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Home My WebLink About33626-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32936 Date: 03/20/08 THIS CERTIFIES that the building ADDITION Location of Property: 1065 BAY AVE (HOUSE NO.) County Tax Map No. 473889 Section 31 (STREET) Block 9 EAST MARION (HAMLET) Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2008 pursuant to which Building Permit No. 33626-Z dated JANUARY 11, 2008 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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NIKOLA & LISA GALJANIC (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPAR'l'MEIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PLUMBEIlS CERTIFICATION DATED N/A ~/4 fUthorized Signature Rev. 1/81 0\<1\./1 +--; lJ WYli,c: , Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 followiag: 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. I 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 hom plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fi-om 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 thc reasons therefor in writing to the applicant. C. Fees I. 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, Commercial $15.00 Date. 3 -11-051 New Construction: Owner or Owners of Property: 1065 Old or Pre-existing Building: Bt:iy A-ve/;1l1< Street Bat{ A-ve.. D3/ ----~--~ (check one) E.1U.tl VI'D J1 Hamlet Location of Property: JOh ~ House No. E. Me< Vt'OVl 000 5' Lot JICf '9 001 Suffolk County Tax Map No 1000, Section Block Subdivision Permit No. '3 36~ 1. Filed Map_ Applicant: Lot: Date of Pcnnit. Health Dept. Approval: Planning Board Approval: Underwriters Approval: Rcqucst for: Temporary Certificate Final Certificate: )( (check one) Fee Submitted: $ ~5, ~ a</-kv;' (J~1a ~. H'11 CO Z:.-3;2q j (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. 33626 Z Date JANUARY 11, 2008 permission is hereby granted to: NIKOLA & LISA GALJANIC 1065 BAY AVE EAST MARION,NY 11939 for "AS BUILT" DECK ADDITION WITH HOT TUB AS APPLIED FOR at premises located at 1065 BAY AVE EAST MARION County Tax Map No. 473889 Section 031 pursuant to application dated JANUARY Block 0009 Lot No. 001 2, 2008 and approved by the Building Inspector to expire on JULY 11, 2009. Fee $ 650.00 A (~tl( /-, I .(A/a C~ &f~ Authorized Signature ORIGINAL Rev. 5/8/02 33lc~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~ULATION [ ] FRAMING I STRAPPING [ vf FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRAnON REMARKS: ,~'.~ -~;~ - DATE j> Ie( (Of INSPECTOR 3 ]&2-0 --c- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE j II 'f( {) ? l INSPECTOR 33 G J.--~:Z: TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS :TION [ ] FRAMING I STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: 1f6/'47r~ ~ \ ~J N !k~ ~,~ ,L-~cJ-V~ L ILc . /U-t- /fvJ /~. T7~ ,fioj- .7U.~ /l~J M-4J ~~~ DATE 2-/5~ lOr . I INSPECTOR ... ~ . l FIELD INSPECTION REPORT DATE I COMMENTS .y \)-1'" FOUNDATION (1ST) ~~ {;-'>-I ~ 'It ------------------------------------ -W~ f FOUNDATION (2ND) --;rrn :p \~I"l -, + ~'( \,~ Z P -- c e- lI\ rn >-I ROUGH FRAMING & G:~ k'~ l"1 PLUMBING (- ..., ,) '""t--, r , --- r-- f -_._-~_.._,--- ------.-------- ::t:: ---- ~ INSULATION PER N. Y. 1----- l"1 >-I STATE ENERGY CODE r- \\,\ " h ';-/C/Od L A'.A E/ .II R ""L... ,) ( .aN & C< A...I -" I 11~ '1U ;:&L.' ~IJ /41< I/M C/ 1/10; TuiA IMs 'i? __ ) R.L .....kj ~-y,. ( / ......"""" / C. FINAL / J ADDITIONAL COMMENTS (["- " ( ~ - ~ --.- - 0 ./ - - :E (' z m ;0 ~. --y- {'/ r-' . l"1 ~~ - ~ >-I C - 0 '" z / ~ _... -~ .....; -.. -.j - - -1/'0 l"1 "" . ~ . , \1~ ~'~~)' APPEALS BOARD MEMBERS Gernrd P. Goehringer. Chairman Serge Doyen. Jr. James Dinizio. Jr. Robert A. Villa Lydia A. Tortora t~"'\. ~f.~."\. .,. ...~ ~ e;""~ ~. ~ ~O.l ... ~~~ ~1. Southold Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 Fax (516)765-1823 Telephone (516) 765-1809 Appl. #4379 BOARD OF APPEALS TOWN OF SOUTIfOLD ACTION OF THE BOARD OF APPEALS DATE: .June 26, 1996 APPLICANT,s: LISA AND NIKOLA GALJANIC -") LOCATION OF PROPERTY: 1065 Bay Av'en.u.e.... East Marion. __' _ ..--- COUNTY TAX MAP DISTRICT 1000, SECTION 31, BLUl..:K lJ, LUT 1. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dnted April 'I, 1996. RELIEF REQUESTED: Article IV, Section 100-244B, Proposed constructioll of a new dwelling, maintaining the existing dwelling's nonconforming front yard scllJllck. MOTION MADE BY MEMBER DINIZIO, SECONDED BY CHAIRMAN GOEHRINGER ACTION/RESOLUTION ADOPTED: APPROVED with the condition that fiU not be placed, except as required by the Suffolk County Department of Health Services for the C<i!sspool area for 20 ft. in diameter (maximum). .. (Note: Applicant must return to the Building Depal'tment and any other agencies having jurisdiclion lmdel' this pl'oject before commencing construction activitie". ) REASONS / FINDINGS: 1 . The rear yard has depressions which are not planned to be filled ~ 2. Applicant assures the rea... yal'd will remain natural and not filled. 3. The small dwelling building is presenUy established at a setback of 17 feet, although the proposed dwelling will extend beyond the established footprint within the l'equired front yard setback areas (towards the sides). 4. As mentioned above, there are difficulties related directly to the topography of the land. 5. The difficulties are not pel"SOoal to the Iandowne.... 6. The variance is the minimum. 7. No adverse physical Ol' environmental eCfects will be produced on adjacent properties, 0... the immediate area. 8. The charcter of the neighborhood will remain significantly unchanged. "except; fill pe1'llli.tted for 20 ft. (diameter) sanitary system. VOTE O~' THE BOARD: Ayes: Serge J. Doyen, James Dinizio, Jr., Robert A. Villa, r.ydia A. TOl'toru, Gerard P. Gochringer. This resolution Wlls unanimously adopted. /....-----:7~. 7 . 7.BA:lk n~ ~ & ~ n ." ~. .' . ,;~ r. I W IE,~GERARD P. G 'RINGER, AIRMAN , . JUl .1'1, ':/ Approved for Filing '"- - llR911 . . . ! L " 1" / TOWret.gl's' OEo'1. ...J ... OUTHOLO 00<3 OWNER . -4=tdL/ . _ 3/~ 9- / TOWN OF SOUTHOLD PROPERTY RECORD CARD . 11""'- lj 2.. VILLAGE DIST. SUB. LOT C, 7; ,; f(,M 3 i 1...",,'/ ' ACR.~ TYPE OF BUIL91NG ,,, 4ZM-c. cr-tC/-' ./l"~[( ,., ~~ //~~ N/; J^ J'V, '. S r) /1 E ,/ \/c:;, ~.,., }.Jc cO k. 'l.ES. 21 0 vi SEAS. r, , , \' W 30tJ t;, lOO 5500' FARM LAND IMP. TOTAL DATE 3jO 300 4<!:>0~~ " .' /) if! I I I .6- 6 Q 6' CY CJ AGE BUILDING CONDITION N F1RM NORMAL BELOW ABOVE Acre Value Per Acre Value Tillable 1 Tillable 2 25' lCoco . Tillable 3 Woodland Swampland FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD - I.~ M' _-,'-":':-~Ci or) 4.;; '6~-~ y, V -- --------- " Brushland Hause Plat -- - Total DOCK ~~ -- - I I -, I : COLOR . ~ I v , TRIM l-- 'I - - I'-' , "! .,~ , M!/./';, . c~ ./ J. I ~ ~ ..... {.,.-.... "- It ~ . '" ~ ~ V "- +r ~ . 1'--- ...,- - i, q/1B ,_""",-=-~." A. Bldg. . : ------ ...- ',,- Foundation ' ~.c.. Bath ~ Dinette I f? r; ,. . ~~ - '. ):~--J " .' . 7"'/.:-/ ~ xtension h...x-t :--;; I' ( ~<.i /yJr' J:~ I~sement 1.l-0\A - Floors r\v-I ~'v K. / /1," j -2- '> ' ~~ /viF,;\"L-b o. f:/~ I 1ers~~ ,..,4~~_ ~ ~p 2io'+- 060 I:? 1 't Ext. Walls Interior Finish lR. :',," ~~io~f' ;50 ~H2- Fire Place ....j N'O. Heat ~~ I \:\Yk- DR. 2. 't "2 c,;, ; (,,24 ,'., '. v Type Roof - . - Rooms 1 st Floor BR. 2- ~. , - 'orch ~/\'"?'~ ; 2.\~~ 'r 32.4 .9b \ 10 2... Recreation Room Rooms 2nd Floor FIN. B. 'orch Dormer 2~ \. ~ ~ \o~s\~~ Breezeway Driveway \of:\-4~ . ;ara lhl8 ~ .zS z, .2.$' b3 \A> Patio Ae SQo\ 2.l>l). ::l. B. /o:~7 .~ (; JJ--r / -K!3 rotal J-<:..J 5,;,\ (~ /9;: . . - . "- ~- . . . . ~G€'3 9toI'.2 M<:~~ZSl€81Sn -'~'-, ..,--,. " r I .... ..\1. " Ft ::JIiO.( I . -&' , , . I \ ~,':1._", '--, COLOR , " " \ '~ , ,I , "yl- /"/.; ~""l! : . Mjy J'.J( .. " ., I I TRIM i l- Ii '- r I <, ~ ~i - " -. , -- M{(/;'~ < 1'6 ~ J. I ~ "' 1- -41, . " , ./ n ':x .:: ~ : ,/ "- + 1 J J .. '-.... ",- " 2 (p '. - ., I I I i I , , I I I r : ~ ( /(' M, Bldg. I Foundotion . --.-- Bath . , ! , , ~ Extension I . [posement ..h.J ~ I, Floors H-w oa)( ;. . .1'. I .' ( , . 2"".1' I~":. . ~~. ~"1e!,:i~ r')4~. :::::-> S'~, Ext. Interior Finish /' I.. k'" ? 127 't ~~'Ls r~~I,}j II . ~, ~ .. ~-' (, < Extel)Siol'\-oi . . .- - ., - . ~ . u TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SouthoIdT own.N orthFork.net ::; -:UI, r- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form_ PERMIT NO. Iii! ,20D< Examined Approved Disapproved ale (O,201,S , - Contact: tJAUUij T/Wy~ Mail to: Po r3(),< 10 3Z. ~/)fHOt,.f) Phone: 7~G-t6(pt,1 Expiration '71 (',20 c'j I ;' {"JJ.~. , Building Inspector -, iN 2 APPLICATION FOR BUILDING PERMIT or . Date Jd.. 3 I ; I ._ I 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 oflot 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. INSTRUCTIONS ,20~ '---7 l'1L-?~ C~/ ~ (Signarure of a'pp'licant or me, if a corporation) eo l?o><.. Ie!, 2 s"vfHn.o. 'tJf (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder I./e<)/G tve'/'2- Name of owner of premises ~_.iSA (...~A-(;JAt-JIC (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer NANCv/ DUMtae.... (Name and title of c6rporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: IOfo5 c:A.... lJ~ V~ House Number Street ~A' 1J..P<~(1tJ amlet County Tax Map No. 1000 Section Subdivision 31 Block 0 q Filed Map No. Lot 0/ Lot 2. State existing use and occupancy of pr:.mises and intended use lWd occupancy of proposed cons a. EXlstmg use and occupancy N r-J{ ("./lllt Ii( ~6,". . (t<?1 clu1~ W b. Intended use and occupancy <711'\ ~I.t ..Q~W iN\ V' -l L.>I dm a" Lv! d ~ 0/'--<b 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work J:>.fr IQUlvT 17~ (Description) 4. Estimated Cost {;t?/.A, ~ 5. If dwelling, number of dwelling units If garage, number of cars Fee (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 .;2 '-1" Number of Stories Rear ;;)d~ S" Depth _I ;;) '-6> h Dimensions of same structure with alterations or additions: Front Depth_ldl-~~ Height () '-7" Number of Stories Rear 0I0l'-54 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth Rear~ 4 '2. . G4 ' Depth 1.94-31' 9. Size oflot: Front 14550' 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 X 13. Will lot be re-graded? YES_ NO~Will excess fill be removed from premises? YES_ NO )<J 14. Names of Owner ofpremisesJA5A ?M,J~iC- Address /Ul<t:Jt MMl40J Phone No. Name of Architect .J 111\ D~?~ Address~c,jl- Phone No -11I../--'1/I.I"1?;56 Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO k * 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---X * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines_ l1TA-ffi~ 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 OF :j -,to ~~ Uq tv I\NL7, A bl,Ut" l'.. being duly sworn, deposes and says that (s)he is the applicant (Name of indiviaual siguing c ntract) above named, (S)He is the De ~ :r~,vV.. (Contdctor, 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 mamler set forth in the application filed therewith. Sworn to before me this 2 day of :r 4/V .JA"l 2~ \~~~, Notary Publ\lt,hn d NOTARY PU IC, State of New York No 01JU6059400 Ollnli~iRcl In Suiiolk Coun1y lL COI-,"dlllss1on Expires May 29, 20 f~~ '!i~$ ~+~ Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: District Section Block ---cot 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) 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as all Site Improvements and the pennanent creation of impervious sUlfaces.) 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 Waterflow! 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 Run-Off 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 Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? Ves No ~b] ~ [J [J [J Id Id Id~ 1d23 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 Permltl EXEMPTION: Ves Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm~Water, Grading, Drainage & Erosion Control Plan Is NOT Required! 'i: X y )G )(; No STATE OF NEW YORK, COUNTY OF .~.>I..f.~.~..I.i:':................... SS That I, ...0.4tJ.~....~:1q................................. being duly sworn, de;loses ,md says that he/she is the applicant for PC1111it, (Nan~e of IndiVidual signing Document) And that he/shc is the ..............Wtil~.~r............................................................................................................. ................. (Owner, Contractor, Agent, Corporate Officer, etc.) OWIll'r and/or representative of the Owner of OWller's, and is duly authorized to perform or have performed the said work and to make and file Ulls application; that all statcments contained in this application are true to the best of his knowledge and belief; and that the work will be performed in dIe manner set forth in the application filed herewith. Sworn to before me this; ..............),f::<!....................... day of ....::f.":::-:!..':'.!':-,c'};.'f................ , 20,98 NO"""'''''~~::::~m FORM 06/07 No. 01 JU6059400 11'1"'" IVII\ - Qualified In Suffolk County Commission Expires May 29, 20 lL ~~q,~m