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Home My WebLink About33346-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 11/27/07 No: Z-32756 THIS CERTIFIES that the building ADDITION Location of Property: 245 THE (HOUSE NO.) county Tax Map No. 473889 Section 30 CROSS WAY (STREET) Block 2 EAST MARION (HAMLET) Lot 15 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 20, 2007 pursuant to which Building Permit No. 33346-Z dated AUGUST 24, 2007 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY & THERESA CLINCO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR'l'MKHT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 4j~ ~or;,ied S. gnature Rev. 1/81 '10'20, 'l:J\ ... .--l ELl' -Ti . T~'iL9-,...5:':1HI'l'.:i=_' APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No.6 TOWN OF SOUTHO BUILDING DEPART TOWN HALL 765-1802 u ~ @ !~ n W 1,' 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: I. 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. Conunercial 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: I. 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $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 Occupancy - Residential $15.00, Conunercial $15.00 Date. /(?::~~~? New Construction: l/ Old or Pre-existing Building: Location of Property: ;/7" de' C/05S tJ{L~ House No. Street (check one) ra~1 !J/ti-R.[~1} IJ i/I'?6 9' Hamlet Owner or Owners of Property: ~ -l Suffolk County Tax Map No 1000, Section T~~ 3 0 Block .2 Lot IS Subdivision Filed Map. Date ofPermit~APplicant: Underwriters Approval: Lot: Permit No. 33340 Health Dept Approval: Planning Board Approval: Request for: Temporary Certificate /j--!.9v Fee Submitted: $ IX!J. Final Certificate: (check one) ~~~~ Applicant Signature ~]7Rl.{r Co c3J75(P 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. 33346 Z Date AUGUST 24, 2007 Permission is hereby granted to: ANTHONY & THERESA CLINCO 245 THE CROSSWAY EAST MARION,NY 11939 for : ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 245 THE CROSS WAY EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 015 pursuant to application dated AUGUST 20, 2007 and approved by the Building Inspector to expire on FEBRUARY 24, 2009. Fee $ 200.00 L CJL- / Authorized Signature ORIGINAL Rev. 5/8/02 333%rv TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [~DATION 1ST [ ] ROUGH PLBG. [ ] ~DATION 2ND [ ] INSULATION [-1FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENE1RA11ON REMARKS. ,h.~1 )'- L-. <1tf:. DATE INSPECTOR , FIELD INSPECTION REPORT . DATE I O/Jnk .. ~ I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL V/. /_. L!:. I , ...- i--- \ " '- ~ / l , COMMENTS .-P. X~ "// J . (/ . ~." ~~il ..&. . {\~ l'\l ~c: ~~ z l.J9 ~. l..I\ CI.l ;l~ ~ i"J .., ~. ~ f ::r: ~ i"J .., ~ , t. 3 -- " df-. ( ......L Y.-t" ~:Y J -----.- --- ----.-------- ------- -- . ~ Lh . r./? II ;do /kr // n ....... t/ /J.. -r:..~L / ) . ADDITIONAL COMMENTS (:) C z. go - :E . z "f'~ ~ " ,- <J-'l"l . ?;i I ~~ .. .., 0.... ~ 0 Z ~ . ~ . ~ :! i"J ." ~ /0 In~,(7 '7 I e e -- TOWN OF SOUTHOLD PROPERTY RECORD CARD 5 DIST. SUB. -- )1- J3 ! 'tJtJ~ -3 tJ-).. -IS- OWNER ,~ eJlfJCl> NE a.~/lJn LOT III 1 W ..alO LAND 60a :ZOll R-El€l ~ L'Ioo FARM COMM. CB. MICS. Mkt. Value IMP. TOTAL tao / I DATE REMARKS <0 fot!:>O o "lk:.-( .i.:'~ (~.~, :;,. j', $c::,s; ~'1 hrln (!ItJ1 UJ ~ 2-~~ illable ouse Plot FRONTAGE ON WATER . FRONTAGE ON ROAD DEPTH BULKHEAD i loodland leadowlond )tal -0 - ~ e .~ ,\.' . f'~~: ~> )LOR c~ TRIM \ ~\O.C.I? , w L..\.-~ ~ . j - . , 7, ~ / c' ~ - z .- ;/ ~ ...ii. - ,- . , ~ I \ d_ - IXl . etJ'f , I~ 30-2-15 1/01 . I (" . u. .. ...,. . Ii$:: 'I\" .~ u u - - - . .... ..t!. I3ldg. ?J7" :,O~ ~ l(') \. ~4 Go, -~ .lf1i:.S3 -. ~ ,<< ~ 16" ::J .-,-- ?lo r Extension !,y \2- ' Extension 2..y.je; 2~ ::0 v.a- . \2..- txten~n \5'i\l -:: 1>55" 75 q5~ ......-1 .1 .3- Foundation Re. Both .a t2.. Dinette i~~h '\ '( 2.-1 " (~ '-., 2fo , .00 l'b I Basement .c.~ Floors K. ./ Porch ll> '1-\<.. 0: 72.. ( Ext. Walls \I \..." \ Interior Finish LR. ./ Breezewoy ';;c{~er" v~"tl.4\. C' 2-(lO~ $~ tOO Fi re Place Heat DR. o 'P-,. - ~ SD I/'-:"C~'\ ,/,= ../ Garage 6\.5 /l..! 2Q.tj Type Roof \oJ Rooms 1 st Floor aE;H>.w. D",,- '/Y21lo \ .:) 'I- .z. ( ~ Patio Recreation Room Rooms 2nd Floor 3~ ~'oc>.~ FIN. B O. B. A-c... ~ ~ Dormer Drivewoy Total /~~ at 200.'\ (P711f- >::;:'- . ~ (7.COJ..) /6 ~ ------. --_._~ --.-.----- Town of Southold PROPERTY LOCATION: S.C.T.M.': Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM "'iiiii'riCt S8CiiOil Block ---r.;r- THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark ( ~) for each Question is Required for a Complete Application) Ye. No - -1- - - - - ;'II~~ ~;c~~ta:: ~o::V:e~R~n~;G~n~ra:d~y~ ~w~(;) :c~ ~1:I~on~:; - - - - - - - - - r v'T (This item willlncJude all run-off created by site clearing and/or construction activities as well as all Site - Improvements and the pennanent creation of impervious surfaces.) ~ Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl / 2 3 4 5 6 7 8 9 Will this Project Require any Land Filling, Grading or Excavation where there Is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Stonn-Water RurrOff into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This Item will NOT Include the Installation of Drfveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? [J [J [J [J [J [J [J NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be SubmItted for Review Prior to Issuance of Any Building Pennltl EXEMPTION: Yes Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Stonn-Water, Grading, Drainage & Erosion Control Plan Is NOT Requlredl / / / / / / No STATE OF NEW YORK, COUNTY OF .~.':!.f:S'.~..!.~.................... 55 That I, ...&J~.O.~1.....~Jr.&..~.~................................ being duly sworn, de;"',e, and says that he/she is the applicant for Pennit, (Name of individual signing Document) And that he/she is the ..................................f).W..r,J.C~......................................................................................................... (Owner. Contractor, Agent. Corporate Officer, etc.) Owner and/or representative of the Owner of Owner's, and is duly authorized to perfoml 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 herewith. Sworn to before me this; ............'b.9.~...................... day of ...A.\I~.II.:...t:................... , 200.7 NotaryPublic: ..~....t.::::::~......................... ohn M. Jud e ae FORM - 06/07 No. 01JU6059406 Qualified In Suffolk County Commission Expires May 29, 20 Lt- ~ r '_,'~~': . ___ e:- c:;;;:::;:;.. . .. ..~;;~j;;i........................:-- , " , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL . . SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. J'? 3 fb ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health X. 4 sets of Building Plans Planning Board approval Y Survey X Check $,;:J-OC;> Septic Form N.Y.s.D.E.C. Trustees Contact: II , Examined Approved Disapproved ale ,20ffl , 20-D.1.- Mail to: ------- .- c~_ ~ ffJ/ ~ Building Inspector BA11-~~l), Expiration 1-420~ I Ii .~',. ." ~1 \ . . .,IC.?" \) . \ ~" LICATION FOR BUILDING PERMIT ,,- Date ,20_ --"-'- INSTRUCTIONS v~. ,. ,':, ,"r ,:. a. a .....'~n- 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 South old, 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) .2115 --rn t!. &0 55 /..U "-AI t3ce.>-I- (Y/aAIO(/, tJ/~ jftf'3C( (Mailing address of app ICant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder row VI e., Name of owner of premises Qv1 { hn f"IJ (? fl ~(!..O + , '(As on the tax roll or latest deed) If applicant is a corporation, signature of dul y authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location ofland on J..4~ House Number County Tax Map No. 1000 Section:3 0 - 0,1- /6" Block, Subdivision1'cf,h '-t 7..',.,;. -'/'(1"1'5. Filed Map No. h2t-b (Name) Lot I~ Lot 1- 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 occupancyj)ec;( .., 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition ,/ Other Work Alteration 4. Estimated Cost ~ 5700 . DC> (Description) Fee 5.. If dwelling, number of dwelling units r--- If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor -- . . 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. 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_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. IS 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. STATE OF NEW YORK) SS: COUNTYOF-SJ{folk) . A",*I.v......, c I :\c",,-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the D..JJ rJ e" (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 to before me this ~C +"- dayof Av,j"s.+ 20~ ~Pub~ ~~- ~~O~:liC:~ . ----..... ~"6'f'Jy J~3a~'C6 State 01 New York No 01JU605940 Qualified In Suflolk Countv JJ.. Commission Expires May 29. 20 JOB No. 00-41 TAX I.D. No. 1000-30-02-15 LOT 40 LOT 41 LOT 42 l' 2001 PES 20 PM I: 51 ';[PT OF HEALTH SEE'/lCES OFfiCE WASTEWATER MG~1T THE CROSS WAY [60'] EOOE OF PVMT N 8302T45"E 77.73' WATER SERVICE TIE 193.62' lOT 13 lOT 15 0'\<10 colle po? fW''''~ b~~LLlllG (j) ~ o .. <5>. <5 0.. rfI ~ <5> ...... No .~PL' CO"v THE LOCATION OF WELl.S. WAIF? SERVICE LINES, SEPTJC TANKS J\i~D CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA. TIONS AND OR DATA,OBTAINED FROM OTHERS. S 83"27'45"W77.73' Unauthorized alteration or addition 10 this document is a violation of Section 7209 of the New York State Education Law. Certifications indicated hereon shall run only 10 the person for whom it is prepared and on his behalf to the Title Company, Goyernmental Agency and Lending Institution listed hereon, and to tI1e assignees of the lending institutions or subsequent owners Copies of this document not bearing the professional's inked seal or embossed seal shall not be considered a valid true copy The ofFsetsl or dH1Tensiorrs-] shown hereon from structures-to the property lines are- ior a specific purpose and use and therefore are not intended to guide the ~rection of fences, retaining walls, poolS; planting areas-, addition to buildings or any-other construction. The existence of right of ways and/or easements of record, if any, not shown are oot guaranteed SURVEY OF: ~ :> &l '" ~ ~ I~ I ,. :z ":j ~ t':, ..: fu o ~ 8 ~d R=20.00' L=29.16' --l I m r o Z G) .~ ~ <:9 8"" \ i! l I':: 00 <: Ii I o ~ .9 "J ,II I '" B.i;~ i' ~~rJ~1 ~~~\ I !?o I 0."'.... of:;; q! j '\;!1 "'".... ., - ,;, ,.:1: .. lil I ~~ ~\ j'~~~',~i I ~~ ~,~ ih ~f r.t.. \.::S S ~ ....,. "..() IU'" c'\~ ~ h '"<;... \' '" ~._< 0 ~}C1rtf. ,'J-(; t; ~.r.. ~ lit "'.~ <:' -t',. eo! U ../.... Vl.' ~v, $'i ~.',-&.;_1 c:I ... "" ~ ....H"~ .,g I..,.! :r ,t> !'~J _ ~ ~~ Ii ~'i~ ooc- -tf,,') Iq iJ~oll, 0 ~< i l~~ ~ - ~~,-...~ ,.: Cho . ..,;) r-~ < "",i-i t.ll1tat.) ~... "t't ~~ 'I.) (,;.~ ;;.~ lU U ~~Il ~ t:.s.8 FILE MAP No. 6266 6/11/75 lOT 14 MAP OF PEBBLE BEACH FARMS EAST. MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 01/25/01 SCALE: 1"=40' CERTIFIED ONLY TO ANTHONY CLlNCO AND'THERESA CLlNCO ALLSTATE ABSTRACT CORP. [ALSTS31304.161 FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK DESTIN- G,GRAF NDSURVEYQR By DESTIN G. GRAF N.Y.S. L1C No. 50067