HomeMy WebLinkAbout44144-Z ¢�OSXIFFat'�cG Town of Southold 9/10/2019
P.O.Box 1179
a _ 53095 Main Rd
P Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40685 Date: 9/10/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 5200 Bridge Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.-2-2.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fled in this office dated
8/29/2019 pursuant to which Building Permit No. 44144 dated 9/9/2019
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"WINDOWS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to 5200 Bridge Lane Farm LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
0' AuOd Signature
x TOWN OF SOUTHOLD
�2�
� BUILDING DEPARTMENT
a TOWN CLERK'S,OFFICE
C.4
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#: 44144 Date: 9/9/2019
Permission is hereby granted to:
5200 Bridge Lane Farm LLQ
85 Chapel Rd
Manhasset, NY 11030
To: legalize "as built" windows as applied for
At premises located at:
5200 Bridge Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 84.-2-2.3
Pursuant to application dated 8/29/2019 and approved by the Building Inspector.
To expire on 3/10/2021.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00
CO -ALTERATION TO DWELLING $50.00
Total: $450.00
1
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:
e location of all buildings, property lines, streets,and unusual natural or
1. Final survey of property with accurat
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.
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. q/2
New Construction: Old or Pre-existing Buildin (check one)
�Location of Property: �Go ��r
House No. {� Street Hamlet
Owner or Owners of Property: 914N I11 1W
Suffolk County Tax Map No 1000, Section
Block 2. Lot 2
---Subdivision.. Filed Map. Lot:
Pmt cit No-- ' Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
PtanninBuard-Approval• /
R_eguest for: TemporaryCertific
a
te Final Certificate: V (check one)
Fee Submitted:
fli/ant Signature
FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION(IST)
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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 Planning Board approval
FAX: (631) 765-9502 �]J Survey
Southoldtownny.gov PERMIT NO. 'ef Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact: ] ���� �YA
VR*
Approved ,20 Mail to: G ���
Disapproved a/cozo
/U�119�✓5�2/
Phone: c /Q LK ��Z 3
Expiration -2p,
L ng Inspector F.�O L U � ` U
AUG 29 2019 APPLICATION FOR BUILDING PERM�T TO T CE R I F I C T rE
SIT s T; Tf D1i :'b, Date 0 , 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.
DATE:----- B.P.# (Si ure applicant or name,if a corporation)
NOTIFY BUILDI1,10 C'�-_'AR T i41ENT AT (Mailing address of applicant)
765-1802 8 MA TO 4 PM FOR THE
State whether zffVGffifi, Ise owner_1 'sse , agent,architect, engineer, general contractor, electrician, plumber or builder
1. FOVD,�1' z�i '0 HFQC ;Ir�tz
FOR 0 viva, «
i i �
Name of ownei�o /7
3. 1;7SULA1 I'Pd r As on the tax roll or latest deed
F L - CON'7RUCTION MUST ( )
If applicant is a co �'�a ,Esignature`piduly authorized officer PvCODES OF
rnMc- Q!Ir 'n,� -%NAiI MEET THE CC 1PL`( WITR A& OWN CODES
(Name an �Eo _grpo� t(fIoif,' )=S OF NEIN NEW YORK STATE DITTO OF
Builders Licens i c- P ' NOT RESP014S�aLE FOR AS REOl11RED
Plumbers Licen�� ,; �;a OR COPISTnUCTION EH a, SOU,HOIDTOW
Electricians Licen o. SOUTH OWN PwNNINGBOARD
Other Trade's,L' ense o. UTHOL®TO'NN TRUSTEES
1. Location of land on which proposed work will be done: ;
House Number �—Z eo Street 61,10dlf Hamlet �f q /
County Tax Map No. 1000 Section ' �` Block Lot �` J
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premi es and intended use and occupancy of proposed construction:
a. Existing use and occupancy ��r//Z l�dq
b. Intended use and occupancy s� ,
3. Nature of work(check which applicable):New Building Addition T1�J I—Alteration
Repair Removal Demolition Other Work MA, 4,Z,0G41&
(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 f, a Rear Depth
Height i Number of-Stories
Dimensions of same structure with alterations or additions: Fron'. 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 Fortner 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 )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing,contract) above named, k;ONNIC 0.13UNCH
YotpnJ Public,State of New York
(S)He is tlie_ ' , _ No.01BU6185050
(Contractor,Agent, Corporate Officer, etc.)`,,, -nis;,.,r E=xn;res April 14,2
caoA
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 o before me this
day of 20 `
Notary Public ! ign /of Applicant
Date
File #
TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint:Sc906 CAW� SCTM# y- e •3
Property Owner: 'S1nc�Aveg cu-c9 `roc t Phone
Address:
NATURE OF COMPLAINT:
C�Q 1
ACTION TAKEN:
Optional:
Complainant: e�Q,�,u tN,pn-n 9 By Phone Mail In Person
Address Phone:
Report Taken By: Date
Date Referred to Code Enforcement:
---------------------------------------------------------------------------------------------------------------------
CODE ENFORCEMENT REPORT
SITE INSPECTION REPORT/DATE:
ACTION/DATE:
�`guF ptK Town of Southold Annex 12/21/2011
54375 Main Road
Southold,New York 11971
COMPLAINT
To: Spans, James& Shalvey Jr, Thomas Complaint#: 2011-193
PO BOX 777 SCTM#: 84.-2-2.3
Cutchogue,NY 11935 Follow-up Inspection Date: 1/6/2012
Location: 5200 Bridge Ln
PLEASE TAKE NOTICE, a complaint has been registered against the location described above, in that the above named
individual(s) did commit or permit to occur the following offense:
Complaint of construction without a building permit.
This condition constitutes a violation of:
TOWN OF SOUTHOLD CODE
144-8(A)(1)
To Resolve: Property owner has ten days to contact Southold Town Building Department regarding this matter. Failure to
do so will result in legal action.
When on 12/16/2011,I did observe the following:
This property will be re-inspected for compliance on: 1/6/2012
Damon Rallis
Town of Southold Annex
12/21/2011
54375 Main Road
Southold,New York 11971
MEMORANDUM OF "OLATION(s)
ISSUE DATE: 12/21/2011
REGARDING: 5200 Bridge Ln
SEC-LOT-BLK: 84.-2-2.3
ISSUED TO: Spans, James& Shalvey Jr, Thomas
PO BOX 777'
Cutchogue
LAW TYPE: TOWN OF SOUTHOLD CODE
SECTION: 144-8(A)(1)
DESCRIPTION: No person, firm or corporation shall commence the erection, construction, enlargement, alteration, removal,
improvement, demolition, conversion or change in the nature of the occupancy of any building or structure, or
cause the same to be done, without first obtaining a separate building permit from the Building Inspector for
each such building or structure.
OBSERVED:
F04 Q2
Town of Southold Annex 12/21/2011
�y 54375 Main Road
Southold,New York 11971
73178_0153 2222 7316 642:2 _
NOTICE OF VIOLATION - ORDER TO REMEDY
ISSUED TO: (Owner of Record)
Spanos, James & Shalvey Jr, Thomas
PO BOX 777
Cutchogue,NY 11935
RETURN DATE: 12/30/2011
REFERENCE NO.: 2011-193
Regarding: 5200 Bridge Ln
SCTM#: 84.-2-2.3
PLEASE TAKE NOTICE THAT the property described above, including any improvements thereon, which is owned, occupied or
operated by you or in which you have an interest, is in violation of the Town Code of the Town of Southold and/or the Uniform
Fire Prevention and Building Code as specified in the attached"MEMORANDUM OF VIOLATIONS".
YOU ARE THEREFORE ORDERED AND DIRECTED to correct and comply with the law and to remedy these violations on or
before the RETURN DATE noted above.
If you contend that there is no violation, you must notify the below code enforcement official in writing before the RETURN
DATE noted above. This notice must stipulate the specific reason you believe the conditions noted on the attached
MEMORANDUM OF VIOLATIONS is not in violation of applicable codes, rules or regulations.
Your failure to correct these violations within the time noted above, and to comply with the applicable provisions of law may
constitute an offense punishable by a fine or imprisonment or both.
For the purposes of applying the penalties described in this order,your first violation shall be deemed to have occurred as of the
ISSUE DATE noted above.
Should you have any questions, please contact me at(631)765-6620.
f
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Damon Rallis
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James Spanos
PO Box 777
Cutchogue, NY 11935
August 17, 2012
Re: 5200 Bridge Lane
SCTM# 1000-84.-2-2.3
Violati®m Notice
To Whom It May Concern:
We have received a complaint and evidence to suggest that there are violations on the above
referenced property, including construction without the benefit of a building permit and
construction of an illegal sign.
Pursuant to Chapter 144-8(A)(1)of the Southold Town Code,
"No person,firm or corporation shall commence the erection, construction,enlargement,
alteration,removal,improvement,demolition,conversion or change in the nature of the occupancy
of any building or structure,or cause the same to be done,without first obtaining a separate
building permit from the Building Inspector for each such building or structure."
Pursuant to Chapter 280-81(B)of the Southold Town Code,
"Except as otherwise provided in this chapter,signs shall not hereafter be erected, structurally
altered,enlarged or moved or reconstructed within the Town unless a permit is obtained from the
Building Inspector and payment of a required fee per sign in accordance with the Town of
Southold fee."
Therefore,you have ten(10) days from the receipt of this letter to apply for permits to legalize
both the"as built"construction and sign.
Should you fail to do so; legal action will be taken against you.
Respectfully Yours,
Michael J. Verit ief Buildin nspector
Southold Building Department
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SURVEY OF PROPERTY
51TUATE: GUTCHOGUE
TOWN: 5OUTHOLD r
5UEEOLK COUNTY, NY
SURVEYED 04-06-2006 O`OQ`C`r w E
AMENDED 05-01-2006 "-pprrC\,hw 1
SUFFOLK COUNTY TAX MAP REPERE06E
1000-06400-0200-002001 tib ,' ''
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