HomeMy WebLinkAbout43142-Z Irr-ra
�O`OS�tF01�p Town of Southold 1/13/2020
y� P.O.Box 1179
,! 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40987 Date: 1/13/2020
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1500 Trumans Path,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-12-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/3/2018 pursuant to which Building Permit No. 43142 dated 10/16/2018
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" alterations and additions, including deck and enclosed porch,to an existing single family dwelling as
applied for.
The certificate is issued to Colombo,Hector&Linda
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43142 03/14/2019
PLUMBERS CERTIFICATION DATED
o ic
gnature
o�Su o��,co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 43142 Date: 10/16/2018
Permission is hereby granted to:
Colombo, Hector
755 Plantation Ct
Marco Island, FL 341451921
To: as built" alterations to an existing single family dwelling as applied for.
At premises located at:
1500 Trumans Path, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-12-14
Pursuant to application dated 10/3/2018 and approved by the Building Inspector.
To expire on 4/16/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $841.60
CO -ALTE TO DWELLING $50.00
$891.60
Building In pector
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 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$15.00n
Date. _ 61)6f
New Construction: --/�011d or Pre-existing Building: J/ (check one) y
Location of Property: ��(�((/ //Cti�U��yS�rl 6V,9i
House No. Street Hamlet
// r
Owner or Owners of Property:_ =5_ Li/(f z_1
Suffolk County Tax Map No 1000,Section 31 Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$ _ O
Applicant Signature
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT
TOWN HALL Do you have or need the following,before applying?SOUTHOLD,NY 11971 Board of Health
TEL: (631)765-1802 4 sets of Building Plans
FAX: (631)765-9502 Planning Board approval
Southoldtownny.govPERMIT NO. Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Examined' cL.-.►-^ Flood Permit
Single&Separate
Truss Identification.Porm
OCT _ 3 ZO18 Storm-Water Assessment Form
CContact: �/� /��
Approved 20 Mail to: a C�LOH 50
Disapproved a/cWE, tl y �� )lI� q-55
- Phone: ��J � i-�L ���v✓
Expiration_ .20 BUz-fes°l�✓�`4
B ding
'APPLICATION FOR BUILDING PERMIT
Date O� Zp�
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 throughouf 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•Biiil4ig 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)
lab V,41,15mW E0 I
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect engineer,general contractor,electrician,plumber or builder
Name of owner of premises 0
'515 e
(ids 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/�os/ 7o,
bgdonenj
House Number Street U/ j Hamlet H !'
County Tax Map No. 1000 Section �/ Block 2' Lot
State existing use and occupancy of premises and intended use anoccupancy of proposed construction:
a. Existing use and occupancy �S �lu
b. Intended use and occupancy S �
Nature of work(check which applicable):New Building Addition V'/ —Alteration t//
Repair Removal Demolition OtherWorY/ l�/li1J
Estimated Cost Fee "V/�� 6V4;g01 F)Deck /A
1 19�'
(To be paid on filing this application))
If dwelling,number of dwelling units�_Number of dwelling units on each floor
If garage, number of cars ,-f
If business,commercial or mixed occupancy,specify mature and extent of each type of use.
Dimensions of existing structures,if any:Front 23 Rear Z5 Depth 7 IL
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ` Rear 03 ,
Depth 14 Height Number of Stories
Dimensions of entire new construction:Front `�i 5 > Rear 2 5 Depth < `�
Height Number of Sferies'
Size of lot:Front _56) / Rear Z I Depth
Date of Purchase (4 j7 Name of Former Owner 5 t✓f'1 77-
Zone
/Zone or use district in which premises are situated
Does proposed construction violate any zoning law,ordinance or regulation?YES NOZ
Will lot be re-graded?YES NO ill excess fill be removed.from premises?YES NO,-' Q
R066 CDCO 64
Ar—
Names of Owner of prenuses Addre L L Phone No.
Name of Architect _Address- :5&,i_46 Phone No
Name of Contractor Address Phone No.
i.Is this property within 100 feet of a tidal wetland or a freshwater-wetland? `YES NO
•F YES,SOUTHOLD TOWN TRUSTEES'&D.E.C.PERNM-MAY BE REQUIRED.
),Is this property within 300 feet of a tiddl wetland?*YES . NO
F YES,D.E.C.PERMITS MAY BE REQUIRED.
Provide survey,to scale,with accurate foundation plan and distances to property lines.
If elevation at any-point ion property is at 10 feet or below,must provide topographical data on survey.
Are there any covenants and restrictions with respect to this property?*YES NO
F YES,PROVIDE A COPY.
ATE OF NEW YORK).• ��,
LINTY 0&"
'EIL E�ly being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing confraci)above named,
ie is the �
(CoAtractpr?Agent,Corporate Officei;etd)3
iid owner or owners,and is duly authorized to perform or have performed'the said work and to make and file this application;
all statements contained in this application are true to the best of his knowledge and belief;and that the work WIMACEY L. bWYER
ormed in the manner set forth in the application filed therewith. NOTARY PUBLIC,STATE OF NEW YOFIK
NO.01 DW6306900
rn to itefore me thQUALIFIED IN SUFFOLK COUNTY
day of 20 COMMISSION EXPIRESJUNE 30,2D2e2_
tart'Public Signature of App scant
oF so���®�
Town Hall Annex
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q
Southold,NY 11971-0959 'c® ® a® roger.richert@town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Hector Colombo
Address: 1500 Trumans Path City: East Marion St: New York Zip- 11939
Building Permit#. 43142 Section: 31 Block. 12 Lot. 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures 9 TVSS
Other Equipment. "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes* 1-GFCI recpticle in exterior wall at rear deck of house
Inspector Signature: Date: March 14 2019
81-Cert Electrical Compliance Form As
OF SOUIyo�
* TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. '
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING /STRAPPING [VI FINAL k k&
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
Wk� W c4m oll;�X,
Com,
DATE >4 INSPECTOR
pF SOUTyo�
TOWN OF SOUTHOLD BUILDING DEPT.
`-ourm, 765-1802
INSPECTION
� l
[ ] FOUNDATION 1ST [ ] ROUGH PLR-.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[` ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
014
DATE I q INSPECTOR
- tqy -
OF SOGTyO�
# # TOWN-OF SOUTHOLD BUILDING DEPT.
cou765-1802
:
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ` ]X- SLATIOWCAULKINGU
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ -] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
1
t -
FIELD INSPECTION REPORT DATE COMMENTS
INJ
FOUNDATION (IST)
--------------------------------------
'FOUNDATION
-----------------------------------'FOUNDATION (2ND)
z
0
ROUGH FRAMING& y
PLUMBING
•
INSULATION PER N.Y. y
STATE ENERGY CODE
t G11)RIll !n v '✓ -��
�l
FINAL
ADDITIONAL COMMENTS
Fir o
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Michael J. Domino, President ��OF SOUTy� Town Hall Annex
John M.Bredemeyer III,Vice-President 54375 Route 25
P.O.Box 1179
Glenn Goldsmith l [ Southold,New York 11971
A.Nicholas Krupski G Q Telephone(631) 765-1892
Greg Williams '� �� Fax(631) 765-6641 ,
�yCOUNTY,�
BOARD OF TOWN TRUSTEES NOV 1 3 2019
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
1654C Date: October 21, 2019
THIS CERTIFIES that the existing 6'x52' fixed wood dock; existing 22'x22' rel(non-turf
areal with inlaid brick pavers 5' diameter circular(10'width)• existing 20' rock wall located parallel to
Marion Lake and continued 10' perpendicular to the shore with 4' wide steps to grade;existing
13.9'x23.5' wood deck with steps to grade attached to seaward side of dwelling; existing 54'x23.4' one-
story dwelling; on east side of dwelling an existing concrete slab and cellar entrance; existing roofed over
concrete stoop entrance; existing 5'x21 9' wood deck on front of dwelling_property line fence on north
side and south side of property;
At 1500 Truman's Path;East Marion
Suffolk County Tax Map#1000-31-12-14
' lr Conforms to the application for a Trustees Permit heretofore filed in this
office Dated June 12, 2019 pursuant to which,Trustees Wetland Permit#9526
Dated August 14,2019,was issued and conforms to all of the
requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for the existing 6'x521'fixed wood dock; existing
22'x22' gravel(non-turf area)with inlaid brick pavers 5' diameter circular(10"width); existing 20' rock
wall located parallel to Marion Lake and continued 10' perpendicular to the shore with 4' wide steps to
grade; existing 13.9'x23.5' wood deck with steps to grade attached to seaward side of dwelling; existing
54'x23.4' one-story dwelling on east side of dwelling an existing concrete slab and cellar entrance;
existing roofed over concrete stoop entrance; existing 5'x21 9' wood deck on front of dwelling• property
line fence on north side and south side of property.
The certificate is issued to Hector&Linda Colombo owners of the aforesaid
property.
Authorized Signature
r
Scott A. Russell ,�� ST O R IMMATJEJR,
SUPERVISOR
LD _ �= I��1CA\1�A\ G�]EI��JCJEI�'7[,
53095 ainSOUTHRoaad--OSOU HOLD,NEW YORK 911971 0
- Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
- -- - — - DOLES THIS PROJECT INVOLVE E Ali' OF THE 1FO1L1LOWffNG:
i Yes No (CHECK ALL THAT APPLY)
❑[2"A. Clearing, grubbing, grading or stripping of land which affects more ;
than 5,000 square feet of ground surface.
❑ I�B. Excavation or filling involving more than 200-cubic yards of material
within any parcel or any contiguous area.
❑[2-11C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑p'b. Site preparation within 100 feet of wetlands, beach, bluff or coastal
( erosion hazard area.
j ❑[AYE. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse. ;
❑ '_ Installation of new or resurfaced impervious surfaces of 1,000 square
i 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
A r 7 �j District
NAME: ��L�a�/SL �OT/�f /P r// —Af L/
r,N,t Section Block Lot
// s ' i FOR BUILDING DEPARTMENT USE OND'
Contact Information ((n. /)993
—11 0dg1,m X u,na,t
Reviewed By: I&M4�n
- - — — — — — — — — — Da : /6-3 - /g
Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — —
Approved for processing Building Permit.
0 Ey '�J 04,, ) Stormwater Management Control Plan Not Required.
� ,C�' ❑ Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM SMCP-TOS MAY 2014
IBURDING DEPARTMENT-EleadcalInspactur
TOWN OF SOU THOID
Town, ball,Annex-54375, Main Road-PSD BluXI17Q
SDutb,old,, NawYork IT971-(0959
Telellhone(1631)'71,65-1802-
a�ualm t1b I
MAR 4 2019
APPLICATAIGN FOR ELIEICTRDCA�L IN SIPEC-flON
REQUES TLED BY.- Date;
CompanyC(om,pany Name�
N\ame.-
Ucense Noz (eml,at
Address:
JOB 61TE INFORMAKDON: (,(,Au(Informarion, 'Rectu,wed))
N'amme.- N d /* cl
Address: --ho\ yIm4-u' 'S
No r-tA o
Gross Street
[Pb one IN 0�:
Ul t 41�S (email /V Ae c 4e cemd4'4'
SdgPemn,
!Tax Map District: --Tloo-o !Bloch: �7-Ln*
[BRIEF DEWPUmpni om(OF WORK((Please Pdmi t Clearly)
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Is jckb ready fibi-Fun,spedfion'?-- 5)S NO Rough In Fm a]
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Do you need a'T(em,p(Qodlificate?: YES,ONVO issued(on
Tomp Inform afion, :(All iraform,afion, treqtfired�
I Ph 3 Ph A Meters Old Meter#
New SeTmce-Fire Recon,nect-Rood Re -GeNiae Remnnected-U Fomd-Overbead
10 Y NS
,' Uf�ide--.TfjoundLeter�als 1 2 H Frame Adle WDtik dame on, Senfme?
AdMiGn a]luff orin,aflow
[PlqAPPLICATION'
�YMENT ID UE VtV9 TH,
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Town Hall Annex �� y Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1179 N
Southold, NY 11971-0959 0
i
BUILDING DEPARTMENT. ___
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION, PRE-ENGINEERED
WOOb CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date: j, 70/9
Owner: l��JG®��� _
Location of Property:
Please take notice that the/check applicable line):
New commercial,or residential structure
Addition to existing commercial or residential structure
Rehabilitation to•an existing commercial or residential structure
to be constructed or performed at the subject property reference above will utilize
(check applicable line):
5
Truss type construction (TT)
Pre-engineered wood construction (PW)
Timber construction (TC) ,
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature: 1
Name (person submitting this form):
Capacity(check applicable line):
Owner
Owner representative
TrussReg15.docx Effective 1/1/2015
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