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HomeMy WebLinkAbout35930-ZTown of Southold Annex 54375 Main Road Southoid, New York 11971 3/16/2011 CERTIFICATE OF OCCUPANCY No: 34868 Date: 3/16/2011 THIS CERTIFIES that the building Location of Property: SCTM#: 473889 Subd~n: DECK 1080 Kimberly Lane, Southold, Sec/Block/Lot: 70.- 13-20.14 Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/30/2010 pursuant to which Building Permit No. 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: Lot No. filed in this officed dated 35930 dated 10/7/2010 extension of existing deck as applied for. The certificate is issued to Haeffner, Peter & Haeffner, Sally (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35930 Z Date OCTOBER 7, 2010 Permission is hereby granted to: PETER C HAEFFNER 37 FRANKLIN COURT GARDEN CITY,NY 11530 for : EXTENSION OF AN EXISTING DECK AS APPLIED FOR at premises located at 1080 KIMBERLY LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0013 Lot No. 020.014 pursuant to application dated SEPTEMBER 30, 2010 and approved by the Building Inspector to expire on APRIL 7, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form NO. 6 TOVCN OF SOU'H:IOLD BUILDING DEPARTMENT TOWN HALt, 765-1802 APPLICATION ~'Olt CERTIFICATE OF OCCUPANCY Th~s application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new bnilding or itew use: I. Final survey of property with accnrate location of all buildings, pruperty lines, streets, and unusual natural or topographic t~atures. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of eleclricnl installation from Board of Fire Underwrlt~r~. 4. Sworn statzmant ti,om 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 ccrtillcate of Code Compliance lmm architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed sit~: plan requirements. B. For existing buildings (prior to April 9, 19S7) non-conforming use~, or buildingS, and ',pre. existing,, land us~s: I. Accurme sur~y of property showing all pmpe~y lines, sires, baild~g and unu~al natu~l or to~aphic fcatu~s. 2. A prop~ly complc~ application and ~nsent to Jas~t signed by thc applicant. Ifa Ce~ificat~ of Occupancy is d~Jmt, I~ Building lns~ctor shall state Ihe reasons thc~for in writing to the applicant. C. Fees 1, Ce~'tificate o f Occupancy - New dwelling $50.00, Additiom t~ dwelling $50.00, Altemtiona to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to acccssoD, building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate o f Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. -~/~ /c~ / / New Construction: ~- Old nr Preexisting Building: Houae No. S~t~ Owner or Owners or Property: Health Dept. Approval: _ Planning Board Approval: (check One) Hamlet Suffolk County Tax Map No 1000, Section Permit No. ~ c~ ~ Date of Permit. co 70 Request for: Temporary Certificate Fee Suhmillcd: $ Final Cc'~ificate: ~ (check one) pp icm~t Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~,~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION /~ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] Fi~EI~..mTANTCONSTRUC'rlON [ ]FIRERES~STMi'FENETRATION REMARKS: DATE INSPECTOR ~Z~_.~ TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [/~ FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRE SAr,: , ~' INSPECTION REMA~ DATE TOWN OF $OUTHOLi5 BUJ~DIiNG DEPARTMENT TOWN HAZZ, SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 , www. northfork.net/southol~l/ PE, RMiT NO. Ex.mi-ed /~4,20 f'~ Approved rot?, 20 t~ Disapproved a/c Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need thc following, befOre applying? Board of Health 4 sets ofBuildingpl~m - Planning Board. ,~r/oval . Survey. ' Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Bu~laing Inspector APPLICATION FOR BUILDING PERMIT Date ~:~- ~ ,20 lB INSTRUCTIONS a. This application MUST be completely fried in by typewriter or in ink and submitted to the BuildS; g 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 premise~ 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 thls 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 b occupmd or used m whole or m part for any purpose what so ever until the Building Inspector issues a Ceatificate of Occupancy. f. Every building pqrmii shall expire ffthe 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 requi~ed. APPLICATION IS HEREBY MADE to the Building Department for the i~suance 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 R~gulations, for the construct/on of buildings, additions, or alterations or for removal or demolition as herein described. The applicant al :ecs to. comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authori: ~i ~ c~p~es[!gaq~'~ilding for neces~m'y inspections. 2010 (Signature of applicant or name, ifa corporation) TOWN OF SOUTH J (Mailing address b~'.~plicant) State whether applicant is owner, lessee agent, architect, engineer, g neral contractor, electncmn, olumber or builder Namoofownerofpremises ~ ~ .-~'~-L.2-~ (As on tM tax roll or latest deed) If applicant is a corporation, sig~. ature of duly authorized officer (Name and title of corporate officer) Builders License No. t3~[ ~.~/o Plumbers License No. Electricians License No. Dther Trade's License No. [. Location o~f land on which proposed work will be done: House N~ber S~eet Hamlet County Tax Map No. I000 Section Subdivision [~_ f%~q~ ~-/ (Name), Block / ~ Lot Filed Map No. ~ c~ & 3 Lot __ b. Intended use aM o~cupancy I~,JD ~F_~. 1. Na~ ~fwork (check w~ch applicable): New Building ~.' Rep~ Remov~ Demolition L Estimated Cost / ~. O ~, Fee .State existing use and occupancy of premises and. intended use and occupancy of proposed.construction:. a. F..xi~'dng use and occupancy ~I~0FM_~ ~lv~(.c>-[ *_r~.v0~LLqtJdr- Addition Alteration Other Work (Description) (To be paid on filing this application) ;. If dwelling, number of dwelling units [~/t~- Number of dwelling units on each floor ~O A~ If'garage, number of cars ~ L If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~ ~ Dime~ions ofexisting.~,~'fany: Front ~(~1'_~ t' Height '~ (-'3 '~ Number of Stories. ~ ,'% DDie~hnsio~)_fs2a~ne'~ ~'~wi!h alterationslor a(,dditions' Front '2.-¢[ L8 Rear P . ,~ Height ~' -.3 ' Number of Stories L Di~. enSions of entire new construction: Front 3L'~aluJtO~'Rear' 51"~<~tO~R.D~p'th Height MD ~ Number of Stories ' ~& ' " }. Size oflot: Front .[ff3,~[ 'Re~ 0. Date of P~ch~e. N~e of Fo~er Owner. , '. 1. Zone or ~e dis~ct ~ wMch premises ~e situated ~t ~ ~ 2. Does propos~ eommcfion violate ~y zo~ng law, ordinmce or repletion? YES NO ' '~ 3. Will lot be re-~aded? ~S NO ~Wilt excess fill be removed ~om premises? YES NO 4. Nm~ of Own~ o~pr~s~~Ad&ess · Phon. No. Nme of~cMtect. Address.. Phone No } NmeofCon~acto~ .~. I~c. Address ~lq?~e~rPhoneNo~'.~{-~ 5 a. Is ~s property wit~ 100 feet of a tidal wotl~d or a ~eshwater wefl~d? *YES NO · · ~S, SOUTHOLD TO~ TRUSTEES & D,E.C. PE~ITS MAY BE REQUIRED, ' b. Is ~s pmpo~ wi~ 300 foot of a tidal wefl~d? * YES NO. ~ · IF YES, D.E.C PE~8 ~y BE REQUI~D. -- '~. Pro~de s~ey, to scale, wi~ acc~ato fo~dation pl~ ~d distances to property lines· 7. If elevation at ~y point on property is at 10 feet or below, must provide topo~aphical data on su~ey. ,TA~ OF ~W YO~) SS: :o~ OF. ) (Con~ctor, Agent, Co~o Office~, etc.~ fs~d own~ or owns, ~ is d~y au~oHzed to p~o~ or ~ve peffo~ed the said work and to ~ ~¢Wdo ~s application; tat ~ s~t~ ~n~ ~ ~s applicaOon'~ ~e to ~e best of his ~owledge and beliof; and t~t the work will be ~o~ in ~ ~or set fo~ ~ ~e applimfion filed therowith. ~om to before m~ ~s ~7 of 20 Not~ Public Si~ature of Applicant /?TOWN OF SOUTHOLD PROPERTY RECORD CARD ~V~NER " ' STREET' (C) ~ VILLAGE DIST. SUB. LOT I [O~f~/~v~r~~ ~ W ~PE OF BUILDING ~S. ~lO S~S. VL..~/ FARM CO~. CB. MICS. Mkt. Volu, ~ ~ND IMP. TOTAL DATE R~RKS / ~ ~ .. Z_ illoble FRONTAGE ON WATER ~lond FRONTAGE ON ROAD /~ ' ,eadowlond DEPTH ou,e .,o, ~ ,9~/ ~ ~U~H~ DLOR-~ TRIM 70.-13-20.14 3/06 Extension Extension Porch Breezewoy ~C~rage Patio "~'~" -Total I %?7 Foundation Basement Ext. Walls Fire Place Type Roof Both Floors Interior Finish Heat Rooms 1st Floor Dinette LR. DR. BR. Recreation Room Rooms 2nd Floor FIN. B Dormer DriveWay:. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 Building Permit: March 12, 2011 BUILDING DEPARTMENT TOW~T OF SOUTHOLD Environment East Inc PO Box 197 Peconic, NY 11958 RE: Haeffner, 1080 Kimberly Lane, Southold TWO WHOM IT MAY CONCERN: -~e~Follow~ng Items Are Needed To Complete Your Certificate of Occupancy: -v, Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (tUl permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #755-1892) __ Final Planning Board Approval. Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. 35930-Z deck extension Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A '-~0 i'~ ~'/~/ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN OtW~t Se~Uo. e~ L~ CERTIFIED BY A DESIGN PROFESSIONAl. IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUc'I1ON IT]SM# / WORKASSF~SMENT ] Yes No a. What is the Total Area of tho Project Parcais? 1 Will this Project Retain All Sfonn-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two (2') Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all mn-off created by site V b. What is the Total Area of Land Clearing (s.F. / Ac~s) cleadng and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improveroenta and the permanent creation of construction activtiy? impervious surfaces.) (S.F. / Acres) 2 Doas the Site Plan and/or Survey Show AIl Proposed PROVIDe; BRIEf* PROJ-FJ2T DESCRIIrI'ION (P.,~ ~,,.a~ Pm =,t,~*~) Drainage Stmcturas Indicating Size & Location? This/ Item shall include all Proposed Grade Changes and -- ~'~'~{~ [~::~'~(.~T[~_3~ 'D ~----;C~~--- Slopas Controlling Surface Water FIow. 3Does the Site Plan and/or Survey describe the erosion./ [..,i,] and sediment control practices that will be used to v control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation where them is a change to theNatural----II Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ~ Encompassing an Area in Excess of Five T~ousand (5,000 S.F.) Square Feet of Ground Surface? 6 ,s there a Natural Water Course Running through the Site? Is this Project within the Trustaes jurisdiction V/ ~eneral DEC GWPPP Requlremente: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Cons~uction activities ~nvoiving soi~ Beach? disturbances of one (1) or mom acres; including distlJrbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes are part of a laq}er common plan that will uRimafo~y disturb one or more acres of lend; which Exceed Fifteen (15) fast of VerlJcal Rise to D V'/ incfodiog Consto~ction activitiss involving soil disturbences of loss than one (t) acre where One Hundred (100') of Horizontal Distanca? the DEC has determined that a SPDES permit is required for ste~n ~ater discharges. ~PPP's Shall meet the Minlreure Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other impervious ~ ior Stom~ Water Discharges from Construction activity. Permit No. GP*O-t 0-001 .) Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP sh~all be prepared p~or to the submiltal of the NOL The NOi shall be into and/or in the direction of a Town right-of-way? submitted to the Department p~or to II~ commencement of conslmction acavity. 2. The SWPPP shall descitbe the erosion and sediment contm~ practices and where 9 Will this Project Require the Placement of Material, required, post-construction stom~ water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ii eonste~cted to reduce the p~lutants In storm water discharges and fo assure Item Within the Town Right-of-Way or Road Shoulder V core~isnce '*lth the terms and conditions of this permit. In addition, the SWPPP sbe~l STATE OF NEW YORK, ~'~ r--/- f ,% Notary PulPit, State of New York COUNTY OF.....'~.......L5......~.~:....~....... SS No. 01BU6185050 Qualll~t In Suffolk County q-hat I ................ '(ffa'i~;"o'f'i;~;;'~if~'i[;i;;~'~ff ................... being duly sworn, deposes And that he/she is the ............................................ ("~;-;~;;~;j;q'iaij'~,i;g-~i,'ii~/-;;'tgi ................................................................ 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 coutained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set folth in the application filed herewith. Sworn to b~efore me this; / · ~ day o[c'-~- ~/Y~ ~ ~t' ,20] {~ ............................................ , '/ ....... ~ ................... ........ ........... FORM - 06/t0 ROAD ' SURVEY OF PROPER T Y A T SOUTHOLD ~,,.o¢~ _~ ~ ' TOWN OF SOUTHOLO ,~.. ~ SUFFOLK COUNTY, N.Y. ~ ~~,~/,~' . ' ~ 1000-70-13-20.14 ~ ~ Scale 1"= 40' ~ ~ ~ ~, ~o v. 7, 1988 ~' ~ ~ ~.~ ~ ' S~pt. 29,1993 '. ;: ~ ~ ~ Feb. 14; 1~94 (foundation) ~ ~ ~ ~ ~pril 2~ 1994 (fin~) ~ ~ ~,,~ 'Dec, ~ 2001 (decks ~dded) ~ ~ ~ ANY AL T~ ~ON OR A~IT~N TO ~ ~Y ~ A ~ ~N ~ OF EECT~ ~09 OF THE NE~ YORK STAT~ ~ LAF. ~r ¢" ~ ~ ~ ARE VAL~ FOR T~S MAP ~ C~S ~E~ ' ~ '"' 'OS~ ~IGNA ~RE APPEARS HEREON. ~ ~ , ~DDITIONALLY TO COMPLY ~ITH SAID LA~ T~ TERM MUST BE USED BY ANY AND ALL S~VEYORS UT~G A COPY ~- _~ -- ~ ,, OF ANOTHER ~VEYOR'~ MAP. TE~S SU~ AS ~ECT~' CERTIFIED . PECONI~ ~516) 765 P. O. BOX 90~- The wo/er su. sNy end sewng, e ~'~p. osd --/ systems for /fils residence will conform The Ioc~ztions of wells one cesspools , to the stondords of The Suffolk County shown hereon ore Yrom field observotions / Deporlment of Heolth Services. qnd or from d~lq obtdned from olhers. ~A~ ~g R~C~ TO ~V~. · C~TIFIOATIONS 5/25/94 _ 496 r 8 CERTIFI~ ~ONS 4~/9~ NOTE~ LOT NUMBERS REFER TO "MAP OF PARADISE BY THE BAY' FILED NOV. 4~ 197~ FILE NO. 6463 AT THE OFF/CE OF THE SUFFOLK COUNTY CLERK. AREA = 41,36Xsq. ft. MAIN ' ROAD ~ ,~ SOUTHOLD~ N.Y. 119ZI -- 88- 679 -- · - ' ' ST. FRAMING - NO C ES. n, -- ..-' ~,DD NEW 1 X 6TIMBERTEI~iXLM '-.. ~ ADD NEW 2-2X10 IRDER 3 NOTE: THE EDGE OF THE NEW STEPS IS TO START AT THE EDGE OF THE EXISTING BRICK PATIO. ADJUST 30' EXTENSION TO REFLECT THIS. HAEFFNER DECK REVISED 10.18.10 [ 5' [ EXIST. WALL OF HOUSE2 NOTE: THE EDGE OF THE NEW STEPS I$ TO START AT THE EDGE OF THE EXISTING BRICK PATIO. ADJUST 30' EXTENSION TO REFLECT THIS.