HomeMy WebLinkAbout37444-Z os-j t Town of Southold Annex 2/8/2013
°Gy P.O.Box 1179
cm
54375 Main Road
� `' Southold,New York 11971
W � r oy�� �oN ,
CERTIFICATE OF OCCUPANCY
No: 36137 Date: 2/8/2013
THIS CERTIFIES that the building DECK
Location of Property: 1205 Route 25, Greenport,
SCTM#: 473889 Sec/Block/Lot: 35.-1-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/2/2012 pursuant to which Building Permit No. 37444 dated 8/15/2012
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:
Rear Deck Addition&Front Ramp at Cottage#116 as applied for
The certificate is issued to Peconic Lndng @ Southold
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au o ed SiAnatio
TOWN OF SOUTHOLD
�g11FFUt,�-cal-
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • o SOUTHOLD, NY
�
gal � �o
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#: 37444 Date: 8/15/2012
Permission is hereby granted to:
Peconic Lndng @ Southold
1500 Brecknock Rd
Greenport, NY 11944
To: construct a rear deck addition &front ramp at Cottage #116 as applied for
At premises located at:
1205 Route 25, Greenport
SCTM # 473889
Sec/Block/Lot# 35.-1-25
Pursuant to application dated 8/2/2012 and approved by the Building Inspector.
To expire on 2/14/2014.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $254.00
CO -ADDITION TO DWELLING $50.00
Total: $304.00
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-digposai(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 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 eompleted 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. Certif cafe 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 $1.5.00,Commercial$15.00
Date.
New Construction: y Old or Pre-existing Building:' (check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property.. �.
Suffolk County Tax Map No 1000, Section Block Lot 01'Z S
Subdivision Filed Map. Lot:
Permit No. Date of Permit. 5 / 2— Applicant: JQ• 1�104- C�
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ZApplzi
✓ lJ��
Fee Submitted: $ ') 0
FIELD INSPE CT
ON REPORT DATE COMMENTS
FOUNDATION(1ST) �
FOUNDATION(ZND)
ROUGH FRAMING& y
PLUMBING
� y
INSULATION PEP,N.Y. ip
STATE ENERGY CODE
c`
1`v
FINAL
ADDITIONAL COMMENTS
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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 t Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthForlc.net PERMIT NO. 7AIV Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined / ,20 Stonrl-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c 17
Phone:
Expiration / 20
Building Inspector
E
D U U LICATION FOR BUILDING PERMIT
AUG — 2 2012 Date 442-_, 201�
INSTRUCTIONS
BLOG.DEP1.
a This applilg4a tely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of pla ,-ee a e p of 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, h u g code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of 1 or name, if a corporation)
p . 6,(-)v &� r
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
com Jry-S-C40 �g—
Name of owner of premises J—;1w 6 1gt2,udo
(As on the tax roll or latest deed) _
If appli t is o oratioq, signatureA duly authorized officer
(Name and tTtIC614yrPorate officer)
Builders License No. 7 -77,.— �
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Lotnn o and on whit 1 p.oposed work ill be done: ,
House Number Street Hamlet (
County Tax Map No. 1000 Section Block�a �j Lot
Subdivision Filed Map Lot
2. State existing use and occupancy of premises and i ended use and occupancy of proposed construction:
a. Existing use and occupancy i
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alter on
Repair Removal Demolition Other Work
( escription)
4. Estimated Cost �0, L9't�1� 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
Z (
14. Names of Owner of progiises Address Phone No.
Name of Architect on �Address Phone No of .�3
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 IfAEQUIRED.
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:
C TY OF )
MALC-2,7Z7 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.BUNCH
Notary Public,state of Now York
(S)He is the CNo.01BU6185050
(Contractor, Aanfled it,Suffolk Co inty
gent, Corporate Officer, etc.) Conirnission Expires April 14,2 D1 ka
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 thi
day of 20 4c�
Notary Public Sigi plicant
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ATk1ERING' Severe u _ t9 7 YORK STATE. NOT RESPO SIBLE FOR
JST LINE DEPTH 36' I PI:�NL P I — " ; I /L a O as ! DESIGN 'R CONSTRUCT ION ERRORS.
'MITE Mdderatelo he®vy,'. u t \
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(3ESIGN DRY6ULB TEMP: 11Degreas F
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'E OF CONSTRUCTION
SIGN CRITERIA' _ Prescriptive Design i C2 ! .
E LOAD 40 psf
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NDSPEED 120'mph' [l2� 1G.� ;Ij i ` T
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'ATHERING Severe a ° - f7 a -+
DST LINE DEPTH 36' L?.1
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CAY Slight lo'moderate. _IT V o _^ --- -
NTER DESIGN DRY BULB TEMP I Degrees P; r_ _ ►�� ' �'-
criteria is designed in accordance with the-Building Code- I .` „�r .l
Jmw York State$the American Forest 3 Paper Association tt✓✓ ~_T I + ! ;` . LJr�-
'&PA) Wood, Frame Construction'Manual for One 8•T%ko i/� n t t+--- �„/ `I�/ . ...�� • i f < _
nily Dwellings(WCFM-95)High Wind.Addition. — --