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Home My WebLink About34978-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34026 ~te: 10/22/09 THIS C~I(TIFIES that the building DECK ADDITION Location of Property: 795 SEAWOOD DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 7 Lot 65 Sul~iivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25, 2009 purs,,~-t to which Building Perudt No. 34978-Z dated SEPTE~(BER 2, 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 DECK ADDITION TO AM EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CATHERINE & VICTOR CIERACH JR (OWNER) of the aforesaid building. N/A N/A ' A~,~o~ized Signature Rev. 1/81 BLDG. DEPT. TOWN OF SOUTHOLD 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: 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. I~. 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. 'ii 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. C. Fees 1. Certi~cate ~f ~ccupancy ~ New dwe~~ing $25~~~~ Additi~ns t~ dwe~~ing $25.~~~ A~terati~ns t~ dwe~~ing $25.~~~ Swimming pool $25.013, 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 / / New Construction: I/ Old or Pre-existing Building: ('check one) L°cati°n°fPr°pc~rrY: 7¢ C '-5~"~'-~~ L) House No. Street Owner orOwners of Property: .~./~.. '~d2, ~r-- (:l '~-~t/~ t-~ C H Suffolk CountyTax Map No 1000. Section "~ ~ Block 7 Lot Subdivision Filed Map. Lot: Permit No~d/t q ~',~ Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: .Sb 7- /'/ o z_ D Request for: Temporary Certificate Fee Submitted: $ r~ Final Certificate: ....----~- (check one) Apph~int Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34978 Z Date SEPTEMBER 2, 2009 Permission is hereby granted to: VICTOR CIERACH 795 SEAWOOD DRIVE SOUTHOLD,NY 11971 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 079 pursuant to application dated AUGUST Building Inspector to expire on MARCH 795 SEAWOOD DR SOUTHOLD Block 0007 Lot No. 065 25, 2009 and approved by the 2, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 JNSPECTION [~]~I~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~JNDATION 2ND [ ,~FRAMING / STRAPPING [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT ~RUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: , DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~,.A'TION [ ] FRAMING / STRAPPING [L....]-'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESI~C~/liSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:q-// ~ ~ - ~ INSPECTOR//~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P~LBG. [ ] FOUNDATION 2ND [ ] INS~ATION [ ] FRAMING / STRAPPING [~FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FiRE RESI .STANT CONSTR~ [ ]~/FIRE RESISTANT PEI~It I.ATION REMARKS. ~-'~~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net 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 Examined ~/'l.~, 20 ~ ~ _ ~ ~It;Cr~d-P~atrm}~ Assessment Form Approved ,20 O~ ~ ~ ~ ~ ~ Contact: , Disapproved a/c Expiration ,~ Iq, 20 ~[ ~..~ I /~ff~-~X/--~ VO --~O~ Building I spector ¥~~.m~O 2~ ~ ~ Date ~/~ ,200~ ~. This app~~tely filled in by typewriter or in ink and submitted to the Building hspector with 4 sets ofpl ~ 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. E Evew building pe~it shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other re~lations affecting the property have been enacted in the interim, the Building hspector may authorize, in writing, the extension of the pe~it for an addkion six months. Thereafter, a new pemit shall be required. ~PLICATION IS HE,BY M~E to the Building Depa~ment for the issuance of a Building Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Re~lations, 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 re~lations, and to admit authorized inspectors on premises and in building for necessa~ inspections. ~ /) (Sign~e of applicant or ~me, ifa co~oration) 66 WaoO Il?7/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises 'V/tO~'-0 F ~_~I ~ /~//~C t-~ (As on the tax roll or latest deed) If applicant is a corporation, si~g~ature 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 wh~h proposed work_will b..qdone: ber Street Hamlet County Tax Map No. 1000 Sectiont~Tql~O Block 0 7° I'~ Lot 0(_-.~,~000 Subdivision,~ F--Ft~ooL) - ~r.2/~'~ ~5~'cr~o,OE Filed Map No. a,~ .6" 7~' Lot c2, & State existing use and occupancy of premises and intended use and occupancy qf proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal 4. Estimated Cost ¢ [) ~7'2, ~90 ~, OO 5. If dwelling, number of dwelling units If garage, number of cars I Demolition Fee Addition ~er Work 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 Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front "'~ Depth Height. Number of:S{ories Depth . Rear 8. Dimensions of entire new construction: Front Rear ; ~ Depth Height Number of Stories 9. Size of lot: Front /CPC>" Rear / ~"C '~ Depth / ..,2.~' i, 10. DateofPurchase ¢,g7/~"~~- NameofFormerOwnerPff~ I'~[::/~T la), DR ~ I 11. Zone or use district in which premises are situated Se_> ,:q ~'~ t~ L L~ -- /, O O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO L,// 13. Will lot be re-graded? YES__ NO /Will excess fill be removed fi.om premises? YES__ NO 14. Names of Owner of premises ~]t'c.~t,,l,-~, ~.Rrlz::/"I'Tiddress 7~.~,$~'~t ~odO O~ Phone No. ~5"- Name of Architect Address Phone No Name of Contractor Address 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/R~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 property? * YES NO J · IF YES, PROVIDE A COPY. STATE OF NEW YORK) (.. SS: COUNTY OF fic?/~ ~y/..<) qi ~--~O p' ~/~/~ ~1~ 5~ being duly sworn, deposes and says that (s)he is the applicant (Name of individ~l si~ing contract) above named, ~NNIE D. BUNCH N~ Public, ~ ~ N~ ~ (S)He is the 0 ~g~ _ ,0.01,,~,,,050 uumm~ in ~k ~un (Contractor, Agent, Co.orate Officer, etc.) O0mmissi0n ~ir~ Ap~114, ~tL of said owner or owners, and is duly authorized to perfo~ or have peffomed the said work and to make ~d file this application; that all statements contain~ in this application are tree to the best of his ~owledge and belief; ~d that the work will be perfo~ed in the manner set fo~h in the application filed therewith. Sworn to before me this ^ ~"q-~ day?f ~ ~7~ 200~ Notary Public Signature of ~ Town _of Sout_____hol d Erosion, Sedimentation & Storm-Water Run-off AS-q~-~_~,NT FOR~.' PROPERTY LOCATION: S.C.T.M. #: Dlsnlct BecBon Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF STORM-WATER; GRADING; DRAINAGE AND EROSION CONTROL PLAN C=K, irl~'U BY A DESIGN P~ur~SSIONAL IN THE STATE OF NEW Item Number: (NOTE: A Check Mark (~) for each Question Is Required for a Complete Application) Yes/__Yes No Run-Off Generated by a Two (2") Inch Ra nfall on Site? --~/'~/~. ~ I Will this Project Retain All Storm-Watar (This item will include all ran-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impendous surfaces.) 2 Do~s the Site Plan and/or Survey Show Ail Proposed Drainage Structures Indicating Size & Location? ~ r~. This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Wated=lowi 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural r~ Existing Grade Involving more than 200 Cubic Yards of Materfa w th n 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 equine Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a We land or Beach? 6 oneWill there be Site Proparati°n °n Existing Grade S °pas which Exceed Fifteen (15) feet °f Vertical Rise t° [2]/Hundred (100') of Hodzontal Distance? __ 7 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? 8 Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of E~~ 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 Floodplain o( any Watercourse9 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 Permitl EXEMPTION: Ye._~s No 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 Requiredl STATE OF NR..W' YORK, That (Name ot individual signing Document) ~ And that he/she is the ............ Q~ C0NNI£ D. BUNCH · · Owner Con ,a~ .......................................... flO~i~b~ic;'~i~'of'N~ l~i~ .......... ~ , or, Agenl. Corporate Officer, etc.) NO. 01BU6185050 Owner and/or representative of the Owner of Owner's, and is dun authorized to ,,erfo-,-,~o~[~ed~in Su~pt~ OOun~ ] ~1 ntake and file th!s apphcaBon; that all statement~ contained m th~s application are true fo the h,~t,~r h ~ ~ ' ~'~' ~ - mat me wor~ wm ne penonneo m the manner set forth in the application filed herewith. Sworn to before me this; .............. ''''' Notary Pub c' x...:...~-yh ~..~.4~ (._)t.~/-,~ (C.. FORM - 06/07 TOWN OF SOUTHOLD PROPERTY RECORD CARD ,'~,eP// OWNER STREET "~ ?~.~- VILLAGE DIST, SUB. LOT.~ ~r ~FO~E~ OWNE~ ~]i : N E AC~ ~ ~.~ ~ ~ ':'M~fI~~ ~eP~ S W ~PE OF BUILDING RES. ~0 S~S. VL, FARM COMM. CB. MISC. Mkt. Volue ~ND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION ~/~/~ ~ Z- /D~O~ FARM Acre Value Per Value ~ / ~ - / . / ' ' , '- ' / Swampland FRONTAGE ON House Plot DEPTH BULKH~D D~K Totol ~ ~ ,, COLOR M. Bldg. Extension Extension Extension Porch Garage Patio Total Foundation ~ement ~xt. Walls Fire Place Type Roof Recreation Room Dormer Driveway Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor LR. ; i ALL CONST~ : UN '"-U · ~T 0F~T'''' ' '3ATE: :',T:Y BUILD:; . : AT -E-~02 8AM -, 7HE ~ ; POURED C =',~ 2. ROUGH - 3. INSULATION 4. FINAL - CONSTRUCL~: BE COMPLETE FOR C ALL CONSTRUCTION S~-~: L M;~T THE REQUIREMEN? 9:z' :~ ~ '3[n DJ:NEW YORK ST,: TE DE4;~GN CE CONS-~RUGTIO~ ~RORS. ~,/IND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRA~,/INGS