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Home My WebLink About34308-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33713 I~ate: 05/15/09 THIS CERTIFIES that the building HA~NDICAP RAMP Location of Property: 2555 YOUNGS AVE (HOUSE NO.) (STREET) County Tax ~ap NO. 473889 Section 63 .1 Block 1 Sukx~ivision Filed ~p No. Lot 2 Lot No. SOUTHOLD (HAMLET) conforTns substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 2008 pursuant to which Building Permit No. 34308-Z dated NOVEMBER 19, 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 HANDICAP RAMP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR (CONDO UNIT lB). q~ne certificate is issued to MARIAN NOSSAN & WILFRED BECKLIEN (OWNER) of the aforesaid building. SuF~OI~ CO~DEPANTI~ENT OF ~_LTHAPPRO~L ELR~-i-KICAL ~TIFICR%TH NO. FL~BERS CERTIFIC3~TION DA'r~a3 N/A N/A N/A Rev. 1/81 MAY 11 2009 BLDG. DEPT. APFI, TOWf~ OF $OUTHOLD Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 CATION FOR CERTIFICATE OF- OCCUPANCY This application must be filled in by typewriter or ink and submitted m the Building Department with the following: & For new building or new use: 1. Final survey of propotty with accurate location of all buildings, prOPerty lines, streets, and unusual natural topographic features. Final Approval from Health Dept. of~,ater supply and sewerage-disposal (S-9 form). 3. ApprOval of eleCtrical installation fi'om Board of Fire Underwriters. 4. Sworn statement from plumber eex6fying that the solder used in system contains less than 2/10 ~f 1% lead. 5. CommerOial building, industrial building, multiple rosidene, es 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; 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, strects, building and.anusual 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. Date. New Construction: Old or Pre-existing Building: Location of Property: ~-5-6'- )~/Yl'Y ~ ~ House N6. Street OwnerorOwnersofProperty: /~Oc~o t A l~{ /~tg~a S A ~ ] .- Il-}, Suffolk County Tax Map No 1000, Section Z/~.b ,~ ~ -E~4.~/Block C. Fees 1. Certificate o£ 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 ofOccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate o£Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Subdivision Permit No. _~ q .~ ~ Date of Permit. Health Dept. Approval: Planning Board Approval: . Request for: Temporary Certificate Fee Submitted: $ '~"-~' ~. ~ 0 (check one) Hamlet Lot ~ ~ 2- Filed Map.. Lot: Underwriters Approval: Final Certificate: ~ (check one) Applicant Signatar~. . FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34308 Z Date NOVEMBER 19, 2008 Permission is hereby granted to: MARIA/q NOSSAN & WILFRED BECKLI 2555 YOUNGS AVE UNIT lB SOUTHOLD,NY 11971 for : ADDITION OF HANDICAP RAMP TO EXISTING SFD AS APPLIED FOR. at premises located at 2555 YOUNGS AVE SOUTHOLD County Tax Map No. 473889 Section 063.001 Block 0001 Lot No. 002 pursuant to application dated NOVEMBER 14, 2008 and approved by the Building Inspector to expire on MAY 19, 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUII~DING' DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ///[ q ,20 O~> Approved Disapproved a/c //I/q ,20 og 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 ,,~_.~ l-/.~'~ Survez Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: .t~,4 ~LI~,M /4~$~t.J /~,~ ~ Mail to:~ ~,V ~ Phone:2~~t~, Building Inspector APPLICATION FOR BUILDING PERMIT Date UoO6MB~ (4- ,2005 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 pemfit 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 additiorr six ~onths. 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 q.onstmction 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. tare c~plicant or name, ifa corporation) t ; (Mailing address of applicant) /! State whether applicant is owner, lessee, agen~?chitect~ngineer, general contractor, electrician, plumber or builder Name of owner of premises A'~dAk/ /~Cb~'~A/~ ~T r~ ~ bi] }/.-Ja~.~b (As on the tax roll or latest deed) t is a corporatign, signature of duly authorized officer and ti-fl4 of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street / "Hamlet Block [ Filed Map No. County Tax Map No. 1000 Section Lot ~ Subdivision Lot TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ p,]"FI NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: [ ] ROUGH PLBG. [ ~ IN~t~L~TIo. [ "] FINAL ] FIRE SAFETY INSPECTION ] FIRE RF. SISTANT~PENETRATION INSPECTOR FWJ,D INSPECTION REPORT t DATE FOU, a)ATm~ (~ST) FO~DA~ON (2ND) ROUG~ F~G & PL~G - ~S~ATION PER N. Y. STATE ENERGY CODE Tow n of __ Southold Erosion, Sedimentation & Storm-Water Run-off AS8ESSMENT FOI~M PROPERTY LOCATION: S.C.T,M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF ~ /'acc 6~t I Dislricl Seclion Block Lot STORM-WATERI GRADING, DRAINAGE AND EROSION CONTROL PIAhl CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW Item Number: (NOTE: A Check Mark (.~) for each Queslion is Required for a Complele Application) I w,i 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 sile clearing and/or construction activities as well as all Site Improvements and lbe permanent creation of imperious surfaces.) 2 Does the Si~e Plan and/or Survey Show All Proposed Drainage S~ructures indicating Size & Location? This Ilem shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! 3 Will this Project Require any Land Fill!rig, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Ma[edal within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Sudace? 4 Is there a Natural Water Course Running ~hrough tile Site? Is this Project wdbin the Trustees jurisdiclion or wilhin One Hundred (100') feet of a Wetland or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet ct Vedical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parkin9 Areas ol other Impervious Sudaces be Sloped to Direct Storm Waler [~un Otl into and/or in the direction of a Town dght-of way? Wilt this Project Require Ihe Placement of Material, Removal of Vegetalion and/or the Construction of any Ilem Within t e Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons,) 7 Will this Project Require Site Preparation within Ihe One Hundred (100) Year Floodplain of any Wa ercourse? Yes Mo NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, aStorm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submiffed for Review Prior to issuance of Any Building Permit! Does Ihis project meet Ihe minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, aStorm-Water, Grading Drainage&ErosionControIPan sNOTRequlredl f4/~. STATE OF NEM,r YORK, COUNTY OF ...................................... SS That I ................................... being duly swoi n, deposes ;md says d~at he/she is the applic;mt fat ['erm~L /M~d that be/she is the Owner and/or rel)resenCabv¢ of the Owner of Owneds, a~d is duly authorized to perlo[m or have performed the said work m~d to make a~d file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that tim work will be performed m the man[~er set forth m the applica~on filed herewith. Sworn to before me this; ........................ [.d ................ d ,,or ....... 3Z. .'L ...................... o.e Notary Public: ................................... ¥10~1'101~ .......... Notary ~Mic, ~ ~ N~ ~ FORM - 06/07 Qualified in ;S~ffolk County, Commission Expires July 28, 20_[.~_ CERTIFICAT.ION OF NAILING & CONNECTIONS REQUIRE[~. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN ~ODES A8 REQUIRED AND CONDITIONS OF SOUTHOLD TOWN ZBA BOUTHOLD TOWN PENNING BOARD SOUTI4OLD TOWN TRUSTEES _ N,Y,S, DEC ALL CONSTRUCTION SHALL MEET THE REQULREMENTS OF THE CODES OF NEW YORK STATE. OCCUPANCY OR IJSE IS UNLAWFUL u\i!mHr)LrJT CERTIFICATE , ~,/',; JPANCY APP~IOVED AS NOTED 1. FOUNDATION . l WO EEQUIRED FOP, POURED CONCRETE 2, ROUGR - FRAMING & PLUMBING ~. INSULATION 4. FINAL - CONSTRUOTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CORE8 OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR& .. JI~'I~FRE¥ .P. GIBBONS ARCHITECT~ P.e. A][A 82 ROSES GROVE ROAD S~THAMPTON, NY 11968 ],~ ]FAX(~ 'z83.t:,,gz