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Home My WebLink About42708-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 f rj Y') l '�"iJ 4 se of Building Plans TEL: (631)765-1802 > Planning Board approval FAX: (631)765-9502 ,�� .� � ey Southoldtownny.gov PERMIT NO. GhzcL Smarm, . .E.C.. C.O. Ap cation Examined®, 26 ermit 3i VU-&Separate Tftfssfdetrtifieation.Form er Assessment Form ( Contact: Approved 20 Mail to: Disapproved a/c Phone: 1,- Exp Building Inspector APPLICATION FOR BUILDING PERMIT TOWN OF SO OLD 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 shal I be kept on the premises available for inspection throughbut 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. gna e of applica?3t,� me,if a corporation) (Mailing address of State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises L-IJP-W r C."G c, k-A-01'—G?k d (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( ch proposed will bo e: f 1 - )�C e.-,n,C- j-�3-t!/-.:n- tom. House Number Street Hamlet County Tax Map No. 1000 Section Block Lot 0 U UULLtY 1JLV11 .�uvm�.awr a w. W-.�- 2. State existing use and occupancy of promises and intended use and occupancy of roposed construction: a. Existing use and occupancy ;s I r�- t .a^�c e- b. Intended use and occupancy S ,� (�d•/ c 3. Nature of 7k(check which applicable):New Building Addition Alteration Repair `� Removal. Demolition Cher Work r Q A (Description) Estimated Cost Fee _ (Tp be paid on filing this application) 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. IVA Dimensions otexisting st ctures,if any:Front Z,' Rear 2 Depth g r Height - '� ..Number of Stories e, Dimensions of same n� r additions: F 1141 Numberr of S deal � i Depth ructureHeightlteratoo torics `8� Dimensions of e tit Jew construction:Front Ream J De th "' Height Number of Stories' Size of lot: Front _RearS 7' Depth Date of Purchase Name of Former Owner / tel ` Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NOX- 13.Will lot be re-graded?YES NO'-XWill excess fill be,removed.from premises?YES NO r 14.Names of Owner of prermses tA�t Address Phone No. Name of Architect Pt^Sr Address :l Name of Contractor Addressi°k Phone No. 1,(14G 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO X *IF YES,SOUTHOLD TOWN TRUSTEES'&D.E.C°PERMITS MAYBE REQUIRED. b.Is this property within 300 feet of a nidal wetland?*YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. i' 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. JOHN MICHA-LBRACCIO[IETA STATE OF.NEW YORK) - NOTARY PUBLIC,STATE OF NEW YORK SS: No.01 BR6372104 COUNTY OF S-fM& Qualified in Suffolk County -) Commission Expires March 12,201)- Su� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the f�r Ch\"--``� (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. Sworn to before me this \St�' day of MAY 20 l Notary Public Signature of Applicant 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 1-1ealth 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 oi-engineer responsible for the building. 6. Subn'iit 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 anduriusual natural or topographic features. ct signed by the applicant.If a Certificate of occupancy is 2. A properly completed application and consent to inspe 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- $100-00 3. Copy of Certificate of occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date.New Construction: Old or Pre-existing Building: (check one) r;z 'Pe e-xje r\ I C L Location of Property: 140 House No. Street Hamlet Pew r C—c Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant:— Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Teiriporary Certificate Final Certificate: X (check one) Fee Submitted:$ ell" 'f 4 Applicant Signature s � r'f Suffolk Count th N 1. Area= 30 �I 2. N.G.VD, tf n4 °,tea 3. el.= Existir \ \ a� \ s 1 M1+ a w, w �� +pNtP Y t+ 4 yf.t&.M1 c g 2x \ a; SURV1 zt, ir'`� ti _ rte` � __ _ WE HEREBY CI �r., T ✓,r/* s 4, yD�`h � THAT THIS SU WITH THE COD ADOPTED By _ J — ,- LAND S � URVEYc 'f — "y r PR Steven James Kramer .`: Licensed Professional Engineer May 7 2018 Town of Southold Building Department Town Hall Southold, N.Y.11971 Attn: Mike Verity Re: Holfelder Residence, 6340 Peconic Bay Blvd, Laurel, N.Y. Building Permit Dear Sir: I am writing you regarding our recent notification that a building permit is required for the rehabilitation of my family's summer home, located at the above address. This structure was in my wife's family since the 1930's. The main structure, located on the north side measures about 1120 square feet. The porch area, located on the south side, closest to the bay measures about 270 square feet. This structure will not be touched at this time. The first floor contains two bedrooms, a bathroom and a kitchen. The second floor of the home is a bedroom. I have questioned builders and contractors about whether or not a permit was required for this project and the general consensus was that as long as we kept to the original footprint, one was not necessary In late April, we began the demolition of the exterior siding and windows. Once we got into the project we found that the wiring, throughout the house was crusty old BX cable. Accordingly we were forced to remove drywall from the interior walls. As a result of this process it was noted that there was no insulation present. 116 Shore Road West • Mt. Sinai, New Yorks 11766 • (631) 473-2430 sjk2pe@optonline.net Page 2 It is our belief that this home is a kit structure in that all of the interior walls were factory made. Drywall could not be removed without taking the entire wall down. Once we began the demolition process, it became apparent that none of the interior surfaces were worth saving. The year before last, the home was rented to an individual for a short term and this individual trashed the place. They turned out to be a deadbeats and were subsequently evicted after a lengthy process. They left the place in despicable condition to include puppy urine and feces throughout the home resulting in a malodorous condition. I wanted to familiarize you with the scope of this renovation so we might provide you with the proper applications and obtain all permits required for this process. It appears that the job has turned out to be considerably more that we anticipated. Be assured that all of the subs on the job will be licensed and insured and all required documents will be obtained including gas testing and electrical inspection. She of Fork. Exterior Siding: Remove all original exterior siding and repair wood rotten where necessary House Wrap: install Tyvek house rap on all siding surfaces Windows: remove all existing windows and replace with Andersen 400 ;series units with Low E certification. (see schedule) Siding: Install Red Cedar R&R Shingle Trim: Replace all exterior trim, where needed with Versa-Tech material. Page 3 Sco e Continued: Insulation: Walls are 2 x 4", Ceiling is 2 x 6". I will seek to provide the maximum R Factor available for installation. Kitchen Cabinets/tops: to be replaced Bathroom: All fixtures will be replaced.. Windstorm Hardware by Simpson: Effort will be made to install wind resistant hardware to include strapping, hurricane clips and Joist Hangers where accessible. flousehold Systems: Electrical Wiring: All wiring will be replaced by a licensed electrician. An independent inspection will occur and documentation will be obtained. Gas Lines: an inspection of the interior gas distribution system notes that the piping is corroded and should be replace. Proof of replacement and pressure testing will be obtained. If you require any additional information, please contact me at (631) 473-7307. Sincerely Steven Kramer, P.E. Window/ Door Schedule; Bedrooms: Install. Andersen 400 series/ Tilt Wash Low E Glazing, model #TW3046/ Access Egress (Total 5 Units) > 5,7 square feet// sash Kitchen: Install (2) 400 series awning window, Low E/ model AW 31 Bathroom: ( 1) 400 series awning window, low E glass Living Room/ kitchen ( 2 ) 400 series Patio Doors, low E glass 5.0' x 6'8" 0 141 K i"S wX V Lo m Wird Resistant Hardware ** Note: an attempt has been made to install all connectors to provide a continuous path where possible. The following describes the materials used to achieve this keeping in mind that the structure is 80 years old. All hardware will be manufactured by Simpson Strong Tie. Basement Girder to joist connection: H8 1st floor Flush Header/ ceiling joist LUS Exterior Strapping • 1st floor Sill to sidewall framing • Sidewall framing (1st floors) to sidewall Framing (2nd ....�� floor) Bridge 2nd floor joist box a See below: H FJ; A S I t INS lot- ff r <4 �J� fl r1 c") m Z D � X r � C P: > m "g zioCD o ren Q ..... 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