HomeMy WebLinkAbout38340-Z Town of Southold Annex 5/29/2014
5X,X P.O.Box 1179
_ 54375 Main Road
,a Southold,New York 11971
1 #
CERTIFICATE OF OCCUPANCY
No: 36944 Date: 5/29/2014
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 195 Beckwith Ave, Southold,
SCTM#: 473889 Sec/Block/Lot: 61.-1-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/5/2013 pursuant to which Building Permit No. 38340 dated 9/18/2013
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:
PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Paoli, Jane
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Autho ' ed Signatu
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#: 38340 Date: 9/18/2013
Permission is hereby granted to:
Paoli, Jane
195 Beckwith Ave
PO BOX 57
Southold, NY 11971
To: construct a porch addition to an existing dwelling as applied for
At premises located at:
195 Beckwith Ave, Southold
SCTM # 473889
Sec/Block/Lot# 61.-1-22
Pursuant to application dated 9/5/2013 and approved by the Building Inspector.
To expire on 3/20/2015.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $276.80
CO -ADDITION TO DWELLING $50.00
Total: $326.80
L& -
Building Inspector
Form No.6 kJ
TOWN OF SOUTHOLD W
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:
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$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. 15 I I
New Construction: !!p Old or Pre-existing Building:�" i q�,, (check one) /. /V
Location of Property: I (J B 1'L kw i T� I I V ) • Soofh 0
House No. (( Street Hamlet
Owner or Owners of Property: late e Pet 0 I f
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. ��� Applicant: �t?W S4 ffiLke(A
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ '(V .
.
Applicant Signature
TOWN OF SOUTHOLD BUILDING DEPT.
1 765-1802
INSPECTION
[ 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)
REMARKS:
O - J'
Y
DATE �� INSPECTOR
SO//ry�
,`0 6
H
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ J FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ J FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (RO GH) [ ] ELECTRICAL (FINAL)
REMARKS: S `-
i
r
DATE INSPECTOR
�O�y�Of SOUly06
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ) F NDATION 2ND [ ] INSULATION
[ FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ) FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REM RKS: p
"04
DATE . ////,9/0 INSPECTOR
sm
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] P9l1NDAT10N 2ND [ J INSULATION
[Vj FRAMING/STRAPPING ( ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR _2?�0���"'�L
0 o��OF SO!/ryo!
H
cOUNT'1,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ]
FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: e, 6,),
w
DATE ®-� INSPECTOR
e
-
ld IN
PEI
• 1: 1 �f
INOWATION Pm
STATZ MMGY CODE
Y
O
TOWN 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
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined �,20 Storm-Water Assessment Form
Contact:
Approved Cq1I ,20 �3 Mail to:
Disapproved a/c OIL
Phone: D 6 TO 5-
Expiration
Expiration 201 M✓�"�"��
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date , 20/3
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.
(Sig afore of applicant or name,if a corporation)
anL��Q al 904 ,fCho*ue X_ _
(Mailing address of applicant
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 done:
/fir 13�t(iirF/ c court-la-0
House Number Street Hamlet
County Tax Map No. 1000 Section Block C/ 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 Slzi e 7qy*(q Y)gcf/'de2Ce,
b. Intended use and occupancy J?Zme /
3. Nature of work(check which applicable):New Building Addition V Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Z- /DDS Fee
4Y/�Y7l (To be paid on filing this application)
�
5. If dwelling, number of dwelling units O'/ 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 f 3 �a Rear �,� / Depth
Height 073 - Number of Stories ZWO
Dimensions of same structure with alterations or dditions: Front �� '� Rear o7a a�
Depth Height A?3'-7� Number of Stories LcUO
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 7�r 57 Rear Depth /3 aZ 23
10. Date of Purchase / Name of Former Owner
11. Zone or use district in which premises are situated 7196 r9d& J`S
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO
13. Will lot be re-graded? YES NO /Will excess fill be removed from premises?YES NO l�
14.Names of Owner of premises D`"0k/ Address k57 SO011O(d Phone No. 7�OS ///-7
Name of Architect �'/}/I1la.5 OS;t6& -1 Address Ga7-(-006 6' Phone No 764 61x105
Name of Contractor V, 6114AICA eZO f IV 9 Address 6.457-(/oa7`HI�o�7'Phone No. c�7� 2 23
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�
Y-60 Skil? Gt&1 6' being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He. is the /� �ct
(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 set forth in the application filed therewith.
Sworn o before me this
S day of
PATRIC'A NCHARDS
QJ&14e��9Nota Public, State of New York
Notary Public No. 01 R16042 Signature of Applicant
Qualified in Suffolk County
Commission Expires May 30,290
SCOTT A. RUSSELL ` :_ JAMES A. RICHTER, R.A.
SUPERVISOR x MICHAEL M. COLLINS, P.E.
TOWN HALL 53095 MAIN ROAD , t TOWN OF SOUTHOLD NEW YORK 11971
Tel. (631) 765 1560 lipFax (631)-765 9015
t11I11} €._£::{�C 1 E�S;u It)141:S{)l_111�3I f1 l.i,;5 ''`. t_�ilif _}; � [
OFFICE OF THE ENGINEER
TOWN OF SOUTHOLD
STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET
(To be completed by the applicant)
TO: Engineering Department PLEASEATTACH.
FROM: Building Department ❑ A copy of the completed Application for
DATE:
Building Permit
�J I
( ❑ A complete set of Building Plans
APPLICANT: r` III LX
❑ A completedChapter 236 Stormwater
PERMIT#: Review Checklist
S.C.T.M#:
BRIEF PROJECT DESCRIPTION: 1)e) U
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S A M U E L S &
S T E E L M A N
September 5, 2013
Southold Town Building Department
Town Hall Annex
Main Road
Southold, NY 11971
Re: ADDITION TO THE PAOLI RESIDENCE
195 Beckwith Avenue, Southold, NY
SCTM # 1000-61-01-32
This project includes new a new open, covered front porch, consistent with the style of
the existing residence. Attached documentation includes the following:
1) Building Permit Application
2) Four (4) sets stamped Construction Drawings
3) Application for Certificate of Occupancy
4) Property survey
5) Stormwater Management Control Plan Review Cover Sheet
6) Check for $250
Please review the enclosed and get back to me with any questions. If application is
complete, please prepare a BUILDING PERMIT, and contact my_office v4,jth a total fee
for same.
As always, I appreciate your efforts. ( M
Sincerely,
�-_-
Thomas C. Samuels
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE, NEW YORK 11935
(631)734-6405
FAX(631) 734-6407
.SITE DATA ' !
SCTM # 1000-61-01-22
PROPERTY: 195 BECKWITH AVENUE
SOUTHOLD, NY 11971 '
OWNER: JANE PAOLI 1
PO BOX 57
SOUTHOLD, NY 11971
TEL. #765-1117 uj
SITE: 10,782 sf= 0.248 ac W >_
AREA = Z
ZONING: R-HB
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FLOOD: XX O Lu =
ZONE LL IF-
SURVEYOR: ANTHONY W. LEWANDOWSKI
N 60 deg. 55' 50" E 152.25' PO BOX 448
SOUTHOLD, NY 11971
DATED: 11/9/99 O Cj) LLF
m EXISTING DRIVEWAY N a Lu w
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PROJECT NO:
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DRAWN BY:
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SITE PLAN- DATE ,3 B.P. #_!_L5 j
SCALE: 1'-0" = 10'-0" DATE:
�1 FEE:2-2-LE-2—BY.�� _ " 8/27/13
NOTIFY BUILDING DEP, n:.
765-1802 8 Af41 TO 4 PM FC;\' SCALE:
FOLLOWING INSPECTIONS: 1" = 10' 0"
1. FOUNDATION -TWO REQUIRED
FOR POURED CONCRETE SHEET TITLE:
2. ROUGH-FRAMING,PLUMBING,
STRAPPING, ELECTRICAL&CAULKING
3. INSULATION
4. FINAL-CONSTRUCTION &ELECTRICAL SITE
MUST BE COMPLETE FOn C 0.
ALL CONSTRUCTION SH^!L fv1EET THE ���
REQUIREMENTS OF ;'
YORK STATE. NOT R-_ %r �uR��
DESIGN OR CONS 1-�1RUCl IV;� cK+,�.:'RS
CC .)R SHEET NO:
REGULATORY APPROVALS
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
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4x4 TR. WD. POST 24" INTO GROUND FROM GRADE TO 5'-0" BELOW
SHEET TITLE:
GRADE. PROVIDE CAST IN PLACE
STIRRUP (TVP.) 5 5 8 5
PLANS
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DATE:
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FRONT
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8x8 TR. WD. BLOCK, ATTACHED TS
_ TO GONG, w/GALV. 5TL. STIRRUP CHECKED BY:
DATE:
8/27113
SCALE:
I I 1 1/2v1 = 1' - 0"
SHEET TITLE:
24" DIAMETER CAST 50NOTUBE
I FOUNDATION PIER, v4/CAST IN BUILDING
i �LTE OR DRILLED ANCHOR SECTION
PORCH SECTION
SCALE: 1-112" = 1' -0" I I
I I SHEET NO:
I
L _ _ J