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HomeMy WebLinkAbout37202-Z g�FFQt,�c Town of Southold Annex 8/1/2012 �4� aGy P.O.Box 1179 � 54375 Main Road oy • �� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35853 Date: 8/1/2012 THIS CERTIFIES that the building ALTERATION Location of Property: 560 Village Ln, Orient, SCTM#: 473889 Sec/Block/Lot: 25.4-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this offiiced dated 5/9/2012 pursuant to which Building Permit No. 37202 dated 5/9/2012 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: 7 windows replaced in an existing one family dwelling as applied for. The certificate is issued to McIntosh,Madeline&Pavone, Christopher (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth .d Si ture -" TOWN OF SOUTHOLD FFBI/(Col. BUILDING DEPARTMENT 2 ' TOWN CLERK'S OFFICE "o . -W. 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#: 37202 Date: 5/9/2012 Permission is hereby granted to: McIntosh, Madeline & Pavone, Christopher 42 W 9th St New York, NY 10011 To: replace windows (seven) per Landmark Pres. Commission as applied for At premises located at: 560 Village Ln SCTM # 473889 Sec/Block/Lot# 25.-1-11 Pursuant to application dated 5/9/2012 and approved by the Building Inspector. To expire on 11/8/2013. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 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 fi-om 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. New Construction: Old or Pre-existing Building: v (check one) Location of Property: jv House No. Street Hamlet Owner or Owners of Property: rY\1_-_-jT>St-1 Wv, eL 1,4 1® Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. �)l Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ A plicant 37 2- oz,, OF SOUTyo! - -- - 0 ��y�OUMY,N� TOWN OF SOUTHOLD BUILDING DEPT, 7654 802 INSPECTION - .- I FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) . REMARKS: DATE a'� 2' INSPECTOR FIELD 1NSPEC=QN REPORT DATE CO1VIlI�NTS w rOUNDA 'IOl+d(1ST) FOUNDATION(ZND) BOUGH MR . Q& y PLUMBING INSUL•ATION PER N.Y. H STATE ENERGY CODE 4 FINAL Jul ADDITIONAL COMMENTS r' a- 0 P � rn Q � i 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. 9 7,)0__ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application ` Flood Permit Examined "5 120 Single&Separate Storm-Water Assessment Form Contact: Approved V C ,20 Mail to: Disapproved a/c Phone: Expiration ,20 �_3 En -'Building Inspector APPLICATION FOR BUILDING PERMIT Date � — , 20 i'L 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 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, ho .ng code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. s r u le►N C Y OR (S gnature of app t or name, if a corporation) SP UNLAWFUL G E RTC p i- (Mailing addgress of applicant) State whether applicant is owner, less' e,lagent ar`cl,tect;ueiigineer, general cont3ractor," Iec ricia NOTED pllum�b��e,,r n�or builder DA;t /� B.P # 00. FEE BY Name of owner of premises 'Mfl-010—_ %\AJ NOTIFY BUILDING DEPARTMENT AT (As on the tax roll or Al INSPECTIONS: - '• - If applican co r 'o signature f duly authorized officer + FOUNDATION-T1MO REQUIRED FOR POURED.CONCRETE l (N e and title f Aorporate officer) !..-.--ROUGH-FRAMINGfPLUMBING, l Builders License No. 3 2.'�15 i-A C.l 3LPP AOECTRICAL CAULKI NG Plumbers License No. 4. FINAL-CONSTRUCTION 8i ELECTRICAL Electricians License No. MUST BE COMPLETE FOR C.O. Other Trade's License No. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of land on which proposed work will be done: YORK STATE. NOT RESPONSIBLE FOR CONSTRUCTION ERRORS. House Number ; Street . Hamlet County Tax Map No. L000 Section 7_S 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 occupancy1o�M b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work '`t cv evj f)0 Description) 4. Estimated Cost 'k ("-ub© al� 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 t 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 � 0 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 1/ * 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) p SS: COUNTY OFJ 44.. ,f a . I'� •' s•fry ' 0 h `A"I(Ir,�w•�:1 ;�.._,i,'J.. : being duly sworn, deposes and says that(s)he is the applicant (Name of iridttitlu l s�pglnn�g� cri3tr� t)_;ali ve named, - (S)He is the (Conntractor Agent, Corporate Officer, etc.) of said owner or owners,,andiis.�dulytauthorized to perform or have performed the said work and to make and file this application; that all statements;contained.ji),�his;applicatioi are true to the best of his knowledge and belief; and that the work will be performed in the imaringn$etforXJ1 in;tlre,appl cation filed therewitkVENDY L KUKLA ;" :"„ :-•� '{ '" NOTARY PUBLIC-STATE OF NEW YORK , Sworn�to fore rri'e tHisi No. 01 KU6176871 Uwe day of 20 1 d- - Qualified In Suffol my tc My Commission Expires r 05, 2 1 4- Nota ublic Signature of Ap li ant i are, Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form I. GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Agent-Consultant Contractor r Other (Circle One) Property OWNER:(If Different than Applicant) t`Z� ph_ e,c,LG,394&.tWt 'rNoNM Motit.� tJ MA Gt—t113C �Ackt, ';14 Addres a � (o M dLL J3 �fY Iv j. t t q Addre :A ,_ p. t,* �7r. Ak 2 '. r ^ 1�� Tel ne#• Z , Fax#: Z 7 Tel otnq tJ�.� `Q Fax#: E-Mail:�r\tt\C ��p - E-Mail: Property ddrWess: ` C �W�w��� Brief Description of Construction Activity,Proposed Structural BMPs,Soil S.C.T.M.#:lam Stabalization BMPs,Project Scope and/or Sequence of Construction Activity 1000 � �_ �- (Provide Additional Pages as Needed) District Section Block Lot - Name of Contr ctor and/or Contact Person Responsible for Implementation of SWPPP: __ ____ Address: - £ �5 ��N�_ -u ------�S _ i Telephone#: Fax#: ---_.„_____________,_________..________________ I E-Mail: -------------------------------------------- Name of Pers ns R ponsible for Installation&Maintenance of Erosion Control Practice: ________ ______.»______ _—___.._____.._________ i Address: Telephone#: Fax#: E-Mail: -------------------------------------------- I Total Area of All Total Area of LandCleafing ~_ _____________µ________________.__ ______ Project Parcels: and/or Ground Disturbance: ___»_____. _ _ _ ____ _ __ ___ ____ (S.F.I Acres) (S.F.I Acres) Project Duration: Start End .-----____,.._____......,_.....__„_--_____...__.._________ j (Anticipated) Date: Date: (Number of Calendar Days) I ______..__w._____—_w___Mv___..________________.- Will this Project Disturbe five(5)or More Acres at 1 Any One Time During the Proposed Development? Yes No ----------------------------------•---------- If YES:Please Answer the Followingl .._____.,_..._______, _ .__,..____.._ .___________ ___ I a. Does the Applicant have a Qualified Inspector On Q Etw I Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP Indicate How Frequently the Site O List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes `No c. Does the SWPPP Adequately Identify All Temporary Q and/or Permanent Soil Stabalization Measures 7 Yes No i d. Does the SWPPP Adequately Identify a Complete Q ........._.._......................._.............I.........._....._........................._........................................_............................_.... I Project Phasing Plan? Yes No Status of Impacted Waterbody:leg.TMDL,303(d)Listed,Impaired...) e. Does the SWPPP Indicate Additional Site Specific Q Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice Type of Impacted Waterbody:(eg.Lake,Creek,Bay,Pond,Sound,'Freshwater Wetland...) Of Intent and SWPPP Acceptance Form for Review Q by the Town of Southold? Yes No ..........................................................................................................._.................... STA1'F.OF NF.W YORK, COUNTY OAFg. .............................SS That I, ?�'� N�jl�'�'(Cr � ..............being duly sworn,deposes and says that he/she is the applicant for Permit, .................0 (Name of individual signing Document) � And that he/she is the ................ FZ............................. - . .. .. .. . (Owne Contract ,Agent,Corporate Officer,etc.)• Owner and/or representative of the Owner or Owners, n 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 herewith Sworn to befo a me this; .................. ................. .........d y of........ ..... . .......... ...... 0.�.Y l U J NotaryPublic: ..... ..................:.... .. v..:.i�.....-.................... ............. ... .............. ...�44 ................................. NOTARY UBUGSIiI�iAOE�}P ll()r'YORK j SWPPP Assessment FORM: 03-12 0, 01 KU6176071 Qualified In Suffolk County My commiselon Expires November 05, 2015 pt SOU��o Telephone (631)765-1802 ,`O l0 Town Hall,53095 Route 25 Fax (631)765-9502 [ l�[ P.O.Box 1179 Southold,New York 1 1 97 1-0959 �yCOUNT� SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION ADMINISTRATIVE PERMIT Applicant: Madeline McIntosh Date of Receipt of Application: March 28, 2012 SCTM#: 1000-25.4-11 Project Location: 560 Village Lane, Orient,NY Date of Resolution/Issuance: April 20, 2012 Reviewed by: Commission Project Description: Per scope of work, replace existing cedar shingles with Maibec, double dipped R&R cedar shingles,replace existing clapboard siding in grey, and match existing shingle patterns. Replace all fascia, freeze boards, rake boards and crown moldings with Versatex, PVC boards, matching the look of the original style. Replace existing entrance platforms with mahogany decking and railings. Replace seven first floor windows with Anderson Woodright custom windows to match existing. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 170 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as described in the application received on March 28, 2012. Special Conditions: No additional work permitted beyond the scope of that outlined in the above referenced application. If the proposed activities do not meet the requirements-for issuance of an Administrative Permit set forth in the Southold Town Code, a Certificate of Appropriateness will be required. This is not a determination from any other agency. Damon Rallis w Administrative Assistant Landmarks Preservation Commission Madeline McIntosh 560 Village Lane Orient,NY 11957 347-277-8439 Mailing address:42 Arest 901 St,#21,New York 10011 Town of Southold To whom it may concern: I have authorized Tom Mulligan of RW Mulligan Co., Inc. to sign and submit on my behalf a Certificate of Appropriateness Application to the Town of Southold. This will relate to restoration work required on the exterior of my house at the above address in Orient. Sincerely, �-z Madeline McIntosh 3 H R R. W. MULLIGAN CO., INC. Madeline McIntosh Residence 560 Village Lane Orient NY SCOPE OF WORK CEDAR SIDING At present the house has wood clapboard siding on the first floor, and cedar shingles on the second.We will be installing Maibec, doubled dipped R&R cedar shingles ,and clapboard siding in grey.At present the house is white.The existing second floor cedar shingles include some octagon"fancy cuts"creating a unique pattern.We plan on matching that pattern when we install the new shingles. TRIM .All fascia, freeze boards,rake boards and crown moldings will be replaced.using Versatex,PVC boards. We will match the look of the original style as close as possible. The seven new windows will have trim made from Versatex PVC boards but will be duplicated to match the other windows. The front porch area includes some very detailed trim work which will not be replaced but painted. There are two small entrance platforms with railings.Both vvill be replaced using mahogany decking and railings. There will be no change in size. The front porch area will be left as it is and painted. WINDOWS There are about 25 windows. The majority of the windows are to be re-glazed.There are, however, seven windows on the first floor(living mom/den area)that are beyond repair. Those will be replaced with Anderson Woodrite custom size replacement windows. They will have permanently applied inside and outside grilles to match the existing windows. Interior trim will be fabricated to match the existing trim. Tel:(631)727-7555 246 W. Main St. • Riverhead, NY 11901 Fax:(631)727-7997 Z-d L66/1zC�£9 ue6ipnW M�j