HomeMy WebLinkAbout41373-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)765-1502 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 t 20 Storm-Water Assessment Form
Approved 20 .. � Mail to:
Disapproved alc__............
�w
Phone:
Expiration 20
t filing lnsoc for
JAN 19 2017 PPLICATION FOR BUILD PERMIT
Data , 20 Or
BUILDING G INSTRUCTIONS
TOWN OF SOUTHOLD
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
l' share of applicant or arrrc,if a corporation)
CIC 9Mtt; �iw + wi ' erw,w« aaa a
(Mailing address of applicant) 0L3Ct o
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 propose=d work will be done:
ibRE 1Z S t
House Number Street Hamlet
County Tax Map Lot Ll,`1
Subdivision Ma No.1000 Section 1 Fled Map No. Lot
2. State existing use and occupancy of premises and intend :d use and occupancy of proposed construction:
a. Existing use and occupancy Z A 4,1 FZ- A M-r C�
e
b. Intended use and occupancy >-r L>
3. Nature of work(check which applicable):New Building ..........Addition—Alteration X
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost -?,'AO;u-C, Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units W A Number of dwelling units on each floor
If garage, number of cars
6. If business,commercial or ed occupancy,specify nature and extent of each type of use. Asix, �Ot%Q
7. Dimensions of existing structures,if any:Front qqr
Rear ?'i Depth 6
Height 2&) Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear. -Depth
Height Number of Stories
9. Size of lot:Front Rear— Depth
10.Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated 1A x'11 F-V Ai-
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO
13.Will lot be re-graded?YES_NO-X-Wifl excess fill be removed from premises?YES®NOJL
14.Names of Owner of premises-1 cc,',., 04= ! w,,.„-n- d'dress f;,ICI AAioj ?Zs Phone No. C-,
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_X 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--A 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
-X—
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF 75(,EFA,,.:ik
I0"t�.El- 2'' being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S) 'q He is the a AC ................ ..................
(I
(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,tberewith.
Sworn to s fore me this jail C40.
17 day of 24 OT A 0
Z
lelo!gatotary Public Signature of Applicant
MBB
17 February 2017
Darvon Rallis
Town of Southold Building Department
Town
epa nt
Town Full
Southold, ICY 11971
Dear Mr. Rallis,
I am writing in regards to the proposed renovation of the Annex Studios on Fishers Island.This
renovation will include fire extinguishers,exit lighting,emergency lighting,and exterior exit lighting
as required by code.
Sincerely,
�s
Y�
v
Mary Burnham,AIA
Murphy um.v.Own & uTkak Aa Npecta 48 ,,VuoO Vweva
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Annex Studios
Fishers Island,NY 06390
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WINDOW SCHEDULE " 'A1'13,Ih 4th H.
N—Yon 70018
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JAMB DIMENSIONS g 1J8�1g9'1
LOCATION QUANTITY TYPEJ MANUFACTURER ;REMARKS ww bborch.c—
WIDTH HEIGHT
SOUTH ELEVATION 2 MARVIN ULTIMATE SINGLE HUNG WITH +/-39-1/2 +/-591, MATCH DIMENSIONS AND MULLION PATTERN TO -- _--
SIMULATED DIVIDED LIGHT (EXISTING WINDOWS
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F
S.
13'Is ��
0771
F Dofe Issue
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B 2016
'- 0] h r2016
29 ber 2016
07
,ber 2016
10 No ber 2016
A November 2016 Issued to Bu Idnes Depl.
NEW WOOD ADA COMPLIANT NEW WOOD STEPS
PLANTER® ACCESS RAMP
BEYOND
-301
01 ANNEX STUDIOS - EAST ELEVATION Annex Studios
South Elevation
I I 1 I I I I I f I I 1 I [ I 1 I
UGHTHOUSE WORKS...
Annex Swdics
€thew lard.NY 06390
_.... __ Murphy Burnham&B.fl,kk
Architect
+;E"'ve' '.h tre a.fr=floor
„ f - :10016
3-6 a-5518' k- '2'-2518 4 5515 �- =L r
mbb—_ h
NEW RDA-
COMPLIANT s e NEW OIL TANK EIL'_AN.^,VENT
WOOD FAV? _ i
t 17 SLOPE- REPLACE FURNACE
5 'd-; Ot FICF AND O-TANK:
_.. a MECHANICAL _
CONTRACTOR -
PLANTER BY s `' 't TO SIZE
OTHERS.N.I.C. EI tttt f
PRIME,PAINT ABC i
t EASE AT ,d
NEW RESILIENT NIEW PARTITIONS GH& ELEC.
OIL TANK.
TILE FLOORING, C. hHFOU WA-it- UNLESS {�.�} '� '
EXISTING i fX[HERNi1�L t<iCZED _
ADD ALT 3:NEW NEW WINDOWS 14 /
FLOORING TO 5 ; I 0B
WINDOW IN IN EXISTING 66
REMAIN BELOW—+� MEETING - �N i
I
SPACE
EXISTING OPENING OPENINGS ST
OR t ` ,�€iAGE
_ F � _ i
�3 t
PH
� MEGH1e HV3
PAINT EXISTING e ENTR}1GALLEiy '`_ �`� flCOMt L
EXTERIOR DN RESTRIM 2 _
[ -
PATCH PAAL ANO t
DOORS.TYP. 1NSTr LL WALL BASE AT r - FURN 1 t1� ........
NEW STAIR _ HN € �� ( EX 8I ING P'lR_IT10Ns � ,
_ AND RAILINGS' ` '� THROUGHOUT � C, - _._ - �
Aj
SEE 3/A-910 .r STUDIO 2 SINK
SLOP
STING
ro� LITILIT�' HAITCH TO
NEW CERAMIC - `-"- _ -'705)
STORAGE REMAIN - +
o T
TILE FLOORING - ,7 t
NEW FIXTURES 4 003 r STUDIO 4
WRITING WR is- t
AND ROUGHS h I00f t
STUDIO .. -
ONNEi1VPIEING i STULD102: '' I�
f C
-lass �
TYP.NEW,HOT I �TO�
REST C70Mi
AND COLD � -
WATER SGPP-v 0a
FRO'viMECH R-,�Ji. 1> v � tie-H
INSTAL.GRAS BARS � I - i STUDIO
AS REOUIREGFOP L i STUDI03ch — 7N
„DA COMPLIANCE s-s'° G-9" 6°-9` �
NEW MANUAL "^' r ......... ...._. 23
ROLLER SHADES
AT ALL WINDOWS, `
SEE SPEC. I _
}
DNILL
i PLAN LEGEND_ A- 1 01
t 1 EXISTING PARTITIONS —
J _ _... _ -.. - -� `�NEW PARTITIONS AND DOORS Annex Studios
1 N EX STUDIOS - CONSTRUCTION PI_.AN Construction Plan
ANN � � —
--- ---- IG�-ITHOUSE WORKS
Morphy Burnham&Bwi,kk
Architects
t� .vY CO 16
TI —766 76/
-_ Fc12 SAO PF
' .... LREMOVE WALL e, -- ._ ----.
BASE AT EX3STI:NG EXISTING LIGHTING R�MOVE EXI.,TING
----- WALLS.TYP. TO REMAIN CIL TANK ABATEMENT AS --REMOVE EXISTING
is
REQUIRED FURNACE
ELEC.
VISUAL ART
STUDIO
TANK
REMOVE EXISTING N
REMOVE EXISTING CABINETS [
_--_ HEATER AND CAP REMOVE EXISTING -
PLUMBING
RELOCATE EXISTING CEILING .URN'
THERMOS: .....
_
-- REMOVE DN
PALING� i ' _ ___.__ ____ _ MECH
OOH
i
�.. PIERCE
�.N RAFFERTY
r --_ -r STORAGE REMOVE
f I l
EXISTING
•`
SHOWER
RELOCATE
ti- t I I PARTITIONS TO BE _-: EXISTING
LI T = t
-- --
REMOVED SHOWN _-----------
___ _ _---------
____ __ _
5
V
THERMOSTAT I ,
" DASHED,
I
STORAGE (-(3L " FLEX
STUDIO
ZFES
—REMOVE EXISTING �—EXISTING
CEILING -------a LIGHTING
_ VISUAL TO REMAIN .�
JJRITLR ART
=ETJD.rO STUDIO
_.._ 2Q 6
REMOVE EXISTING FLOOR
REMOVE EXISTING ` c
17 20
DRAIN ANDLEVEL EXISTING SUSPENDED L. _r==- '' - REMOVE
FLOOR;ABATE EXISTING CEILING : ,, .', .``, RAILING — iv, I.
FLOOR TILES,PREPARE
SUBSTRATE FOR NEW TILE - a
NOTE:REMOVE EXISTING
_ LIGHTING AND FANS AT
— H'E'J=QVE I �',, REMOVE EXISTING CEILING UNLESS --
RP,1L[NL¢,� CEILING OTHERWISE NOTED
D- 101
f -----....
�J Annex Studios
__ Demolition Plan
-
01 ANNEX STUDIOS - DEMOLITION PLAN