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HomeMy WebLinkAbout43880-Z �OSpFF�l Town of Southold 4/10/2023 a y3 P.O.Box 1179 v _ 53095 Main Rd y�jOl dao ?' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40506 Date: 7/16/2019 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 1680 Lands End Rd., Orient SCTM#: 473889 Sec/Block/Lot: 15.-9-1.22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/10/2019 pursuant to which Building Permit No. 43880 dated 6/17/201'9 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"DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Booth,Barbara&Ors of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A h ize S1 nature TOWN OF SOUTHOLD �o�gVFFO( coG BUILDING DEPARTMENT I $ TOWN CLERK'S OFFICE g,y�ol �a 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#: 43880 Date: 6/17/2019 Permission is hereby granted to: Booth, Barbara 1500 Brecknock Rd Apt 205 Greenport, NY 11944 i To: legalize an "as built" deck addition as applied for. At premises located at: 1680 Lands End Rd., Orient SCTM # 473889 Sec/Block/Lot# 15.-9-1.22 Pursuant to application dated 6/10/2019 and approved by the Building Inspector. To expire on 12/16/2020. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $804.80 CO -ADD T WELLING $50.00 Total: $854.80 i Building I spector Form No.6 1 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 from 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. 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. G'5 ! New Construction: Old o Pre-existing Building: U (check one) Location of Property: ]-680 0-.A Nfl S EMb Rb na House No. Street Hamlet Owner or Owners of Property: ]ESf 5A-eVi A ?SbD -1-M),C,"Ae-�L LQUQ- Suffolk County Tax Map No 1000, Section J Block Lot Subdivision 1 Filed Map.Jr--�►q Lot: Permit No. Date of Permit. Applicant: Su-S A Q L-0�j Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Tem Certificate Final Certificate: (check one) Temporary Fee Submitted: $ �V Applicant Signature �o�apF 50Gry0� # TOWN OF SOUTHOLD BUILDING DEPT. �0 • �O `ycourm,N�'' 765-1602 INSPECTION [ FO NDATION 1 ST [ ] ROUGH PLRG. [ ] UNDATION 2ND [ ] NSULA�JTIO vi ��e FRAMING /STRAP [ FINAL 7►� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR FIELD INSPECTION REPOT DATE COMMENTS FOUNDATION (1ST) a ___________ 'FOUNDATION (2ND-) z • �o • �" a 6 ROUGH FRAMING& ` PLUMBING y . o. INSULATION PER N.Y; y STATE ENERGY CODE FINAL ADDITIONAL CO Lz z • d •H Lo we"P, AS BL) `L_-T c K 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 (, �J — Survey Southoldtownny.gov PERMIT NO. �' l 1 �i Check Septic Form MY.S.D.E.C. Trustees C.O.Application Flood Permit Examined f 20 Single&Separate Truss Identification Form jury 1 0 2019 Storm-Water Assessment Form Contact: Approved 20 To"OF�� Q�Q, -ib'Fxil o: 454 n � ou(2_ Disapproved a/c Phone: Expiration 120 uilding In pector APPLICATION FOR BUILDING PERMIT Date , 20 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,housing code, and regulations and to admit authorized inspectors on premises and in building for necessary inspections. S\-)-SA�J Dov e (Signature of applicant or n m ,-If a corporation) PC) E9 92 ORWIMT NY (Mailing address of applicant) r 1 9 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises B66- A BAS ARA i I-DU el- MkL IeL p SO SA M [_O\J e_- ' (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) L `' 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: House Number StreetHamlet y County Tax Map No. 1000 Section � 'Block ;,. ���; � - Lot I 2.Z. J ' 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 R'2 be 1'j Ge— A v-S au a WcR D k b. Intended use and occupancCeCK ZI N GLe FAMvLL-�' 3. Nature of work(check which applicable): New Building Addition Alteration Repair _Removal Demolition Other WorkA�?)U &96 -'W (Description) 4. Estimated Cost 9+ e (t o b fid on filing this application) 5. If dwelling, number of dwelling units 'umber,of dwelling unit ova each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and,'�X_.tent, each type of use.�l 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 R�� 1 71Ps Name of Former Owner --16H M -YOSeN GAZ-7-A 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES Q91M—:) 13. Will lot be re-graded? YES @)—Will excess fill be removed from premises? YESA��'t .qq.P �-'KMIGt-taeL Lo V e- Se�SAu Love- 63l 14.�ames oMOwner of premises Address P6Ro LANA eMb Whone No.32,2) RI - Name of ArchitectE.1 Le&M S M ToIRA- Address tSYS1GS13E�P- R D Phone No - Name of Contractor /V k Address tj Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES CDL * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OaIJ ) 6u6an Loyc being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the w (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 to before me this In tiil day of 20_[3__ �(2ZV4 v� t- itA 1p i 0 Notary Public TRACEY L. DWYE Signature of Applicant 0 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2b2­^L f � Scott A. Russell � ��1[.A� A\�G� 1 )EI��]UEN�C' SUPERVISOR � a I SOUTHOLDTOWN HALL-P.O.Box 1179 Town of Southold 53095 Main Road-SOUMOLD,NEW YORK 11971 O� CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) DOES TIES (PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) Yes No ❑® A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ®� B. Excavation or f filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ® C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. El EL E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. FIN F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature,Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Furor to the Building Department WA your Building Permit Application. S.C.T.M. 1000 Date APPLICANT: (Property owner,Design Professional.Agent.Contractor,Other) Dutrtct 2-L n �AL o V � NAME. —SI-�S111 v 0 V Sc Block Lot A J FOR BUILDING DEPARTMENT USE ONLY Contact Information b 31-3 23- 51 -78 rrd'h—Vvmtr.l Reviewed By: — — — — — — — — — — — — — — — — Date: (o"�(J —J(/y Property Address /Location of Construction Work: — — — — — — — — — — — — — Approved for processing Building Permit. 16BI) LA NbS — Stormwater Management Control Plan Not Required. t N N Stormwater Management Control Plan is Required. -W (Forward to Engineering Department for Review) FORM " SMCP-TOS MAY 2014 ELfI�_T110WAl 1-16,g6O•v iVc1r&,p To u 5 6 6 0,470M W67L I rsa 21 /000 CAL,arEf�r/G TA�f( 8.o'D/A. X g.o'oEEP .4E/qCH/000L �� 1A V ) er. 1�.9eTe -►195�N PvyT ���v yS�yrs@0r` G:; ,ago 6e 64k. cveb �•�� ��Ith e I ,f C] err�� 4 ax H•/!o(, - el/o L- 39,27 3 z to' ol Ik \ >• 9� sg \ Q J 0 \ T\ .Ai. W }---- V \ 9 ID eSs,��r\1 V• a of c4 '" \7B•7 C:) dal O `.. .. . acK.cuRe •� �o•�i •�� ' • DoT 22 Jig• was � � N fM �i �B• e/•179 '`� a 8 8 `� 5 7 .m boy- 30 o v 1-or 2Z c ` � N-D r a f.- a q; jv M,-7P /vo 5ID0 ,�) ,c-14 67,0.' MAy 3, /373 V /ooa_ /5 - o 9 -- /• 02 X34 Rc• ':, of NE IT p i� ® � e� X21 % 41532 LAND sJ 0 Frank J.] Ward, P.C. �' Licensed Land Su -a 0 uuU n Surveyor Q --- � CO o 180 Cuba Hill Road ® I -� - 0 N . ' Huntington, NY 11743 ; o New York State License#41532 FivAC ,La[AnoN. clvuE /, 2005 ''� Phone: 831-282-1798 1 FDUNDAjYON .CocAT1,01,1.' 56,0r. //i 2Cb 3 0 � —= 1 F/GE.' 2 6 7¢2 - ,y �. i � �v I��D� �N t;� rz� oil�I�-•(fi �.! to "I I 1' � !P;- I -2018 W�-4 PN( a,::5ANTaRa � z S.P.#fq f% pr-2" Loo tz b 1 } 74•-0" x�y 9-'-4i�?F;& r co •01 O� S�.r9 iU ';,i4 Fid t THE 4 (65-1-'02 r h IC• i iT^ i ,/) V l FULLOV'l+leU lrV��"I:_, TI.itJ. W r1 • 1. FOU Dr i i0"l _ T4"i0 REQUIRE-0C� ! •� o FOR POURED n IIc FR��a,q'ING & PLUr,,,r%"�G V .a 514-X 1 F'� DEC i N G3. ,,cuGw - 3. lrlsuLM10N ; �•. FINAL - CUA'�'Th��_JCTIUN r�UST in ; BE CO�.�PL�TE ��� c.U. r C-C,MPLY WITH ALL CODES Or Ln 2 X f� P.T FJ .®lCD''D.�✓, 71 ^LL ME THE: NEW YORK STATE & TOWN CODES ' t ;ALL CONSTRUCTIUN �� .� REQUEREDf E JTS OF THE CODE OF NL_W AS REQUIRED A �1, S ri ' i YORK STATE, rti0i RESPGNSi6LE FOR 5 � Tr—3- PT 2 X 1 O � DEvlGN OR CC), ERRORS. - t cnUTN D T ING BOARD - � � _G�DE r go I D TOWN TRUSTEES 0dg 12 Poo E f D coklc.f;?r-Tr=; . Souv TZ)rX Pt �P- c o tib 1 - Certl�le��,© � M geau��ed. V 1` W- 9*1 -"'4' ? 10 i 1 2.0 ��Cjtt �j�-�j r, C'O ! l0 �� �, -g t' ii 3� i� 8 , i� ,3•� li 2,0 i I _ 1 �---. 3-PT_. X I D 0 P-015 P-oe / ��C r•4 t MF a)t'eD coK'•T , Dt � � cam' # N - ,� 3-f2x Io" G I Iz - _ .� -.- - �r 2.K 70til I 1 �: t ` 1 Ile 01, t pr / I r rr4i; i Y - t 9 GY L.r J t e l it0 fI� iiVi� 1 r _ r y �