HomeMy WebLinkAbout42693-Z �o�SUFF�t,fCO Town of Southold 6/7/2018
P.O.Box 1179
92 53095 Main Rd
o�Ao�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39664 Date: 5/25/2018
THIS CERTIFIES that the building ALTERATION
Location of Property: 475 Youngs Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 61.-4-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/17/2018 pursuant to which Building Permit No. 42693 dated 5/17/2018
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:
repairs to an existing three family dwelling as applied for.
The certificate is issued to Horton Charles House LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A t ed Signature
S11fF0(,Yc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N TOWN CLERK'S OFFICE
oy • o� 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#: 42693 Date: 5/17/2018
Permission is hereby granted to:
Horton Charles House LLC
7160 Horton's Ln
Southold, NY 11971
To: Repair first floor framing to existing three family dwelling as applied for.
Replaces BP# 40325.
At premises located at:
475 Youngs Ave., Southold
SCTM # 473889
Sec/Block/Lot# 61.-4-28
Pursuant to application dated 5/17/2018 and approved by the Building Inspector.
To expire on 11/16/2019.
Fees:
PERMIT RENEWAL $100.00
Total: $100.00
�_ nspector
SSU k� TOWN OF SOUTHOLD
moo pay BUILDING DEPARTMENT
co _ ' TOWN CLERK'S OFFICE
oy SOUTHOLD, NY
dol � Sao
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#: 40325 Date: 12/4/2015
Permission is hereby granted to:
Horton Charles House LLC
7160 Horton's Ln
Southold, NY 11971
To: Repair first floor framing to existing single-family dwelling as applied for.
At premises located at:
475 Youngs Ave, Southold
SCTM # 473889
Sec/Block/Lot# 61.4-28
Pursuant to application dated 11/30/2015 and approved by the Building Inspector.
To expire on 6/4/2017.
Fees:
CO -ALTERATION TO DWELLING $50.00
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
Total: $250.00
Bui spector
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- $100.00
- -3: -C6-0y of Ceftificate-of Odcuparicy-$:25- - - - -- - - - - -- -- — --- - - -
4. Updated Certificate of Occupancy- $50.00
S. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date.
New Construction: OId or Pre-existing Building: `� (check one) '
i
Location of Property:
House o. Street Ha 1
Owner or Owners of Property:
Suffolk County Tax Map No 1000,Section _0 Block 0�j Lot
Subdivision Filed Map Lot:
Permit No. qD b/ Date of Permit. Applican / J
LU
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: 0-0
*pant ignature
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Qf sol/p,
TOWN OF'SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] IOSULATION
[ ] FRAMING /STRAPPING [ FINAL JQQ�R7�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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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) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined_ Single&Separate
Storm-Water Assessment Form
2 Contact:
Approved O\ ,20 L5 Mail tocll�lhvlkl
o/ \ 6
Disapproved a/c (7
Phone:
Expiration ,20 T b
Buildi Inspect r'
\1"r- i` 11CP, LICATION FOR BUILDING PERMIT
D F'
Date 2�1,6r 15 20
(11. NOV 6 0 2015
�, INSTRUCTIONS
l �
a. T is application MUST be lomplkely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of Tans, accura I; o,p,an to scale. Fe according to schedule.
b. Plot plan„shoWhii 11 cation of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and-waterways.
c. The work coveted 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 inspectionsC101', N
9
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MTnatVe of pplFeaJ or name,if a corpora' n)
''vv ee uu ••� � e � �LI�Ct.Vll�t t1�6
0�� 5 4 Q J( kq
(Mailing address of applicant) 19�?�
`
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
ow 6G
t
Name of ow of premises ( (,
(As on the tax roll or latest de d) /
If apo'i a oration, signat of duly authorized officer
a title of corporate officer)
Builders L e se No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done-
House Numbek Street Hamlet,_
County Tax Map No. 1000 Section _Block r, �,_;;; ,�;: Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended u and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of workc ick which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units 3 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 Depth
Height 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 'L't3 A S 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 Nor-
13. Will lot be re-graded? YES NOY Will excess fillbe
Abe removed yfrom premises? YES NO
14.Names of Owner of premis I � � dr�e s 1 l0 hone No. 249 —0JLf.-5
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 NO
'r
* 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.
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(C—
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
'��A1 being duly sworn, deposes and says that(s)he is the applicant
(Name of' i idual signing contract) above named,
(S)He is the cOmri� Mr
(Contra t r,)Cgent, 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 thi
�b day of Y joer:� _20�
tV p jj-d. OUVI I TRACEY L. DWYER
NotaVublidNOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2�jk
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DUG FIR #1 STAGGERED
EXISTING W/BUTTS AT COLUMN EXISTING 3X8
FOUNDATION SUPPORTS JOISTS @ 27"O.C.
WALL TO REMAIN
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51 '-0"
NEW 4" LOLY COLUMN
@ 8Ft. O.C. TYPICAL -
1 st FLOOR FRAMING REPAIR PLAN
Scale: 1 /8"=l '—O"
1 st. FLOOR ARC
JOISTS TO N�
REMAINCo
BAY
(2) 3X12 GIRDER
LAG SCREWED
TOGETHER lb �O
/ @ 2'0 0.C. ST 01701
"�TE OF �
6"X6"Xi" STEEL
PLATE AT TOP
Lu AND BOTTOM
4" STEEL LOLY RESIDENCE:
> 2'-0" COLUMN 475 YOUNG'S AVENUE
CONCRETE SOUTHOLD, NY 11971
FOOTING OVER
� VIRGIN SOIL
00
(4) #5 BARS M LADEN BAY R. A.
STEEL COLUMN DETAIL 475 HILL ROAD
Scale: 3/4"= 1 '-0" SOUTHOLD, NY 11971
_ R
AMI VED AS NOTED
DATE: 57Lp.4 Q
FEE: bBY:
NOTIFY BUILDING DEPARTMAT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED RETAIN STORM WATER RUNOFF
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING PURSUANT TO CHAPTER 236
3. INSULATION OF THE TOWN CODE.
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL BEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
I
e
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY t