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HomeMy WebLinkAbout36770-Z �SU ply.o Town of Southold Annex 11/1/2011 3o criy 54375 Main Road Southold,New York 11971 co w D" CERTIFICATE OF OCCUPANCY No: 35265 Date: 11/1/2011 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1455 New Suffolk Road, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 109,740.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/11/2011 pursuant to which Building Permit No. 36770 dated 10/21/2011 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"Alterations to an Existing Single Family Dwelling; Attached Garage Conversion to Living Space, (Bedroom&Bath), as applied for. The certificate is issued to. Beebe,William (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 1 Auto ' Si atur rsuFFot,r TOWN OF SOUTHOLD ��o� copy BUILDING DEPARTMENT y s TOWN CLERK'S OFFICE SOUTHOLD, NY „aT��zJ 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#: 36770 Date: 10/21/2011 . Permission is hereby granted to: E/O Beebe, William 1407 Middle Rd Calverton, NY 11933 To: As Built" Alterations to an Existing Single Family Dwelling; Attached Garage Conversion to Living Space, (Bedroom & Bath), as applied for. At premises located at: 1455 New Suffolk Road, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-7-10.4 Pursuant to application dated 10/11/2011 ~ and approved by the Building Inspector. To expire on 4/21/2013. Fees: CO -ALTERATION TO DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $702.40 Total: $752.40 r Building Inspector Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOIL 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.- I. 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 farm). 3, Approval of electrical installation from Board©f Fire Underwriters- 4- 'Sw.om statement from plumber certifying that the solder used-in system contains less than 2110 of 1% lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliauce-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-- I_ Accurate survey of property showing all property lutes,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 S50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory.building$50.00, Businesses$50.001 2. Eertifteate 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-,Comtr►ereial$15.00 Date. New Construction: ` Old or Pre-existing Building: (check one) Location of Property: House No. Street Ham Owner or Owners of Property:- Suffolk County Tax Map No'1000,Section , Block Lot po Subdivision Filed Map. Lot: Permit No. 3LOr� d Date of Permit. Applicant* Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for. Temporary Certificate Final Certificate: (check one) Fee Submitted: $ �� Applicant Signature 36 � � o��OF SOblyol - --- � o cOUNi'1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE l INSPECTOR l DONALD G. FEILER - ARCHITECT 11725 Main Rd•Box 1692•Mattituck,NY 11952•631.298.5453•Fax 298.1380 October 21, 2011 Mr. George Gillen Southold Town Building Department Southold Town Hall Main Road, Southold, New York Re: As Built Plans for the William Beebe Estate 1455 New Suffolk Road, Cutchogue, NY Mr. Gillen: I have investigated the existing sewage disposal system at the above mentioned project, and can verify that its capacity meets the requirements of the Suffolk County Department of Health Services for four bedrooms at the existing single famil I©u,�}R L �qJ 015 5% Do d �F iry OCT 2 1 2011 BLDG.DEPT. TOWN OF SOUTHOLD F�LELD INSPE ON REPORT DATE COMMENTS. FOUNDATION(1ST).. rr.wrrMrrrrrrFrrrTrwrrr .. rrry4 FOUNDATION(2ND) ROUGH FNCF•& PLUMBING y INSULATION PER N.Y. y STATE ENERGY CODE. lz FINAL ADDITIONAL COMMENTS . m 0 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 �„170 SurveSoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees l Flood Permit Examined ` ,20 Storm-Water Assessment Form Contact: rr Approved ( 0 I 20[ Mail to: Po aq 2_� l Disappro"� �,Alp k( (lug 1 , "f Phone: 11?_q8_ 15­6r 5 3 Expiration RE C V Building Inspector OCT 1 1 2011 PPLICATION FOR BUILDING PERMIT Date , 20 1 1 BLDG.DEPT. 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, an regulations, and to admit authorized inspectors on premises and in building for necessary inspection �sb (Signature o applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee; agent, architect, engineer, general contractor, electrician, plumber or builder -AZcHI T-E; �( Name of owner of premises t'STPrj y, DF' W I.L i o-m (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer l . . (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: I 1�5 1- A SuFfi�LA= House Number Street Hamlet County Tax Map No. 1000 Section 1 Q C( Block -1 Lot 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 5l 0(L;e, Tp�!>M 11-4> V\)E:�t N G b. Intended use and occupancy S P-711" 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work A4 � (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units l 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 l 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 I Rear Depth 10. Date of Purchase 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 A J 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO x 14. Names of Owner of premises ` >T, W WM bEAI&ddress Phone No. Name of Architect PON A-vv Address Phone No Naive of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO k * 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 A * 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 ) 000 ") 11 -� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the l 71 �__� (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 before me this ay of 20,// PATRICIA tary Public Stateate of of New York NotaryPublic Nassau/Suff4 Signature of Applicant Qualified in Nassau/Suffo Co nt' s Commission Expires B. P. . 36770 BUILDING PERMIT EXAMINER CHECKLIST "Date Submitted: )0 4-(< Date Reviewed: a Applicant: Owner Architect/Fatginrer: 1� �� Estimated Cost: SCTM# 1000 — l 6 Subdivision: Zone: L'$ Conforming? Property Address: f City: Pre COs? Building Permits (Open/Expired): BP -Z/Go Z- ,Info: BP -Z/C/o Z- ,Info: BP -Z/C/o Z- , Info: BP -Z/C/O Z- ,Info: BP -Z/Go Z- Info: Single& Se rate Search Req fired? Y o etercnination: ' SToRMW�T—r-+°`..R t4'-Q,FF: _ �1N�-Eze(a/e oN�� ' REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. A o 7a ACT: Lot,cov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQ. Height. 3 5/ ACT. Height Re Q. SoTH SI DES A C T ` Projeo Description: Waterfroutf Y or 9 If yes, water body: Panel# Hood Zone: B"ulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED QLq N S(q) SIGNED, SE/ILED '9kSuRVEY Suffolk County Health: Y or N - If yes, *Bed#: _ *Date: / / *Permit#: Town Septic: Y� - If no, certification required: Y or N Received: Y or N By: NYS DEC: PR&DEC9/1/75 Y org) Date.: / /_ Permit#: or NJ Letter- Notes: Southold Trustees: Y or Date: _/ / Permit 0: or NJ Letter=Notes: Southold ZBA: Y ore- Date: _/ /_ Permit#: -Notes: Southold Planning: Y or o bate: '/ /_ Permit#: -Notes: Town Landmark C of A: Y o�DTE: _/ / *NYS CODE.�ompliance(page 2): Y or N CaNTKA< 'o 0 E-W5t DISf1B�LITY L.I/} ILITY —Wank DNS COMA�-NS T-0 Notes: 0 IvAd - Fee Structure: Calculation: Foundation: SF �79' X $ , _$ S f "-0 First Floor: -:2,'7$ SF + Initial Fee: $ a-o 0 , O 0 Second Floor: SF +Additional Fee (_ : $ Other: SF SF X$ , =$ Total: 3 7 7- SF +Initial Fee: $ +Additional Fee ( : $ C of o FEE) � -�d� eo AS QUILT FEE TOTAL: $ 70 0'— 0 NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC'DESIGN CRITERIA: Ground Snow Load:20 Wind,Speed:,.120MPH, Seismic Design.Category:B Weathering: Severe Frost Depth: 36" Termite: M-H, Decay: S-M Design Temp: 11 Iee Shield Underlay:YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE, FULL FRAMING DESIGN ELEMENTS: YIN HEADERS: Y/N WALL STUDS: Y/N GIRDERS: YIN CEILING JOISTS: YIN FLOOR JOISTS:YIN ROOF RAFTERS: Y/N. LUMBER SPECIES AND GRADE: Y/N WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N 'NTENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N L•OCATIO.N, OF DIRE-PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N 1 CERTIFICATION: Y/N ENERGY CALCS:. Y/N (RESC'HECK) TOTAL COMPLIENCE. Y/N (RETURN TO PAGE ONE) a f n_ a)kVT=Y OF PROPERTY 3MATE: y E TO , Sy6M7y r SUFFO yyCOMM, MY a •fps .. Ardrr 2z 2011 9U"olK.W WTY YAx• S 1000-1041-I-TDA CIMMM >T ID c d` N 19xauR.iY1= Ky - Ld"d feu A@AFL®3bffi�il.H�[i�Si8t8LR'r RE C,1�euIIA OnWA sn CD lb q ti o0 1 � i err r� `p9t tFred58 LL 1 •BT` ® FtONIl�?ti F'01RdD A•��i A"a=ZSJX]3.F. d "1r TiE� A�-05- Ae4,ft JOIN C EMMS LAND SURVEYOR 6R.4PffIL SGALE I`• 3G' 6 xwr mmN rLmm 9®.'Mtl W Rom.mm '---- a14�AD.1�Y,ill �J-•�Pon3®-•8igd lam] --- -- BJCiR ai4S-T43,p® ro FJ i i � o 4---��-- a D: 3�g ° o N x m -- --- { r cn -_.......___.. N CA 0 i CP co --! -- ® fCE core 14 E D o NNS To 71AS. 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