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Home My WebLink About34345-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33469 I~te: 12/30/08 TEIS CERTIFIES t~t the building AS BUILT DECK Location of Property: 37720 CR 48 SOUTH/PEC (HOUSE NO.) (STREET) (HAMLET) County Taxx Map No. 473889 Section 69 Block 4 Lot 10.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 2008 pursuant to which Building Peri,it NO. 34345-Z dated DECEMBER 12, 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 ON A EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NANCY A STRONG of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALT~ APPROVAL RCT~ICAL CERTIFICATE NO. PLIERS C~TIFICATION DA'l'~u N/A N/A N/A Rev. 1/81 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 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 of 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. Bo 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. Ifa 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, Commercial $15.00 Date. J" Old or Pre-existing Building: (check one) New Construction: Location of Property: House No. Street Owner or Owners of Property: ~ ~v.~,-~..q Suffolk County Tax Map No 1000, Section Hamlet Subdivision Permit No. ~ §' ~'; ~ Date of Permit. Block Y Lot Filed Map. Lot: Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) / A/~plicant 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. 34345 Z Date DECEMBER 12, 2008 Permission is hereby granted to: NAiqCY A STRONG PO BOX 249 PECONIC,NY 11958 for : AS BUILT DECK ON EXISTING SINGLE FAMILY HOME AS APPLIED FOR at premises located at 37720 CR 48 County Tax Map No. 473889 Section 069 pursuant to application dated DECEMBER Building Inspector to expire on JUNE SOUTH/PEC Block 0004 Lot No. 010.002 5, 2008 and approved by the 12, 2010. Fee $ 400.00 / Auth0~lzed Signature ORIGINAL Rev. 5/8/02 · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ,20__ Approved ,20__ Disapproved a/c Expiration ,20.__ PERMIT 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 Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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 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, housing code, and regulations, and to admit authorized inspectors on premises and in building fo[ necessary inspections. r ~Signatu/e o f applicant m: name, if ~C6~rporation) · ' (Mai'ling ~ddress of applicant)c t - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises /~/f,-~d(7 /z(. ~'-/W-O/Tq (As on the tax-~ll 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. 1. Location of land on wllich proposed work will be done: House Number Street Hamlet Block Filed Map No. County Tax Map No. 1000 Section -/ Subdivision Lot 2. State existing use and occupancy of premises ~_nd intended use and occupancy pfproposed construction: a. Existing use and occupancy b. Intended use and occupancy ~)~ 3. Nature of work (check which applicable): New Building_ 4. 5. Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) Fee (To be paid on filing this application) 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 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 10. Date of Purchase [ 7 r~ 7 . Rear Depth Name of Former Owner _/~q 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 Will excess fill be removed from premises? YES __ NO of premises fiJ~ctvc ~/~ <o'~ "tX~/i~,/Il)' 5~ (~<o-- ~ 8-p/~ 14. Names of Owner Address/a°tS°>t"~t ~ ~cr'~cthone No. Name of Architect Address Phone No Name of Contractor ~/av,~lg/4-~-Tg~t~ve,~ddress l~7( ZLT-- Phone No. 15 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. 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 (Name of lndlvl~al signing contract¢~ove (S)He is the being duly sworn, deposes and says that (s)he is the applicant named, (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 thi~ __ ~ day of ~~[~_ 20 ~ F. Jpims Apd128, 2012 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY ~FINAL ] FIRE SAFETY INSPECTION REMARKS: ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR_______~'~~ i,~ ~:LD iNSPECTiON REPORT I DATEI ~, COMNIENTS FOI/NDATION (1ST) FOUNDATION (2ND) ROUG~I FRABII~G & PLU54~BING 0 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District Section Brock Lot 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 N umber: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes N__9o 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? J ! (This item will include all mn-off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? ~ r"="l This Item shall include all Proposed Grade Changes add Slopes Controlling Surface WaterFIowl 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural ~ ~ Existing Grade nvo v ng more than 200 Cubic Yards of Material within any Pamel? -- 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r~ ~ Five Thousand (5,000) Square Feet of Ground Surface? ~ -- 5 Is there a Natural Water Course Running through the Site? r~ v/" is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? -- 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to r~ J One Hundred (100') of Horizontal Distance? ~ -- 7 Will Ddveways, Parking Areas or other Impervious Surfaces be Sloped lo Direct Storm-Water Run-Off r~ ~/'/ into and/or in the direction of a Town tight-of-way? .J~ 8 Will this Project Require the Placement of Material; Removal of Vegetation and/or the Construction of r~ j/,,/ any Item Within the Town Right-of-Way or Road Shoulder Area? ~ -- (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year F oodp a n of any Watercourse? ~1 ~ 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 Permit! EXEMPTION: Does this project meet the minimum standards for classification as an Agdcu~tum~ Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl Ye__~s Ne, STATE OF NEW YORK, ....... ss ...........--' '" v" "~ "~ ~"'"~'" I t[~?;::~'~:~'~~'"' be~ duly sworn, deposes ~d says flint he/she is ~e apphmt [or mermi~ That I {Owner, Contractor, Agent, Comorate O~c~, OtC ) Owner and/or represeu~five o[ ~e Owner of O~effs, ~d is duly au~orized to perform or have per[ormed fl~e shd work m~d to m~e ~d file this application; d~at · at ~e work will be performed in d~e m~ner set [or~ in ~e application tiled herewi~. Sworn to be[ore me dfis; ................... ............... Notary Public: '~~~ .............. - 06/07 CERT! NAILING & CONNECTIONS OCCUPANCY USE IS UNL/d/;.'FLiL WITHOUT OF O00UPANC'~' /1EET THE REQ?RE~ENTS OF TH~ CODES OF N~W'~OF;; STATE. 2 X3 As Constructed Deck 37720 Rt 48, Southold, NY /3/ AP.P FEE: ,NO: ;FY BUiLE ' ":F[I' ~/7- - 765-1802 8AM FOLLOWING 4. FINAL- CO~ ....... ~,, M~ST ALL~..,..~.,~-P'~qTDI ~ :-:' ~ SrD,i L ,'E~'F THE REQL r THE ~2D ~S OF NEW .~OR~,~TA~'& ~ RES~ ~BLE FOR JOSEPH FISCHETTI, PE PROFESSIONAL ENGINEER 1725 HOBART RD / PO BOX 616 SOUTHOLD, NY 11971 631-765-2954 MIDDL ~' A~OA D N/~ eURNS 250.0' ROll