HomeMy WebLinkAbout28538-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPA~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28589
Date: 07/12/02
THIS ~TIFIES that the building ALTERATIONS
Location of Property: 540 FRA-NKLINVILLE RD LAUREL
(HOUSE NO.)' (STREET) (HAMLET)
County Tax Map No. 473889 Section 125 Block 3 Lot 1.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J73LY 5, 2002 pursuant to which
Building Permit No. 28538-Z dated JIILY 8, 2002
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" 1ST FLOOR BATHROOM ALTERATIONS & 2ND FLOOR BATHROOM ADDITION
APPLIED FOR & AS PER N-YS VA=RIANCE #2002-0585.
The certificate is issued to EDWD~RD J. & NANCY N. KORMENDI
(OWNER)
of the aforesaid building.
SUFFOLK CObqqT~f DEPART~ENT OF ~LTHAPPROVAL
EL~m-~'KICAL CERTIFICATHNO.
PLUMBERS CF/{TIFICATION DA'~'mu 07/02/02
N/A
10864 03/13/96
MATTITUCK PLUMB.&HEATING
//~z~hori~ed
Signature
Rev. 1/81
~ .~..~---~
STATE OF' NEW YORK
DEPARTHENT OF STATE
4 I STATE STREET
ALBANY, NY I ~3 I -OOO I
GEORGE E. PATAKi
GOYERNOR
In the Matter of the Petition of:
Nancy Kormendi
For a Variance to the New York State
Uniform Fire Prevention & Building Code
RANDY A. DANIELS
DECISION
PETITION NO. 2002-0585
Upon the application of Nancy Kormendi, filed pursuant to 19 NYCRR 450 on May 28, 2002 and upon all other
papers in this matter, the Department makes the following determination:
NATURE OF GRIEVANCE AND RELIEF SOUGHT
The petition pertains to an existing building of A1 (single family) occupancy, two stories in height, of type 5 (a
wood frame) construction, approximately 1400 square feet in area, located at 540 Franklinville Road, Laurel, Town
of Southold, Suffolk County, State of New York.
The petitioner is seeking relief from:
9 NYCRR 711.2(b), which requires that bathrooms shall have a minimum height of seven feet. [The petitioner
requests relief to allow an existing bathroom, built into the roof area of the second story with a horizontal
ceiling height of approximately 7 feet 0 inches sloping down to 3 feet 7 inches.]
FINDINGS OF FACT
1. The existing bathroom was constructed into the roof area of the second floor of the building that is the subject
of this petition.
2. The horizontal ceiling height in the bathroom is approximately 7 feet 0 inches for approximately 3 feet, sloping
down to 3 feet 7 inches.
3. With the placement of the fixtures, the 7-foot 0-inch ceiling height is adequate for normal usage.
4. The petitioner has proposed to install a fire and smoke detecting device in the second floor as required by the
Uniform Code.
5. The local Code enforcement official has been consulted in this matter and does not object to the granting of a
routine variance under the provisions of 19 NYCRR 450.6.
WWW.DOS STATE NY US · E-HAIL: INFOQDOS STATE.NY US
Petition No. 2002-0585
P~ge 2
CONCLUSIONS OF LAW
Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce a
negligible additional health, safety and security benefit to the occupants of the building.
DETERMINATION
VVHEREFORE IT IS DETERMINED that the application for a variance from 9 NYCRR 711.2(b), to allow a
bathroom built into the roof area of the second story with a ceiling height of approximately 7 feet 0 inches sloping
down to 3 feet 7 inches, be and is hereby PROPOSED TO BE GRANTED with the following conditions:
1. That the petitioner installs fire and smoke detecting alarm devices in the second story in conformance with the
Uniform Code.
2. That the builds conform to all other applicable sections of the Uniform Code
This DECISION is issued under 19 NYCRR 450.6. Unless obiected to by the petitioner in a writing received by
the Department, the decision shall become FINAL after fifteen days of receipt of the decision by the parties.
This decision is limited to the specific building and application before it, as contained within the petition, and
should not be interpreted to give implied approval of any general plans or specifications presented in support of this
application.
DATE:
GRZ:sg
Petition No: 2002-0585
The persons below are advised to TAKE NOTICE of the attached document. The attached
document pertains to a petition for relief related to code requirements. If there are any questions,
call (518)474-4073 and ask for the Variance Unit. Please refer to the petition number in all
related conversations or correspondence with us.
NANCY N KORMENDI
540 FRANKLINVILLE ROAD
PO BOX 403
LAUREL NY 11948-0403
MICHAEL VERITY /''
TOWN OF SOUTHOLD BLDG DEPT
PO BOX 1179
SOUTHOLD NY 11971
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28538 Z Date JULY 8, 2002
Permission is hereby granted to:
NANCY N KORMENDI
540 FRANKLINVILLE RD
LAUREL,NY 11948
for :
"AS BUILT" BATHROOM ALTERATIONS TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 540
County Tax Map No. 473889 Section 125
pursuant to application dated JULY
FRANKLINVILLE RD LAUREL
Block 0003 Lot No. 001.001
5, 2002 and approved by the
Building Inspector to expire on JANUARY 8, 2004.
Fee $ 300.00
Siqnature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOVTUOLD
BUILDINGTowNDEPARTMENTHALL
765-180a
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
Ao
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.
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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction: Old or Pre-exisoting Building: (check one)
Location of Property: ~'~ ~t~./~//ff_~ ~57~7
House No. Street
Owner or Owners ofProperty: ~~ d-> ~-~,r~q2q2Q ~~---~/
Suffolk County Tax Map No 1000, Section /~ ~ Block .~
Subdivision Filed Map.
Permit No.t~(~'-g8 Date of Permit. '~/~/,,2~O(~&pplicant:
Hamlet
Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ t$~QC°~
Underwriters Approval:
Final Certificate: (check one)
Applican~g~atl~re~'~x~'~'
Tow, H,311. 530fl."; Mai. Road
P. o. Rex 117g
~nt,t oh . I'Jew York ! 1§71
{~i lc,)
(516)
OFFICE OF I'IIE BUILDING INSPECTOR
TOWI',I OF SOUI'IIOLD
C M R T I ¥ I C ~ T I 0 N
DA'rE:
D. utld.lng Permit No.
t)w~er:
( p i ~ a ~--~-D~ t )
~p ense prinL) ~ __o
I certify that the so]der used in the wz~ter sui.,p]¥ sy:;t~m
contains 1~ tha~ 2/10 of 1% lead.
Sworn to befor~ me
.... day, or
Notar7 Publ;c,
....
Term E~ J~ ~ - '
ISSUED TO:
INTRODUCED BY
LOCATI ON :X::
OUTSIDE, RES.
FIXTURE6 I RE
DISHWASHER
Service Cha:
Road
TOWN: _Sp_~o !d-
VI L LA G E -L,T~r3,-[ .....
L~C. '~ 0._.9_43_E
-13-96 and Iouod to be in compliance with lira Nalio~el Electrical Code
.BASE. XX lst. ._2nd 3rd ,.Attic Poo
. . DET. GARAGE HOT TUB
:EPTACLES [
4 6
DRYER CLOTHES WASH.
SWITCHES G.F.C.I.
1
GAR. DISP.
~ge
r
DIMMERS t FANS / All ,COND.,
ET.
BELL TRAN. I SERVICE DISCONIIECT
President
OWNER
FORMER OWNER
'SEAS.
IMP.
TOWN OF $OUTHOLD PROPERTY RECORD CA~
I
~ ~PE OF BUILDING
TOTAL
LAND
AGE~oo
NEW
FARM
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampl,ond
Brushland
House Plot
NORMAL
Ac re
Total
FARM
DATE
W
'~ VL.
:COMM. CB.
REMARKS
MISC. Mkt. Volue
Value ·
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
Value Per
Acre
"~'~G CS.D,?J~,~ ~
BELOW ABOVE
TOWN OF SOUTHOLD
BUILDIN ~G DEPARTMEN~
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
Examined /3 ,20 ~
Approved ~//~ ,20 ~
Disapproved aJc ~ ~
Expiration
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
APPLICATION FOR BUILDING PERMIT
Mail to:
Phone:
a~ .... -~ INSTRUCTIONS
&i&ppticatiOn MUS~--~ completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 perrrfit 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.
(~natur~ of applicant or name, if a corporation)
' = (i~lailing addr'&st~f ~p[llca~t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name ofowner ofpremises .~0.LI2_~ 0 * ~J..Y~& '~ .~W WI~cr{ I'
(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 land on which proposed work will be done:
qo 1o- 'a,o_E// ll, ,lzoaM
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
Block ~
Filed Map No.
Hamlet
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ¢,_~ u~[~_ r't% tcle~tc~ ~-,
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Rep air Removal Demolition
4. Estimated Cost UIs~-~,,~o.~¢~..
b ~q?reo~cc,~
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work ~3t:L~bX. WOo~
(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
Dimensions of entire new construction: Front Rear Depti~
Height Number of Stories
9. Size of lot: Front
10. Date of Purchase\
Rear
Rear Depth
}aO/¢~ Name of Former Owner
l 1. Zone or use district in ~vhich premises are situated
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
14. Names of Owner of premises [hux~. ¥ ~loaq~-c{~r~a~'~ssTO~jS,~xqd~,~,re[ Phone Noc2q%
Name of Architecfl,xat~.. ¢ ~-o~hj~tr4 ~_~ Address ~Im~~Phone No ~q'-
Name of Contractor Address ' ~ - <a Phone No. ' '
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* 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.
NO
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
l 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
COUNTY O SF~~
' .k.~,~ ! ~ ~ ~, ~ ~gV ~r~¢t.~ t~ ~ being duly sworn, deposes and says that (s)he is the applicant
(~a-m~r~' ir~divicl~a~ sig~in'g contract) above named,
(S)He is the Lql OL,_O_ ~
(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.
S wc~~~eaymoe;~/~ % ot~~ Public
LYNDA M. BOHN
NOTARY PUBLIC, State of New
No. 01 BO6020932
Oualified in Suffolk Counlv
Term Expires March 8, 20.~.~
'~ ~_'Ih -'Si~'~ature of Applicant
OCCUPANCY OR
USEIS UNLAWFUL
~ITHOUT CER1 _
OF OCCUPANCY
!~!h?"'~ Tr~ CERTIFICATE CWGHT ~.' N!
~AS NOI~I
LDING
76.~ ,1802 9 AM TO 4 PM FOR Tt
INSPECTIONS:
iUN~ATION - TWO REQUIRED
I POURED CONCRETE
OUGH - FRAMING & PLUMBING
LATION
4AL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
If copper tubing is used
for water distributing
system; piping shall be
of types K or L only
PLUMBING
ALL PLUMBING WASTE
& WATER UNES NEED
ALL CONSTRUCTION SHALL MEET UNDERWRITERS CERTIFICATE
THE REQUIREMENTS OF THE N.Y. REi~UIRED
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE ~-', ''
DESIGN OR CONSTRUCTION ERRe~S'I' I ~C~/~ ~ ~O F~O~)/~-
I "' "