HomeMy WebLinkAbout44195-Z Town of Southold 10/16/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
4
CERTIFICATE OF OCCUPANCY
No: 40771 Date: 10/16/2019
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 900 N Sea Dr., Orient
SCTM#: 473889 Sec/Block/Lot: 15.-3-39
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/20/2019 pursuant to which Building Permit No. 44195 dated 9/20/2019
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"DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Brudie,Donald&Barbara
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
u ho ' e Signature
Y =kms, TOWN OF SOUTHOLD
Qg�FE01 c
BUILDING DEPARTMENT
ca TOWN CLERK'S OFFICE
y • oma ' SOUTHOLD, NY
dill
BUILDING PERMIT
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(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44195 Date: 9/20/2019
Permission is hereby granted to:
Brudie, Donald
5 Cathedal Ave
Garden City, NY 11530
To: Legalize "as built" deck addition to existing single-family dwelling as applied for.
Additional certification may be required.
Replaces BP# 41229
At premises located at:
900 N Sea Dr., Orient
SCTM'#473889
Sec/Block/Lot# 15.-3-39
Pursuant to application dated 9/20/2019 and approved by the Building Inspector.
To expire on 3/21/2021.
Fees:
PERMIT RENEWAL $244.80
Total: $244.80
Buil ing Inspector
Su�Fnc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 41229 Date: 12/15/2016
Permission is hereby granted to:
Brudie, Donald & Barbara
5 Cathedal Ave
Garden City, NY 11,530
To: legalize "as built" deck addition to existing single-family dwelling as applied for.
Additional certification may be required.
At premises located at:
900 N Sea Dr, Orient
SCTM # 473889
Sec/Block/Lot# 15.-3-39
Pursuant to application dated 12/12/2016 and approved by the Building Inspector.
To expire on 6/16/2018.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $979.20
CO -ADDITION TO DWELLING $50.00
Total: $1,029.20
Buil In ctor
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 from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%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. /d.
New Construction: Old or Pre-existing Building: `X (check one)
Location of Property: KJ of b1e,,1 vt 6 6-,
House No. Streetpp Hamlet
Owner or Owners of Property: ) �j Fill ch Q�
Suffolk County Tax Map No 1000, Section Block Lot 5 07
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ L/U
Applicant S gna e
�pE SO(/ly
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
( ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL k5 QVIV'rD�.
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 0 4r�, v' xh-�ti
DATE 1/3 INSPECTOR ti
T
raY'E R `�
® ® SHERMAN ENGINEERING &CONSULTING P.A.
ti 14 NELMAR AvE ST AuGusT m, FL 32084
E //C'A
N� Review and Certification of Constructe ori �;
I U=
September 13, 2019 _'
' SEP 2 0 2019
Town of Southold Building Dept.
Re: Deck Construction, Brudie Property 900 North Sea Drive -
SCTM 1000-15-3-39
The deck constructed at the above referenced property was done so in substantial
compliance with the plans by Sherman Engineering & Consulting, PC dated December
2, 2016. Construction was verified by a representative of Sherman Engineering through
site inspections and photographs.
Please contact me if you require additional information concerning this matter.
Very tr
Matthew Sherman, PE ��_
NYS Lic No 083584
t-ULL�JI
CML ENGINEERING DESIGN SITE PLANNING PERMITTING
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST)
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STATE ENERGY CODE
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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 Planning Board approval
FAX: (631) 765-9502 2Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20 Storm-Water Assessment Form
P , Contact:
Approved_ 20� r� Mail to: 000 Yl t)
Disapproved a/c
Phone:—1
Expiration ,20
Va
APPLICATION FOR BUILDING PERMIT
" Date a- �' , 20 / �o
�EC 2 20 INSTRUCTIONS
a. � �completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plplan 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 applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
De-S,
Name of owner of premises f�>ry J( Q,
(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 w 'ch proposed work will be done:
Tao Jori 5g.", ��iV� �r� M4
House Number Street Hamlet
County Tax Map No. 1000 Section Block 3 Lot
O..LA:_.:.. ..... T:1-A T.f.....RT.. T ..4
2. State existing use and occupancy of premises and inte ded use and occupancy of proposed construction:
a. Existing use and occupancy S I.L i re Slice_ w d4z'i—
b. Intended use and occupancy 5�
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work AIG-17a1J1 I,-1- Dj�?C,ty
4. Estimated Cost Fee (Description)
(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 If 7 r Rear Z;L Depth �9 �
Height a S ' +/- Number of Stories o?
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of eptire new construction: Front Rear Depth
Height - Number of Stories
9. Size of lot: Front /50 Rear I S5.I Depth ISS P V" S . 6 6
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated [2— q0
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO_\,/
13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO \,4
14.Names of Owner of premises I?v 12tJ ck� Address Phone No.
Name of Architect q>-1X ryy"� 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 EREQUIRED.
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 l�
* IF YES, PROVIDE A COPY. CONNIE D.BUNCH
ublic, ate of
STATE OF NEW YORK) Notary No. 01 BU6185050w York
S: CornrraBaslon Expiresalified in ®lk Ap14 County�ao
COUNTY OF5u1
OA-'Yi being duly sworn, deposes and says that(s)he is the applicant
(Name of individual si ning contr ct)above named,
(S)He is the 1�Q sl
(Contractor,A nt, 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 is
a- day of CQm 20 [ka
Notary Public SiaftWof Applicant
Scott A. Russell ,��°su ��� ST01KMWAkX1E1K
SUPERVISOR MAN
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT T INVOLVIE ANY OF THE FOLLOWING
Yes No (CHECK ALL THAT APPLY)
❑[ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑LP B. Excavation or 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.
❑Iq- E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
❑ 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 Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 1000 Date-
District
ateDistrict /�
NAME- �1G� ►! i l/vt/ ('/1 16 J • I d- S/,
'�
Section Block Lot
LIZ
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Reviewed
c 0 ****FOR BUILDING DEPARTMENT USE ONLY****
Contact Information / OV By: t t,-r�
— — — — — — — — — — — — — — — —
Date: f / 01 A�
Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — —
�0 aKJ 1�rL4)� El Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM * SMCP-TOS MAY 2014
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