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Home My WebLink About34372-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33699 I~ate: 05/08/09 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 330 MAPLE L~ ORIENT (HOUSE NO.) (STREET) (HA~4LET) County Tax Map No. 473889 Section 17 Block 3 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 2009 pursuant to which Building Permit No. 34372-Z dated JA/qUANY 5, 2009 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 ALTER ACCESSORY GARAGE TO WORKSHOP AS APPLIED FOR. · ~ne certificate is issued to LISA YUSKAVAGE & MATVEY LEVENSTEIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL c~KTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A ~u t h/o r~i ~ d~S i~n~a t ur e Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDI~G DEPARTMENT TOWN HALL 765-1802 ATION FOR CERTIFICATE OF-OCCUPANCY ,ewriter 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 t~omBoard of Fire Underwriters. 4. Sworn statement fi'om plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commeroial 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: 1. Accurate survey of property showing all property lines, street3, building and.unusual natural or topographic features. 2. A properly completed application and ceusent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the masons 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-e[isting 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 New Construction: Location of Property: Date, ~/~.)~ Old or Pre-existing Building: ~ (check one) House No. 8tr~[ Suffolk County Tax Map No 1000, Section Block Hamlet Lot Subdivision PermitNo. 3~437~-~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 9 ff~ Filed Map. Date of Permit. Applicant: [ff~c ~L]eJ6]4 ~" ~ Underwriters Appmvah (X~ Final Certificate: t~ (check one) Applicant Signature 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. 34372 Z Date JANUARY 5, 2009 Permission is hereby granted to: YUSKAVAGE & LEVENSTEIN 330 MAPLE LA ORIENT,NY for : ALTERATION OF EXISTING ACCESSORY GAP, AGE TO WORKSHOP AS APPLIED FOR at premises located at 330 MAPLE LA County Tax Map No. 473889 Section 017 purs%~nt to application dated JANUARY Building Inspector to expire on JULY ORIENT Block 0003 Lot No. 002 5, 2009 and approved by the 5, 2010. Fee $ 137.20 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING ROUGH PLBG. [ ] I~ATION FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2NO [ ] INSULATION FRAMING / STRAPPING ~ FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAICr PENETRATION REMARKS: DATE /~//~,~fO ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ]~DATION 2ND [ ~ FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: [ ] ROUGH PLBG. [ ]INSULATION ]FINAL ]FIRE SAFETY INSPECTION ]FIRE RESISTANT PENETRATION DATE INSPECTOR~ FIELD Y4qSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FINING & PL~G INS~ATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF SOUTHOLD BUILDING DF2ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration NO. q S 7 BUILDING PERMIT APPLICATION CHECKLIS Do you have or need the following, before applying Board of Health 4 sets of Building Plaas Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: ?t)15 <TPIzo?_ ldY llq,( 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 prem/ses, relationship to adjoining premises or public streets or areas, and watem, ays. 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 shalI 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 propose 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 fi.om 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 month~. 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 for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner o~'premises (As on the tax loll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~SC/57ZY/t/ /~'Z/.,~/,,rO /-/07~f//26. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Subdivision (Name) Section /'7 - mock ot' Filed Map No~ ~t~q4tO .0# 2. State existing use and occupancy of premises and intended use and occupancy o f proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): Repair Removal 4. Estimated Cost ~ Fee Addition Demolition Other Work If dwelling, number of dwelling units If garage, number of cars Alteration~?.._ (Description) (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 Stodes Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions of entire new construction: Front Height ~2.! Number of Stories 9. Size of lot: Front 2~0t Rear .~.~[, Rear 10. Date of Purchase Name of Former Owner Number of Stories Rear ';~/ Depth Depth /d,~,, t30 ! 11. Zone or use district in which premises are situated ~ - 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO v/Will 13. Will lot be re-graded? YES NO excess fill be removed from premises? YES 14. Names of Owner oflzE.emises~.dqlress ~:30/-'gaBle ~4//..~a~"Ibhone No. Name of Architect ~ g./~//~t//f.,~ ! "J~l~"dress~2~~Phone No.~_~::~ NameofContractor~,&r~/-O" ~/]~/,/~ Address ~//-~a~tJllq~-/ PhoneNo.~ ,,x.· ' _ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO v * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE, J~QUIRED. 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 property7 * YES__ NO / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) '~"~F]/~ ~r~//~{/~ g~t:~/ being duly sworn, deposes and says that (s)he is the applicant ~me of ~vid~l sing con, ct) above rimed, (S)He is ~e (Con~a~or, Ag~t, Co.orate Office, ~c.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f'fle 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 ~~ - ~'I'A~ ~ NL~I~ TOWN OF SOUTHOLD PROPERTY REC:ORD D OWNER STREET -~ ~ VILLAGE DIST. SUB. LOT ~ ~f~ a~ , /g W. _-- TYPE OF BUILDING /~ ~;0 SEAS. VL FARM COMM. CB. MISC. '~k~Val'ue RES. ~ND IMP. TOTAL DATE REMARKS . AGE BUILDINGCONDITION qJl~}o5 ~P~oq~ i~rm~p~t ~'--~, FARM Acre Value Per Value / ~/ k:~O9 · i.ob~e ~ / Tillable 2 Tillable 3 Wo~land Swampland FRONTAGE ON WATER Brushlond FRONTAGE ON ROAD ~ ~ 0 ~ 1~,o 0 : & ¢ 0O House Plot DEPTH / ~ ~ BULKH~D Total ~ ' '~ DOCK Extension ~"~-'~z-~ ~ ~_?' ~, /g Bas-Tment ~tension Ext. Walls , ~ ~*~-'~' (~ interior Finishh~ ~ ~.t LR. Extension Fire Place / Heat ~, ,~ , ~ , - ~ Type Roof ~,~ ,,~, ~ ,~ Rooms 1st Floor ~/ BR. Porch ~ 1~1~ ~ ~ ',~ ~ Recreation Roo~ Rooms 2nd Floo~ FtN. B. ~!~ ~/ ~ ~ Driveway ~x Iv~' -' Total COLOR TRIM M. Bldg. Extension z/ ~_~b- c~q, ~:.~ Basement Extension Ext. Wails Extension Fire Place Bath Floors Interior Finish · ~ Dinette Extension Extension Foundation ' ~x~- Bath ' Floors Bment ~ ~' rior Finish Ext. Walls 5URVE¥ OF PROPERTY TOI,"~I~ DUI=FOLK COUNTY, NY ~ YU~KAVAG~ Tes[: Hol~ N ~ S ~I",[ELL JOHN C. EHLE} 6 EAST MAIN STREET R1VERItEAD, lq.Y. 11901 369-8288 Fax 369-8287 LAND SURVEYOR N.Y.S. LIC. NO. 50202 Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes. to any of the above, a Storm-water, Grading, Dralnaga & Erosion Control Plan is not req~;irad. ACTIONS REQUIRING TIlE SUBMISSION OF A STORM~WATER~ GRADING~ DRAINAGE & EROSION CONTROL PLAN. CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (4) for each question is required for complete application) Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or comhnaction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 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 of five thousand (5,000) square feet of ground surface or more? Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? Note: Yes No. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundr~cl (100) feet of horizontal distance? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction ora Town Right-of-Way? Will this application 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 does not include the installation of driveway aprons.) Will there be site preparation within the one hundred (100)year floodplain of any watercourse? ['~ If any. answer to questions ~)ne through eight 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 permit. b-'TATE OF NEW YORK, coumw ............... ss That I, ...~'~Z~.....~.....~...~/~..~..]....~[ ............. being duly sworn, ~eposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that He/She is the _,~/'~../' ..~... ~ ......................................................................................................................... (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the 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 belier; and that the work sill be performed in the manner set forth in the application fried herewith. Sworn to before me tiffs; .................. L~"~"'"'" ~'day °f ~'~~'/'~' ~ '/'~~ 1~[ L/~]/"~-/d~ ..... 20.~.~. ZONIN6 CALCULATIONS ~ ~_ 3JdSE LOT AREA = co. 46,206 SF ~ A ~ION gc.G , j~ EXIST'6 BLDg. COVERAGE = co. 4,040 SF i ~7 ADDED BLDO, COVERAGE = co. 750 SF TOTAL BLDO. COVERAGE = co. 4,790 SF ~ PROPOSED LOT COVERAGE: = co. 10.3 % ~ ~m~ R-40: 20% OF LOT AREA: co. 9,241 SF LAN MAPLE E RESIDENCE SURVEY BY JOHN C. EHLERS, L.S. 280.00' DATED: 04/19/2001j J~ AT i ' ] ~ 530 MAPLE LANE t ............ 1 / '~ IN ORIENT, NY , FXTC . . , . . ARCHITECT . . ,... ~ , ,~ PROPOSED BUILDING F~K UELLENDAHL ?- ~4. .~.~- , 6REENPORT, NY 11944 , ... TEL: 631-477 8624 ~ TEL: 646~327 0577 ( [~ .... 3. INSULATION kk k BE CON~PLE,u , k ~.v. -L-x. RETA1N STORM WATER RUNOFF ~ J PURSUANT TO GHAPTER 236 ~ '_ · , - OFTHE:TOWN 60DE. f ~ ~ WITHOUT CERT,~-';~,.:;,7~ SCTM~ = 1000-17-05-02 OF OCCU~A~u 'v i TOWN OF SOUTHOLD ~ SITE P~N ' , J SUFFOLK COUNt, NEW YORK Mcc~ ~HERE~u ........ ~ A - 2 CO ESOFNEWYOX S ATE. PERMIT AMENDMENT 34157 PROPOSED POOL HOUSE LJ 281.48' ' , LEGEND ~ ADIN~N ~ NEWFRAMING [ ] EXT'G CONSTRUCTION PERMIT AMENDMENT //34157 RESI ENOE 330 MAPLE ~N[ ~4'-r , IN ORIENT, NY 1'-6' 8'-0' 5'-4" 8' O' f 6" ~ ~ ~ ~ - ~ i ~CHITECT .... ~ ..... T ~ ~ - L 4 ~ ~ F~K UELLEN~Li --- I ! ---- ~ " ~ ~ I ~ ~ ~ I ~ F i ~ I , ~ ~ ~l ]~ ~ ~ P,O.~X ~1~' ,-----~ , ~ m .... PS 8180L PS 8180R GREENPO~, ~ 11944 , , m i i I I REP~CE ~AGE DOOR W/SLIDER m REP~CE ~GE DOOR W/SLIDER m EL: 631-477 8624 ~ ' , L ~ I -- I I i ~ OWNERS ~~ ' i ~ u~ ~S~WE , ~ A ~ L~N I E~'G 2X6 COL~ TIE .X ~ 3X6 ~ER~ '-. ] i ~ ORIEl, ~ 11957 ,~ , ~ TEN ~27 0577 ~ - ~ 45-1/2"X72" R.O. SOUTH EL~ATION ~ ~I ~ ,,~ WORKSHOP / ' ~ 594 SF ~ ............... I~ ~ , DOUBLE FRAMING ~ ~ ~ SKYLIGHT OPENING L __ _ EXT'G 2X6 CO~R TIE~ :' 45-1/2~72* R,O. I ~ ~ I ~ E~'G~X6~ER~ ~ ~ ~ ~o BI ~ST~ ~IN6 D~AIL - ~ ' i ~ PER CODE I ~ ~ ~ ~ ' ~ Vermont Costi,g i1_~ I ~ , ' ~ Modal 2460 ~ ~ DATE: 1 ' ~ .... ~ ~ ~A SCAE: ~/4=~-o ' ' ' ~ EXT'O CONCRDE CURB~ [ ~: ~ PROPOSED ' .... ' _ I --- ~ ,,= -- -- -- '-- ~' ..... = - -- .... - ~ : ~, FLOOR P~N ~ ~ i , ' ~barage uonvermon - ~ A-8 NORTH EL~ATION 1ST FLOOR P~N ~ ~.,o SKYLIGHT OPENING ~ 45-1/2"X72" R.O. ,_ ? DOUBLE FRAMING ~ 7~ SKYLIGHT OPENING :' 45-1/2"X72" R.O. DBL FRAMING AROUND SKYLIGHTS EXT'G DRYWALL- 45-1/2"X72" SKYLIGHT MOTORIZED SHADE EXT'G 2X6 COLLAR 8'X8' GARAGE DOOR WITH 8'X8' SLIDER --3/4" T&G SUBFLOOR nailed & glued on 2x4 SLEEPERS 5'-3 1/2" 24'73 1/2" T/O RIDGE EL.= +1T-8" T/O EXT'G GRADE EL.= +0'-0" SECTON B E} SCALE: 5/8"= 1'-0" "' RESIDENCE AT 35O MAPLE LANE IN ORIENT, NY ARCHITECT FRANK UELLENDAIJL P.O.BOX GREENPOR[, NY 1194,I TEL: 6~1-477 8624 OWNERS LISA Y],JSKAVAGE & ~]VE'f LEVENS'rEIN 330 t,~/~LE LANE ORIENT, NY 11957 DATE: 12/11/2008 SC,~[: 3/8" = f-o', SECTION B-B ~. ~,~E A-9 D~G. NO