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HomeMy WebLinkAbout36548-Z8/16/2011 Town of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 35149 Date: 8/16/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ADDITION/ALTERATION 2555 Youngs Ave, Southold, Sec/Block/Lot: 63.2-1-21 Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/8/2011 pursuant to which Building Permit No. 36548 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 dated 7/8/2011 ramp addition to existing condo unit 9A as applied for. The certificate is issued to Klipp, Anne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36548 Date: 71812011 Permission is hereby granted to: Klipp, Anne PO BOX 1809 Southold, NY 11971 To: ramp addition to existing condo unit 9A as applied for. At premises located at: 2555 Youngs Ave, Southold SCTM # 473889 Sec/Block/Lot # 63.2-1-21 Pursuant to application dated To expire on 7/7/2012. Fees: SINGLE FAMILY DWELL1NG - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: 7/8/2011 and approved by the Building Inspector. $200.00 $50.00 $250.00 / Building Inspector Form I~lo. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF occUPANcy This applioation must be f'flled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey 0fproperty with accurate location 0fall 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 0fFire Underwriters. 4. ,~wom 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 eertifieate 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 of property showing all property lines, streets, 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 is denied, the Building Inspector shall state the reasons therefor i~ writing to the applicant. C. Fees 1. Certificaie 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 aeceasory building $50.00, Businesses $50.00'. 2. Cevtifieate 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, Commemial $15.00 Old or Pre-existing Building: New Construction: Location of Property: House No. Stree{ Owner or Owners of Property: ' ;~-/JL) a .~'~ L; Op 'Suffo .Co tyT ap olOOO. Section 9, Subdivision Date. (check one) Hamlet Health Dept. Approval: Plsnning Board Approval: Applicant: / Lot Lot: Underwriter~ Approval: Request for: Temporary Certificate F~e Submitted: $ ~'c"~ .C:C~/'~ Final Certificate: L~ (check one) ¢~-~LI~_~ ]~Ci~f ~.~nlicanl Sip. nature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] R~U~GH PLBG. [ ] FOUNDATION 2ND [ ]//INSULATION [ ] FRAMING/STRAPPING [/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRI(C~ (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS:~} DATE INSPECTOR ~-~//~, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ i lN~/ATION [ ] FRAMING / STRAPPING [J,/]'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS: ] ELECTRICAL (fiNAL) DATE INSPECTOR~~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ,20 Approved Disapproved a/c · 2O Expiration .... .20 aYFhis appF~catioa ~ Building Inspector )LICATION FOR BUILDING PERMIT INSTRUCTIONS 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 C~eck )~ffO, 0(9 Septic Form N.Y.S.D.E.C. Trustees Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: Date 7' "7' . 20 I I pletely filled in by typewriter or in ink and sublnitted to the Buildiug Inspector with 4 A Name of owner of premises If applicant is a corporation, signature of duly authorized officer 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 Buildiag 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 pa~ for any purpose what so ever until the Building Inspector issues a Certificate of Occupaacy. ~ Every building permit shall expire if the work authorized has not commenced witbin 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 regulations affecting the property have been enacted in the iateri~n, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a aew permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent for the issuance ora Building Permit pursuaat to the Buildiag 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 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 fbr necessary insp~] ~ ~hhlF~:,~ ~ ' ' ~ 't' ~'~t~r%%'fa~pWcant or na~e, ifa co~orafion) NOTIFY BUILDI~ D~PA~ I MbNT ~,T ~%~ ~ G ~ ~ --~/765[1~AM TO 4 PM FOR (As on the tax roll or latesl ~NDATION -TWO REQUIRED (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land ou which proposed work will be done: 2.2¥5-' q;oo:,o /x, OC ct,e I louse Number Street F---~ County Tax Map No. 1000 Section {'73'~ Block Subdivision FOR POURED CONCRETE 2. ROUGH- FRYINg, PLUMBING, ST RAPPJ~Ij~I, AL~-RIC~L &~CAULKING 3. INSU~ ~lt /~ 4, FINAL- CONSTRUCTION & ELECTRICAL MUSI BE ~PLETE F~ C.O. *LL COq~U~ SHALL ~ET THE ~UI~ME~S OF THE OOBES OF NEW YORK STATE NOT RE~=ONStBL[ FOR DESIGN OR CONST~UC~OU F~PORS Hamlet Filed Map No. Lot 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost ~ (~0© 5. If dwelling, number of dwelling units If garage, number of cars State existing use and occupancy of premises and i~te~,~t usc rand occul~anc, y,,of proposed construction: a. Existing use and occupancy [ -~'~t [-~ (,~0/~,1)19 b. Intended use and occupancy [ '~[~ C~{~ bo/ ~0[¢ Addition Alteration Other Work 1~,ot ~.4 ~ (Description) Fee (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 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 Rear .Depth 9. Size of lot: Front Rear Depth 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 Name of Contractor 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY,~E REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES NOr * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address Phone No. Address Phone No Address Phone No. 16. Provide survey, to scale, with accurate fbundation plan and distances to property lines. 17. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. 18. Are there ~any Cqye~.a. o[S .and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: ~ COUNTY OF .) NO (Name of individual signing contract) above named, (S)He is the / ' (~,o. nfiactor, Agent, Corporate Officer, etc.) being duly sworu, deposes and says that (s)he is the applicant CONNIE D, BUNCH Notary Public, ~te of New York No. o Bu 8.s0? ,- Qua ~ ~n Su~k~k ,.,ollr,i.Z:) [ .~ Commission Expire~ April 14, ~__?.2 ,=,~- of said owner or owners, aod 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 true 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 ~---~ day of (~. ~.. 20{1 Notary Public Sig~u fe of Al~plicant Fhomas J. McCarthy Real Estate, Inc. www. thomasjmccarthy, com .r~- o~*.~,~ ~, .~.