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Home My WebLink About35723-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34623 Date: 10/25/10 T~IS t~KTIFIES that the building DECK ADDITION Location of Property: 2225 KENNYS RD {HOUSE NO.) (STREET) County Tax Map No. 473889 Section 59 Block 7 Subdivision Filed Map NO. Lot NO. SOUTHOLD Lot 8 (HA24LET) conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 2010 purs%~nt to which Building Peri, it No. 35723-Z dated JULY 21, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD A GRIGONIS ( OWNER ) of the aforesaid building. COUNTY DEPARTMENT OF HEALTH APPRO~-AL R~.R[--rKICAL CERTIFICATE NO. PLU~E~S c~KTIFICATION DA'rmu N/A N/A Rev. 1/81 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. 35723 Z Date JULY 21, 2010 Permission is hereby granted to: RICHARD A GRIGONIS 2225 KENNYS RD SOUTHOLD,NY 11971 for : "AS BUILT" DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 059 purs,,~nt to application dated JULY Building Inspector to expire on JD=NUARY 2225 KENNYS RD SOUTHOLD Block 0007 Lot No. 008 7, 2010 and approved by the 21, 2012. Fee $ 400.00 Authorized Signature Rev. 5/8/02 ORIGINAL ,/ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAL~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP~ This application must be filled in by typewriter or ink and submitted to the Building E A. For new building or new use: 1. Final survey of property with accurate location o f 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey o f property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and co~sent 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. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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: Old or Pre-existing Building: Location of Prope~'~Jy. House No. ' St[eet ' Owner or Owners of PropertY' (check one) Hamlet Suffolk County Tax Map No t 000, Section Subdivision Permit No. --'"~ t?~ ~'~ ~ Date of Permit. Filed Map. Lot: Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~>~, ~ (~ Final Certificate: (check one) Applicant Signatu~(r/ TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SA,-.. ~ ,/' INSPECTION ]F~RERES~ST~'rC0.STROCn~ [ ]FIRERES~I'~TPF..ETR~'n0. REMARKS:~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~ FINAL ,/~; FIREPLACE & CHIMNEY [ ] FIRE SAr,- ~ ( INSPECTION [ ] FeE aEro'ram' omes'mte'nofl [ ] mE eEs~"rAm' ~e~rma'no~ REMARKS: DATE INSPECTOR /~. ~ TO~N OF SOUTHOLD BUILDING ~EPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ]/al-[ , 20 10 Approved ?/o~,t , 20 /O Disapproved a/c Expiration //,)- t, 20 dUL 7 2010 BLDG. DEPI'. IOWN OF SOU~'HOLD 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: Building Inspector ACATION 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 cormnenced 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 tbr removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regu!Wfio,~, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of app~cant/6r name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agen general contractor, electrician, plumber or builder Name of owner of premises ~]]C~ (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 No. Location of la_od on which proposed work will be done: House Number Street ! County Tax Map No. 1000 Section 5 ~ Block Subdivision Hamlet Lot Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units Fee Addition Alteration Other Work 4.c' - ~ ~,lc T ZY~</A'~_ (Description) (To be paid on filing this application) Number of dwelling units on each floor If garage, numjg~r of cars Ifb ~ ' 6. usiness, commercial or mixea 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 9. Size of lot: Front Rear / Rear .Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ .~- O 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? YES__ NOT'Will excess fill be removed from premises? YES 14. Names ofOwnerofpremises ~/E! ~ ~tt/l.f' Address PhoneNo. Name of Architect :~r ~ o-~q'rl%T' r._ Address Name of Contractor Address NO PhoneNo V35~ /ti/0°d'' Phone No. 15 a. ls this property within 100 feet eta tidal wetland or a freshwater wetland? *YES__ · ,OWN b. Is this property within 300 feet eta tidal wetland? * YES · 1F 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 l~roperty i} at l 0 feet or below, must provide topographical data on survey. Are there any covenants and restrictions with respect to this property? * YES NO ~ 1 8. · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY /v( (Name of individual signing contract) above named, ~ ~" '¢ ( Agent, *orate ~etc (S)He is the (Contractor, Co'~ - CONNIE D. BUNCi,I · U6185050 Qual~e~ in Suffolk Counly/. q',omm~i~l O4~ires ~d/ O~/~fftr~ F~__- being duly sworn, deposes and says that (s)he is the applicant 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 this O "~ day of ~x,~,~ ._~_..pI, 20 [ ~ Notary Public TOWN OF SOUTHOL~_BUJLDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAr,. ~ 4 I~ [ ] F~.~.~S~ST4~rr~ []F.~R~Sm'i~T~'mLm~Tml DATE Date File # TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM Location of Complaint: ~'~)--~- ~-~"~-L~ ~ SCTM # ~c}. NATURE OF COMPLAINT: ACTION TAKEN: ,~.,.,,~ ~~ /~-~.~/// -- / --- Optional: Complainant: .By Phone__ Address Phone: Report Taken By; Date Data Referred to Code Enforcement Mail In Person CODE ENFORCEMENT REPORT SITE INSPECTION REPORT/DATE: ACTION/DATE: Town of Southold ~ Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T. - THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 5~ ~7 ~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN mel~¢t eeceon a~ocl~ Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSEBSMENT I Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Pamels located within 1 Will this Project Retain AIl Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) ,/r'~ b. What is the Total Area of Land Cleadng (S.F. / Acres) (This item will include all run-off created by stie cleadng and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activiiy? impervious surfaces,) IS.F.,~--) 2 Does the Site Plan and/or Survey Show AIl proposed PRO~.DE BRIEF PROJ~-'T DESCRi~'FiON (r~,w. ^~=..a Pe~,s a~ Ne~) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and ~/~./A/ ~(~) ~..~--_. Slopes Controlling Sudace Water Flow. 3 D°es the Site Plan and/°r Survey describe the er°si°n and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Pedod, 4 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? 5 Will this Application Require Land Disturbing Activities r~ Encompassing an Area in Excess of Five Thousand--L~ (5,000 S.F,) Square Feet of Ground Surface? 6is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Re({uiraments: or within One Hundred (100') feet of a Wetland or~ -- Submission of a SWPPP is required for all Constmclion activities involving soil Beach? disturbances of one (1)ormoreacms; including dlsturbancesoflessthan one acre that 7Will there be Site preparation on Existing Grade Slopes am part of a larger common plan that will ultimately disturb one cr more acres of land; which Exceed Fifteen (15) feet of Verficel Rise to ! ! (.// including Construction aclJvitles involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distsnce'~ L~J -- the DEC has determined that a SPDES permit is required for storm water discharges. ' SWPPP's Shall meet the Minimum Requirements of the SPDES General Pem~lt 8 Will Driveways, Parking Areas or other Impervious for Storm water Discharges from Construction activity. Permit No. GP-0-10-001 ,) Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town fight-of-way?~ -- submitted to the Department pdor to the commencement of construction activity. 2. The SWPPP shall desedbe the erosion and sediment contre~ practices and where 9Will this Project Require the Placement of Materfal, required, post-construction storm water management practices that will be used arml/or Removal of Vegetation and/or the Construction of any ii constructed to reduce the bellutanis in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder~ __ compliance with the terms and conditions of this pen~it. In addition, the SWPPP shall STATE OF NEW YORK, .., ..... .. C0tlal[ O. tl0NCh COUNTY OF ....~....~...F....~..~..~./~ ......... SS Notary PubLic, State of New ¥o,~ No. 01BU6185050 Qualified in Suffolk County (Name o~ inaiviaua s!gmng uocument And that he/she is the ........................................... i~i;;, ~'~ Owner md/or representative of the Owner or Ovmers, and is duly authorized to perform or have pertbnned the said work and to make and file this applicahon; that all statemen~ contained in this application are tree to the best of his knowledge and belief; and that the work will be peifonned in the manner set forth in the application filed herewith. Sworn to before me this; FORM - 06/10 ¥ EXISTING ~ '' (2) 2X10 ACQ GIRDER '~ ANCHOR GIRDER ~ ' ~ ' TO EX. ~'TOOP , ~ c m= = = = = = = = = = = = =~-~1- ~: :'~ I ~' I I I , C , ' Al: ' \ ' 10'-2" ' f ~ ' ' NOTIF~ I (2) 2X10 ACQ GIRDER (2) 2XlO ACQ GIRDER ,r ..... ,,,1~1,,, ,F ~,- ......................k,~-,~ ~-~% ~;,4 "-~-¥------_--------- = =_---_---_-------_-=---- = =_-=----~'---~----: :--_---_--- :_-------------------_~-- =_~----'*-'~*: :t' ' 'r,-- '765-180; , ,, ¢, 'r r ' ' -" -- , I FOLLO~t ' "" ~ 1. FOUi' - ,, 8'-6" I~ 04 FOR ' "" ,, , 2. ROU6 ' .... " ' STRA ' .... "\ ' 3 INSU[ I ~ .... ~ Ul ~ ' 4 FINAL ~ ~ u' ~ , MUST ' ~"" ~ ',I', ~ ' I ALL CON . ,, ,' / 2xR ACO DJ ~16"OC ~" ~ I '0 REQUlRI ~ <"" ~ '" ¢ ' ~ YORKS; ~ m i, ,, 4X4ACQ PO~' ' DESIGNI ~ ~ H i, ~1. ANCHORTO ~ I ) H. iii ('FYPI{AL)__ ~ ~ . ~',[ {2) 2XlO ACQ GIRDER.~. (2) 2XlO ACQ GIRDEE . i ' ~'~.~ ~ ...................... ~-~, ......................... e~,-- J ,2'-4" 8'-6" 8'-6" , 9'-4" '-z 30'-0" ?/~/~ [P.'~ :, ~ ! BUILDING DE~RTMENT AT 8 AM TO 4 PM FOR THE lNG INSPECTIONS )ATION - TWO REQUIRED POURED CONCREiE ~H - FRAMING, PLUMBING, TRAPPING. ELECTRICAL & CAULKING ~TION INSTRUCTION & ELECTRICAL ;T ~ C~PLETE FOR CO TR~TION S~LL MEET THE ENTS OF THE CODES OF NEW TATE ~T RESPONSIBLE FOR )R CONSTRUCTION ERRORS FOUNDATION 1/4"= 1'-0' REVISIONS: A-1 CZ) EXISTING 10'-2" l PROVIDE 3' HIGH DECK RAIL PEP, CODE 30'-0" REVISIONS: DRAWN: MH/MS SCALE: I/4"=l'-0 JOB #: June 22, 2010 S h'EET NUMBER: A-2 ~,/IND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRA~dlNGS REVISIONS: I