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Home My WebLink About44740-Z �NTown of Southold - 3/2/2020 IL a y , P.O.Box 1179 o _ 53095 Main Rd 4,1 "haps 't Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41105 Date: 3/2/2020 THIS CERTIFIES that the building ALTERATION Location of Property: 1000 Village Ln., Orient SCTM#: 473889 Sec/Block/Lot: 25.4-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/19/2016 pursuant to which Building Permit No. 44740 dated 8/1/2016 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: Alteration to repair rear stairs to an existing single family dwelling as applied for. The certificate is issued to JOTAS Corp l of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED uth ri ed ignature u TOWN OF SOUTHOLD �o�pgUffQ1kcoG� BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • �,• 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#: 44740 Date: 2/27/2020 Permission is hereby granted to: JOTAS Corp 25500 Main Rd Orient, NY 11957 To: Alter an existing dwelling (repair stairs)'as applied for. Replaces BP#40873 At premises located at: 1000 Village Ln., Orient SCTM # 473889 Sec/Block/Lot# 25.-1-18 Pursuant to application dated 2/27/2020 and approved by the Building Inspector. To expire on 8/28/2021. Fees: PERMIT RENEWAL $150.00 Total: $150.00 Building In �SofFot�c TOWN OF SOUTHOLD BUILDING DEPARTMENT y a 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#: 40873 Date: 8/1/2016 Permission is hereby granted to: JOTAS Corp 25500 Main Rd Orient, NY 11957 To: alter an existing dwelling (repair stairs) as applied for. At premises located at: 1000 Village Ln, Orient SCTM # 473889 Sec/Block/Lot# 25.-1-18 Pursuant to application dated 7/21/2016 and approved by the Building Inspector. To expire on 1/31/2018. Fees: CO -ALTERATION TO DWELLING $50.00 CO-NEW CONSTRUCTION/ALTERATION/REPAIR $250.00 T $300.00 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-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$15.00 Date. New Construction: Old or Pre-existing Building: (check one)4 Location of Property: l dQ o W4 (,,A- House , A-House No. treet Hamlet Owner or Owners of Property: ��S P rty� Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ / Pplican Signature OF SOUT,yo 4 4-7q o ��y00UNT1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING / STRAPPING [V FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ' DATE 011-711 4� INSPECTOR 1�0 4�p q,o Ulyolo # # TOWN OF SOUTHOLD BUILDING DEPT. -vulm, 765-1802 LYLt INSPECTION [ ]= FOUNDATION 1ST [ ] ROUGH PL13G. [ ]. FOUNDATION 2ND [ ] 1 ATIOWCAULKING [ ] FRAMING.,/STRAPPING [ FINAL - ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]- FIRE RESISTANT PENETRATION [" ] LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION Q [ ] PRE C/O REMARKS_: �' Q "o ✓ k44 L,-v I &Ulr�✓-�' 1� NftAi wj ff Z10 aa 1/1 • - l DATE INSPECTOR • r: r ,g rIN5ULATION /" , , .G�',��✓''`. - --=ice, '' % _ ,�� Mwer MCA wAik I� Y - • u 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) 765-9502Survey SoutholdTown.NorthFork.net PERMIT NO. CD'M!2 Check Septic Form N.Y.S.D.E.C.' ' Trustees C.O.Application Flood Permit Examined ,20 Single&Separate "6Storm-Water Assessment Form Approved Contact: \ ,20 \ Mail to:, Ga n Disapproved a/c Phone: (OL91 Expiration ,20 ' g Ins e D CC�G�MC P�L•ICATION FOR BUILDING PERMIT JUL 9 2016 Date , 20 INSTRUCTIONS BUILDING DEPT. a. V&Wbpt0Lt1iAtJb 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant EPessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises L!s a - (As on the tax roll or latest deed) If applicant is a�e r t�signature of duly authorized officer ame and title of corporate officer) Build s License No. Plumbers License No. Electricians License No. 36 (3^ Other Trade's License No. 1. Location of land on which proposed work will be done: f Oo n V L 1 a' Q House Number Street Hamlet County Tax Map No. 1000 Section 2 S Block f� Lot Subdivision Filed Map No. Lot i 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work B"4--x�;-i cd-%- (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 Rear Depth Height Number of Stories Dimensions of same'structure with alterations or additions: Front Rear Depth Height_ Number of gas 8. Dimensions of entire new construction: Front— 14 �. E I Depth r s Height Number of Stores ' 9. Size of lot: Front Rear Depth ch •'ref t�,ot�t --carr 10. Date of Purchase Name of Former OwnerI 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 NOVill 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 1, * 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. i 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 a 1C • being duly sworn, deposes and says;that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 1)W P14 h� (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 tgpefore me this d y 20 tA J SEPI I CHEREPOWICH ary a is I'ciary Public,State of NP-WYOY14 Signature of Applicant No.4804515,Suffolk County � i Term Expires September Jud, . .---•`'=,ter;� ST(0))EZ��1MA�TIEK Scott A. Russella -�� SUPERVISOR �vJ(A� A� G JEI� 1 � � SOUTHOLD TOWN HALL-P.O-Box 1179 �_; 53095 Main Road-SOUTHOLD,NEW YORK 11971 L. t0a Town of Southold O�JJ\ CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS 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. 01 Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. i ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. j ❑ . Site preparation within the one-hundred-year floodplain as depicted - ❑ 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 Tan 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. S.C.T.M. ": 1000 Date. APPLICANT: (Property Owner.Design Professional.Agent,Contractor,Other) Distract -TO+P's C� r 2 ,5 NAME l A (P Section Block Lot FOR BUILDING DEPARTINiENT USL ONLY Contact Information V G f/J� Reviewed By: of V/'' - - - - - - - - - - - - - - - - - — Date: .1 15�1� Property Address / Location of Construction Work: [eAppro,v, - - — — — — — — — — — — — — d for processing Building Permit. JC'1 aQ Ltrmater Management Control Plan Not Required. �/ 2�E/VT ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review) FORM A SMCP -TOS MAY 2014 + K f / P ci low r 144b� l ti i' • 04V. 1. * Ar Av i ' � f r t , �ti.. "` .. L L ►' rA IIIIIIIII.I.MlY i�11Am .a,�� rte►"` % , Aw c�y1 �6" _.� _ .. � .. : 1. Ahs, � ��1 � rr f� .,",:s�ens�.:!•��. '�b.�.� r ' 1. 7 oil bib • _ ��;� � '.ni... � -: ` i�`(`�7 s�.. � Jar � � � •. 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'. .� �i�� •tom ,�y., �4(. t r -* X, a _#S�•.� lam. +4f �' .� � R�',' i-I� i� -- f :tom k a y'+ _ - 3 4w - .•., r1,; . moo•.,(r Ytl{�, �- [ � • OF SOUr�ol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT February 4, 2020 TOWN OF SOUTHOLD JOTAS Corp. 1000 Village Lane Orient, NY 11957 RE: Renewal fee of$150.00 is required as well as a copy of the manufactures specifications for the existing HVAC system. 1 /V-p C 4"- TO WHOM IT MAY CONCERN: 6Q vu �/Y)b The items marked below are required to obtain your Certificate of Occupancy 1M,O4�& `1 Application for Certificate of Occupancy. (Enclosed) UO X "ricale riter tific A fee of$50.00. Final Survey with Health Department Approval. Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or Engineer BUILDING PERMIT: 40873-Z Alteration/Repair DATE.�t F CODES OF ! TOWN CODES NOTI -BU- �. N ,K S ,t _ 785-1802 NT AT �S riCOUIRED A FOLLOWING ISP C71CN1S: FOR THE h 1. FOUNDATION 1-'A" REQUIRED SOUTNOLD BOARD FOR POURED C,DNCRETE SOUiFIOLti 2• ROUGH - FRAMI1-4„ & PLUS.",RING ,v��, ;'''NTRUSTEES 3. INSULATION 4. FINAL - COi'q Tgl)CTiON MUST BE COMPLETE F:oR C.O. ® ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS YnovOF THE C - : . NEW FOR . RS. � s n C z , „-r a_ k _ e # F �U�� sG fi CUANCY OR USE IS UNLAWFUL WITHOUT� S S I t � CERTIFICATE W I w OF OCCUP a4, 3 ANCY mom- 'a�I " -.. ...,,,:.t �•`e....' � .i y, • F Y a .y C a4 y t ` n' Y _ �: �..� �• 1$ -YY MY- Y. t �AF•^ .. � ,. 1.� Y M StS. -�--.I.p} ` � w -Ply fr �� .T Thi�+'� '1 '� r '�t' _ � y '� ✓'i ♦" �,y.y� 1 %a �!R a �5 A't^a,�`.r.. 4��. '" a st ,. •t••r.. ,.. _ ,_._ _ �,""' t,�4r'. .4�� '�•F .�%`CL j � �� £`' � .+l o4_ 'q�,t - �'. _ cz�R�„ ��`r "'red,.. �y , y a :� .� -"` Y Iia/. �� \6 ♦N /= eeSM C� i rr s s Y � r.+�;�` k�t 1. '� "l rwfn¢'•,i. : f� b �✓^' 3 a t X11 . t = N ►1 - yvt 1