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HomeMy WebLinkAbout39881-ZCERTIFICATE OF OCCUPANCY 6/29/2015 No: 37633 Date: 6/29/2015 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 375 Munn Ln, Orient SCTM #: 473889 Sec/Block/Lot: 17.-3-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/9/2015 pursuant to which Building Permit No. 39881 dated 6/18/2015 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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Partlon, Shelley & Partlon, Terry of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho Si atur Town of Southold P.O. Box 1179 53095 Main Rd , Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/29/2015 No: 37633 Date: 6/29/2015 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 375 Munn Ln, Orient SCTM #: 473889 Sec/Block/Lot: 17.-3-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/9/2015 pursuant to which Building Permit No. 39881 dated 6/18/2015 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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Partlon, Shelley & Partlon, Terry of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho Si atur ' �gUFFO(,y-�,aG TOWN OF SOUTHOLD BUILDING DEPARTMENT �ss TOWN CLERIC'S OFFICE o f . 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 #: 39881 Date: 6/18/2015 Permission is hereby granted to: Partlon, Shelley & Partlon, Terry 1005 S Bellevue Ave Langhorne, PA 19047 To: "As Built" deck addition to existing single-family dwelling as applied for. Additional certification may be required. At premises located at: 375 Munn Ln, Orient SCTM # 473889 Sec/Block/Lot # 17.-3-9 Pursuant to application dated 6/9/2015 and approved by the Building Inspector. To expire on Fees 12/17/2016. AS BUILT - SINGLE FAMILY ADDITION/ALTERATION CO - ADDITION TO DWELLING Total: Building Inspector $662.40 $50.00 $712.40 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: 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 - $100.00 - - 3. Copy o Certs icate o Occupancy --$-.25---- 4. -- -4. Updated Certificate of Occupancy - $50.00 _._.__—.—S..__-Temporary_..Certificate of_Occupancy=Residential$15..00-,_Commer_cial_$.LS.QO-..._____._-._._..___ ..__. ,__...________-.—._._... New Construction: Location of Property: Owner or Owners of Property: Old or Pre-existing Building: o. Street 1 Date. ©koa�,Ir (check one) , Hamlet Suffolk County Tax Map No 1000, Section 1-7 Block ®3 Lot Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ Filed Map. Applicant: Underwriters Approval: Final Certificate.: Lot: FIELD I14SPEt QN IMPORT FOM4DAtTOX (IST) FOUNDATION (2ND) ROUGH FRArv=Q & PLUMBING INSULATION PER N. Y. STATE ENERGY COE FINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined $ 20 5 Approved 20_ L-5 Disapproved a/c Expiration (" ( 20 I L EP J 3! DG. DEPT TOVUi\! OF 3OUTFIOiD BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. a , Buil Spector Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval 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:��f���-t7�/% Z_ Phone: tQ r C.ATTON 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 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, a �t,architect ngineer, 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. ]. Location of on �h prop 6yw/ House Number Street r County Tax Map No. 1000 Section ,will be do&12 Hamlet BLot uC-% Subdivision 2. State existing use and occupancy of premises ar a. Existing use and occupancy IF/A/ Filed Map No. Lot use and occupancy of proposed construction: b. Intended use and occupancy �`�iV� T' �•✓� r(J%I��-t�J l%Fi�� 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor - -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 Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Depth ? Height r Number of Stories 9. Size of lot: Front } Rv Rear 2" 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 k 13. Will lot be re -graded? YES NO -Will excess fill be removed from premises? YES -X -NO 14. Names of Owner ofpr ises �� Address 2T 17; �N "_`Phone No. 9/,F' Name of Architect TC U Address Phone N(' d 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, REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES N * 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. 11 18. Are there any covenants and restrictions with respect to this property? * YES NO 0( * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OFS?57s1 6L-� C emg duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, , 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. 1-7 w _ Sworn to before me this Pday of _-Tun e, 2015 AM V&dLA TRACEY L. DWYER Notary Public NOTARY PUBLIC, STATE OF NEW YORK `, Signature of Applicar N0.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, 2_U 18 C, SUFFQ: / Scott A. Russell SUPERVISOR SOUTHOLD TOWN HALL - P. O. Box 1179 a 53095 Main Road- SOUTHOLD, NEW YORK 11971 bS)'T01K1\M[WA`]F]E1K IM[As- AG]EM[1ENT Town of.Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET Yes I No ❑NA ( TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (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. C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E. Site preparation within the one -hundred -year floodplain as depicted - on I -IR-M—-- 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 with. your Building Permit Application. APPLICANT-. (Property Owner, D 'an Professional, Agent, Contractor, Other) C NAME: n Contact Information: 73 YVel- Property Address / Location of Construction Work: FORM * SMCP - TOS MAY 2014 S.C.T.M. #: 1000 Date-. District d Section Block Lot FOR BUILDING DEPARTMENT USE ONLY Reviewed By: \— Date: Approved for processing Building Permit. u Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — ElStormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT Telephone (631-1802 Fax(631)734-9502 OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED Date: 0 8 Owner: IOTA Vlo Location of Property: 3TC' Please take notice that the (check applicable line): New residential structure Addition to existing residential structure Rehabilitation to an existing residential structure to be constructed or performed at the subject property -reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders'and beams (F) Roof framing (R) Floor and roof framiW (FR) Signature: Name {person submittit s form): Capacity (check applicable line): Owner Owner representative TrussResReg15.docx Effective 1/1/2015 6" DIAMETER - 1 � REFLECTIVE RED ROMAN ALPHANUMERIC PANTONE DESIGNATION OF CONSTRUCTION (PMS) #187 TYPE BASED ON SECTION 602 OF THE BUILDING CODE OF NEW YORK,STATE.. 2" MIN. REFLECTIVE :A WHITE 1.. 4 112 STROKE _ _........... -- -----------....... DESIGNA'itOi�l'FOR`STRUCTURAL - .-.......__.....,....-._......---._.... -- COMPONENTS THAT ARE OF TRUSS CONSTRUCTION "F" FLOOR FRAMING, INCLUDING GIRDERS AND BEAMS "R" ROOF FRAMING "FR" FLOOR AND ROOF FRAMING TRUSS IDE flFIWON SIGN CONFi LANCE VVITH 19 W.C;RR PART 1205,1 et u '. NX,O-MAE ODES DIVISION Dq\M- _E TRUSS IDENTIFICATION SIGN: "DATE:03108/2005 r ' T N,EW YORK STATE DEPARTM ENT OF STATE ._; DIVISION OF CODE'ENFORCEMENT, A.AY- ' ION AND ADMIN[STRAT e"a rtrtcur-rrrers er June 15, 2015 Southold Town Building Department P.O. Box 1179 54375 Main Road Southold, New York 11971 Re: Parlton property 375 Munn Lane Orient, New York SCTM#1000-17-03-09 28495 Main Road • PO Box 933 • Cutchogue, NY 11935 631.734.4185 1 www.mksarchitect.com JUN 15 29 HUG. DEPT TOV, 1 OF SOUTHOLn I have been on site to review the existing conditions of the as -built deck (south side of house). This work has been completed as per plans and to the best of my knowledge, meets or exceeds the NYS code requirements. Please call this office if you have questions or require additional information. Sincerelv, Mark Schwartz, Architect AIA Ag. r TOWN OF SOUTHOLD PROPERTY OWNER RECORD CARD )w STREET �-n� VILLAGE J.r I DIST. SUB. LOT E OWNER4- E ACR. S e _�� J 7 �"C►IYfUYi 3 P wr Al e.t?ti S W TAPE 0F BUILDING R -ES. 4�10 SEAS - VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKSf c-�+ 00 664 , ? S71 G ► k�' Let"� �� 6 7 /'li 1 rt F3 10 lfL-L-- AGf' BUILDING CONDITION NEW i NORMAL BELOW ABOVE FARM Acre Value Per1 � olue Acre 'i'lable ! Pliable 2 illable 3 'bodiand vampland . FRONTAGE ON WATER L shland FRONTAGE ON ROAD e a lu5e Plot DEPTH O -- BULKHEAD to l DOCK SURVEY OF PROPERTY N AT 0)?IENT' OF , OtT.THOLD TOWN S SUFFOLK COUNTY, X j000-17-03-9 SCALE: 40 DECEMBER 4, -2014 N/o/F PRIVATE -RD' A P L E� ,, JOINT OWIqERSH,p GRAVEL E L L A E R A SPX -.4o!'E MON 160-03, FND POLE b .............. STONE licocu),Ih c.s"Lay COVERED pou W101F W.F. -SCHRIUM _WWAM W. SCHR18VER N/O/F JIM WELLES IRREVOCABLE TRUST AGREEMENT MENT Do to MAIN R 0 A D ANY AL MRA 770N OR ADOMON To jp-#S; SURVEY 1S A Vi , OLA 77ON OF,SEMIQN.7 ooF.THE NEW YORK, STATIE EDUGATlql-N L4,V� ERWF7CA 77OMS� EXCEPT AS R SECUM 7208-SURDIWSIOJV' 12. ALL AG HEREON ARE VAUD FOR MIS' 14AP AND COPIES THEREOF ONLY It SAID MAP OR COPIES -BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR vrHosE siGvA7ui?E,APP'EARS- HEREON. *15 "' 7/!f/j �_WXS. LIC. /V0. 496M P. G. _(631) _765=5020 FAX (6,31) 765-=179.7 P. o. 65-=179,7 PABOX 909 123,0 TRAVELER s50UMGt.D, MY 1SMEET,4971 57cap 34.ZL E ILi co N7 11/2 STY. -Ed FR.- HSE. 42,0' 17:7' 12:5' Op x LLJ v N r< U) Er W z L § Ly- LQ 16.3 < > < _j _-j < < < 0.7' A : < z P .0, If) 7: 0 MON. N8*71 2.!OO"W Ft4D, MON; D. UPLITY POLE W101F W.F. -SCHRIUM _WWAM W. SCHR18VER N/O/F JIM WELLES IRREVOCABLE TRUST AGREEMENT MENT Do to MAIN R 0 A D ANY AL MRA 770N OR ADOMON To jp-#S; SURVEY 1S A Vi , OLA 77ON OF,SEMIQN.7 ooF.THE NEW YORK, STATIE EDUGATlql-N L4,V� ERWF7CA 77OMS� EXCEPT AS R SECUM 7208-SURDIWSIOJV' 12. ALL AG HEREON ARE VAUD FOR MIS' 14AP AND COPIES THEREOF ONLY It SAID MAP OR COPIES -BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR vrHosE siGvA7ui?E,APP'EARS- HEREON. *15 "' 7/!f/j �_WXS. LIC. /V0. 496M P. G. _(631) _765=5020 FAX (6,31) 765-=179.7 P. o. 65-=179,7 PABOX 909 123,0 TRAVELER s50UMGt.D, MY 1SMEET,4971 N SURVEY OF PROPERTY A T ORIENT TO WN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-17-03-9 SCALE i °_3Q' qb a DECEMBER 4, 2014 M A I N R 0 A D -- S. R. - 5.R. 2 ) c<<�-1,lv �-t�Rr id'ad,�+JttJy N �: AREA = 21,091 SQ. Fr - ANY ALTERA770M ORTo THIS SURVEY IS A WOL OF SECn N 72 9OF 7HElIION NEW YORK STATE E UCAAON LAW ON EXCEPT AS PER SEC71014 7209 -SUBDIVISION 2. ALL CER77FICA77ONS HEREON. ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF' SAID MAP OR CORIES•BEAR 7HEIMPRESSED SEAL OF 7HE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. LIC. NO. 49618. CONICS YORS, P. C. (631) 765-5020 FAX (631) 765-1797 P.O. BOX 909 2JO MAVELER STREET SOUTNOL.D, N.Y. 11971 .14--1'25 E u D JUN 18 2015 gi Dom. DEPT �0�^!i�; GF SOUTIIOLD N/0/F PRIVATE RD JOINT OWNERSHIP M A P L E L A N E I � GRAVEL ROA p 583'59'40" E 160.03' MON. `UTIUTY END. POLE . o 'UTILITY STONE COLU6IN N POLE COVERED P� STOOP 34.2' C.E. II W 11/2 STY, h - FR. HSE. `9 d -0z0' 12.5' ((�� _ Ln V)¢ a = •-, w WZ \> ¢ Y 10.3' WOOD O �� ai u1 DECK o F- J a O o Q B.3' 3 iv, SHED m ' 63.7 - I EC W 0 _ O >z El 3 N ;V O O I a I C! a z 10 Z ' 1 0 CONC. COVER MON' N87'12'00"W159.01 I END. MON. FND. UTILITY POLE N/O/F N/O/F W.F. SCHRIEVER JIM WELLES IRREVOCABLE & TRUST AGREEMENT WILLIAM W. SCHRIEVER 10 Iq DO 0 M M A I N R 0 A D -- S. R. - 5.R. 2 ) c<<�-1,lv �-t�Rr id'ad,�+JttJy N �: AREA = 21,091 SQ. Fr - ANY ALTERA770M ORTo THIS SURVEY IS A WOL OF SECn N 72 9OF 7HElIION NEW YORK STATE E UCAAON LAW ON EXCEPT AS PER SEC71014 7209 -SUBDIVISION 2. ALL CER77FICA77ONS HEREON. ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF' SAID MAP OR CORIES•BEAR 7HEIMPRESSED SEAL OF 7HE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. LIC. NO. 49618. CONICS YORS, P. C. (631) 765-5020 FAX (631) 765-1797 P.O. BOX 909 2JO MAVELER STREET SOUTNOL.D, N.Y. 11971 .14--1'25 E u D JUN 18 2015 gi Dom. DEPT �0�^!i�; GF SOUTIIOLD //FOUNDATION PLAN SCALE: 1/4" = 1% /� i•r /i iir 96,--11" i FLOOR PLAN F'-11" ArP hg� 0 ,IED AS NOTED DATE: �.P. # 0 U I FEE: -&k2 -,,Lb BY: a NOTIFY BUILDING DEPARTMENT AT 765-1602 8 APA TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRt!CTION MUST BE COMPLETE F0"i C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORE: STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN COD AS REQUIRED AND CONDITIONS #Y W. 60 eV RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY REVISIONS: � QH � oW � a �w �x F- � � W¢ w u W � � a z w o M n� O r-1 N v it .`.. P4 UO Lo O Ln U 'IV 110 ul) N d � W W W u V O cnN H d V x DRAWN: MH / MS SCALE: 114"=1'-0" JOB #: June 09, 2015 SHEET NUMBER: