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HomeMy WebLinkAbout40708-Z 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)765-9502O 7 Survey SoutholdTown.NorthFork.net PERMIT NO. Check .._ Septic Form ............ . N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20� Single&Separate Storm-Water Assessment Form 2-o Contact: Approved.......... ...._.........,,20 Mail to:-.. Disapproved a/c Phone:, Expiration, g Ins ect r M AY 9 2016 M f APPLICATION FOR BUILD PERMIT RUWDING DIMT. TOWN OF SOUTHOLD Date .20 ��P 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 cornpleted 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 " of applicant or name,if a corporation) = — (Mai mg ad ress of pelican State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder gbh Ite-** 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. will be done: 7 2� 1. Location of land on which proposed work wt 60Lf�� House Number Street Hamlet County Tax Map No. 1000 Section Block ?7 Lot L 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 b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition 1/ Other Work 4. Estimated Cost 50th Fee (Description) p ) (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 I cp1 h Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Nume—nof Sufis 8. Dimensions of entire new construction:Front Rear Height Number of Stories 1 9. Size of lot:Front. –160•2' Rear _ � .�„�� Depth.. 2C0 10.Date of Purchase Name of Former Owner F S 11.Zone or use district in which 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_U�'�'�',, " l 1Sj—AddressMEQ RSL KPZAVE&ire No. Name o#'Architect. o. Address L ECKfal ie No_ I- _ Name of Contractor GLOM hjdb -N. ��Ad�dress� � Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES t-' 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 t/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 ......_..�1 being duly sworn,deposes and says that(s)he is the applicant (Name of inaividual signing contract)above named, CONNIE D.BUNCH (S)He Notary Public,State of New York S He is the ti, 01BU6185+050 ('Contractor,Agent,Corporate Officer,etc.) Quallfed In Suffolk Count Commission Expires April 14.2_C0 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 al I statements contained in this application are true to the best of his knowledge and belief;and that the work wi I I be performed in the manner set forth in the application filed therewith. p Sworn q before me this day of 20 77 Notary Public ignature of Applicant Town Hall AnnexaKa ' "¢,' Telephone(531-1802 54375 Main Road a Fax(631)734-9502 P. O_ Box 1179 Southold, NY 11971-0959 . 7, qW p� BUILDING NOTICE OF UTILIZATIONF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED WOOD CTION AND/OR TIMBER CONSTRUCTION Date- Owner: A �� p Location of Property: µ , Please take notice that the (check applicable line): New residential structure Addition to existing residential structure Rehabilitation to an existing residential structure o be constructed or performed at the subject property reference above will utilize. (check applicable line): Truss type construction (TT) '111Pre-engineered wood construction (PW) Timber construction (T ) in the following la tions) (check applicable line): J Floor framing,, including girders and beams ( ) Roof framing (R) Floor and roof framing (F ) Signature: Name (person submitting t ' form): Capacity(check applicable line)- Owner Owner representative TrussResReg15_dxx Effective 1/1/2015 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY(4?�Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-0365 1 F:(631)444-0360 mv%v.dec.ny.gov LETTER OF NO-JURISDICTION February 25, 2016 Lista M. Cannon Re: Application ID 1-4738-04454100001 c/o Jennifer B. Gould, Esq. P.O.A. 725 Arsharnomaque Avenue P.O. Box 988 Southold Southold NY 11971 SCT M # 1000-66-3-2 ARNO-DEP Dear Applicant: Based on the information your agent submitted, the New York State Department of Environmental Conservation (DEC) has made the following determination. The portion of the referenced property that is located landward of the 10-foot elevation contour line on a natural and gradual slope, as shown on the survey prepay 9d by Kenneth M. Woychuk Land Surveying, PLLC last revised on 2/15116, is beyond the jurisdiction of Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661), no permit is required for any work occurring at the property that is landward of the jurisdictional boundary indicated above. Please be advised, however, that no construction, discharges, sedimentation, or disturbance of any kind may take place seaward of the jurisdictional boundary without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within the DEC's jurisdiction which may result from your project. Such precautions may include maintaining an adequate work area (i.e. a 15' to 20' wide const rucq.Qa-area)-pr erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of there onsibilityof obtaining any necessary permits or approvals from other agencies. Ve tr yours, \-Nl iohn ieland, Deputy Pert A inistrator JAW/mrp CC: En-Consultants BOH-TW File as rwn,-J, NEWYORK pepartment of E vi n ronmentai Conservation e q.' v w �. ;�a��..,.,�d B r :"�. �' _;;� C5 b� P�"'�,� " A.'�....d' ,�" �wtitw��.".7�¢'" '�r .d,.u:. '�"'";»1'`�Gi� �k4���''•'.'�.,�..,-. to `:aY� J"gym,�,„.��,U.ro�.vt'•a+�:va ^ww„".. .fir"'�w w.r,:�,.0 r 1 1�7"+a” +Ll ^.a.t yy �',y�'q�"Y:'�"� � ��� ✓ .� 1"�, a��p .��t..T'"� � „„�r �--"�c�i � ",i� r�, n ""+tuan"w�^w,*4 ':w;., "M'� �r.wt 9r •�^y�, '� i� �; '`��'�".• `"'µ".,1,' _'yj..=,.. 4 4ati tr;µK a r `ti✓ i„"y ” � 4-�Ywok„ ✓ a.: � sJ`^sY �.r4.. :" � k d 3. �' i �.ls " � A! F J ✓,.0 ,rFlr' 9 �5 ^ w,�J ryM,A I BOARD OF SOUTHOLD TOWN TRUSTEES yy, SOUTOLD,NEW YORK * � �r k DATE: MARCH 23 21116 MAW;, PERMIT NO. 8754 �� t " ISSUE : 1.11S`IA M.. CANNON w PROPERTY ADDRESS: x"25 ARSIIAMONL 11L A I NUE SOUTHOLD � , ;"@, ,T , SCTM# 1000-66-3-2AUTHORIZATION �-4 R� Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ^ E` accordance Nvith the lie solution of the Board of Trustees adopted'at the meeting'held on �n'cln� w iib and in wr rr' consideration of application Cee.in the sunt of 50� O pti�id by'asta�9.:_ aran�art,and saibject t��the Tens and �t Contlitiorns as stated in.the Resolution,the Southold T owtu Board of Trustee.-,Authorizes and permits the x� f following: E! Wetland Permit to demolish and remove existing'one-story dwelling with attached deck l and related structures,including retaining walls at basement level; construct new two- ' e story, 1,511sq.ft.single-family dwelling with attached 121x45' first-story deck and u associated steps, 121x14' trellis,and 121xI6' second story porch; construct new 18"high retaining walls at walk-out basement level; install approximately 448sq.ft.irregularly shaped on-grade masonry patio at basement level below first story deck; install 4'x4' outdoor shower and,masonry stepping stones; and establish and subsequently maintain a 101 wide,7 0s .ft.non-turf buffer adjacent to the tidal wetlands boundary; and as ., depicted on the survey prepared by Kenneth oycuk,Land Surveying, LLC,last �w revised on February 15,2016, and stamped approved on March 23,2016. w 1 6 b V Ak q !, IN WITNESS WHEREOF,the said Board of Trustees herebycauses its Corporate Seal to be affixed, e1 rP ' "a i( and these presents to be subscribed by a majority of the said Boa n this dpi r}i� 411F Fkt ... .m.� " -.. " ' V �"" �"' rl �i� ,aa h,� ,ra.�,,�.� ✓�rr�tra^�.vRr"e���rr�uu� 1 vra+„�zrsuFrs,.u*r,r�uu�,� ;�acsH�ro reuG x u.�v a 5xw��rrs rr�,�u�, x�cr,ns a�.�am`z�ta�w � + m �,, _ 'ti,,� r, �” p`��' '�. ''J" w�r�` 'S, '�"� t �� "w. r r"" � np�� �y�„�'"' �•„„^� fl";N";" r� � rrn ;.r n ��p k^" Cr.Kra -�"�/ar�r� 1�.r�" � ,,�-�.'vr•y.�,v�w;F�,���' � �7,��r5 _."' o- '"'� —F """1�'� 7 " � {�r;�' �"vr� q ,� "�"" '�� � k er�" DRAWING ISSUE DATES Client Meeting Set 06.18.2015 Client Meeting Set 08.06.2015 Client Meeting Set 08.12.2015 Client Meeting Set 08.20.2015 / 1 Client Meeting Set 09.28.2015 - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - Structural Engineer 10.23.2015 I ------------ aex mew ""t io�"p" t PHip Sat Wit I I I I 3/4" PLYWOOD AT °"'"" EACH SIDE OF I j Construction Set 00.00.0000 JOIST REVISION DATES I I I I - Dormer PI. Ht. _ ._.. ._ •�ERED T ��G\�.1 L R. /,r, Rcti/� I I Typ35 ical Joist End Detail � I I I I I 2 klfl� Loft FI. y+ M 01 6 _. __...,... ..,- .... - �q X4802 N I I 4"TH.P.C.SLAB W/6X6 I I I I 10/10 WELDED]WIRE MESH00 I I ON 30 MIL POLY VAPOR I I I I BARRIER ON CLkAN // I :: I Drawing Legend: I I COMPACTED SOUL,TYP. I =Y I • Wall To Be Removed I I I I A I I i I I — Wall To Remain I I - - New all I I Garage a z N � I I s 8 I I I A. , New Foundation Wall ------ Lines Above �. ------------ Lines Below -- Guidelines Fence I s. los Door Tag - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — 101 Window Tag _Garage Foundation Plan _4arage Buildi Section She2Section X, XX Scale: 1/4" = 1'-0" 2 ale: 114 = 1'-0" Detail Tag Elevation Tag 24'-Otr 01 x<xx x Interior Elevation Tag 4'-0" 16'-0" 4'-0" ��/// x O (3)117/8"LVL HEADER G01 ELEC.SUB PANEL N M E R Y L K RA M ER 0 � O a r c h i t e c t CID 2X8RR @ 12'O.C. + 2X8RR 12"O.C. I � 213 E . FRONT STREET ( POST OFFICE BOX 683 k ----: -_ }--------------32X8 RR BELOW WAL -------------------------- -------------------------- 1 GRE EN PO RT, NY 1 1944 6 3 1 - 4 7 7 - 8 7 3 6 p 117/8"TJ 560 @12"O.C. ( �✓� / m k a r c h 1 t e c t c o m w O 2X8RR @ 16"O.C. 2X8RR @ 16"O.C. O 2 0 �I ' ry 2 G-10 NG-10 LL > O � OC O ui o - -G I 1 N � a Z (W'3 V m N i LL W 0 0 x FE N J OD O N N 00 N J '� Cannon Residence I ----------------�' '-3_2X8 RR BELOW WAL ' -------------------------- ------------------------- ' N e 725 Arshamomaque Ave �- t- -� Southold, NY (3)117/8"LVL SHIP LADDER i 00,1 T ti - - Garage Plans & Sections All Drawings O inted on 11x17 Paper Scale is 50%Scale Above Gara a First Floor Plan Gara a Firs�10 or Plan 3 Scale: 1/4" = 1'-0" 4 Scale: 1/4" = G-100 © 2016 Meryl Kramer Architect All Rights Reserved DRAWING ISSUE DATES Client Meeting Set 06.18.2015 Client Meeting Set 08.06.2015 Client Meeting Set 08.12.2015 Client Meeting Set 08.20.2015 Client Meeting Set 09.28.2015 Structural Engineer 10.23.2015 � n� sm toxone NOW sm aline P.mn so aaene Construction Set 00.00.0000 REVISION DATES ^Y;G%gTEREpq'Q C'y% ;0 tP:A OFNEW Y12 7T ORE Sl IT 3 ' 3 . y 0 7 I I!1, h L L L L i 1611 T: t I 12 Drawing Legend: 18.7 - _ _ _ _ = = WIT - a B To Be Removed Wall To Remain New 0 s, Ne Wall Q I J New Foundation Wall _____--_ Lines Above _. .-_... a.. �. .... _ - - r_..._... ------------ Lines Below L L L L L --------- Guidelines Fence - ios GO Door Tag 201 Window Tag —' nxxxSection X Sheet A-XXX Q4 -- Detail Tag East Elevation North Elevation ' & ae: 1/4" = 1'-0° 2 Scale: 1/4" = 1'-0° X Elevation Tag xx Interior Elevation Tag ��x M E R Y L KR A M ER a r c h i t e c t 213 E . FRONT STREET - - - -.-- ��� — _ — POST OFFICE BOX 683 GREEN PO RT, NY 1 1944 1 gi 6 3 1 - 4 7 7 - 8 7 3 6 m k a r c h i t e c t c o m TTI L FM L 774,� aF , - - -- - - - r— 1' - - - , Cannon Res Idence 725 Arshamomaque Ave - - Southol Y L L Garage Elevations South Elevation Scare: 1/4^=1'-oe West Elevation 4 „ _ „ All Drawings Printed on 11x17 Scale: 1/4" = 1'-0" Scale: 1/4 1 -0 Paper Scale is 50%Scale Above G-200 © 2016 Meryl Kramer Architect All Rll Reserved