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HomeMy WebLinkAbout37377-Z & 37378-Z So pF t � Town of Southold Annex 8/14/2012 �oZ� aGy P.O.Box 1179 CM � 54375 Main Road oy� �gri�4 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35873 Date: 8/14/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 470 Robinson Ln, Peconic, SCTM#: 473889 Sec/Block/Lot: 98.-4-36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/19/2012 pursuant to which Building Permit No. 37377 dated 7/19/2012 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: "As Built"Additions and Alterations to a Single Family Dwelling_ Deck, Hot Tub,Family Room, Fireplace, Wet Bar, Laundry Room, Bath, as applied for. The certificate is issued to Stenson,Thomas&Aiden (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37377 8/9/12 PLUMBERS CERTIFICATION DATED 8/1/12 Terr va Plumbing&Heating Au o ' ed atur o�gUFFOI, G Town of Southold Annex 8/14/2012 �co , P.O.Box 1179 C 54375 Main Road oy • V Southold,New York 11971 Y CERTIFICATE OF OCCUPANCY No: 35874 Date: 8/14/2012 THIS CERTIFIES that the building SHED Location of Property: 470 Robinson Ln, Peconic, SCTM#: 473889 Sec/Block/Lot: 98.4-36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/19/2012 pursuant to which Building Permit No. 37378 dated 7/19/2012 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: 'As Built', Construction of an Accessory Building_ Shed(Garage), 10 ft. X 16 ft., as applied for. The certificate is issued to Stenson,Thomas&Aiden (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho tSigqdure `a TOWN OF SOUTHOLD �gUFFO(,� BUILDING DEPARTMENT y s 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#: 37377 Date: 7/19/2012 Permission is hereby granted to: Stenson, Thomas & Stenson, Alden 84 Kilburn Rd Garden City, NY 11530 To: 'As Built', Additions & Alterations to a Single Family Dwelling; Deck, Hot Tub, Family Room, Fireplace, Wet Bar, Laundry Room, Bath, as applied for. At premises located at: 470 Robinson Ln, Peconic SCTM # 473889 Sec/Block/Lot# 98.-4-36 Pursuant to application dated 6/19/2012 and approved by the Building Inspector. To expire on 1/18/2014. Fees: CO -ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,022.40 Total: $2,072.40 Building Inspector :ram TOWN OF SOUTHOLD v�g11FF0(�cD moo oy' BUILDING DEPARTMENT y 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#: 37378 Date: 7/19/2012 Permission is hereby granted to: Stenson, Thomas & Stenson, Alden 84 Kilburn Rd Garden City, NY 11530 To: 'As Built', Construction of an Accessory Building; Shed (Garage), 10 ft. X 16 ft., as applied for. At premises located at: 470 Robinson Ln SCTM # 473889 Sec/Block/Lot# 98.4-36 Pursuant to application dated 7/19/2012 and approved by the Building Inspector. To expire on 1/18/2014. Fees: CO -ACCESSORY BUILDING $50.00 ALTERATION OF ACCESSORY BUILDINGS $328.00 Total: $378.00 i Building Inspector r Pe Form No.6 y 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: �. For new building or ueev 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. •Swom 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 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 Certiftcate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant- C. Fees 1. -Certificaie 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. Eertifieate of Occupancy on Pre-existing Building- $100.00 3_ Copy of Certificate o€Occupancy-$25 4. Updated Certificate of Occupancy- $50.00 5_ Temporary Certificate of Occupancy - Residential $15.00,Commercial$15.00 Date.'— wt f" New Construction: Old or Pre-existing Building:' (check one)- Location of Property: y 7 0 1QaQ rA-J_0.1V ,Lj-,M& House No. cJ n Street Hamlet Owner or Owners of Property:--�QMh1S' �. TICAyrG11/ 11,1/4 �L.6C/a/ J �T��ysris� Suffolk County Tax Map No"1000, Section Block Lot Caw- . : . Subdivision Filed Map. Lot: Permit No. 7. 3-1 7 Date of Permit. / " /9`J Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Temporary Certificate V Request for: p ry Final Certificate: (check one) Fee Submitted: $ Applicant Signature rrnn C-L v �Y Form No.6 TOWN OF SOUTHOLD. ��c2 BUILDING DEPARTMENT r 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 use. 1. Final survey of property with aecurate'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. -S.worn 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 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. Ftes Y. 1. -Certificaie 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. Certifieate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate o€.Occupancy-$25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential $1.5.00,Commercial$15.00 Date. U'uPL f�� 02G/C� New Construction: Old or Pre-existing Building: (check one) Location of Property: y 7 O �uQ rlv ron/ A�-WL House No. Street Hamlet Owner or Owners of Property: �uM�?S �. cJ.TE�/jGl1/ ,�}.vd /�L���✓ J V T��vS Suffolk County Tax Map No'1000, Section �j' Block �• U Lot Subdivision Filed Map. Lot: lI- � Permit No. _ 3� 378 Date of Permit. 7" � � Applicant: . Health Dept.Approval: Underwriters Approval: Planning Board Approval: VZ Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roper.richert(-town.southo Id.ny.us Southold,NY 11971-0959 cOIUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Thomas Stenson Address: 470 Robinson Lane City: Peconic St: NY Zip: 11958 Building Permit* 37377 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: MR Electric License No: 4404-e SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub X Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 19 Ceiling Fixtures 4 HID Fixtures Service 3 ph Hot Water GFCI Recpt . 1 Wall Fixtures Smoke Detectors 2 Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors 1 Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 11 Twist Lock Exit Fixtures 11 TVSS Other Equipment: 1 st floor family room, finnished basement, & hot tub, 1-exhaust fan GFCI protected disconnect for self contained hot tub Notes: Inspector Signature: ZDate: Aug 9 2012 81-Cert Electrical Compliance Form.xls 07/27/2012 10.39 5267396972 STAPLES FACE 03/04 54375 Mdu Road SmdhOK N*w Y+aaic 11971.43TM9 TOWN OF BOUMO ]Date; (P(08s print) �'icl�b�t: 'C�N u`a✓1 p c/p` I �u rr�-��J�� � �e��cl� .. . (rime print) cao*that the snlder used in the waxer suppy ssxstem co ntaift§lr .t .2JI0 of 1%. lumbem SWOM to before me this*VA Clay gad 0 � Moussart Belizaire , NotaryPablic;State of New York No.01BE6167225 /� Qa�+liMod in Suffolk County Notary Pubtic, a 40 f/ county GotIl19910A 1"a"May 29,2015 T8,d xyl .LMRSVT dFI 1rL1=0Z ZT/USf�U ��OF SOUTyO co urm, TOWN OF SOUTHOLD NG DEPT. 765-1802 INSPECTION � . [ ] FOUNDATION 1ST [ ] ROUGH PLBG.- [ ] FOUNDATION 2ND [ ] 1 LATION . [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) . REMARKS: J. ` ImAkcj DATE INSPECTOR ho��OF SOpr�o� /1 • �o TOWN OF SOUTHOLD BUILDING-DE T. $ �� 765-1802 INSPECTION . - . [ ] FOUNDATION 1.ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [].ELECTRICAL (FINAL) REMARKS:: /.�— b"7Gc/!mod L DATE « INSPECTOR' _ s 4 A6deN, 0�re, SECB PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631.765.2954 • FAX:631.614.3516 • e-mail:joseph@fischetti.com Date: Referen 470 Robin so Lane, P onic BP # 37378 Southold Building Department Main Road Southold, NY 11971 Mr. Gary Fish, Building Inspector, With regard to the above referenced building permit for the: Rear wood framed deck I have inspected the framing and footings. To the best of my knowledge the deck has been constructed in accordance with the New York State Building Codes. Garage Finish and the basement finish I have inspected the framing, insulation, and plumbing. To the best of my knowledge the construction is in accordance with New York State Building codes and the New York State Energy codes. Garage Walls R-13 Ceiling R-26 Floor— R-11 Basement Walls R-11 C _ E C E o . 05 tip' JUL3 1 ss►® ' 2012 BLDG. DEPT. TOWN OF SOUT01D Stc cafifimimdeck,basem=tdom BOARD CERTIFIED STRUCTURAL ENGINEER e-Ag / ��, SECB PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 TEL:631.765.2954 • FAX:631.614.3516 • e-mail:joseph@fischetti.com Date: 27 ! 201'2-__ Reference: ,4 Robinson Lane, econic P# 37377 Southold Building Department Main Road Southold, NY 11971 Mr. Gary Fish, Building Inspector, With regard to the above referenced building permit for the detached wood framed shed, I have inspected the framing and the foundations. To the best of my knowledge the structure complies with New York State Building codes. CO), NE F%sctiF�,®q� r � n � w i No. 25�° oFESSIONP� 'D C fl JUL 3 1 2012 BLDG.DEPT. TOWN OF SOUTHOLD Stinson certiLcatim shddo BOARD CERTIFIED STRUCTURAL ENGINEER FIELD INSPECT QN REPORT DATE COMMENTS :. .. FOUNDATION(IST) - --------------------............. FOUNDATION(2ND) Q ROUGH FRAMING& PLU-AMING W INSULATION PER N.Y. H STATE ENERGY CODE FINAL q-1 -76 ADDITIONAL COMMENTS tV 2 m 4 � ti FIELD INSPEMON REPORT DATE COMMENTS FOUNDATION(187) —y d � FOUNDATION(ZND) � o 0 ROUGH FRANDNQ& Q PLUMBING � y INSULATION PER N.Y. C1 H STATE ENERGY CODE FINAL --0 ADDITIONAL COMMENTS m O z � m 2 � TOWN OF SOUTHOLD G!`rR'AG�- LDING PERMIT APPLICATION CHECKUSTN BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL �'E-441`T (O, 3 0 Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 3 3 •�j Survey SoutholdTown.NorthFork.net PERMIT NO. / / Check Septic Form �v N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ! ,20 Single&Separate JUN 9 2012 Storm-Water Assessment Form Contact: Approved I 20 °� SLOG.DEPT. Mail to: TMIN OF SOUTHOLD n Disapproved a/c y>v;�s �_ �1 T�e✓SQ/� Phone: 6rlo)o2&;� -6�2 2 y Expiration / ,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date �n�� /d. , 20 /,--2— INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets Qf plqps, 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,and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of ap licant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ov!4s /fN4 44E v `�; STD CVr-, (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;w11'1'be`"dorm; House Number Street Hamlet County Tax Map No. 1000 Section Block 1-71 0 _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 CfZ'VG4Fe /q"'yz!�y e46y4 wz* 1 o0L b. Intended use and occupancy ���?� j(j�� C/� i(� 3. Nature of work (check which applicable): New Building Addition Alteration- Repair Removal . Demolition -:--Other Work ' (Description) 4. Estimated Cost D 0 Fee '^ (To be paid on filing this application) 5. If dwelling, number of dwelling units Aumber o dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occuparcy_,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 i—iY o1(JG3 Name of Former Owner /oy•✓,,L 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_ZWill excess fill be removed from premises? YES NO /- yotns�S G_ �t°r�nrs7in/ 14. Names of Owner of premises Smvn&W Address Phone No� O7-d --L J-? Name of Architect Address N Phone No Name of Contractor Zo"k ;✓wm Address /9��Ac�crFF q& Phone No. &3f) /� �/9,� lG f2/L��C�y 'Vy 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 ) U r e/yow being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent, Corporate Officer, etc.) of said owner or owners,and is duly authorized to.perform or have1 er orme he said work and to make and file this application; that all st6Etements`eo itained in this application are tru t the tff�� l belief; and that the work will be )e��� performed in the,-nanrr(i set forth in the application fi e r � 1AS6258065 _ Qualified in Nassau Count Swo,yn,to before rr,:.this Commission Expires 3/18/ L day of_(- )(nnr2 20 1 L., N tary lb ublic Signature of pplicant ,,4 I Town of Southold - Chapter 236 - Stormwater Management ol�� SWPPP - Storm Water Pollution Prevention Plan Assessment Form . i GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) t APPUCANr NAME. Owner-Agent-Consultant- ontractororOther (Circle One) Property OWNER.(if Different than Applirant) __7 m4s G'_ c�rrr1V-Z Address: �U �OQLNN /ti i� Address: i Tee o # Fax# Telephone#: Fax#. 1B -oa3 I E-Mail: E-Mail: �ow/us SU. i Co Property Address: n Brief Description of Construction Activity,Proposed Structural BMPs,Soil o �� xryv /�ZlrNrG S.C.T.M.#-. 1000 0 Stabalization BMPs,Project Scope and/or Sequence of Construction Activity District Section Btock Lot (Provide Additional Pages as Needed) Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: Address: .-r- �••. Tele o3/ / � Fax#: ---------- -- __------------------------ E- ail: --------=----------------------------------- i Name of Persons esponsible for Installation 3 M�Intenance of Erosion Control Practice: i --------------------------------•------------ Address: ' 4 -------------------------------------------- Telephone#: Fax#: -------------------------- E-Mail: --_------------------------------------------- i JJ ___...____.._,._..._..-----•--------------- ---- Total Area of All �ts S% Total Area of Land Clearing Project Parcels: and/or Ground Disturbance: Acres) (S.F./Acres) Project Duration: Start JEnd ---------- __-„-- _ (Anticipated) Date: Date: -_ _ (Number of calendar Days) ———---——----—_.._,_..—.,____.._ Will this Project Disturbe five(5)or More Acres at E2r --------------------------------------------- � Any One Time During the Proposed Development? Yes No --------------------------------------------- If YES:Please Answer the Followingl .-______________.,.._,_-__---_--_,----_----------- a. Does the Applicant have a Qualified Inspector On j Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP Indicate How Frequently the Site Q List the NAME or description of ail Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No �y __I _%,z_-_ i ! ------------------------------------ I c. Does the SWPPP Adequately Identify All Temporary Q = I and/or Permanent Soil Stabalization Measures? Yes No -------------------------------------------------- i d. Does the SWPPP Adequately Identify a Complete Project Phasing Plan? Yes No ;. Status of Im acted Waterbody:leg.TMDL 303(d)Listed,Impaired...) e. Does the SWPPP Indicate Additional Site Specific � Q ; I Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice Type f Im acted Waterbody:leg.Lake,Creek,Bay,Pond,Sound,Freshwater Wetland_) Of Intent and SWPPP Acceptance Form for Review Q = i j by the Town of Southold? Yes No j STATF.OF NEW YORK, I I COUNTY OF.... .................SS That I ,..... '? S ......being duly sworn,deposes and says that he/she is the applicant for Pemnit, (Name of ind-rvidu&i s(gnfng Doivment) And that he/she is the ....................... N ............................. i ner,cgent ....................................................................................... (Owner,contractor.Agent,Corporate Officer•eta) I Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to I I make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and I that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; day of f a A. . ....... / ......�._... ,20... ! j Notary Public ..-.-.-•--...... ........ ....................... BEDEE Nntqry (Signature of Applicant) SWPPP Assessment FORM: 03-12 No. 01BE6099:!1'. Qualified in Suffol� ; a Commission Expires v r(, t J, / V mg vr is v I.Wa p.1 UU/UJ/L!. UJ• I ur, Y6"lYnV4• .nn �+.yr T*pbone 531i 7W 102 34375�diia Rood_ �t . lABU Rl7A • $o�oi��iX 1L97I•� � .. ' BMDiNG • - AWN 4F SQU`it�4�D . I 11V��,PMQN • Company Dame: Nam. •- c. < tom: • �`�e ��� ��.�4:s - �. JMITE INFORMATION: ("Indicates Sims 4 •4 ;L - iY.i• O. ;C+ aA•.i `fi,E'a,d' E. .� -� _ r' �i'i• id r't i .tea r • �� .-....... .-rr....rY__..W.,r„,„ ....-rC w_"f �.�Y. wFi'�y.ilf 4`�:�iujr-�!'�tr�E:-*°.+t•'a'�`'a°Ci%Y`�i�Ys:.9wi J"Ef`sYt�+z-_.-�_ •w:�:- .+;Z_ __ _.» «. _ �r.-... __.... .._.. ...V ;r,�R�: r r3��r'�:r �'..'"'.%��w�_x��%•.� f,•..' a '•i:Y:�Y i�' '- 'i c� ` �.�:•.. :"f6'.+''.:,:.%•..w•-r- 3...}—.n:>=��• ..,+f.'::�%:� :J�J'��c.: "f:.d1 c!:.. s'd•w 'f1�r'WPC I���•i.9�,r fit R"T' S��I�i s'Rom•• .!'N� '9 � H,-`�••-t•Y°^ '•SR L. � 4u� u'�i-•"L.ni�Ci 'N c :Jw�•.i /4d}T. ..� »=r:-,'�,.`-�::i';_ c�-� '1�'v:i i.`=-'-� ':':.i7J i ...��e�-:'r'.aF:+��::q`e:` =•'s..w.w.e...�E:_ N�.r.-'y-r..,.� - ira�.ZT l�►F.c��d i_h"v'fa�+n.r,:Rvr•. 'M'... .... f:".v. •TT4M �, -� Wit.._u�..+_.+.._: - r.ur TOWN OF SOUTHOLD PROPERTY RECORD CARD VNER STREET VILLAGE DISTRICT SUB. LOT i4tV P-4 T. 4 RMER OWNERM . 4,6�al d- -g sc�4E ACREA E SL evee id A, V, S'C 4A S w TYPE OF BUILDING FARM SEAS. COMM. IND. CB. misc. Est. Mkt. Value -J LAND IMP. TOTAL DATE REMARKS 0110 Z,rr.l 6 00 zl-,3 n (p 0 o 0 1) g!v 4,vel-v Nrc ,-I e�n-m-'-p4 z(3 0-0 72 0--(D n -/�, ,,i)#e/ i L/ (T &04 AGE BUILDING CONDITION 4,1? NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm u Acre Value Per Acre Value FRONTAGE ON ROAD able I BULKHEAD able 2 DOCK able. 3 13 0 5 silel',L I DD6f,7,0(07z- ociland impland ishland -ise Plot .01 4 1 i I -�r �, � 64 � _ �. � .. �'�a•.1 �j I I I � i ` ( I I i � � '�'"�1♦7 A}Y[` .7.C+ T 4 y d d.��✓x. �s++ Y:' , l y �1 u.M k � � •.T ;---�� I � - --� � ! —! :� �Y,,. +r1T'.t. �4� c .3`"1�KY� t. ram"-r�z•�-3a+.�ri •s ". ..,s�- � 1 I I i � i i I r L �`S k ^•�'yr rtY { -r'�'-r7 �,.t^Y,5- a��lry_u1�..5,P`'f�,v. x.,r.'s�; f1-•'r�, - 1 r � Y���i ",� �.4�* �✓, � �'- ve i fFl i j I ! I I =a'.'�i2,-,-„�ai+�`?4�ss'�•:Y...�_i+s:",�_,��k,.xY'sI&�i+.vs^-.•�'tir' v ';`�7�.K'�',`1*.�.Yfj sz,'..31x.-r..�...�.. ...... � ' ` _ 98.4-36...3110 i I L'�v✓r- M. Bldg. �i f,; . � I � � � Foundation I Bath Extension ( , _ �' Basement I �' / I Floors "Y Extension i Ext. Walls i Interior Finish I —Extension Fire Place �� � Heat — 7e — ,,, �` ✓ , Porch ` Roof Type „1, f,�.-- / / n — i Porch Rooms 1 st Floor ' G Patio i j Rooms 2nd Floor f 33 e �, i ! Driveway i Dormer I j Garag � ^7 � i 1 i 6691 I� ! j �O��pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road 4 Fax(631)765-9502 P.O.Box 1179 CA • Q Southold,NY 11971-0959 4UNTY,�� BUILDING DEPARTMENT ' TOWN OF SOUTHOLD August 1, 2012 Thomas &Aiden Stenson Q � 84 Kilburn RoadVe Garden City, NY 11530 RE: 470 Robinson Lane, Peconic V fJ C� V� v TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: N Application for Certificate of Occupancy. (Enclosed)' XElectrical Underwriters Certificate. (contact your electrician) A fee of$50.00 Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. BUILDING PERMIT : 37377 & 37378 79 )wtL-H/V4 B. P. #� 3 73 7 7 S C6 � �P- 37.3 BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted. �` Date Reviewed. Applicant: Owner: ArehitecOEngiueer: Estimated Cost: -$/o SCTM# 1000 — g g — 3� Subdivision: 3' 3q- Zone: -o Conforming? ,Property Address: 4� 7 0 City: �. zrn,c� 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: ok REQ. Lot Size: T`, A° ACT. Lot Size: �1 REQ. Lot Cov. oZ o"jo ACT: Lot C ov. REQ. Front 1- _ACT. Front REQ Side /a ACT. Side REQ. Rear �5-0 PROP. Rear �/q-�escrlhp') � _ACT. Height R E Q, GoTH SI DES 3S A C T.�� x Projn: WaterfiKonO Y or N? AI If yes, water body: Panel# Ft od Zone: B:ulkheFf Distance: AS BULILT, IX / ADDITIONAL�PPROVtL�SlUIRED LAN S(&f S NED SEALED SuPVtY Suffolk County Health: Y or N - If yes, *Bed#: *Date: _/_/_*Permit#: Town Septic: YO - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 9/1/75 Y or(9- Date: / /_ Permit#: or NJ Letter-— Notes: Southold Trustees: Y or(9- Date: _/ / Permit#: or NJ Letter—Notes: Southold ZBA: Y o N - Date: _/ /_ Permit#: —Notes: Southold Planning: Y 610 Date: '/ / Permit#: —Notes: Town Landmark C of A: Y o DTE: _/_/_ *NYS CODE Compliance(page 2): Y or N COAMW rok ,,QCE-NSt P15AJ31LITY 1-11 ILITY NS COMPeW,5 4rlo.Al .r� : cal.. m, ] C Il' y1 • A 9 �-� Fee Structure: Calculation: ED 8 0'0 R B Foundation: 903 SF r'a �L0 'X $ _. �04=$ , a-0 First Floor: - � SF �+� A + Initial Fee: $ 2-00 , O o Second Floor: --- SF Tc , + Additional Fee 44L.$ $je 1 Other: SF SF X$ A ` 0 =$ & . DO Total: J-U c;t SF +Initial Fee: $ ,00 + Additional Fee a,',6+ai : $ ('o'�Q OO n"h� C o f o FLE E ®A Off° `� CC " AS BUILT FEES TOTAL: $ I } NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN 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/PRES.CR PTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS:YIN GIRDERS, Y/N CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RATTERS: Y/N LUMBER SPECIES AND GRADE: YIN WINDOW AND DOOR SCHEDULE: -MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N i LIGHT 8%: Y/N VE'NT 4%: YfN NAILING/CONSTRUCTION SCHEDULE: YIN MEANS OF EGRESS: YIN PLUMBING-RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N .ENERGY CALCS: Y/N (RESCHECK) TOTAL COMMENCE? Y/N (RETURN TO PAGE ONE) i � - x •..r!dSrr=!hcvt qr�difllwt , Z i I cc Zi t�r.—ion Ova e` �'�_ AK,Q' tom.—a!lifti"saf'erle t�t Lr." bw C=UI I (� ' {ak f'A1d1t�,R La �l A••,Y TIM ltlOwflf�}fttAfll}►,'.aM u' c W 1 1,ca Me MAIa?M.h�•,s!}slhs•(Ak k-T' ' h�Z �T Z1 I rrssaLlas/mn7+I�b�hrltb�b n � � ix,rQ initleAoi Kota/lcarn?►s+3 rsa(ist,�slt[tiyn�mlR+¢i- I MirncrtnotdMQwtib . I Comm �9 for flowd'" �9 t _-��. - - GHQ rF PROPE.R '=Y `zi ,! SLQVEYED MA - N °5I i 1f if;; iZ;r �til jt,r-�•�1���•�r � ` f 1 , - ! r I , , �?� {�V} �1ti.N G��.3UTNp.LD N.Y. I Sp in Fj narA W G b t L sGAlCu�lRlR Afih'TrrY L�U hi R;r!_4y C4 riD NTF�M_P�AI1_!N 1 y FORK $ANe,? ,NV rRt}5T COI hY- I ' r 5u;:.Y.YE , D DEt i905 12— —..__. CIS 1-10 ;LOT INUV g_ ,CQUh�'Y SAYOAK5 FILED IN S.UP OLX -- CLERK S OFFI..E AS NIAP NO. r l;tc: LAND ati;��(;YJttS g4 I I V ...J z z .. w O d Z O Z cn H REAR ELEVATION RIGHT ELEVATION �C SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0" Ii t j 81-0" T-O" 4'-611 8'-611 i 2'-O" 11'-O" 15'-O" 11'-O" 2'- " i 1 I Q I D 1 I � I ( I , 1 _. f �I -° -r_________-__ °i IUi � of . W _ 1 LU N o r J ceLU I I@16"OC N 1 1 X _ W j I ' o I i I I @16"OC I I = I W 1 W D - W N �I I � oolz O Q = t (�/���\J X @16"OC C'a16"OC X I N I I 0 ♦J .�... 1 O �j/ N 1 N I N I I N t v T //1,�\ M M I I W� W{ , / WI I Q LU m I .o Lo d I °/ I I � Q `i' � w i I ' Lug . ° WI I IJroj p N HOT ;� HOTTUB 0 X' N X' 016"OC , ` I Z o 0 N N Cfl 1 X ( Ln r� `TUB I I Ui XI I X @16"OC L`� r O m ' M i I o ' cn � � M 1 (P D �(� D - _ _ UL - - - - - - -� L - - - - - - - - - -I - - -- - - -l- - �— — � r I-- W LL 7'-6" 13'-9" 6'-0" 13'-911 1 II 1 II 1 11 1 11 ak--1 11 1 11 I II 1 11 7-6 2-0 9- 2-0 1 -8 8-7 3- 41'-O" 41'- f FLOORPLAN FOUNDATION PLAN SCALE: 1/4" = 1'-0" SCALE ' = 1'-0"1/ 2x8 oj @ EXISTING DRAWN BY: JF/MH 16"OC 5/4"DECKING �o (2)2X10 GIRDER June 14, 2012 ,2"NC. SCALE: NTS O 1 CON On PIER r TT�h I 6 °F ti r� SHEET NO .-� CROSS SECTION 0 10 SCALIE: 1/4" = 1'-0" v ESSt��' ra` _, RA t r ME313AL AL •- ----------• _ __ FRONT ELEVATION RIGHT ELEVATION � z � I NEL OIL TANK d l t- TAN tc SCALE: 1/4" = V-0" � " A SCALE. 1/4" = 1 -0 �•••� z LC -o P � zo Uh o (� Z � V A 2X8 ___r_____________________ 0 UNFINISHED BASEMENT RIDGE - -- - -- - -- -- - M W (2)2X8 ACQ GIRDER `/, Z p•1 80 L_tfZ_ 6 �6"O _- 12"dia.CONC.PIER (n ] 2X4 COLLAR TIE i t T BELOW GRADE , C/n lfoT-WA7�1� �EATEJe @48"OC I L�2S6.B �fs� @16°oc �FTS 1 1 1 UL 1 1 1 1 1 1 1 co f; 1 $ O 2X4 STUD WALL ry ' 00 @ 16"OC c! 1 ° m 1 t e- -(2)2X8ACQGIRDER' 1 �cF O3/4"SUBFLOOR OVER1 1 1 1 I , i 2X8 F @16"OC 1 (2}2X8 ACQGIRDER i� 7X8 RR ' ' r 1 �� 1 @16"OC I , 1 1 -1 � i e ° /� 1 - i i 1cc 1 S 6 Ti 0 12"dia.CONC. 1 PIER - rn 7 ' ' 2 2X6'HEADER ' ' Q 2X8 ACC�GIRDER----------------------- ' ��1919rb 1 91-041 CROSS SECTION 8�" Id L 1 � 1 11 . i 611 1 O 6• g "' I 101-011 = SCALE: 1/4" = V-0" — �1 ,g ' FLOOR PLAN FOUNDATION PLAN ' ------------------------------ -------------- SCALE: 1/4 — 1 -0 -:- SCALE 1/4" = V-011 w DETACHED K, / ��-� W W GARAGE - p g - •.J " 13'-9'�" � 141-811 c M 31-311 z z to CLG.HT CLGn.HT. Q N v J r� ^00to UP N . . p • �-- mt— � � � M a- 0 (o BASEMENT PLAN ' ' 1 1 1� 1 .__-____. __. VUWL SCALE: has FLAcE = 1t-O�t�4) __ --------------------------------- _ ___ _____ _ _ 3°( ARE �W �— `� �2' ) O] --- ------------------------------------------ -- --- DN $ , t7 , � 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 I I i DRAWN BY: JF/MH Z1' A11 �T June 14, 2012 __. SCALE: NTS GARAGE o� N:��VFINISHED rr SHEET NO SCALE: 1/4" = V_0ll ;'CoA Q(,5 l S FLOOK p�©PEW i I I , 0 I i I - I I 1 e i i I i I , ---------- i e 0 e o' W •---NEl01LTANN ---. FRONT ELEVATION RIGHT ELEVATION SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0" H q OU o ZO � V 2Xa ------------------------- -- - -- - UNFINISHED BASEMENT RIDGE a (2) 2X8ACQGIRDER , 16a I 1 1 O 12"dia.CONC.PIER Cf 6 2X4 COLLAR TIE i T BELOW GRADE @ 48"OC 2X8 RR i i I @16"OC _ - 1 I 1 1 � 1 1 1 1 I 1 I� O 2X4 STUD WALL N I @ 16"OC a0 1 - O 1 O X' 1 I 1 - , •----------•�-----------• 11 1 1 e- -(2) 2X8ACQGIRDER — a, - 3/4"SUBFLOOR OVER 0 i 2X8 F @16"OC ' ' 1 1 , , N = (2) 2X8ACQGIRDER I I , 1 00 @16"OC , 1 1 1 1 1 O 1 `i Q 12"dia.CONC. N 1 ' PIER M 4'-O'/z" i ,� 2 2X6 HEADER _ s In e (2)2X8 ASGIRDERBOTTOM OF SILL; m� w ------------------------ - 6'8° AT 4O'AFF ; V w I 8'-0" 9,_O II CLG.HT M CROSS SECTION , 'l4` 0 611 1 1 O-O 6n 6 SCALE: 1/4" = 1'-011 10'-0" FLOOR PLAN. FOUNDATION PLAN. , 1 1 1 1 t 51-1'/11 18'-3'�" SCALE: 1/4" _ 1'_011 '- Z •------------------------------- ---------------. _ - -_ SCALE: 1/4" _ 1'_011 DETACHED GA I\AG E 10 w z ! GARAGE _ 4� 1401 e 2Dd �n BOTTOM OF SILL ^� V N N ' AT�'AFF UUU$ N I 13'-9'/�" -� 14'-811 `�' 3'-3" w �. Z w CLG.HT. CLG.HT C (V a 0 0 X J ' Q Lo O 0 co J P r14o0 ' z M T t,--- --• Cn o c� C/) ■i.lr O BASEMENT PLAN LL �� _ � �� COMPLY WITH ALL CODES OF SCALE. 1/4 - 1 -O NEW YORK STATE & TOWN CODES --- --------------------------------- - ----------- - AS REQUIRED � a- « ti3 I I OLD TOWN ZB,�, � �C 11' o ; SO NNING BOARD O N � SO TOWN T S --- ------------------------------------------------ --- VIM S.DEC i DN 4 y ------ 1 I 1 -� U 1 t 1 t 1 1 1 1 - 1 FJ DRAWN BY: JF/MH 21'-4" P July 17, 2012 APPROVED AS NOTED E� D T `�� B P F7 SCALE: NTS # 7 BY i NOTIFY BUILDING DEPAR—It N T 4T FINISHED GARAGE FOLLOWING NSPECT PM THE SHEET N O. ION; I SCALE: 1/4" = 1'-0" 1 FOUNDATION-TWO REC:FOR POURED CONCRET JI J 2. ROUGH-FRAMING,P1 MBIN' STRAPPING. ELECT 3. INSULATION RICAL& �A LKING 4. FINAL-CONSTRUCTION& ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL REQUIREMENTS F THE MEET THE 0 E CODES OF YORK STA TE. NOT RESPONSI � ,NEW TION ERP(. R' 1 I " ° ° ° FRONT ELEVATION RIGHT ELEVATION J FUEL 01�TANK I7 SCALE: 1/4" 1'-0" SCALE: 1/4" = 1'-0" H F/��'1- ` 1-4 Z r�F/yjY UP Z Z o 2Xa ------------------------- W 0 0 V 0 UNFINISHED BASEMENT RIDGE — (2) 2X8AQGIRDER - Z Fil�/ W C —�/, Q4 16uOG 12"dia,CONC.PIER ; ■ 2X4 COLLAR TIE I T BELOW GRADE I CIS � , @ 48"OC I , cn , - ILL , o0 1 , , 1 I� 0 2X4 STUD WALL00 N I @ 16"OC co X' N e— -(2) 2X8ACQGIR6ER —O ' 3/4"SUBFLOOR OVER 2X8 F �16"OC � � I \ ' (2) 2X8ACQGIRDER \D , cc ' Q 12"dia.CONC. I N i fY1 PIER '-11'�Z" 4'-O'/z" L� , m,n ' 2)2X6 HEADER ' �— -(2) 2X8 ACSGIRDER —( BOTTOM OF SILL, j� 1 > _ CLGBHT -1 AT40'AFF ; Uw CROSS SECTION e1- " 9'-OI, If �,, 1 O-O 61, , n 10'-O" 6 MEDIA ROOM SCALE: 1/4" = 1 -0 1 �o FLOOR PLAN FOUNDATION PLAN I SCALE: 1/4" = V-O" _ •-------------------------------- -------------- - SCALE: 1/4" _ V_011 DETACHED GARAGE 6'-1 O" L^ p `r W II W GARAGE _ I I PLAY ROOM _ •J z II — �� ♦^ =N ' �, O, _ BOTTOM OF SILL fV �O fV AT40'AFF m >>vm w13'-9/� 14'-8" 3,-3„ Nw V W Lo CLG.HT CLG.HT Q N J X J Q 0 0 Lo co •� Z M UP N d- W ------- --- - c� a. 0 to cn , Q W I , m BASEMENT PLAN ---- -- U— SCALE: 1/4 = V-011 --- --------------------------------- - ------------ -- II o o r14 ;o DN r � �o a E S10NP�1 DRAWN BY: JF/MH 211-411 --1�1-3-7 t- J U ly 24, 2012 SCALE: NTS FINISHED GARAGE « SHEET NO: SCALE: 1/4" = 1'-0" J� t r