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HomeMy WebLinkAbout35608-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34401 ~te: 06/14/10 THIS C~K'rIFIES that the building DECK ADDITION I~cation of Pr(~erty: 215 WILD CHERRY WAY GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 3 Lot 28 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 2010 pursuant to which Building Permit No. 35608-Z dated JUNE 3, 2010 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PENKA L GIBINSKA & NIKOLAY NIKOLOV (OWNER) of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENTOFHEALTHAI)PROVAL ELEt-~'KICAL CERTIFICATE NO. PL[]MBERS c~KTIFICATION DA'r~U3 N/A N/A N/A ~Au o i/z~ture Rev. 1/81 Form No. 6 TOWN OF $OUTItOLD BUII,DING 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 Depe~tment 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 elec~cal installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commeroial building~ industrial building, multiple residimces and similar buildings and installations, a certificate of Code Compliance from architect or engineer respousible for the building. 6. Submit Plsnniug 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, sU-eets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy ts denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Oecupancy on Pre-existing Building - $ [00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0C, Commercial $15.00 Date. New ConStruction: Old or Pre-existing Building: (check one) House No, ~trcct ~' v , ~,( Hamlet Suffolk County Tax Map No lOOO, Section Block Lot Subdivision permit No. 36 ~:9/~(~ Health Dept. Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~23/.~ 0 C) ,cqq Final Certificate: (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. 35608 Z Date JUNE 3, 2010 Permission is hereby granted to: PENKA GIBINSKA/NIKOLOV 215 WILD CHERRY WAY SOUTHOLD,NY 11971 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. REPLACES EXPIRED BP # 33219 at premises located at 215 WILD CHERRY WAY GREENPORT County Tax Map No. 473889 Section 052 Block 0003 Lot No. 028 pursuant to application dated JUNE 3, 20~and approved by the Building Inspector to expire on DECEMBE/~3,-2011.~//~--~' Fees _ 278.40 ~~ ORIGINAL Rev. 5/8/02 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. 33219 Z Date JULY 5, 2007 Permission is hereby granted to: PENKA L GIBINSKA 215 WILD CHERRY WAY SOUTHOLD,NY 11971 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 052 pursuant to application dated JULY Building Inspector to expire on J~dxrJARY 215 WILD CHERRY WAY GREENPORT Block 0003 Lot No. 028 2, 2007 and approved by the 5, 2009. Fee $ 278.40 Authorized Signature COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION2ND [ ]I~ULATION [ ] FRAMING / STRAPPING [,~/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONS~UCTION [ ] RRE RESISTANT PENETRATION REMARKS.~ ~.l O~~:~j~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [~FIN~L/~c.~.~ ~/) [ ] FIRE--CE & CHIMN~ [ ] RRERESlSTHiTCOIA'TRUCTI~ [ ] FIRE RESlSTAJiT PENETRATION REMARK~ ~--~ ~ DATE~~___INSPECTOR '~ Mark K. Schwartz, AIA - Architect, PLLC P.O. Box 9'33 · Cutchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734 - 2110 October 06, 2005 Southold Town Building Depa~:iuient Main Road Southold, New York 11971 Re: Nikolay Nikolov Deck 215 Wild Cherry Road Southold, New York Building Permit # 33219 To Whom This May Concern: ! have been on site during the construction phase and have inspected the foundation and framing. To the best of my ~e, the foundation work, framing and the strapping connections have been complete~lfas p-~r plans and meet or exceed code requirements. Please call this office i~ you have any questions or require additional information. Very truly yours, Mark Schwartz NikolovDeckFoud&Fr ameCer t FII~I,D INSPECTION REPORT I DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 1 ~..,- ' 20007 Approved , 207. Disapproved a/c Expiration BLDC. DEPT 'rCLW~N 9_F ?'i'mg'. ]) PERMIT NO. 5~)[q~ Building Inspector BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health .-..-4 sets of Building Plans Planning Board approval ~. Surve~ Check c'xo.~O, ©O Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone:_~.~l I ~'~6~" APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 0~o~- ~0t ,20 O') 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 appl~le Laws, Ordinances or or for remova Regulations, for the construction of buildings, additions, or alterations ~'demo~tion as herein d?s,cribed. The applicant agrees to comply with all applicable laws, ordinances, building code, ho ' ' ' , ~nt~to admit authorized inspectors on premises and in building for necessary inspections, uI~c~~. (S~plicafft or namXls~Trporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~-~[f--~'- ~1~i>'D~¢3~--- ~ ~')\~/~Oi..d~V (As on the tax 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 Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~)~ ~ Subdivision ~ boo ~L-~ ~¢-~5'r (Name) Block Lot Filed Map No. ~ ~ ~ L~ Lot 2. Statea. existingExisting use and occupancyUSe and occupancy of pre~ises~ ~ ~0 ~(., ~'-an~d~'~intended~use and occu,~ancy~__..U,~, of proposed construction: b. Intended use and occupancy_ 3. Nature ofwor/l,k(check which applicable): New Building Repair V Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition V// Alteration Other Work (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor ~ ~)r)~fc.o,m 5' 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 I~ear ¢ 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size oflot: Front [~5''~ Rear Rear .Depth Depth / t~..('''''~ 10. Date of Purchase 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 NO ~ 13. Will lot be re-graded? YES NO~" Will excess fill be removed from premises? YES NO ,~ 14. Names of Owner of premises Name of Architect /?q[~'q~ .-(¢/~ ~,.a r {z Name of Contractor Jgoc~ ~0Cv~ 3 -' Address P3 Phone No. Address~hone No 7 3'1 - x{ Addresst,~,~ i/(_ff'OO~h,'~one No. ("gl V-f~,~ - 1'7 J 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 X · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF $., t: ¢,1 k ) ~/*-'~ o ~ .i/ to :~ k, l oxt being duly sworn, deposes and says that (s)he is the applicant (Name of indivi~lual signing contract) above named, (-8')He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to that all statements contained in this application are tree to the best of his knowledge ar performed in the manner set forth in the application filed therewith. Sworn to before me this '2-,-, ~) day of -~'.~ I ./ 200 -~ Public~' . . John M_~,J~u~tlC State of New'fort~ ix,) 1JU6059400 t No, ,0, ~ ~ S~tolk Court y~ on ti mak~and file this application; k~elief; and th [ the work will be TOWN OF SOUTHOLD PROPERTY RL:~)RD CARD /~-d'~ - ~-~,,~ ~)RMER ,OWNER,..~..~, '-'[-~-O(~,rl"l~Z ~ N E ~ ACR. I $~:~ ~ ~g~ l J S W ~PE OF BUILDING R~. ~ ,i~ S~S. ~L. F~R~ GO~. GB. - ~I~S. ~kt. V~lue ~ND I~. TOTAL ~TE RE~RKS Fillable [ .. FRONTAGE ON WATER ~1~ FRONTAGE ON ROAD / ~: ~ DEPTH . I~ PI~ BULKH~D '~1 Porch Breezeway Garage Patio Total i.Li J I I TRIM -~ ~ ~--~ ~..~ Illllll ! ] Town of $oUthoId-- Erosion, Sedimentation_& Storm-Water Run'°ff AS8EESMENT FOR MP"°"~"~ L°C^T'ON: S.¢.T.M.~ THE FOLLOWi ~ ~_. NG ACTION8 IR -- -- -- .._~ '~ O ~-,~ ETORM-WATE AY REQUIRE THE 8U item Number:. (NOTE: A Check Mark (~') for each Question is Required for a Complete Application) I Will this Project Retain All Storm-Water Run. Off Generated by a Two (2") Inch Rath'~all-'~r: Site? (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 & Locatiee9 3 This Item shall include all Proposed Grade Changes and Slopes Con~'otiing Surface WaterFIowt ' Will this Project Requ re any Land Fil ng, Grading or Excavation where there/s a change to the Natural Exist ng Grade Invo ring more than 200 Cubic Yards of Matedal within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surfaco? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees Jurisdiction or within One Hundred (100') feet of a Wetland or Beach'~ 6 . W/ti there be Site preparation Existing Grade Slopes which Exceed Fifteen (15) feet of Ver~cal Rise to One Hundred (100') of Hodzon~anl Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction ora Town right-of-way9 8 Will this Project Require the Placement of Matedal, 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 Aproos.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: IfAnyAoswertoQueetlonsOoethro Drainage & Erosion Control m.. ,_ ~ ugh Nine is Answered with ~h~,~u ,, ~. Does this project meet the minimum standards for ctassJ§cation as an Agdcaitural Project? Note: If You Answered Yes to this Question, a Storm Water, Grading, Drainage & Erosion Control Plan is NOT RequiredJ Yes N~o - STATE OF NEW YORK, -- COUNTY OF ~ ~, xr ¢. I~ SS (Name 0f,ndivid~'~;~i~'~'~r~'[~ ..................... berg duly sworn, deposes and says ~hat he/she is the applicant for Penni~ ~d ~at he/~is ~e .............. ~ner ~°r represe~ve yf ~e ~ner of O~er s, ~d ,s duly a:~:h:t:o peffor,n or have m~e ~d file ~s apphca~on, ~at ~1 smtemenB con.ned in ~s application are ~e to ~e best ormed ~e smd work ~d to · at ~e work will ~ Perforated in ~e m~ner set foffi~ Sworn to before me ~is; ............. ~'e.~ ..................... a~y of.......~,d.7. ........................... , e0.~.~ LEFT ELEVATION SCALE: 1/4" = 1'-0" I I I I ALL CONSTRUCTIOn' MEET THE REQUIRE!/E; CODES OF NEW YOR; CERTIFICATION .lNG & CONNEC ~UIRED. CR ~i~~~/&~,.Ti(~ IS UNLAWFUL ,,~'rc,. ~'~'.'~" ' ,, - '_ t, 'IOUT CERTIFIC l/4. -t o OF OCCUPANCY F~'E: i..OTtFY BUILDING DE::.'%TM£f':-: 7;5-I::32 8AM TO 4r'! FOE TI;E i-OLi.~"~ '.!,~G INSPECTi('. 'S: ~.~C',JNL ~TION - Tvv,~ REQUIRE[:, 2. ROUr;¢¢ - FRAkT[~4G 3. NSU,ATiON 4. FINAL. COk%TRUCT'Ot4 BE CO2?LE~E FO~ ALL CONSFi~UCTiON SHML MEET THE REQUIRDa~ NTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. PURSUANT TO'S~C7 OF THE TOWN CODE REVISIONS: ;HALL S CF THE .:,TATE. ~Z °LZaa~'~¢ ~VkNVPA, CTWIN~ '1'o l~v~uyIN& Wrlqt ~OVNI2,~q'tON (2_) .~'<t¢~ A,C¢~ ~l~p~'ra,.. 56A, I..1~: l/4-t'= T REVISIONS: 3.-2 6CAxLt~: l/'/l,t'= I'-O" REVISIONS: REVISIONS: WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS