HomeMy WebLinkAbout42747-Z pp\p$u FF 0(,��oG Town of Southold 6/25/2018
y� P.O.Box 1179
0
d' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39728 Date: 6/25/2018
THIS CERTIFIES that the building WINDOWS
Location of Property: 54655 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 61.-2-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/23/2018 pursuant to which Building Permit No. 42747 dated 6/4/2018
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:
"AS BUILT"WINDOW REPLACEMENT TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR
The certificate is issued to First Southold Co
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
\1\4L
0 (7rrignature
o�SUF taco TOWN OF SOUTHOLD
�� oy BUILDING DEPARTMENT
N i TOWN CLERK'S OFFICE
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#: 42747 Date: 6/4/2018
Permission is hereby granted to:
First Southold Co
Route 25
PO BOX 1468
Southold, NY 11971
To: legalize "as built" windows to existing commercial building as applied for.
At premises located at:
54655 Route 25, Southold
SCTM #473889
Sec/Block/Lot# 61.-2-14
Pursuant to application dated 5/23/2018 and approved by the Building Inspector.
To expire on 12/4/2019.
Fees:
AS BUILT-COMMERCIAL ADDITIONS/ALTERATIONS $500.00
CO -COMMERCIAL $50.00
Total: $550.00
Building Inspector
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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. Mml
New Construction: Old or Pre-existing Building: (check one)
Location of Property: S h(.S S 1�t G. 2<'
House No. Street Hamlet
Owner or Owners of Property: ��►►l:" C.
Suffolk County Tax Map No 1000, Section 6 1 Block Lot
Subdivision Filed Map. Lot:
Permit No. _�—qT Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ( eck one)
Fee Submitted: $ V
Applicant Signature
SO//1��
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] NSULATION 6W)
�om
[ ] FRAMING /STRAPPING [ FINAL /�C
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE g INSPECTORY&
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
y
------------------------------------
'FOUNDATION (2ND)
O
ROUGH FRAMING&
PLUMBING
• n, B
1
i
INSULATION PER N.Y. y
STATE ENERGY CODE
PtW -W
FINAL
ADDITIONAL COMMENTS
/,2747o
' z
� rn
Wiz°
d
b
H
2. State existing,use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Oflc,C4
b. Intended use and occupancy Cl�,c«z. �,s,v,,•6
3. Nature of work (check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work '•CZ-.nLftw� �>��
(Description)
4. Estimated Cost Fee
(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 4-6 Rear 40 Depth
Height 25 f ..Number of Stories z
Dimensions of same structure with alterations or additions: Front 4•0 Rear 4'
Depth sev Height 2S Number of Stories z
8. Dimensions of entire new construction: Front_____________ Rear Depth
Height Number of S•torios'• ."
9. Size of lot: Front____________._ Rear Depth
10. Date of Purchase �g�� 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 NO x
13. Will lot be re-graded? YES NO X Will excess fill be.removed-from premises? YES NO
14. Names of Owner of premises -.5r%iLCA So 6I Q, Address Phone No.
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 X
* 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 x
� ��
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
ra
` ti f� \ laic_{ /
16. Provide survey, to scale, with accurate foundation plan and distances to pro pr lines. i
17. If elevation at-any-point on property is at 10 feet or below,must provide topographical data on survey.
® .T
18. Are there any covenants and-restrictions with respect to this property? * YES G.1011 0;1� uz t311
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF S•�F�o`K )
being duly sworn,deposes and says that(s)he is the-applicant
(Name of individual signing contract)above named,
(S)He is the arc,
(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
0' da Of �"\''`� 20 ,so--�na� e�eti►s �Srcacfr e�p(
cam-,•T41%Q4q k'*611W
Notary Public Signature of Applicant
COW*=@F SOUTHOLD BUILDING PERMIT APPLICATZQ,N CHECKLIST
3UILDING DERARTMENT Do you have or need the following,before applying?
GOWN HALL Board of Health
iOUTHOLD, NY 11971 - 4 sets of Building Plans
CEL: (631) 765-1802 Planning Board approval
T AX: (631) 765-9502 2 Survey
q--�
�outholcltownny.gov PERMIT NO._ -A 17 Z. Check
Septic Form
N.Y.S.D.E.C.-
Trustees
C.O.Application
Flood Permit
Sxamined „20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
kpproved6- 14 ,20_ Mail'to-.
disapproved a/c
Phone: k-4%6) no-t—
,xpiration ,20
:ff
B g Inspector
APPLICATION FOR BUILDING PERMIT
•
INSTRUCTIONS Date -, 20
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
;ets 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
;hall be kept on the premises available for inspection throughouf 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
ssues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
ssuance or has not been completed:within 18 months from such date.If no'zoning amendments or other regulations affecting the
)roperty have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months. Thereafter, anew permit shall be required. ..
APPLICATION IS HEREBY MAbE to the,,Buijding Department for the issuance cif a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk County,New York, and other applicable Laws,Ordinances or
Zegulations d additions,or alterations or for removal or,demolition as herein described.The
applicant ag es ic 1 aws, ordinances,building code,•housing•code, and regulations, and to admit
authorized h i ctors on premises and in ng for necessary inspections.
MAY 232018
(Signature of applicant or name,if a corporation)
TOWN OF SOUTHOLD o• o� �►� �a�rC•�►c�� , t,`�
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax loll-or latest deed)
If applicant iorati ature of duly authorized officer
5F¢ca.-c oQ-�
(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 proposed work will be done:
j4 &AA
House Number Street Hamlet
County Tax Map No. 1000 Section C 1 Block Lot \4
T77 WW 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,ofBuilding Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 � gur<,
f-� ey
South oldtownny.gov PERMIT NO. �C LCheck
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c
14 or Phone: k-4%6) n*-%_ S is
Expiration ,20JI
B g Inspector
APPLICATION FOR BUILDING PERMIT
,
INSTRUCTIONS Date 20
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•131ii1ding 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 d additions,or alterations or for removal or demolition as herein described. The
Mwi al aapplicant ag ei 1 aws,ordinances,building code,housing,code, and regulations, and to admit
authorized ii ill ors on premises and in ng for necessary inspections.
MAY 2 3 2018
Jr
(Signature of applicant or name,if a corporation)
TOWN OF SOUTHOLD �p• o \4!<,IJ' a,st����,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises �-m!s5 c�otr vAoL-3. Co
(As on the tax roll or latest deed)
If applicant i orati ature of duly authorized officer
s� 44A
(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 proposed work will be done:
546ss KAq,,, 20po--, �Jacfl�o��
House Number Street Hamlet
County Tax Map No. 1000 Section ti Block Lot i 4
Subdivision rhea Map NO. Lot
I
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 0%y,,c<-
b. Intended use and occupancy C� s�� c,vFv6
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work rCZEo 1*�, y-r,,,1 3 t4j
(Description)
4. Estimated Cost Fee
(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 4,0 Rear 4 C Depth '
Height Z's t Number of Stories �-
Dimensions of same structure with alterations or additions: Front Rear 4-
Depth 1�eo Height `LS ` Number of Stories z
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Sforios'
9. Size of lot: Front Rear Depth
10. Date of Purchase i311$ 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 NO X
13. Will lot be re-graded? YES NO X Will excess fill be.removedfrom premises? YES NO )(
14. Names of Owner of premisesAddress Phone No.
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
* IF YES, SOUTHOLD TOWN TRUSTEES'&D.E.G. 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 .::N®;wti ;
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF
�,o ��"►� being duly sworn, deposes-and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is theSS.LG2r._r4_0�_A a-C 'Y�_I Zs-s �0_11 V-L4—
(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 A
da of k AA 20
Notary Public Signature of Applicant
APPROVE'OAS NOT D
DATE: 7
RETAIN STORM WATER RUNOFF
,F.EE: gy; PURSUANT TO CHAPTER 236
NOTIFYz,-BUILDING DEPARTMENT AT OF THE TOWN CODE.
.765=f,802 , 8 AM TO 4 PM FOR THE
'FOLLOWING'INSPECTIONS:
°1:'FOUNDATION - TAlO REQUIRED
,FOR POURED CONCRETE
2., ROUGH =FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET 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
0 TOWN -
UIR OARD
S8i�01i�I�fiRtl�EES
. .DEC
OCCUPANCY OR'
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
morraRMT Mn aftyj
MAY-23-281e M09 From: 631924ING To:i6312S46662 PagelPi
Date: May 23,2018 D VIS
customer. Twits Pero
D
0 BuitdirlgEnveEope" Project: NIA MAY 2 3 2018
Location: N/A
Glass Type: GL-3 ;3`
TOWN OF SOUTHOLD
MONOUMMC GLASS PERFOMA=26TA
DD# Ntm
Lite: 5011 3116"Clear a
Nominal Thickness: 0.184 Inches f
Perfmmancc_ COG RcsniteoWits
Transmittance
Visible bight 89 %
Solar Energy 79 %
Ultraviolet 69 %
Reflectance
Visible Light(Exterior) 9 %
Visible Light(Interior) 9 %
Solar Energy(Exterlor) 7 %
Thermal
Winter Nighttime:
WactortU-Value 1.03 Btu/ltr-ft`-"F
Sttmmer Puylima.
t)•lzhotodu-Vaiva 0.93 8tu/hr-f't`V
Shading Coefficient(SC) 0.96 -
Solar Heat Bain Coefficient(SHOC) 0.83 -
Relative Heat Clain 204 Btt:lhr-fe
Light to Solar Gain 1.07 -
eVerticttliy Gleed(eater Of GIM(CLOG)RUUI 9 Caltwlated 1181ng LBNfL Wlndow 6.3 Software.
Notes: a)NFRC certified spectral data(He
b)Data generated by Oldcastle BuildingEaveloptM
c)Average solar data
d)Simulated With 1.11N1.Optics 6.0
e)Vendor supplled spectral dura file
f)Please reference ASTM C 1036 and C 1172 for allowabble glass thickness variations