HomeMy WebLinkAbout45832-Z �o�OSUFfoc Town of Southold 5/6/2022
P.O.Box 1179
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C* .z 53095 Main Rd
u0,4� a � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43049 Date: 5/6/2022
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 8300 Route 25,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-7-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/8/2021 pursuant to which Building Permit No. 45832 dated 2/18/2021
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 existing single family dwelling as applied for.
The certificate is issued to Benidze,Koba
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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A o 'ze ignature
r' sUF 1 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
oy • 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 #: 45832 Date: 2/18/2021
Permission is hereby granted to:
Benidze, Koba
8300 Main Rd
East Marion, NY 11939
To- legalize an as built deck addition as applied for.
At premises located at:
8300 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-7-2
Pursuant to application dated 2/8/2021 and approved by the Building Inspector.
To expire on 8/20/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $758.40
CO-ADDITION TO DWELLING $50.00
Total: $808.40
— Building Inspec o
X04 SOUTy
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# # TOWN OF SOUTHOLD BUILDING DEPT.
�ycoorm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH-PLBG.
[ ] FOUNDATION 2ND [ rNSULATION/CAULKING'
FRAMING /STRAPPING [ FINAU'&�- ,k pv
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
n
REMARKS: I ro mw
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DATE Ifo INSPECTO
John Cotugno Architect, PC
90 North Central Avenue
Hartsdale, NY 10530 MAY 2 4 2021
(914) 589-2521
May 20,2021 i1t
Town of Southold
Building Department
Town Hall Annex
54375 Route 25
P.O.Box 1179
Southold,NY 11971
RE: As Built Deck
Benidze Residence
8300 Main Road
East Marion,NY 11939
Dear Building Official;
This is to confirm that the footings, framing and strapping has been constructed in
accordance with the approved plans and the N.Y.S. Residential Code.
Very Truly Yours,
141
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John Cotugno,"
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy • o� Telephone(631)765-1802 Fax (631)765-9502 https://www.southoldtgmmU.gov
'rra rT r,#cif
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector. '
Appltcationiand forms.must be filled.out in.their entirety:Incomplete
applications will not,be,accepted: Where the Applica'rit is not the owner,an
"Owner's Authorizatiori4o 'nn(Page 2)ihalI',be completed
Date: 2 2l
OWNERS)OF PROPERTY
Name: �G ) 7—.fa- F—TM
#1000-
Project Address: '
Phone#: 2J ` �' Email:
Mailing Address: �2j3 ,6-d k(v �—IA
CONTACT PERSON
Name:
Mailing Address: < Cj(_. ,"U ikvE
Phone#: 5`� 2J 2 Q Email: Cd-('�J �yJ'J C
AV
„DESIGN'PROFESSIONAL INFORINIATION
Name: C-<:37T0v.
Mailing Address: 10 I v , <f—Lk(- L AVE A IIS,( 5 to 5-,? o
Phone#: ��� �� �`J- ?j� Email: ei
CONTRACTOR INFORMATION:.
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION:OF'PROP.OSE. ONSTRUCTION
El New Structure ❑Ad pion ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
C�Other e6 J
Fill
the lot be re-graded? ❑Yes Pfl\O Will excess fill be removed from premises? ❑Yes Cko
1
PROPERTY INFORMATION
Existing use of property: ( N — Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes C?lo IF YES,PROVIDE A COPY.
l�':CheCk BOX After Reading ,The owner/contractor/design professional is responsible•,for all drainage and storm water issues as,provided" ,
chapter 236 of the Town,Code.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,NewYork and bther applicable Laws,Ordinances orRegulations,forthe construction of buildings,
additions,alterations or for removal'or demolidon'as herein'descn"bed.The applicarrt agrees to compfy:with all,appl cable laws,ordinances,building,code,
housing code and regulations and to,admit authorized inspectors,on`premises;and:in building(s).for necessary inspections.false statements made herein are'.'
F.punishable as a Class A misderrieanor pursuant to Section 210.45 of the'New York•State Penal Law
J � � ��
Application Submitted By(print name): 6 qauthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF WC 5 )
V- <—(-7, \V-('N t�' being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
J$)he is the A
(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/herwledg and belief,and
that the work will be performed in the manner set forth in the application file therewith.
r
Sworn before me this
2'5.�-xI
day of: 20y,
N)j .f P';hu. r, Notary Public
- - - - PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, `l 1'I'� �J residing at 3�� ` N
do hereby authorize `aJ V qN " t G t-j 0 to apply on
my behalf to the Town 4SouId Building Department for approval as described h rein.
O er's Signatate
Print Owner's Name
2
John Cotugno Architect, PC
90 North Central Avenue
Hartsdale,NY 10530
(914) 589-2521
February 3,2021
Town of Southold
Building Department
Town Hall Annex
54375 Route 25
P.O.Boz 1179
Southold,NY 11971
RE: As Built Deck
Benidze Residence
8300 Main Road
East Marion,NY 11939
To Whom It May Concern;
Enclosed please find application for a Building Permit, check for$758,survey
and three copies of the architectural plans. Please contact me if you require additional
information.
Very Truly Yours,
�a FEB' - a
John Cotugno
SO(/ryol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 GO • Q
Southold,NY 11971-0959
�yCOUNT`1,��
BUILDING DEPARTMENT
April, 27, 2022 TOWN OF SOUTHOLD
Benidze, Koba
8300 Main Rd
East Marion, NY 11939
RE: Required guard and graspable railing on west and south facing stairs.
TO WHOM IT MAY CONCERN:
The items marked below are required to obtain your Certificate of Occupancy
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
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: 45832-Z Deck
SURVEY OF:
PROPERTY LOCATED AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M. # 1909-31-7-2 j
AREA = 25.374.9 SF.
SCALE: 1"=40'
NOTE: THE EXISTENCE OF RIGHT OF WAYS. O
WETLANDS AND/OR EASEMENTS OF RECORD
IF ANY. NOT SHOWN ARE NOT GUARANTEED.
O \ �
LAND N/F
FRANCINE LEVINE
AS REVOCABLE TRUST
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ROGERS �� p
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UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION \ LAND N/F
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. DOUGLAS
COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED ROGER S
OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.
GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO /
THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO
THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION SURVEYED B Y
LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTIMION.
PAUL B A R Y L S'K I LAND SURVEYING
GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS. P A T C H O G U E NY 11772
CERTIFIED TO: PHONE 631-294-6985
STANLEY J DYKOVITZ FAX 631-627-3186
FIDELITY NATIONAL TITLE INSURANCE COMPANY PAULBARYLSKIaYAHOO-COM
KOBA BENIDZE
� JUNE 14. 2018
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GENERAL NOTES AND SPECIFICATIONS
I. These plans are based on visual observations of as-built conditions with required repair indicated, ��
-
MOVE �:
. D ��� t�°0TED �=':•� "�'L`l WITH ASL CODES 0;= .
„ , . .. _..
DAT C 'Z .P. !� �Jr—FcEC U R[=DTATE& TOWN CODES
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F��. AS ,
NQ��IF B G, ,
BUILD L;.PATMk�k1ENfMAT -
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: SOUT�a-D-Tt31 -Pf +"'vw YARD
p� 1. FOUNDATION - TWO REQUIRED SOIT�lDl4�pWti�RUSTEES
: ' %^ '•a� 3$r' �...o ',h�'�A 1,f�
FOR POURED CONCRETE
. . _ .
RQUGH FRAMING & PLUMr'JING
3. INSULATION ,
4. FINAL - CON'STRUCTION MUST
�h BE COMPLETE FOR C.O.
�-„,,•,,,,,--�--_____._.... . . _ -' � . — ALL CONSTRUCTION SHALL_ MEET THE
REQUIREMENTS OF THE CODES �EF- R
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