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HomeMy WebLinkAbout34524-Z 1 4 gtlf FGt/t©may Town of Southold 12/9/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41667 Date: 12/8/2020 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 11115 Route 25, East Marion SCTM#: 473889 See/Block/Lot: 31.4-30.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/19/2009 pursuant to which Building Permit No. 34524 dated 3/24/2009 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: bathroom fixture replacement as applied for. The certificate is issued to Kirchhoff L Liv. Trt. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A th ed Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34524 Z Date MARCH 24, 2009 Permission is hereby granted to: , LUCINE KIRCHHOFF 24C CLIFTON GARDENS FLAT A LONDON, UK,- W91AU for INTERIOR ALTERATION OF BATHROOM IN EXISTING SFD AS APPLIED FOR. 'at premises located at 11115 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0004 Lot No. 030 . 003 pursuant to application dated MARCH 19, 2009 and approved by the Building Inspector to expire on SEPTEMBER 24, 2010 _ Fee $ 200 . 00 Authorized Signature COPY Rev. 5/8/02 ✓�� SOF SOUIy � o # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST - [ ] ROUGH LBG. [ ] FOUNDATION 2ND. [ ] I LATION/CAULKING [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE & CHIMNEY _ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 49 In't t • o DATE ww INSPECTOR J s� d FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) ------------------------------------- FOUNDATION(2ND) \ z 0 ROUGH FRAMING& y PLUMBING C ' INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O � z m t� c o z x y x d �7 ro H 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 �� �� Survey S SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined L ,2� Storm-Water Assessment Form Contact: Approved 3 ,20 Mail to- Disapproved a/c_ Phone: Expiration 20 0 ® E C E o V E Building Inspector MAR 19 2009 PLICATION FOR BUILDING PERMIT BLDG DEPT. Date NO)/CA 101 , 20 © tel TOWN OF SOUTHOLD 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. (Signature o applicant or r.• e, f a corporation) t 5 (Mailing ad ress of applicant) C� 3C' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder O(N V1Q.6' Name of owner of premises (fit tare A-vLS-h S (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. W O VK ddnC., Plumbers License No. 'b y 0w n-e-Y Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: m5 (vu L-n 'Rcc d EaA mamn n`/ House Number Street Hainlet County Tax Map No. 1000 Section Block ( Lot Subdivision Filed Map No. Lot 1 of 2. State existing use and occupancy of premises and tlltzt d use and occupancy of proposed construction: a. Existing use and occupancy r-P'y b. Intended use and occupancy [If QA ,Q,l,J" Q 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition they Work J(r) e- berth f Q.n yaf1on (Description) 4. Estimated Cost asoo 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. k ' 7. Dimensions of existing structures, if any: Front Rear _ Depth Height Number of StoriesI ` cJ1 JI i r_ 1 ,V Dimensions of same structure with alterations or additions: Front I 3I Rear v1:1 Depth Height Number 6f;S6nep'�,LK gl lis ;i 8. Dimensions of entire new construction: Front Rear L -Depith---. Height Number of Stories ;,.er,:,t•'i T{"c�, `t,`s`';',t zi; :r 9. Size of lot: Front Rear Depth 10. Date of Purchase I o IOS Naive of Former 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 1, car-r�K hv�" 14. Names of Owner of premises LL, "'S�1S Address l \\S W\LLvw ed Phone No.(O3I Ci Name of Architect Address �° rncL '°-`- Phone No Naive 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 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH Notary Public State of New York No.0%U6185050 (S)He is the Qualified in Suffolk Count/ (Contractor,Agent, Corporate Officer, etc.) CommissionExxgirP�s l,pril 14,ZUjLwx­ 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 �— day of 20� Notary Public Signature of Applicant N/F NOVICK SURVEY OF N 87°37'20"E 68.00' DESCRIBED PROPERTY FOUND C NCRETE SITUATE BLOCK PR EAST MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: LUCINE KIRCHHOFF Y 0 U 0) O TM# 1000-031-04-030.3 z 2' z " PIPE 0 5'WEST Z) a la GUARANTEED TO: LUCINE KIRCHHOFF FIDELITY NATIONAL TITLE INS. CO. r w I� o I� W z I� Z Ig, FENCIN I� 1-1.6' 8.37' SHED •7 OVER LINE d' � m N =�ff-2 SHED CONCRETE APRON ,9'OVER LINE W/STEEL DOOR 'FFINCE EAST OF PROP, LINE •6 CONCRETE OVER LINE LLl a 2— co co I N to O o ^ lY O z 7 I3 .— I z WOOp III fO e � Q o /GATE O � O LL ¢ FRAME STONE Zz = P O I FENCE (n RESIDENCE 2.4 ^ 3 a ENTRY PIPE � O 2 0.4 cf N 80'S9'3 ,W .4 68,00Q ®AD I " I SURVEYED 15 JUNE 2007 SCALE 1"= 50' AREA = 26,878 S.F. OR 0.617 ACRES GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY SURVEYED BY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY, STANLEY J. ISAKSEN, JR. LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION P.O. BOX 2.94 GUARANTEES ARE NOT LE TO ADDITIONAL INSTITU77ONS ORSSUBSEQUENT OWNERS NEWS FFOLK. N.Y. 11956 631 -7 4-5835 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES THE LAND FSURVEYORS THIS EEMBOSSED Y MAP T EALRSHALL ENING SED ND URVEYOR NOT COPYBE CONSIDERED TO BE A VALID TRUE NYS Lic. No. 273 08R 1700 ALL CONSTRI!Cfloi l SHALL l S -MEET THE REQUIREMENTS OF THE _L 0CODES OF NEW YORK STI ATE.. 1Ao @&IkNCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVE® A$ NOTED DATE':--' U �j -�� FEE: oo BY: NOTIFY BUILDING DEPARTMcNT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 1 1 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. O�QQ� ALL CONSTRUCTION SHALL MEET THE 01 REQUIREMENTS OF THE CODES OF NEW ORK STATE. NOT RESPONRBLE FOR UCT ONSIERRORS. DESIGN OR CO �o not/ rna ( n f • � �� I - � G�� . �i�,r�� i �* � �� '" �"'� • - - �," - � '7-Y +i1.A/ c'�ti..,. .. . � -• � � . ._.. Mavrm�.,�--��' �,..,r ..�...,;� t�4� ;,. 1 �r .,x ""....."„ w-ti..:,. 4��. --.,�.,-;. ,� ,��� � ��. »�4p I �. +xrrcx / � � �� /. - � • • -, r,� s '` ..�. ,� `� '. - �� ry - 3 � .�'� �+7 .,;, , r. Bunch, Connie From: Bunch, Connie Sent: Tuesday,August 18, 2020 8.37 AM To: Mark K. Schwartz (mksarchitect@optonline.net) Subject: Kirchoff, 11115 Route 25, East Marion Good Morning, John said he needs to see the bathroom that was renovated before I can do the CO on the other permit. If ok we will add it to the other permit. I scheduled it for August 26th, but if that date isn't good let me know. Connie gUEF04 Southold Town Building Department 3,�Q�� c4Gy 54375 Main Road Permit#: 34524 C Southold,New York 11971 Permit Date: 3/24/2009 o � -V (631)765-1802 Expiration Date: 9/24/2010 Parcel ID: 31.4-30.3 BUILDING PERMIT RENEWAL LETTER Dated: 12/13/2011 Applicant: LUCINE KIRCHHOFF &PIERRE ANSTIS Location: 11115 MAIN ROAD Work Description: RESIDENTIAL ALTERATION INTERIOR ALTERATION OF BATHROOM IN EXISTING SFD AS APPLIED FOR. A FEE OF $200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: LUCINE KIRCHHOFF &PIERRE ANSTIS Address: 11115 ROUTE 25 EAST MARION,NY 11939 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department SUFFot'�c� P.O.Box 1179 54375 Main Road Permit#: 34524 0 o • Southold,New York 11971 Permit Date: 3/24/2009 4A o� (631)765-1802 Parcel ID: 31.4-30.3 Expiration Date: 9/24/2010 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE Dated: 3/22/2012 Applicant: LUCINE KIRCHHOFF & PIERRE ANSTI5 Location: 11115 MAIN ROAD, EAST MARION Work Description: RESIDENTIAL ALTERATION INTERIOR ALTERATION OF BATHROOM IN EXISTING SFr) AS APPLIED FOR. A FEE OF $200.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: 'LUCINE KIRCHHOFF & PIERRE ANSTI5 Address: 11115 ROUTE 25 EAST MARION, NY 11939 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. �- Southold Town Building Department P.O.Box 1179 Permit#: 34524 54375 Main Road y Southold,New York 11971 Permit Date: 3/24/2009 ®yol �ao� (631)765-1802 Expiration Date: 9/24/2010 Parcel ID: 31.4-30.3 Dated: 4/16/2012 Applicant: LUCINE KIRCHHOFF&PIERRE ANSTIS Location: 11115 MAIN ROAD, EAST MARION Work Description: RESIDENTIAL ALTERATION INTERIOR ALTERATION OF BATHROOM IN EXISTING SFD AS APPLIED FOR. 1 \\1 Owner: LUCINE KIRCHHOFF &-Pn4iRE ANSTIS Address: 11115 ROUTE 25 EAST MARION,NY 11939 Your BUILDING PERMIT #34524 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore,you have ten days from the receipt fo this letter to submit a check made out to the Town of Southold in the amount of$200.00 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, T 000�-, j�v,�p 9 W- Michael Verity: Chief Building Inspector Southold Building Department cc: Damon Rallis Zoning Inspector