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39410-Z
No: Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 4/30/2015 37520 Date: 4/21/2015 THIS CERTIFIES that the building WINDOWS Location of Property: SCTM #: 473889 Subdivision: 1855 Village Ln, Orient Sec/Block/Lot: 25.-3-12.3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2014 pursuant to which Building Permit No. 39410 dated 12/9/2014 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 for sky&,hts and alterations to existing half bath in an existing accessory building as applied for. 4/30/2015 Corrected to add The certificate is issued to of the aforesaid building. solder certification. Sullivan, Ryan SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39410 4/15/2015 4/30/2015 g P. & H. Inc. Aut ed S,*nature Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 4/21/2015 No: 37520 Date: 4/21/2015 THIS CERTIFIES that the building WINDOWS Location of Property: SCTM #: 473889 1855 Village Ln, Orient Sec/Block/Lot: 25.-3-12.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2014 pursuant to which Building Permit No. 39410 dated 12/9/2014 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 for skylights and alterations to existing half bath in an existing accessory building as applied for. The certificate is issued to Sullivan, Ryan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39410 4/15/2015 -Z444wose J-1- -;61� lkoKri76 Si re — (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 39410 Date: 12/9/2014 Permission is hereby granted to: Sullivan, Ryan 119 E 10th St Apt #4 New York. NY 10003 To: Installation of skylights on an accessory building as applied for (exempt from Landmark - not visible from street). At premises located at: 1855 Village Ln, Orient SCTM # 473889 Sec/Block/Lot # 25.-3-12.3 Pursuant to application dated To expire on 6/9/2016. Fees: 12/3/2014 and approved by the Building Inspector. ACCESSORY CO - ACCESSORY BUILDING Flood Permit $100.00 $50.00 $100.00 TOWN OF SOUTHOLD oy BUILDING DEPARTMENT moo y TOWN CLERK'S OFFICE o • 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 #: 39410 Date: 12/9/2014 Permission is hereby granted to: Sullivan, Ryan 119 E 10th St Apt #4 New York. NY 10003 To: Installation of skylights on an accessory building as applied for (exempt from Landmark - not visible from street). At premises located at: 1855 Village Ln, Orient SCTM # 473889 Sec/Block/Lot # 25.-3-12.3 Pursuant to application dated To expire on 6/9/2016. Fees: 12/3/2014 and approved by the Building Inspector. ACCESSORY CO - ACCESSORY BUILDING Flood Permit $100.00 $50.00 $100.00 Form No. 6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALT. 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new-u$e: 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 2110 o€1 % lead. . S. . Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Cods Compliauce-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 e?.mpleted 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 X50.00, Accessory building $SOHO, 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. ®. lel al ao 1 y New Construction: Old or Pre-existing Building: (check one) Location of Property: _ 12' SS 11 t L Va t Q Vg �1 Q ,e House No_ Street Hamlet Owner or Owners of Property. R_q j4J i L),Q-VJ Suffolk County Tax Map No 1000, Section S: Block 3 Lot Subdivision ` Filed Map. Lot: Permit No. Date of Permit. App licant:90 VI&,q_)Vhl1 u_,-' �,—IjyC- Health Dept. Approval: Underwriters Approval: Planning Board Approval: '� V Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rt(cD-town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Ryan Sullivan Address: 1855 Village Lane City: Orient St: New York Zip: 11957 Building Permit t 39410 Section: 25 Block: 3 Lot: 12.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA: Paul Burns Electrical License No: 3897 -ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GAS GFCI Recpt 3 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture 6 Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 8 Twist Lock El Exit Fixtures TVSS Other Equipment: Barn / Studio, 1- 20A Wall Electric Heater, 8 feet of Track Lighting, 1- Exhaust Fan. Notes: Inspector Signature: Date: April 15, 2015 Electrical 81 Compliance Form.xls Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 I` APR n 2015 1 !r Building Permit No. ` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Owner: 5'A t l Uq"' (Please print) lead. Date: I rint) Telephone (631) 765-1802 Fax(631)765-9502 I certify that the solder used in the water supply system contains less than 2/10 of 1% r (Plumbers ignature) Sworn to before me this �D 4) day of r i 1 , 20 15 Notary Public, 50 6 County TRACEY L. DWYER NOTARY PUBLIC, STATE OF NEW YORK NO. 01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2P-1-6 c'u %, SOUTho{o TOWN OF SOUTHOLD BUILDING DEPT. 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)k4-ELECTRICAL (FINAL) REMARKS: DATE ' � �� INSPECTORS OF SOUTy� eOUNi'1,�:,�' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 SPECTION ] F�KINDATION,1ST NDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE A CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: s" [ ]ROUGH PLUMBING [ ] 1 CATION [ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION I ]ELECTRICAL (FINAL) [ ]CAULKING DATE INSPECTOR v FIELD 1NS°MMON REPORT I FOUNDA110N (1ST) DDUNDATION (2ND) ROUGH FRAADNQ & PLUAMING r INSUL• ATION PEA N. Y. STATE ENERGY CORE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631)765-1802 FAX: (631) 765-9502 So utholdTown.NorthFork.net 1Z Examined ,20 Approved 20 Disapproved a/c PERMIT NO. � � q l' DEC -120t4 i� DE. TO',', ,r"SOUTH D Expiration , 20-1f5=-1 Building BUILDING PERMIT APPLICATION CHECKLIST APPLICATION FOR BUILDING INSTRUCTIONS Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval '-v Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone:? (q 7 Date 1QJ -)—/ , 20 I �' 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. J L leo 0 m b--10-}- EA&t, -w (Signature of applicant or name, if a corporation) PO 1?=�,o y IQ> rye N `i J/9s-4 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises R J ►4') J g C,- < < 1 J Y4,VJ (As on the tax roll or latest deed) If applic o ati si ture f dukX authorized officer (Name and title of corporate officer) Builders License No. SS5 6 r Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: �, ` SS Vt1l rtgR (V',,K2 OLl\0 r1—' House Number Street Hamlet County Tax Map No. 1000 Section as Block -3 Lot , -') Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed co struction: a. Existing use and occupancy r r�rn , I i7 we 1, i po W't �� it D 11 b. Intended use and occupancy errbc.ue Lu i -k 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ao0. 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 l� Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories. Dimensions of entire new construction: Front Yom' Rear Height Number of Stories Depth 33. 3 Depth 9. Size of lot: Front G o Rear 3 Depth o1 D / • y 10. Date of Purchase Name of Former Owner ZC'K_ Ur; j CU h e tJ 11. Zone or use district in which premises are situated E_ q0 Rear 12. Does proposed construction violate any zon' g law, ordinance or regulation? YES NO 13. Will lot be re -graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises948ol 0Yl,-- Address 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 4/ * 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 CC NNIE D. BUNCH [rotary Public, Mate of New York .. ..s r.o .14 CW0Ar_n ntractor, gent, Corporate Officer, etc.) Qualified m Suffolk County Commission Expires April 114,2_21(o 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 t � day ofU_ZA 20LLL_ Notary Public •.. MR i0l, Scott A. Russell rV., SU' SUPERVISOR SOUTHOLD TOWN HALL - P. O. Box 1179 A 53095 Main Road - SOUTHOLD, NEW YORK 11971 55T0]KMWAT]E]R,- MANA(Gi]EMlEN T' Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOLVE ANY OF THE FOLIA)WING Yes NO (CHECK ALL THAT APPLY) A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. Z�. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. �. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one -hundred -year f loodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered No to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department witFyour Building. Permit Application. APPLICANT: (ProperWOtvner, Desiign Professional, Agent, Contractor, Other) NAME: C�� V t►y�1JYht�tLJ I��) _ IJ C— m„� S6b�i'i��12.` L� Contact Information OSI % 7 3 -7 Y -7 fRkpb—Numb,,) Property Address / Location of Construction Work: 1x55 Ut!Lvu L►�ti� 0x9J14►J WAR0U I=W,yuF.,Vdv l]G S.C.T.M. #: 1000 Date District Section Block Lot III —FOR BUILDING DEPARTMENTtJ1J$E ONkY-," -j; Reviewed By: Date tjApproved for processing Building Permit. Storm�vater Management[31 Control Plan Not Required. Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) Sf01 jlyo Town Hall Annex Telephone (631) 765-1802 54375 Main Road � ��Y g Q % P.O. Box 1179 y Q roger.rlcheli(miown.sotl�ho[ .ny us�(, V Southold, NY 11971-09591 �O �oul►m,�' � b�U� _ BUMDING DEPARTMENT TUWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 1 �6��f Date: Y /J— Company rCompany Name: Name: License No.: -3 Eq7_ Address: Phone No.: . C 1? 136 JOBSITE INFORMATION: (*Indicates required information) *Name: Address: "Cross Street: 'Phone No.: Permit No.: rax -Map District: Li V 631— 1,5 y— 7Y 7 1000 Section: —. Block: Lot: 'BRIEF DESCRIPTION OF WORK (Please Print Clearly) Please Circle Alf That Apply) 'Is job ready for inspection: YES / NO Rough In final Do -you need a Temp Certi#icate: YES ! NO 'emp Information (it needed) Service Size: 1 Phase 3Phase 100 150 200 300 350. 400 Other New Service: Re -connect Underground Number of Meters Change of Service Overhead ►dditional Information: PAYMENT DUE WITH APPLICATION 824Request for Inspection Form L/ -39 41 -0 APPLICATION PAG 1 0( a TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. $ECTiQN 1• GENERAL PROVISIONS (APPLICANT to read and sign): I.. No work may start until a permit is issued- 2- The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re -issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance 8. I, THE APPLICANT. CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO _ THIS APPLICATION ARE„ TO THE BEST OF MY KNO'�uLEDGE, TRUE AND ACCURATE. r (APPLICANTS SfbhATURE) DATE SECTION 2 PROPQ,SED D �PMENT rTo be comyieted by APPLICAIb'TI A!PL4CANT -- ©� .7 (03J _CQ Ply Iq� 73�>��'� � S' BUILDER ENGINEER To avoid delay in processing the appGcatioa. please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and outside urban areas, the distance to the nearest intersecting road or well-known landmark- A sketch attached to this application showing the project location would be helpful. ass U►IlfvQe. LPI,�c QP2 t e LA- 01 1 ro37 FDP(93) APPLICATION _ PAGE 2 OF d ~ DESCRIPTION OF WORK (Check all applicable boxes): A. STRUCTURAL DEVELOPMENT AC'MITl'_TRUE CTURE TYPE ❑ New Structure P-11'sidential (I-4 Family) ❑ Addition ❑ Residential (More than 4 Family) wklleratioa ❑ Non-tesidential (Floodproofing? O Yes) ❑ Relocation ❑ Combined Use (Residential '& Commercial) ❑ Demolition F Cl Manufactured (Mobile) Home (In Manu - 0 Replacement factured Home Park? 0 Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVITIES: ❑ Fill ❑ Mining ❑ Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) - ❑ Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements .(Including Culvert Work) ❑ Road. Street or 18ge Construction ❑ Subdivision (New or Expansion) ❑ Individual Witer or'Se r System o- - ❑ Other (Please Specx7y)- After completing SECTION 2, APPLICANT should submit form to Local Administrator for review. SECTION 3 FLOODPLAIN DETERMINATION (To be comalcted by LOCM. ADMIMSTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development: O Is NQ, located is a Special Flood Hazard Arca (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). O Is located in a Special Flood Hazard . FIRM zone, dacignation is E' Com 100-Year flood elevation at the site is: Ft. NGVD (MSL) O Unavailable ❑ The proposed development is located in a floodway. FBFM Panel No. Dated_ ❑ See Section 4 for additional instructions. SIGNED DATE APPLICATION PAGE 3 OF 4 SECTION 4 ADDITIONAL INFORMATION REOUiREI) (To he completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the apptication can be processed: O A site plan showing the location of all e.osting structures, water bodies, adjacent roads, lo[ dimensions and proposed dcvelopmcnt. O Development plans, drawn to scale, and specifi atiotu, including where. applicable_ details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the first floor, details of floodproofing of utilities located below the first floor and details of enclosures below the first Door. 0 Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100 -year flood elevations if they are not otherwise available). O Plans showing the extent of watercourse relocation and/or landform alterations. 0 Top of new fill elevation Ft. NGVD (MSL). a Flood roofing protection level (non-residential only) Ft: NGVD (MSL). For flood roofed structures, applicant must attach certification from registered engineer or architect. ❑ Cercati`o from a registered engineer that the proposed. activity in a regul tiiiatory floodway will not result in any increase in the height of the 100 -year flood. A copy of all data and calculations supportingthis finding must also be submitted - C3 Other. SECTION 5 PERMIT DEiBRMiNATION (To be comn[eted by LOCAL ADMINISTR&MR-1 I have determined that the proposed activity. A. O Is B. O Is not in conformance with provisions of Local Law tlt . 19 The permit is issued subject to the conditions attached to and made part of this permit. SIGNED DATE jf BOX A 4s chc�kcd, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION PAGE 4 OF 4 APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved? ❑ Yes ❑ No Coaditi SECTION G• AS -BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Comnliancc is issued The following information must be provided for project structures. 112is section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete ,I or 2 below. i. Actual (As -Built) Elevation of the top of the lowest floor, including basement (in Coastal High Ha zrd Areas, bottom of lowest strucnu-al member of the lowest floor, excluding piling and columns) is: Fr. NGVD (MSL). 2. Actual (As -Built) Elevation of floodproofmg protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7 COMPLIANCE ACTION (To be completed by LOCAL DMINISTRATOR) The LOCAL ADIAMSTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the communiVs local law for flood damage prevention. INSPECTIONS: DATE BY DEMCIENCIES? O YES ❑ NO DATE BY DEFICIENCIES? OYES ONO DATE BY DEFICIENCIES? ❑ YES ONO SECTION 8 CERTIFICATE OF COMPLIANCE(Jo be SQmpleted by LOCALA„DMINISTRATOR) . Certificate of Compliance issued: DATE BY: -Pme 4 Id �Pajt 49 4 Futme Environment East, Inc. 2885 Indian Neck Lane P.O. Box 197 Peconic, New York 11958-01.97 631-734-7474 - =— Fax: 631-734-5812 March 31, 2015 Southold Town Building Department P 0 Box 1179 Southold, NY 11971 RE: Permit 39410, Ryan Sullivan To Whom It may Concern; The enclosed plans reflect changes permit to the noted permit that the home owner has requested. if there are any questions or additional fees, please contact the office at the above numbers. Thank you. Sincerely, Judy McAfee _�'' All April 16, 2015 Gary Fish Southold Town Building Dept. P 0 Box 1179 Southold, NY 11971 RE: Permit # 3941OZ (F-j&A- Wi* a 4e Fzoe D I , APR 2 0 2015 Rt -DG DHI TOV�gl� or AU 1 no[o Environment East, Inc. 2885 Indian Neck Lane P.O. Box 197 Peconic, New York 11958-01.97 631-734-7474 Fax: 631-734-5812 Dear Gary, Sorry we didn't realize the men hadn't gotten the stairs removed prior to the inspection. Peter Said to say "Thanks" for the apple. Sincerely, Judy - ja APR 2 0 2015 S.C.T.M. NO. DISTRICT: 1000 SECTION: 25 BLOCK: 3 LOT(S): 123 U. P. 10> 0 TWT� 10, U. P. l0, U. P. U.P. F'LETTCHER STREET o o HEDGL �- g, \ 1gg.B � � p EDGE OF PAVEMENT QNC- 169.13• \ U 0—( ti 201.84 \ EL 4.9 SPIKE r 961°21'40"E MON. EL 4.9 60.0' _ +'� LAND N/F 50 PICKET FENCE ALONG LINE 50.6' 141.84' 1 1 m FRM.. M. BURKS & J. WOODARD GFEL05.3 f_J FFL E�10.9 O O M.H. Q 1 1 7.8• !� 9.5'co CQ O LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS COVERED 33.3' EL 5.0 AREA: 14,299.21 SQ.FT. or 0.33 ACRES ELEVATION DATUM• NAVD88 UNAU7NOR12ED ALTERAT70/1 OR ADDITION lO THIS SURVEY IS A NSEAL GLA77ON OF SECTION 7209 OF E NEW YORK STATE EDUCATION UW. COPIES OF THIS SURVEY BEARING INE LAND R EMBOSSED TO BE A VALID TRUE PORCHCK EL 5.2 ONL YNTo E PERSON FOR NHOMOT COPY. GUARANTEES /AN7CA TED D LENDING INS NR EON n�yRUN E�SURVEEPARED AND ON HIor ISBEHAIFTO E TITLE COMPANY, GOVERNMENTAL GENCY U57ED HEREON, AND TO THE ASSIGNEES OF E LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE Mo\ COVER D FTM. m AND/OR SUBSURFACE STRUCIURfS RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7Hf RME OF SURVEY SIDE YARD SETBACK 10' TOTAL) a 22.7• m N 11.1'w EL 4.8 y w .H. n ENTRY EL 5.0 SHED it CID coNc.._, .... ct 2DWWELLLING � 6.6' aP 5.7 ss' O\ � SITUATED AT: ORIENT �\ TowN OF: SOUTHOLD � N61'21'40"W ZONE AE (EL6)" BALCONY a $1855 N FFL EL 8.20 M WOYCHUK LAND SURVEYING, PLLC Professional land Surveying end Design o 18.40' • 01 CELLAR EL 1.7 24.6' O � xm LOT LINE \ PHONE (531)298-1688 FAX (031) 298-15M �w y, e - 21.6' - 12.3 I! COV RED �' B' 1 EL 4.0 AS AS DESCRIBED LIBER 6088 PG.001 :UJB 2.7' of b, PORCH EL 5.0 ELLAR •10.5' EL 4.8 20,76 0 C,2 U.P. �( O o o HEDGL �- g, \ 1gg.B � � p QNC- 169.13• \ U 0—( ti • � , \ Z +'� LAND N/F 50 N71°02 of M. BURKS & J. WOODARD MON. THE WATER SUPPLY, WELLS, DR YWELLS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. AREA: 14,299.21 SQ.FT. or 0.33 ACRES ELEVATION DATUM• NAVD88 UNAU7NOR12ED ALTERAT70/1 OR ADDITION lO THIS SURVEY IS A NSEAL GLA77ON OF SECTION 7209 OF E NEW YORK STATE EDUCATION UW. COPIES OF THIS SURVEY BEARING INE LAND R EMBOSSED TO BE A VALID TRUE ZONED R-40 ONL YNTo E PERSON FOR NHOMOT COPY. GUARANTEES /AN7CA TED D LENDING INS NR EON n�yRUN E�SURVEEPARED AND ON HIor ISBEHAIFTO E TITLE COMPANY, GOVERNMENTAL GENCY U57ED HEREON, AND TO THE ASSIGNEES OF E LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE NONCONFORMING LOT THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENLY:'S ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS ARE LOT COVERAGE ZOq MAX ' FRONT YARD SETBACK 35' AND/OR SUBSURFACE STRUCIURfS RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7Hf RME OF SURVEY SIDE YARD SETBACK 10' TOTAL) SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: RYAN J. SULLIVAN; REAR YARD SETBACK 35' .MAP OF: FIDELITY NATIONAL TITLE SERVICES, LLC; FILED: SITUATED AT: ORIENT FIRM ZONE MAP 36103COO68H- TowN OF: SOUTHOLD ZONE AE (EL6)" SUFFOLK COUNTY, NEW YORKKENNETH M WOYCHUK LAND SURVEYING, PLLC Professional land Surveying end Design �i P.O. Box 153 Aquebogue, New York 11031 FILE 0 14-05 SCALE: i'=20' DATE: JAN 27, 2014 PHONE (531)298-1688 FAX (031) 298-15M NYS USC. NO. 0.50882 m•Howwoi Ips mora. y Qobwi J. m—m k 1—ah r T.Te k LAND N/F OF T. FROST & M. MINICHINI 0 1oJ G ISE.- Rooms t,tLT <:a -t1 H<S l.E S oN NEW c -;1s -U I -DING PA -Fr --R I APPROVED AS NOTED DATE: iqalaB. P. #I d FEE: BY; NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. NED TO rPA-TCF{ FDOS-rt-HG { v I 16L. C -Ise - 'r CO�OPLY t»i!TH ALL CODES OF NEW `!Oi K STATE & TOWN CODES AS REQUIRED ALJ F __ � i L YYIVLDPI S RD S 1n=0'i TEES RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OCCUPANCY OR OF THE TOWN CODE. USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY I NS-cAu I PGE VE tg-T WHFRF_ CEILIHG -% BE 1 iATAt-1.T-- tb C) At112 Q+IC COH MN u Hrr. i r I APPROVED AS NOTED DATE: iqalaB. P. #I d FEE: BY; NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. NED TO rPA-TCF{ FDOS-rt-HG { v I 16L. C -Ise - 'r CO�OPLY t»i!TH ALL CODES OF NEW `!Oi K STATE & TOWN CODES AS REQUIRED ALJ F __ � i L YYIVLDPI S RD S 1n=0'i TEES RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OCCUPANCY OR OF THE TOWN CODE. USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY I NS-cAu I PGE VE tg-T WHFRF_ CEILIHG -% BE 1 iATAt-1.T-- tb C) At112 Q+IC COH MN u Hrr. +31"Dq +/- . ' RELOCATED STEPS' SKYLIGHT ABOVE, TYP. STORAGE , -- -- - - -- L• ,'• I', I ,I I ,I k, --––––––––– –––– –––– •1 , EXISTING EXISTING WINDOW DOOR TYP. EXTERIOR SHOWER First Floor 1/4" = 1'-0" Fypical North South Section 1/4" = 1'-0" EXISTING D( EXISTING RAFTER TIES CEILING: EXISTING RAFTERS TO REMAIN EXPOSED WALL: GWB PAINTED FURRED WAINSCOT GWB PAINTED FLOOR: EXISTING CONCRETE ON MONOLITHIC FOUNDATION I I I I I I I I I ((I I I—III I I I I I I IIII IIII ( I I I I -I I IIII I I III I EXISTING 12 HIGH 8 y CMU FOUNDATION WALL REPLACE ALL EXISTING FLOOD VENT GRILL WITH SMART VENT 3 A.01 REMOVE EXISTING STEPS Existing Shed (NO WORK IN SHED) Powder Room Floor 2'-7" (ELEV. +7.9') Conc. Floor —I1- (ELEV. +5.3') 'I I III I I I I IIII III III I r� Jra ar� EXISTING POWDER ROOM\TO REMAIN EXCEPT RELOCATE THE DOOR I I I I I I I I I I I I I I I I I I I I I I I( I I I I I I I I I I I I I I I I I I I I I I 1 1 I I I I I I I , I I I 1 1 1 I _41 I I 1 1 I I I I I I I I 1 1 ( 77-1 I I 11 I I I I I I I I I I I I ( -77-1 I I I 1-1 I ( I I –1-1 I I -7-1-1 I I I I I —1t I I I –1-1 I I -7-1—t 1 I I I I South Elevation 1/411 = 1'-0" Conc. Floor � 0'-0"-V SCOPE OF WORK: 1. Renovation to Existing Barn Interior: 1.1 Remove raised floor except existing powder room 1.2 Remove Heating system 2. All related patch work, Plumbing, Mechanical and Electrical work. LOT AND USE: SCTM #: 1000-25.-3-12.3 STREET ADDRESS: 1555 VILLAGE LANE ORIENT, NY 11957 OWNER: RYAN J. SULLIVAN EXISTING USE: Accessory to a Single Family Residence (Combination of Storage and Studio) PROPOSED USE: Accessory to a Single Family Residence (Storage) ZONING: ZONE: R40 BASED ON A SURVEY BY KENNETH M. WOYCHUCK LAND SURVEYING, PLLC, DATED JAN. 27, 2014 CODE COMPLIANCE: I.) Use(s) and Occupancy Classification (s): Single Family Residence (Accessory Building) 2.) Height and Fire Area: 15.4', 1 stories, as existing; Fire Area N/A 3.) Type of Construction. Type VB, 2x4 (as existing) as existing 4.) Structural Design criteria: N/A 5.) Framing elements: N/A 6.) Design load calculations: N/A 7.) Glazing protection: N/A 8.) Load paths from roof to foundation: N/A 9.) Nailing and/or connection schedule, framing details: N/A 10.) Means of Egress (R310 Emergency Escape & Rescue Openings): N/A 11.) Plumbing riser diagram: NO CHANGE 12.) Location of fire protection equipment, i.e. smoke alarm: N/A 13.) Truss design drawings with certification: N/A 14.) Energy calculations from design professional: N/A (HEATING TO BE REMOVED) 15.) Flood Zone: AE 6, (PROPOSED USE TO BE STORAGE) OTHER REGULATORY REQUIREMENTS: Health Department: REQ. ACTUAL/PROPOSED LOT AREA ...................... 40,000 .................................................14,299.21 Not Required NONCONFORMING, Not Required (,i,,oysterponds AS EXISTING LOTWIDTH .................... 175 ........................................................90 Historical Society AS EXISTING LOT DEPTH .................... 250........................................................2.01.84 p1d�s�mR� AS EXISTING FRONT YARD ................. 35 (NONCONFORMING LOT) ..... 24.6 MAIN HOUSE, AS EXISTING 1 SIDE YARD .................. 5 (ACCESSORY BLDG) ........,,.. 0 AS EXISTING 2 SIDE YARDS ............... 25 (NONCONFORMING LOT) ..... 3,4 ACCESSORY BUILDINGS OrienrN�•r '�� � r y • AS EXISTING REAR YARD ................... 5 (ACCESSORY BLDG) ............ 2.7 BARN AS EXISTING LIVABLE FLOOR AREA 850........................................................N/A COVERAGE ................... 20% MAX . ............................................ 19.8%+/- AS EXISTING HEIGHT IN FEET ........... 18 MAX. (ACCESSORY BLDG) ........ 15.7+/- BARN, AS EXISTING HEIGHT IN STORY ........ 21/2 MAX.............................................1 BARN, AS EXISTING BASED ON A SURVEY BY KENNETH M. WOYCHUCK LAND SURVEYING, PLLC, DATED JAN. 27, 2014 CODE COMPLIANCE: I.) Use(s) and Occupancy Classification (s): Single Family Residence (Accessory Building) 2.) Height and Fire Area: 15.4', 1 stories, as existing; Fire Area N/A 3.) Type of Construction. Type VB, 2x4 (as existing) as existing 4.) Structural Design criteria: N/A 5.) Framing elements: N/A 6.) Design load calculations: N/A 7.) Glazing protection: N/A 8.) Load paths from roof to foundation: N/A 9.) Nailing and/or connection schedule, framing details: N/A 10.) Means of Egress (R310 Emergency Escape & Rescue Openings): N/A 11.) Plumbing riser diagram: NO CHANGE 12.) Location of fire protection equipment, i.e. smoke alarm: N/A 13.) Truss design drawings with certification: N/A 14.) Energy calculations from design professional: N/A (HEATING TO BE REMOVED) 15.) Flood Zone: AE 6, (PROPOSED USE TO BE STORAGE) OTHER REGULATORY REQUIREMENTS: Health Department: Not Required. DEC: Not Required Board of Trustee: Not Required Planning Board: Not Required LOCATION MAP: Terry Floint. N / N /Maple Ln Sk fteq Cn ae studio a/b architects 651 West Main Street, Riverhead, NY 11901 631 591 2402 631 323 1426 info@studioabarchitects.com Owner: Ryan J. Sullivan 119 East 10th Street, Apt. #4, New York, NY 10003 I No. i Description i Date l _1D ARCI _I Map data CM -5 Google r PROJECT: Renovation to Sullivan Residence Accessory Building Proposed Plans Project number 1552 Date 3/27/15 Drawn by HA Checked by PS A.01 Scale As indicated a� Orient.- a�hardSt (,i,,oysterponds Historical Society i i p1d�s�mR� . OrienrN�•r '�� � r y • ' � PROPOSED LOT, , studio a/b architects 651 West Main Street, Riverhead, NY 11901 631 591 2402 631 323 1426 info@studioabarchitects.com Owner: Ryan J. Sullivan 119 East 10th Street, Apt. #4, New York, NY 10003 I No. i Description i Date l _1D ARCI _I Map data CM -5 Google r PROJECT: Renovation to Sullivan Residence Accessory Building Proposed Plans Project number 1552 Date 3/27/15 Drawn by HA Checked by PS A.01 Scale As indicated