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HomeMy WebLinkAbout37200-Z �SVFFoiAc TOWN OF SOUTHOLD `oo pay BUILDING DEPARTMENT co TOWN CLERK'S OFFICE o . SOUTHOLD, NY ti'flpl � �ao�3 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#: 37200 Date: 5/8/2012 Permission is hereby granted to: Oyster Pond Historical Society (Gary Parker) 12395 Route 25 East Marion, NY 11939 To: Demolition of an Accessory Building; 17.2 ft. X 20.3 ft. Garage, (attached to a 2 story frame Barn & Studio), as applied for. At premises located at: 12395 Main Road, East Marion SCTM #473889 Sec/Block/Lot# 31.-5-6.1 Pursuant to application dated 4/30/2012 and approved by the Building Inspector. To expire on 11/7/2013. Fees: DEMOLITION $204.70 Total: $204.70 Buil ing Inspector 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 S outholdTown.NorthFo rk.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined s ,20 Single&Separate Storm-Water Assessment Form J Contact: Approved — 120 1 Mail to: D4apprm"4-a/c Pbone:�41 7 7—f T"2 4/ Expiration — 7 ,20__�3 Building.Inspector Q v I PPLICATION FOR BUILDING PERMIT D I Date C7 , 20 APR 3 0 2012 INSTRUCTIONS 0. gjJUST be com letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of lans, accLIMIrg51u ee according to schedule. an 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. (Mignature of applicant or name, if a corp ratid on) v�Mailing address of applicant) l r2r oawe ' i 1731 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 proposed work will be done: _ / 2-`-1 1? !S- ,//yl,4/A) 20 046a' Ps- House Number Street Hamlet I County Tax Map No. 1000 Section Block 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work �p ' (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 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 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 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises 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 * 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) A 2 U ( f being duly sworn, deposes and says that(s)he is the applicant (Name of individuhl signing contract) above named, CONNIE D.BUNCH Notary Public,State of Now York 50 ( ) i,c� a- No.01 BU618k Col ift S He is the ` i (Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14,2 O/ 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 day of 20 1� Notary Public 'bnature o A plicant B, P, 4� +3 0 LL BUILDING PERMIT EXAMINER CHECKLIST Date Submitted. r 30 ate Reviewed: v ^ r f Applicant: Owner: • 154RYE a �— Y �� /V��� - Estimated Cost: SCTM# loon — 31 — 6, 1 Subdivision: Zone: Conforming? '"— Property Address: / 4 City: Pre C.Os? 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/C/o Z- Info: Single& Separate Search Required? Y or N Determination: STaRIAW T-eR;_.RtkMN Ao,FF: REQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. d o jo ACT: Lof uov. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear ' PROP. Rear REQ. Height. 5� ACT. Height R E dZ. 11oTN SI DES A C T Project Description: D - rIx 17F 011 2X C®, 3 Waterfront? Y or N? r ''`R 9�_ � �� R If yes, water body: i4anel# Flood Zone: B°uIt hen�/Bluff Distance: ADDITIONAL APPROVALS REQUIRED PLI}N 5(if) SIGNED, 5ErILED St4e, _Y OR 51rE PI-Anl Suffolk County Health: Y or N- If yes, *Bed#: _ *Date: _/_/ *.Permit#: Town Septic: Y-N - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 911i75 Y or N - Date: / /_ Permit#: or NJ Letter. — Notes: Southold Trustees: Y or N - Date: / / Permit#: or NJ Letter—Notes: Southold ZBA: Y or N - Date: / / Permit#: —Notes: Southold Planning: Y or N- Date: / /_ Permit#: —Notes: Town Landmark C of A: Y or N DTE: *NYS CODE-Compliance(page 2): Y or N CoNTK&c-r,oR ll«NSC DISABILIT_Y LIA13bt.IT RkM.-NS C0MPFWS4-rt0N Notes: � 4 Fee Structure: Calculation: Foundation: S.F '� I X $ .,3®=$ ® . 7® First Floor: SF + Initial Fee: $ 100, 00 Second Floor: SF +Additional Fee ( ): $ Other: T/ 0 Al SF SF X$ , _$ Total: 9_SF +Initial Fee: $ +Additional Fee $ A S BUILT FEE TOTAL: $ �'®Lv 70 - a NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRA-PHIC RESIGN CRITERIA: Ground Snow Load:20 Wind Speed: 12OMPH Seismic Design Category:B Weathering: Severe -Frost Depth: 36" Termite: M-H- Decay: S-M Design Temp: 11 Ice 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: YIN GIRDERS: Y/N CEILING JOISTS: YIN FLOOR JOISTS:Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: YIN WINDOW AND DOOR SCHEDULE: •MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N '\TENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: YIN MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N .ENERGY CALLS: YIN (RESCHECK) TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED OLD TOWN ZBA� SOUTHOLD NCA N NNG BOARD SO TOWN TRUST F "p °p"°. . .S.DEC _ ' EI AREA TO BE AQUIRED BY PECONIC LAND TRUST 1 POSSIWE-FERN N_ 1 FAR l � 252•g3 1 1 Z I N 11°2D'DD 66 g8 1 1 OPEN AREA = 12,600 sq. ft. 0.289 ac. / ♦ , Y APPROVED AS NOTED 1pl 7 � N ,'`` ' `` ;,,.... -" , AREA TO BE RETAINED BY-, r,' DATE B.P.# OYSTERPONDS HISTORICAL SOCIETY VOJ \ f'TOTAL LOT AREA = 182,283 sq. ft. , r;:. 4.185 ac. NOTIFY BUILDING DEPARTMENT AT z a' , ' `,\ < ` ' , 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: g 0 1. FOUNDATION-TWO REQUIRED ' 'HISTORIC PRESERVATION/ACCESSORYr , FOR POURED CONCRETE �"p STEPS STRUCTURE AREA = 69,692 sq: ft. <r` 2 ROUGH 25 7' FRAMING,PLUMBING, \\;'°� r'1\ ::' \>,' h` 1 .600 ac.,r' \ 4 .. � STRAPPING, ELECTRICAL 8 CAULKING \�p' = ' ' ♦ D DECK , { , \ r'' ; r`u {,},`,o0STEP r`` ,,. ,ram\`- 3. INSULATION i U ' ts�SIOkY IW006` \\+,r' C.1RZ, 4. FINAL-CONSTRUCTION S ELECTRICAL ; s RN_ cT'C0" ♦ '' ,r �r .,,.2• Tod' 'E.'B ,K �WOpp\5fEp5 `� .n y'' �: )' i•. ,'' '' r'N MUST BE COMPLETE POR C.O. 'FR ♦\♦rr r'` , ' '. \\\;r ALL CONSTRUCTION SHALL MEET THE "°° '> REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR r, F 'r '♦ " �—p \ , : ♦ /' \ ♦ , r ♦ , ,/ , GO WIRE DESIGN OR CONSTRUCTION ERRORS. \`1 F � � .<' <' z`<' ♦>� / F :> ° 9 ,/ \ ` j ♦ \ Wiz' /' \ I'' /' / �i ;..1� \ ' ,( ♦ r ` '' `\`. ♦{on r%. I' ♦err `.,, \,r l ,' I-, .� STOOP-rgM,•. / r I SURVEY OF PROPERTY SITUATE EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31 -05— P/0 6 w SCALE 1 "=40' AUGUST 27, 2011 OCTOBER 13, 2011 ADD AREA & EASEMENT TO PECONIC LAND TRUST i FEBRUARY 8, 2012 REVISE NOTES I i I CER TIFIED TO: OYSTERPONDS HISTORICAL SOCIETY, Inc. BRIDGE ABSTRACT, LLC BRIDGEHAMPTON NATIONAL BANK I I , FOUND M0N CONC. CXI AREA TO BE AQUIRED BY PECONIC LAND TRUST � '11.pOSSIiBLE 1 RN ES uk3 pARCE I N_ 1 FOR WESTE + 1 252.83 1 i 1 a I Z j 7 0'00" E o . N 7 .2 1 251.19' � O 66.5B' 1 1 OPEN AREA = 12,600 sq. ft. o 1 0.289 ac. Z 1IN. ; AREA TO BE RETAINED+BY . OYSTERPONDS HISTORICAL SOCIETY'` SET sTK ;'TOTAL LOT AREA , 182,283 sq. ft. /'� ) METES AND BOUNDS FOR 4.185 ac. 15' WIDE ACCESS EASEMENT N 11'34'15" W 109.71' y. i( ' f •*' ," "HISTORIC PRESERVATION/ACCESSORY \\"p06 sT®Ps\, �� `— STRUCTURE AREA = 69,692 sq. ft. © N 14'15'49" W 80.21' 1 .600 ac © N 15'58'07" W 134.89' ',' 001, 01,DECK HISTORIC PRESERVATION/ACCESSORY sTo�. ,' \ S;EP D N 13'29'00" W °,STOR1 wooa` n�\ �', ,'' STRUCTURE AREA ❑ ' 17.2• $TOR ,, Fn.\•� �� .�CONC. .\\ /. ' BAR r'` G� ,,4s '� Ln `y ' C�` \/,' ,'` � ❑E R=50.00' L=36.19' o FR STUDIO I woo, > .00 ' ' " as o'`.'r > /` ;<' 6 ❑F N 27 5903 E K 44.57' 8 /r `\ © R=35.00 L=24.83' £ ; \' , 'C+ `� E %o \r' '' / �` ` ,' ` /' `\ ' GUY W'RE �V 1 9/ ,< �o. " \>:f .,� ❑H N 12'40'00" W 129.71' �. N .`" N ❑I N 77'20'00" E 15.00' /\ ;%_-mil61 ps : J "s sE `j` ^x n S 12'40'00" E 129.71' c xm' STOOP g .� ,.yn60 STEP NOU \ °`o n H ?\ 166 , �. ,t7 ❑K R=50.00' L=35.47' O O � 15. P. 18,5• JIG `\,. ,' ,' ♦?, • ''/ E 1 1 : \ \ 5T SIOF © S 2T59'03" W 44.57' yZ f \ 1,1 \\� RAMS HOUSB\'' N `' ' O F• \ ❑M R=35.00' L=25.33' \ \ +1 �, ' sE\ c U ;` e DveR ❑N S 13'29'00" E 187.34' 0 0 / ,\ 'H�U� ,.^ w E b. b ROOF PCRCN�, \ , n �\ g9'` ' OVER2• .p.6 4 1 •6 WOOd ,\\ Y•` ,• ME:PZ�R PATIO g ❑0 S 15'S8 07 E 134.79' O � y CONC.:, S\TE © S 14'15'49" E 80.79' ✓ n ® S 11'34'15" E 114.44 1 .;` l,\ ,'" >\ , > ,' ,;' , r' ® R=1.009.00' L=15.63' D 1 \ , 1 11 1 11 ' ' I 1 1 1 1, 1 ' ' 1 11 11 1 ' I Ao 1 11 1 1 , 1 1 '1 ' 1 , '1' I \ 1 , 1 1 1 \ 1 1 1= r 1 \\ I 1 1 I 1 1\ r l 1 o , .TAN`\ ' I OPEN AREA = 99,991 sq. ft. x cr_ I 2.296 ac. \', 'A I \ x 1 ' I \A 5 -4 ' I 0 '' I P ',1 0 1'111 I O j1 1 r 11� � 1 1 1 II 1 1�1 1 � r, 1 ' II 1 II 1 1 , 1 II 1 111 , A 1 1 1 1 1 , W 11 \ 1 1 O� 60 7'65' PREPARED IN ACCORDANCE WITH THE MINIMUM I WATER STANDARDS FOR TITLE SURVEYS AS ESTABLISHED I I , FouND METER BY THE L.I.A.L.S. AND APPROVED AND ADOPTED WATER CONC. MON FOR SUCH USE BY THE NEW YORK STATE LAND METER _ TITLE ASSOC ,!I _ _ _ —.�UTILITY POLE LIL 115�~�-— �—'"'-' � _ f POLEYUL117 ASPHALT 00 ,_�`— — CONC. SIOEWIALK =^ZZ•�� (�� 1 p,FT�• ��� APRON R-1 009. ' OVERHEAD jVRES ~'—UTilltt POLE LIL 118 2JJ R EDGE OF ASPHALT PAVEMENT / \1• vM-+ s'i MAIN ROAD k ..j (N. Y.S. Rte. 25) L4NID5�5 N.Y.S. Lic. No. 50467 t I UNAUTHORIZED ALTERATION TI ADDITION Nathan Taft Corwin TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Land Surveyor COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. I Successor To: Stanley J. Isaksen, Jr. L.S. 4 CERTIFICATIONS INDICATED HEREON SHALL RUN Y , ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE t TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES of THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED.