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Home My WebLink About30738-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30625 Date: 12/09/04 THIS CERTIFIES that the building ADDITION Location of Property: 1280 JOCKEY CREEK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 5 Lot 15 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29, 2004 pursuant to which Building Permit No. 30738-Z dated OCTOBER 29, 2004 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VICTOR & BEVERLY CIERACH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A AuX riz Signature Rev. 1/81 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. 30738 Z Date OCTOBER 29, 2004 Permission is hereby granted to : VICTOR CIERACH & WF SOUTHOLD,NY 11971 for CONSTRUCT 20 X 20 DECK ADDITION AS APPLIED FOR AND TO CONDITIONS OF NEW YORK STATE DEC. THIS PERMIT REPLACES BP#25819 . at premises located at 1280 JOCKEY CREEK DR SOUTHOLD County Tax Map No. 473889 Section 070 Block 0005 Lot No. 015 pursuant to application dated OCTOBER 29, 2004 and approved by the Building Inspector to expire on APRIL 29, 2006 . j—� Fee $ 150 . 00 � L_. thor ' zed Signature ORIGINAL Rev. 5/8/02 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) P-fia' d 3O-25? PERMIT NO. 25819 Z Date JUNE 23, 1999 Permission is hereby granted to: VICTOR CIERACH & WF. 1280 JOCKEY CREEK DRIVE SOUTHOLD,NY 11971 for CONSTRUCTION OF A 20 ' X 20 ' DECK ADDITION AS APPLIED FOR AND TO THE CONDITIONS OF NEW YORK STATE DEC. at premises located at 1280 JOCKEY CREEK DR SOUTHOLD County Tax Map No. 473889 Section 070 Block 0005 Lot No. 015 pursuant to application dated MAY 4 99 and approved by the Building Inspector. Fee $ 75 . 00 Author ed Siqffiature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTI1fENT 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 birildina or new use: i. I u,al bur%ey 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 I. Certificate of Occupancy-New dwelling$25.00, Additions to dwelling$25.00,Alt to dwelling$25.00, Swimming pool$25.00, Accessory building$25.00,Additions to accessory build' g$25.00, usinesses $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. y/ p New Construction:_ X-Z Old or Pre-existing Building: (check one) Location of Property: / 4 5?(,' C P c/ e k ee y_ I - ;i V n 1 House No. Street l Hamlet Owner or Owners of Property: V l C TOy- d 7 Suffolk County Tax Map No 1000, Section Block CJ O o_�_ Lot O/ 5 Subdivision Filed Map. Lot: Permit No. 30 7 3�? s.- Date of Permit. /D p Applicant: '1 e ye�� C 1 e1eC�C Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate:_ X_ (check one) Fee Submitted: $ Ap S' Com 3drda5 - 7o - S -/s TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB. LOT 41 FORMER OWNER N E ACR. to sc c-y "'Le . is /l F>. �' div RA z ix y 0 S W / TYPE OF BUILDING RES. VL. FARM COMM. CB. MICS. Mkt. Value SEAS. LAND IMP. TOTAL DATE REMARKS 0 4001 ^ vo f C ) z 7 721 . AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER 'y 40 Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD COLOR P TRIM :779 Extension ■N■■N�■�■ 1■T- i I■■■ ■ ExtensioniFoun ■ ■■u■u■■■■ Extension .. Porch Floors K, _ Basement Porch Ext. Walls ® Interior Finish PlaceBreezeway Fire DR FloorGarage e Roof L Rooms Ist Floor BR. Patio Recreation Room Rooms 2nd FIN. B 0 _®Dormer DrivewayTotal - � �- JDCKEY CREEK . S ry'4g'sp., � i e. �a0 Oo Diq�VE N 1 cv M • I.y � Iltr. ft. •tJ'i .• ./IA. � O ••••III _ M n N � a W � Cn J � C7 o c \ M O \ • G O N C.7 �\ 2 6 t/OC� \•S, �� / 3 N % C14 SURVEY FOR VICTOR CIERACH 81 BEVERLY CIERACH SOUTHOLD TOWN OF SOUTHOLD SUFF. CO., N.Y. GUARANTEED T0: SOUTHOLD SAVINGS BANK SCALE: 1 "• 60' HOME TITLE DIVISION OF CHICAGO TITLE INSURANCE CO. DEC. 14, 1968 TE • MONUMENT �GTjotJ� PROFESSIONAL ENGINE AND LAND SURVEYOR,N.Y.S. LIC-NO. I1845 RIVERHEAD N.Y. tjpcKEy � � CREEK _ D �so.0p; RI VE t t N //) ; � Y A N Jai C7 o D \ M d \ • C • N � V �\ 2 h ✓ t Oc \•s�� 3 Fy �•w�� o a CN N R SURVEY FOR VICTOR CIERACH 8 BEVERLY CIERACH SOUTHOLD TOWN OF SOUTHOLD SUFF. CO., N.Y. GUARANTEED TO SOUTHOLD SAVINGS SANK SCALE- 1 "" 60, HOME TITLEDIVISION OF DEC. 14, 1968 CHICAGO TITLE INSURANCE CO. NOTE • MONUMENT � sTll•G�'s%� ER PROFESSIONAL ENGINE AND LAND SURVEYOR,N.Y.S. LK.NO. Its{S RIVERHEAD N.Y. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-02263/00001 . A riL 27 1999 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental Conservation Law April 30, 2003 r I TYPE OF PERMIT ■ New ❑ RenewaL ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, TitLe 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR of Waters Certification 360: Solid Waste Management ❑ ArticLe 15, TitLe 15: Water ❑ Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR Supply 373: Hazardous Waste Management ❑ Article 19: Air Pollution ❑ Article 15, TitLe 15: Water Control ❑ ArticLe 34: Coastal Erosion Transport Management ❑ Article 23, Title 27: Mined ❑ Article 15, TitLe 15: Long Land Reclamation ❑ Article 36: Floodplain Island WeLLs Management ❑ Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers ■ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Victor Cierach (516) 765-3317 ADDRESS OF PERMITTEE 1280 Jockey Creek Drive Southold NY 11971 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Cierach property, 1280 Jockey Creek Drive LOCATION OF PROJECT/FACILITY Southold NY 11971 COUNTY TOWN WATERCOURSE MYTH COORDINATES Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: Construct an addition (20' x 201) deck to an existing single family dwelling. All work is to be done in accordance to plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 8 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Roger Evans (MEP) Building 40, SUNY, Room 121, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURE DATE Apr Lt 28 1999 Page 1 of 4 BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: (?� Reviewed: Architect/ Date % Engineer: Submitted: SCTM #: District: 1.000 Section: 7D Block: S— Lor. Project n /�fJ j�'' Subdivision Location: � � d4" Ca, wtiXi�9 Name: Single&separate Required certification: (Yes/No) � � Req. Zoning District: / [Lor size: 000 Ac .1 —50� (t.ot coventge a?�z Proposed: J{ Req. Req Req (Front Yud Proposed: ] (Side Yud Proposed: 1 [Rear Yard Proposed ] Project Description: rY 2y, on -. AGENCY PERMITS Permit REQLURED FOR REVIEW N,_A, NO YES Number Suffolk County Health Dept. ✓ New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: M-1802 BUILDING DEPT. INSPECTION [ FOUN ATION i ST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE &1CHIMNEY REMARKS: / QK �1 DATE INSPECTOR �S 765-1802 BUILDING DEPT. INSPECTION [ ] FOUND:" OUND ION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE z INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY[ ]] FIRE SAFETY INSPECTION REMARKS: DATE l l INSPECTOR ` trLD -INSPECTION REPORT � DATE jCOMWNTS ------ ----------- - ---=-_------ + - ills, �c-- �tltl p0r XMATION ( 1ST) tl TX OUNDATION (2ND) �_ ___ ra a=------------------- - - ----- --- -- � n Jap'16rc- �n n OUGN FRAME h PLUMBING p �� u ,rye r. 'NSULATION PER N. Y. 60 H a STATE ENERGY,_-._-p CODE P. 1 --il p r_ p S� `G - u H j� �( p tl tl tl q FINALp _--_ ADDITIONAL COMMENTS: s, n to t �y �9H � N �z , IjD� L� L9 u v L r 41999 UI $ A3 �OARD OF HEALTH . FORM NO. I ,SETS OF PLANS . . . . . . . . . . . . . . . i TOWN OF SOUTHOLD URVEY . j Tr, iHOLD BUILDING DEPARTMENT FLECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 r TEL: 765-y1,8�0�2 NOTIFY:,/ CALL !(.icToY ��114L4Ct( 7�5 3f�; l3nami ... ..!..Z., 19.!!. ✓ M/A�IL TO: Apprw Z3 191 Permit No. C V�.. �:........... ....... ddyy Di a/c .................................. �cul ....L .NY .......4�........ (Building to APPLICATION FOR BUILDING PERMIT qq Date,*Q,,L . .�.�o. . , 19.6/. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HERESY MA17E to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Town of Southold, Suffolk Canty, 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, hosing code, and regulations, and to admit authorized inspectors or. premises and in building for necessary inspections. .....� ..(! ................... (Signature of applicant, or name, if a corporation) J / crKetYXC,/..�r.... szil!�o1�,.A/�!./1971 (Mai liig address of applicant) State whether applicant is carer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder -r .......6.4J��.&. _ ................. ..7.:.0 Name of owner of premises . : o — v 42 IC„�' ............................... ............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. A)O ......................................................... (Name and title of corporate officer) BuildersLicense No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of laud on which proposed work will be dune.............................................................. sokT2OLP...................................................... House Neer Street Hamlet 1/I/lei County Tax Map No. 1000 Section Block ....,10........ mat1J�........ Subdivision ..................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of pyemisea and intended use and occupancy of proposed construction: a. Existing neve and ocuvpaoey ..... . .........�....................................................... I b. Intended. 0-e and occupancy ... LGe ....................................................... I. Nature of work (check which applicable): New Building .......... Addition .......... Alter C(on ........ .. Repair ............ Removal ............. Demolition ............ Other Work ....�� C-( .J..i.............. (Description) I. Estimated Cost i , �}SDO.'. .......... fee .....7J� ..�� ............................... (to be paid on filing this application) i. If dwelling, number of dwelling units .... Nrber of dwelling units on each floor ....J........... Ifgarage, nmnber of cars ......9_.......................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... '. Dimensions Rear .of existing structures, if any: Front..� .... Rear ,.`;q�.... Depth ..30�"..... Height ...(//... �tV ......... Number of Stories ......�............... . g'C Dimensions of structure r"ucture with alterations or additions: Front ...�J—YK . ..... Depth �a .'fF...... Reight ..STory......... Naber of Stories ...../......... 4. Dimensions of entire new construction: Front Rear ...` th r-r 5A0 FF Height Naber of Stories p Size of lot: Front ...LS.o.�C........ Rear +........ Depth ....... 10. Date of Purchase ... .I./.�7. Name of Poorer Ownn�er� .�5��.4$'4?:7..¢/':.�.�1.�'1..Tf .�Ff... 11. Tore or use district in which premises are situated ...."'.•V& .:�r4h+........................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...�V................ 13. Will lot be regraded ....P. ........... Will excess fill be removed from premises: ,{ YES �D y 14_ Names of Owner of premises ,C!c�BI—�}t f{f}[�}..... Address I SO JoGjC�Y�K 7��!. Phone No.7r-5` 1!.(.. Name of Architect ...YiG..r4?Yn C,..1:1=.)e.kiC. ......... Address �\............................ Phone No. .............. Name of Contractor l ' L, Ze ......... Address ..1.\......................It.. ...Phone No. .............. 15. is this property within 300 feet of a tidal wetland? * YES .......... ND .. .... *IF YES, SOWN HD TOWN IMSIMS PERMIT MAY BE BEMIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all setback dimensions from property lines. Give street and block neer or description according to deed, and show street names and indicate ther interior or -9=911 ; 111,111111 lS� auc-ReyCP'L:GK Or !00 pr b -A li 30 �6 4T Fri E'3 ^? I PLO S `✓ ➢ecK Pr oZ 13 Fr 76F ;DY(E or HU WW'wNa or � ffi., "S "30 o rr 1.......................being duly sworn, deposes and says that be is Lhe applicant Name of individual signing contract) above named, leis the ........................................................................ (Contractor, agent, corporate officer, etc.) .f. said owner or owners, and is duly audiorized to perform or have performed the said work and to make and file this .pplication; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the manner set forth in the application filed therewith. k.,um Lo b//eforQ me this ....... •tt//�...dayy of !�! .G% /.....19.!�� ... Notary Public ..�� =r'•N:^'1•r •` -6 .... ..�, / .........(...�iCCny, ........ . (Signature of Applicant) .:LA L BEfu3Y ho gpubkSonsdNwYak No.01BE419MOjdk �ls� -- , dbso�ia.hrsr3l,teQ9 APPROVED AS NOTED DATE: 6a3 i% s.�x �s�l z FEE: 7S W ! NOTIFY BUILDING DEPA ENT AT p S 796-1802 9 AM TO 4 FOR THE FOLLOWING INSPECTIONS: ; 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING t PLUMBING t 3. INSULATION = S 4. FINAL - CONSTRUCTION MUST W' BE COMPLETE FOR C.O.THE REQUIREMENTS OF THE N.Y. ALL CONSTRUCTION SHALL MEET STATE DES. ONOT S RUES ONS& E FOR P CTION ENEG DESIGN OR CONSTRUCTION ERRORS 31"a `!FT•"'fi4t1'-- _ _ tt•'vrn+a I `- �" s'Yc - 'ra'f1n7. U OCCUPANCY 0R � USE IS UNLAWFUL 514 k ,u_ctK,lf{. WITHOUT CERTIFICATE OF OCCUPANCY 4- —r � � 1CL O n t x I W m 0 h cc 0 0 n in I� RIa" I�nl'C fLM IJ LIrv^ K 3 ` K,-o IGJec Y� ottrEr>s N 1-c is. AlS nvi rl" ' .- - G I •T,M' I,mo, _ :�'j1.01"C 1`k�.OMSL wu:.—^•"�.�C'a�l-"�F OL_ .�� , _ Ikly �1( iief I 'o t _ w � a