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Home My WebLink About34218-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~d{TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33368 Date: 10/31/08 THIS CERTIFIES that the building ADDITION I~Dcatlon of Property: 2555 YOUNGS AYE SOUTHOLD (HOUSE NO.) (STREET) (H~24LET) County Tax t4ap No. 473889 Section 63 .1 Block 1 Lot 39 subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7, 2008 pursuant to which Building Permit No. 34218-Z dated OCTOBER 10, 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" RAMP ADDITION TO AN EXISTING CONDOMINIUM UNIT 18D AS APPLIED FOR. The certificate is issued to CHRISTINE CONWAY (OWNER) of the aforesaid building. SUFFOLK COUIFPY DEPART~T OF HEALTH APi~ROVAL ELEt-rKIC3kL CERTIFICATE NO. N/A / Authorized Signature Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 76S-1802 //¢ 7/ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and subtmtted to the Building Department with the following: A. For new building or new use: Final sm"vey of property with accurate location of all buildings, p~ope~ty lines, slreets, and unusual natural or tupographic features. 2. Final Approval from Health Dept. of water supply and sexverage-disposal (S-9 fomx). 3. Approval of electrical installation from Board of Fire Unde:awriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5 Colmnercial building, mdustrlal building, multiple residences and similar buildings and installations, a certificate of Code Con~pliance from architect or enginee~ responsible fo;: the buildiug. 6 Submit Plan]rfing Board Approval of completed site plau requirements 17or existing buildings (prior to April 9, 1957) Ilon-collfOl ming uses, or buildings and "pre-existing" land ~ses: I Accu[ ate survey of pIope~y showing all p~operty lines, sitee~s building ai~d uuusual natural or topographic 1 ~at [ti-es 2 /k properly completed application aud consellt lo lll ;[}ecl argued b5 thc al)ldic~l~t Ifa Certificate of Occupaacy denied, the Building Inspecto~ shall state thc ~casoim Ihe~elS~t in w~ ~¢inf¢ 1o ~hc alq>licant. C. Fees Sv, inuning poo $25 0 ). Accesso~), buildi g $25 0, .-%dditio~s 1,~ :lcces;(~l¥ Iqtlildillg $25.00, Businosses $50 0(I 2 (~c~li[~catc of Occupancy on P~e existing Bt;tiding $1(~00~l 3 Cop5 of CcNificate ol'Occupaucy - .$.25 d [lpdated C~e~qit~cate of Occupancy - $5000 New Consti~gt~on: Old or Pre-existing Building: / _ (ebeck one) House No. St~ ee~ lI~mlet Subdix iM<m liealth [)elm Appioval: l:iled }Slap I I hn:lel x~'~ i ters ,~Xppl ox'ah Plain~ing Board Apploval: Request for: TemporaU' Certificate Fee Submitted: $ Final CertifScate: (check one) Applicant Signature d 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. 34218 Z Date OCTOBER 10, 2008 Permission is hereby granted to: CHRISTINE CONWAY 2555 YOUNGS AVE - # 18D SOUTHOLD,NY 11971 for : AS BUILT P~AMP AS APPLIED FOR. at premises located at 2555 YOUNGS AVE SOUTHOLD County Tax Map No. 473889 Section 063.001 Block 0001 Lot No. 039 pursuant __~__ ~'~- to application dated OCTOBER 7, 2008 and~qppr~v~ by the Fees 400.00 ~Au~r ± z ed S nature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HXLL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined /~'/O 20 O-~ Approved r/~/ ~ , 200'~ Disapproved a/c Expiration (~/J~:~ , 20 t/ ~) 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 Contact: Mail to: Phone~;~ ~23,X~.~ Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 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 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 tbr 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 affecfing 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 ora 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, f~a corporation) ~ [ (Mailing address 'of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~ I'll )glC.~ (As on the tek roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which pro_posed work will be done: House Numbe~ '-' Street ' 'Hamlet County Tax Map No. 1000 Section Subdivision Block t Filed Map No. Lot Lot 2. State existing use and occupancy ofpr,e,mises and intended use and occupancy of proposed construction:' a. Existing use and occupancy ~}O~e c,~ r~'~t3~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition Addition Alteration Other Work J~ (Description) 4. Estimated Cost ~ It ~(' C)(D 5. If dwelling, number of dwelling units If garage, number of cars -- Fee {To be paid on filing this application) Nun~o~r of dwe!li~n_g units on each floor If business, 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 Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Sizeoflot: Front Rear .Depth 10. Date of Purchase ~! ,;-~1+! 0 [ Name of Former Owner 11. Zone or use district in which premises are situated ) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NOx-~ 13. Will lot be re-graded? YES 14. Names of Owner of premises~ Name of Architect Name of Contractor~ fl'/ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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. NO ~.~ Will excess fill be removed from premises? YES __ NO v/ Address Phone No Address~)O ~0Y. Iq0& PhoneNo.{.~l-"7~0~-~[ NO 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO V/' STATE OF NEW YORK) SS: COUNTY OF.~3~o~ ~.. ) C ~f' t~J~ (I ~_ G'~'~ ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) ~bove named, (S)He is the 0 (.~O)QP~/~ (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 tree 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 Notary Public 20 O~ No~Y~.b~i,TOS~61~l~16ew Y~trk Signature of Applicant uualifieo in Suffolk County, ~ Commission Expires July 28, 20 I~ Fl/ELD LNrS?ECTION REPORT ! DATE I COMMENTS FOI_~rD ATION (1ST) , INSULATION PER N. Y. STATE ENERGY CODE F~ .~ ~DITION.~ COUNTS ~'~ ~ ~'~. ~ ~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL Pi. AH District $;ction Block Lot 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) Yes N o Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all rdn-off created by site clearing and/or construction activities as well as all Site -- Improvements and the permanent creation of impervious surfaces.) /V/~r ,~,.~ Does the Site Plan and/or Survey Show All Proposed Drainage Siructures Indicating Size & Location? This Item shall include all Proposed Grade Changes and S opes Con rolling Surface WaterFIow! -- Will this Project Require any Land Filling. Grading or Excavation where there is a change to the Natural F1 Existing Grade nyc v ng more than 200 Cubic Yards of Matedal within any Parcel? I~l Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5.000) Square Feet of Ground Sudace?~ Is there a Natural Water Course Running through the Site? m'~ 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 r~ one Hundred (100') of Horizontal Distance?~ Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-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 Ihe One Hundred (100) Year F oodp a n of any Watercourse? r'~ 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 ssuance of Any Building Perrnitf EXEMPTION: Does this project meet the minimum standards for classification as an Agdcultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Dra nage & Eros on Control Plan is NOT Requiredl Yes No STATE OF NEXW YORK, ~ r' t cot NTY .............. ss That 1, .~..-..,J~.....~......{...O...~......._~.......(C~..~j::~...{. ........ being duly swo, n, deposes m~c says fit ~t'/shc is fl~c applicant for Permit, (Name of individual s}gning Document) /U;(I that he/she is the t¢}1~ Y''} ~ (Owner, Contractor, Agentr Corporate Officer, etc } O~v ~e- a ~d/'o ' reI rcsenta~ive of fl~e Owner of Owner's, m~d is duly authorized to perform or have performed the said work and to make and file this application; fl~at MI statements contained in fl~is application are tree to thc best of his lmowledge and belief; that the work will be performed in tim m,'mner set forth in rite application filed herewith. Sworn to bcfore me Otis; .................... Z ....................... ....................... g ,o,.,.y ........................ Notaty..Pubtic.State of New York <~ PP' > f \ ......... Qualified-~'~' ,~1'~ ~unty I~RM - UtC/U7 Commission Ex¢ res v ~ 2~ ~ ALL CONSTR ~,.: MEET THE REQUiREi,iFN~-~ CODES OF NEW' AFF;TOYED LS ~OTED DATE: ':: ",~ Y"~/ 7~5-1L02 S,V, ,,', : ,t FOR THE FOLLOV.gNG ~: ;: 1. FO'.'XE~AT;Oq - Z, O REQUIRED FOF~ POURED COt:CRETE 2. ROUGH - FRAMP63 & PLUMBING 3. INSULATION 4. FINAL - CONS} RUCTION MUST BE COMPLETE FCR ALL CONSTRUCTION SHALL MEET THE ~EQUIREMENTS OF THE CODES OF NEW YO~K STATE. NOT ~ESPONSIBLE FO~ DESIGN O~ CONSTRUCTION 3CCUPANCY OR ~ :';'-' IS UNLAWFUL · "~ ~..'.. .,. .,, IT CE RTIFI( · r'~ ~. I ;,NCY .L V. L OONTRA~ PO BOX ~75 ' ~lthold, N.Y. 11971 DOI',,,~I.RIOHT- ON TIMB