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HomeMy WebLinkAbout31541-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31238 Date: 10/25/05 THIS CERTIFIES that the tmilding ADDIITON Location of Property: 955 AQUAVIEW AVE EAST MARION (ROUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 2 Lot 12 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 2005 pursuant to which Buildin~ Permit No. 31541-Z dated OCTOBER 20, 2005 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, REPLACED IN KIND, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. CONSTRUCTION CERTIFIED BY LAWRENCE M TUTRILL PE. The certificate is issued to GERTRUDE E IGLESIAS (OWNER) of the aforesaid building. SU~OLKCOUNTYDEPARTMEA]TOFHEALTHAPPROVAL ELEOr~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~Z; N/A N/A N/A A/uhnature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICAT/~ 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 o f electrical installation from Board o f 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 thc applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to thc applicant. C. Fees .1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Access.ory building $25.00, Additions to access6ry buildii~g $25.00, 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 Oecupancy - Residential $15.00, Commercial $15.00 Date. Ia , Old or Pre-existing Building: (check one) New Construction: Location of Property: ¢~-~' ¥~ House No. Street Suffolk County Tax Map No 1000, Section ~ 5 8~ - ~>,~[ Block Subdivision PermitNo. '_~\ ~--*ql ~ DateofPern:dt. l0, 249, Hamlet Health Dept. Approval: Planmng Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~.6 ,~ 6~3 Underwriters Approval: Final Certificate: _~ o~(_) D"~(check one) Applicant Signatur~ O (3o2~ Lot Filed Map. Lot: Applicant: ,O~,.~,_ o~ _"~'~ ~., - 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. 31541 Z Date OCTOBER 20, 2005 Permission is hereby granted to: IGLESIAS 955 AQUAVIEW AVE EAST MARION,NY 11939 for : AS BUILT DECK ADDITION AS APPLIED FOR PER TRUSTEES AND ENGINEER CERTIFICATION. at premises located at 955 AQUAVIEW AVE EAST MARION County Tax Map No. 473889 Section 021 Block 0002 Lot No. 012 pursuant to application dated AUGUST 5, 2005 and approved by the Building Inspector to expire on APRIL 20, 2007. // ~ Fee $ 300.00 / / Aut hori~ed Signature ORIGINAL Rev. 5/8/02 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1662 August 25, 2005 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Residential Deck (rear) Marc Iglesia$ 955 Aquaview Road East Marion, NY 11939 TO WHOM IT MAY CONCERN: I have inspected the above mentioned site, made drawing and stamped same of the deck, made recomendations for the new requlations for wind strapping, which were done, noted structural integrity and design requirements and found that the deck is in compliance with the New York State Building Code and the Southold Town Building Code. Sincerely,~//# ~/~'~ _/~L~ Lawrence M. Tuthill, P.E. STATE OF NEW YORK) COUNTY OF SUFFOLK) ss: AFFIDAVIT GERTRUDE SCHAFER IGLESIAS, being duly sworn, deposes and says: I lived at the house at 955 Aquaview Ave, East Marion, NY bom 1961 until now. My husband, Marc Iglesias, and I build the house in question in 1961. We built a 2 bedroom home with a deck, which was located on the north side of the house. We got a C.O for the original building and the deck, which existed at that time. We renovated the house in 1964 and added an addition to the rear of the house. The deck was renovated at the same time. A C.O. was issued in 1965 for the renovation to the north side of the house. I have submitted dated photos of the deck bom the 1960's showing friends and family on the deck in question. There has always been a deck on my house at 955 Aquaview Ave., East Marion, New York since the day I moved there in 1961. ~ ~ ./ GERTRUDE SC~GLESIAS Sworn to before me this lA* day. gl ^ugust/2Op5 CYNTHIA M. MANWARING'---'~ ~ARY PUBLIC, STATE OF NEW YORK NO:01 MA6100507 QUALtFIED IN SUFFOLK COUN'f~.,~ COMMISSION EXPIRES OCT, 20 J~t-4 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6215A Date of Receipt of Application: Sept. 2, 2005 Applicant: Gertrude Iglesias SCTM#: 21-2-12 Project Location: 955 Aquaview Ave., East Marion Date of Resolution/Issuance: October 19, 2005 Date of Expiration: October 19, 2007 Reviewed by: Board of Trustees Project Description: Administrative Permit for the existing deck as per plans surveyed by John Metzger and last dated September 14, 2005. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. Special Conditions: None. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Albert J. Krupski, Jr., President Board of Trustees Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit#6215C Date: October 19, 2005 SCTM# 21-2-12 Name of Applicant/Agent: Donna Iglesias-Wexler Name of Permittee: Gertrude Iglesias Address of Permittee: 200 Castle Hill Rd., Cutchogue, NY 11935 Property Located: 955 Aquaview Ave., East Marion DESCRIPTION OF ACTIVITY: Permit for existing deck seaward of the Coastal Erosion Hazard Area, as per plans surveyed by John Metzger and last dated Sept. 14, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. SPECIAL CONDITIONS: (apply if marked) _ Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. __ A relocation agreement is attached hereto and is a necessary special condition of this permit. __ A maintenance agreement is attached with application and is a necessary special condition of this permit. President, Board of Trustees . AJK/hkc STATE OF NEW YORK) SS; COUNTY OF SUFFOLK) AFFIDAVIT WILLIAM H. PRICE, being duly sworn, deposes and says: 1. That I am familiar with the premises at 955 Aquaview Avenue, East Marion, New York. 2. That I was a close friend of Marc Iglesias, one of the former owners of the premises. 3. That I have been friends with Marc Iglesias since approximately 1961, and from that time forward, until the time of his death, I was a frequent guest at the premises at 955 Aquaview Avenue, East Marion, New York. 4. That from 1961 until the time of his death, there always has been a deck on the house on the Long Island Sound side of the property. Sworn to before me this NO~~~ b~l~~day of June, 2005. ELIZABETH J. FARRISH Notar~ Public, State of New York No. 01FA4973285 Qualified in Suffolk County )~.~ ,~;GUST [5, 2OO5 P~,~D ,5~Nc-.E Iq3~. .,.~- ~,'i 7' 1~,/ // ' GYNTHIA M. MANWARING STATE OF NEW YORK NOTARY PUBUC, N0:01 MA§100507 QUALIFIED IN SUFFOLK COUN COMMISSION EXPIRES OCT. 20 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, Ntf 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ / Examined r ~ ~ 20__ Approved Disapproved a/c Expiration sets o PE mIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval ~urvey Check Septic Form N.Y.S.D.E.C. Trustees Contact: t~'~'~-~rx"N~ . ~ ,--, ! APPLICATION FOR BUILDING PERMIT U~i,~ ~{~JG S ~ ~,~J~l INSTRUCTIONS -- a. ~t;~S~ be ~ompletely filled in by t~ewfiter or in i~ and submitted to the BuildMg ~spector with 4 l~s ~te'~Oi pl~ scM~ Fee according to schedule ~an showMg location of lot and of buildings on premises, relationship to adjoining premxses or pubhc s~eets 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, hq~ing code, and regulation/,~nd to admit authorized inspectors on premises and in building for necessary inspections ~ (Signature of applicant or name, if a corporauon) (M~iling address bf applicant) State whether applicant is ~own_er, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner o£ premises ~'~x~'-~--- ~'~(~-~ ~l:~d~ ~~/ (9~s on the tax roll or atest ee ) ,~/ If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians Ligense No. Other Trade's License No. 1. Location of land on w, hich proposed work ~ill b~ ~9no: House Nmfib'~ Street Hamlet County Tax Map No. 1000 Section ©g21, otb Block O~ .c~c~ Subdivision Filed Map No .... (Name) Lot ~512.. ~<5C3 Lot ,: 2. State existing use and occupancy of premises ,and intended use and occupancy of proposed construction: a. Exisfing use and occupancy +~a ,% O~-~ o~ ~ lmenaea u~e ~a occu~cy~. 3. Natur~ oFwork (check ~ich applicabl6): New Bml&ng ~ Addition Alteratmn Repair Removal Dmolition ({~ ~, ~(,~ ~ ~ ~ - ~%~,~,~'x C~, ,, "(Description) 4. Estimated Cost '~ 1~ Fee applicatio~ be paid on filing mis 5. If dwelling, number of dwelling units If garage, number of cars Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. _ 7. Dimensions of existing structures, if any: Front h ~--. ,5 Rear Height ~ ~ ~ Number of Stories Dimensions of same structure with alterations or additions: Front Depth ~"(3, I Height i ~ ~ 8. Dimensions of entire new construction: FrontM~' ~ Height ~ Number of Stories 9. Size of lot: Front ;aC, .~ c,c:. Rear s~'L.&~ Number of Stories Depth Depth ~'/~: Rear / Depth i0. Date of Purchase [qB'~:Im Iqbo Name of Former Owner %3o-,,% o--~ '-,.~-~' 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 x~ Will excess fill be removed from premises'? YES 14. Names~fO~vner ofpremisesS.'.di't,-,.~5--~_k~x,<~AddresaSlc~.' cd~-¢¢~o_ ~ ~ Phone N~e~~v.~~ ~ Address~ ~ PhoneNo N~e of Contra~or~ k~& Ad&ess ~ _,~ ~ Phone No. 15 a. Is ~s prop~y witNn 100 f~l of a tidal wetl~d or a freshwater w~l~d7 *YES NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS MAY BE REQUIRED. b. Is ~is propeay wi~in 300 feet cfa tidal wetl~d? * YES ~ NO~ ovide sumey, to scale, with acetate fo~dation plan ~d dist~ces to prop~y lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY ~ oN'h'M,O,._ ~ -v--x/~(o-_-Y'- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 therewit~ ~_.~Swgm,]o, v)~ beforedayofme thisN~.~A c,]kk ~k 20 15c0/ ~" Notary,Public aignature of Applicant MELANIE DOROSKI NOTARY PUBLIC, State of New Yolk No. 01D04634870 Qualified in Suffolk County . Commission Ex~ires September 30,,~O~ SURVEY OF PROPERTY AT EAST ]~ARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000--21-02-12 JULY 18. 2005 ANY ALit. I~ATION OR ADDITION TO THIS SURt, EY IS A VIOLATION OF' ..¢;ECTION 7".zO~OF ~ NEW YORK STATE EDUCATION LAW. EXCEPT AS P~R ~CTION 7209--SUBDIVISION 2. ALL CERTIFICATIONS H~I~ON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF ~ MAP OR COPt, S BEAR THE IMPRESSED SEAL OF THE SURVEYOR ~ SIGNATURE APPEARS HEREON. {631) 765-5020 FAX (~4-}--7.~-1797 P.O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 05--200 · =MONUMENT · =PIPE %