HomeMy WebLinkAbout37106-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
4/9/2012
CERTIFICATE OF OCCUPANCY
No: 35529
Date: 4/9/2012
THIS CERTIFIES that the building
Location of ProperW:
SCTM #: 473889
Subdivision:
ALTERATION
15437 Route 25, East Marion,
Sec/Block/Lot: 23.-1-6.1
Filed Map No.
conforms substantially to the Application for Building Perrait heretofore
3/23/2012 pursuant to which Building Permit No. 37106
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:
alter an existing porch to habitable space "as built" as applied for.
Lot No.
filed in this officed dated
dated 4/2/2012
The certificate is issued to
de la Vega, Frederick & Higgins, Lawrence
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A~t'~o vi~ed S~aturo/
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 #: 37106
Date: 4/2/2012
Permission is hereby granted to:
de la Vega, Frederick & Higgins, Lawrence
344 W 23rd St
New York, NY 10011
To:
alter an existing porch to habitable space "as built" as applied for
At premises located at:
15437 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot # 23.-1-6.1
Pursuant to application dated
To expire on 10/2/2013.
Fees:
3/23/2012
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$477.60
$50.00
$527.60
Building Inspector
Form No. O
TOWN OF SOUIHOLD
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:
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 fi.om Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwrkers.
4. Sworn statement fi.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 b¢Idings and installations, a certificate
of Code Compliance fi.om 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:
i. Accurate survey of property showing all property Iines, streets, building and unnsual natural or topograpinc
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 in writing to the applicant.
C. Fees /' 1. ~rtificate 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 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 Property: t5/7C~7 "~OClJV~' o7(5
Home No. Street
O~
Owners of Property: ~'-f'Cr~e-K ( c._~< c~ kkx/e2~
Owner
Suffolk County Tax Map No 1000, Section tTQ ~
Subdivision
PermitNo. 3q lO(g>
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'0 -~/)
Date of penmt.
Date. ~,'[- ~/2-o[
(check one)
Hamlet
glock I Lot
#/2/! 2.
Underwriters Approval:
. Final Certificate:
Filed Map. Lot:
Applicant: ~.~ k~L~O~ ] ~ ~ t~ q l lc)Co
(check one)
//A~p'qia ar {t gign~ture
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~J~ATION
[ ] FRAMING/STRAPPING [;/~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ., 20
Approved ,20
Disapproved a/c
Expiration ,20__
MAR 2 0 2012
BLDG DEPT.
TOWN OF SOUTHOLD
PE~IT NO.
iERMIT APPLICATION CHECKLIST
u have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Plalming Board approval
Survey
Check
Septic Form
N.Y.S.DE.C.
Trustees ~C4~iq- ~ 7715" (,/,~//:)
Contact:
Mail to:
Phone: 5~}{;- ~'~'~ v, ~[~'<~
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date ~-ZO ,20 \2.
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 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 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 for necessary inspections.
(Signature of applicant o~name, if a co~oration)
/iqf
(Mailmg ad.ess of applic~t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Builders License No. ~
Plumbers License No.
Electricians License No.
Other Trade's License No.
rD,, or a,ost
If~applicant ~X is ~C_~ ~na co,oration, signature
(N~e ~d title of co.orate offi~~l~ l
tJSE IS UNLAWFUL Nor~x BUhEuNG OEPARTMENT AT
7&~'~802 8 A~ TO ~ p~ FOR THE
~ ........... ~ FOUNDATION- ~O REQUIRED
PANC FOR POURED CONCRETE
2 ROUGH-F~ING, PLUMBING,
STRAPPING, ELECTRICAL & CAULKING
l. Locatio~ of]and oa w~ch proposed work will be do~: 3 INSU~TION
-- ~ ~L '~ONSTRUCTION & ELECTRICAL
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
REQUIREMENTS OF THE CODES~OF NEW
~YORK STATE NO? R~SPON E
Block [D=o ......~,..~ ~ F~
Filed Map No. ~ .... ~ ~uaorR~T6~ e~ORS.
2. State existing use and occupancy of premises ,and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~'~'"5 ,e4~Jr/c~\
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost I~4_OOO, ~ O
5. If dwelling, number of dwelling units/,3~fi
If garage, number of cars ~ ]/q
Addition Alteration
Other Work R5 ~ tar
(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__ ~3qq ~,t-~¢a~r.~m· ~
14. Names of Owner of premises~,c~ c4e lO, x]O:~¢~ ~,*~ ~I ~ ~ ~
Address ~oo H Phone No.
NameofArchitec~x~tg ~(&i~ Address a~v~,~,~oot PhoneNo
N~e of Contractor~K~ eo~ ~c~ Address~ ~x xq~ Phone No.& b
15 a. Is ~is prop~y within 100 feet of a tidal wetl~d or a ~eshwater wetl~d? *YES ~ NO __ · IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetl~d? * YES ~ NO
· IF YES, D.E.C. PERMITS ~Y 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
· IF YES, PROVIDE A COPY.
INO
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says thatffs3Jzeis the applicant
(JONNIE D. BUNCH
(Name of individual signing contract) above named, Notary Publlo, 8rate of New York
No. 01BU6185050
(S)He is the Qualified in Suffolk County
(Contractor, Agent, Corporate Officer, etc.) Ooh,,.l~lon Expires April 14, 2 O._~/,).-.
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
c.~ D"~ day of ' ['~x/~ 20 lg--
Notary Public
Signature of Applicant
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees have found the application to be Consistent
with the Local Waterfront Revitalization Program, and,
RESOLVED, that the Board of Trustees approve the application of FREDERICK
DELAVEGA & LAWRENCE HIGGINS to construct an 18'x36' in-ground swimming pool
(including 8'x8' spa); on-grade masonry pool patio, pool enclosure fence, 65 linear feet
of 2' high retaining wall (with existing boulders added to each end to avoid need for
additional retaining wail), and steps; construct masonry stoop and steps from house to
pool patio; remove existing bluestone patio in back of house and construct new
masonry on-grade patio; place stepping stones from proposed patio to proposed pool;
enclose existing outdoor shower with wood panels; replace existing ddveway with new
pervious gravel driveway; plant native red maples, acer rubrum, along property line;
legalize previously completed relocation of sliding glass doors to outer wall of previously
existing porch to completely enclose porch space; and establish approximately + 5,600
square feet of permanent non-turf buffer adjacent to and landward of the wetland
boundary; and as depicted on the site plan prepared by Marshall Paetzel Landscape
Architecture, P.C., last dated February 7, 2012, and stamped approved on March 2,
2012.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $50.00 per inspection. (See attached schedule.)
Fees:$100.O0
Verytmlyyours,
s F. King
President, Board of Trustees
JFK/eac
.~ ?, HOME FOR ED ~ND JOANNE BAF
/~.*iFRAMiNG AND ROOF PLANS