111111=11 IIIA 111111111= a o E o 111111=1111 -►� III-III a °° (WITHOUT DECKS AND PORCH) SCALE: 1/4" = V RII III1�111I 1111 11111111- W3 SCOPE OF SUBMITTAL: As 30 IIIIII=_II BIGFOOT = II=III IN MY PROFFESSIONAL OPINION.THIS CONSTRUCTION BLDG. DEPT. IIIA I IIIA III11—�Oo���III IIIII—IIIII III I= DRAV/N: SDI/MS OCCURED PRIOR TO THE BUILDING CODE CHANGE OF TONIN OF SOUTHOLD 8CAU 11'11'-0' JOBk JANUARY 2003.THESE PLANS ARE NOT A CERTIFICATION ROSS SECTION A M.N13 OF EXISTING AS-BUILT STRUCTURE COMPONENTS. BBBBreu BRR, CERTAIN COMPONENTS OF STRUCTURE COULD NOT BE NED THROUGH A ONE TIME VISUAL SCALE: 1/2" = 1'-0" A- 1 EXAMIINSPECTION. REVISIONS: 32'-6" 6'-6,. AP ?J- 0 't'Ev za is iLD o 0------------------ o-------------------0------------------ o----; DA fT ',','O B.P. o. //f OCCUPANCY OR FE z— SE IS UNLAWFUL e - - - - - -o- - - - - - 7° ,80FR THAT WITHOUT CERTIFICA�3XBX16'NEW GIRDER-► Fo OU CTIONSQOF OCCUPANCY 1. OUNTREQUIRED ORP URED CONCFETE 2. OUGH - FRAMING & PLUMBING LEGEND 3. I SULA ION 1:3 © —© — - — 4. 11\14oI � CON`rTRUCTION P.94XISTING EXISTING LOCUST POSTS — - — - — - - 0. a a - - ©� E C PLETE FOR C.G. - n NEW CONCRETE PIER o - 3X6X20'NEW GIRDE0.�� ALL CO RUCTION "iAl.l REQUIRE NTS OF THE COD CONCRETE BLOCK s ; YO K STA E. NOT RESPONSIBLE FOR a FIREPLACE ; DEI GN 011 CONSTRUCTION ERRORS i 04 .. w ,' '-------------- io Q o 0 O Q of EX. FJ a jNw BASE ANCHOR w/ BOLT (TYP. ; �-6X1OX12'NEW GIRDER-► Q----------�—=—_�-:_—:--Q----------Q----------- ------------ ----------- ---------n---------Q — C �39'-0" =(2) REBAR (TYP.) IIII O IIII—III V g o MAIN HOUSE AS-BUILT FOUNDATION PLAN 1111111=11111111=1 IIII 1111111 - a A 111111111=1111 (WITHOUT DECKS AND PORCH) SCALE: 1/4" = 1' IIIIIIIII-IIII-�IIIII IIII 111111�III1- SCOPE OF SUBMITTAL: =IIIIIIIII III BIGF0�FOOTINGa IIII IN MY PROFFESSIONAL OPINION,THIS CONSTRUCTION IIIIIIIII=11(I I I I—� =1I I I I I I I I-111 I I I I I DRAWN, OCCURED PRIOR TO THE BUILDING CODE CHANGE OF SCALE: w+14- CROSS SECTION f0µ JANUARY 2003.THESE PLANS ARE NOT A CERTIFICATION A 3%m13 OF EXISTING AS-BUILT STRUCTURE COMPONENTS. SHET REa: CERTAIN COMPONENTS OF STRUCTURE COULD NOT BE 11 EXAMINED THROUGH A ONE TIME VISUAL INSPECTION. SCALE: 1/2" = 1'-0" A- 1