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37309-Z
Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 9/12/2012 CERTIFICATE OF OCCUPANCY No: 35944 Date: 9/12/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ADDITION/ALTERATION 2940 The Long Way, East Marion, Sec/Block/Lot: 30.-2-115 Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/20/2012 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: deck addition and "as built" enclosed porch addition to an existing one family as applied for. Lot No. filed in this officed dated 37309 dated 6/20/2012 The certificate is issued to Mark, Martin & Jendresky, Linda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /Pj~tho r&ed Signature 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 #: 37309 Permission is hereby granted to: Mark, Martin & Jendresky, Lind.a. 1638 Park Ave Date: 6/2012012 To: New Hyde Park, NY 11040 construct a deck and pergola addition as applied for At premises located at: 2940 The Long Way SCTM # 473889 Sec/Block/Lot # 30.-2-115 Pursuant to application dated To expire on 1212012013. Fees: 6/20/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $404.00 $$0.00 $454.00 Building Inspector Form No. 6 TOWN OF SOIJTHOLD 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: For ne~w building or new use: 1. Final survey of propeax'y with accuratelocation of all buildings, property lines, st~ets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrieal installation from Board 0f Fire Underwriters. 4. Sw. om 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 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 us~s, or buildings and "pre-existing" land uses'/ 1. Aecurate survey of proPerty showing all property lines, streets, building and- unusual natural or topographic features. 2. A properly c~,~mpleted 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. Certifica{e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimmilig 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 Date. q- t'z New Construction: Old or Pre-existing Building: (check one) Location of Property:Hous~ ~) '%'~ St~r~t~No. [/~tg~ }~- ('~'~'lf~Hamlet Suffolk County Tax Map No 1000, Section Subdivision Health Dopt. Approval: Date of Permit. Block Filed Map. Applicant:. Und~vrit~rs Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ ~'-~) , '~ Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. ~ 765-1802 INSPECTION [~/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY INSULATION FINAL FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) I ] ELECTRICAL (FINAL) REMARKS: DATE~ INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 /INSPECTION [ ] F~INDATION 1ST [ ] ROUGH PLBG. [ ]/FOUNDATION 2ND [ ] INSULATION [VI FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~8~ON PER N, Y. STA~ E~R~ cODE ~F SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTItOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c Expiration J~Cr~ . 20 J 3 Building Inspector BUILDING PERMIT APPLICATIOI~ 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: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS f.)6' ,20/ 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 al aws, ordinances, building code, housing code, and regulations, and to admit .~t~[~ dt~r~ni~es ~lhd~ t ~c I AY 29 2012 BLDG. DEPT. TOWN OF SOUTHOLD authorized i ng for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (A~Uon 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. Plum!~v~ License No. Electricians License No. Other Trade's License No. Location of land on whiqh proposed work wilt be done: Honse ~mber S~ [ Hmlet Com~T~MapNo. 1000 Section (~ Block ~ ' Lot Sub.vision Filed Map No. Lot State existing use and occupancy of premises and integfled use and occupancy of propo, sed construction: a. Exislinguseandoeeupancy ~}t~t~. ~-~tvla.,[~ f'g~~ ow/ ~g.&4r ~ b. Intended use and occupancy ~ ~ / .14~L~.~ ~ q l~r~O t~- 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 5. If dwelling, number of dwelling units If garage, number of cars Fee Number of dwelling units on each floor Addition/e~ Alteration Other Work (Description) (To be paid on fling this application) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear j¢ t_ ~.,,. DePth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height. 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front 75' ~'/- Rear Number of Stories Rear , 5] /-' t./ r/_ 0?7/ ' Rear D oth 'rra u r 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 7 13. Will lot be re-graded? YES NO fi( Will excess fill be removed from premises? YES NO~)~__ 14. Names of Owner of p/~emises Name of Architect L...yont Name of Contractor Address ~. b~VI O-rk. Phone No. Address ~r I~ PhoneNo address &.rae ? r - Phone No. 15 a. Is this property within 100 feet ufa tidal wetland or a freshwater wetland? *YES * 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 ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~V16~ ~l,~/(vf' being duly sworn, deposes and says that (s)he is the applicant (Name of individual sighing contract) above named, (S)He is the -~L~ ~?,.O¥~ CONNIE D. BUNCH H_,~,~?~y. P~hlle. ~rllta of New York (Contractor, Agent, Corpora/re Officer, etc.) No. 01BU6185050 Oualaed in Suffelk O~snt~ of said owner or owners, and is duly authorized to perform or have performed the said work a~°~ Ean~l~e~ Pi~l~fion; 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 2.q'Jr~ dayof ~ 201~- Notary Public ~eOfA t /6a~_~A_2__//a_TOWN OF SOUTHOLD PROPERTY ~RD CARD~'//~' OWNER STREET ~d/_O VILLAGE DIST. SUB. LOT FORMER O~ER~ ' ' N E ACR. RES. ~ ~O 5~S. VL. FARM COM~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS / TilJ~ble FRONTAGE ON WATER W~lond FRONTAGE ON ROAD ~e=dowl~,nd DEPTH House Plot BULKH~D COLOR r'~o~*'6 TRIM 30.-2-115 4/12 Extension /] c~e>,~°rch e/ / ~ ~ J~'~ /2~ ,~ ~.Basement ~ ] / Floors ~ ~- K. n~ /D~ /~ ~0 ~ [)~ ~"~ Interior Finish ~ LR. Garage /~ ~ ~2~ /~2~ ~~ T~eR~f 6~/~ Rooms 1st Floor BR. Patio ~) ~ Recreation Room Rooms 2nd Floor FIN. O.B. I Dormer j Dr Veway Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY 11971-0959 / i Telephone (631 ) 765-1802 Fax (63 I) 765-9502 August27,2012 BUILDINGDEPARTMENT TOWN OFSOUTHOLD Martin Mark 1638 Park Ave New Hyde Park, NY 11040 Re: 2940 The Long Way TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) __. A fee of $50.00. __ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ Trustees Certificate of Compliance. (Town Trustees if/765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 37309 - Deck and Pergola NEW DECK 4"X 4"POSTS, 2"X 2" BALUSTER~SWFffl -TO?¢BO~FOM,'(AIL5 CONTINUOUSLY AAOUND NEW DECK fiXISTrNG HOU5 TO P~MAIN NE~/CONSTRUCTION A5 FLOC~RJ NG EXiSTiNG ENCLOSED PORCH DECK LAYOUT 5CALE; ¼"= ILO'' POSTTO R~MAIN z 0 BACK ELEVATION h, = I '-0" 51 DE ELEVATION SCALE: ¼" = I' 0" 2 EWISTING HOUSE 5TRU CTU R,E TO REMAIN FLOOR. HNGIflT APPI<OX, 2 IN ROOM ENCLOSED PORCH EXISTING 2"X G" CCA DECKING 4" X i 0" HEADER, CONTINUOUS ACP.055 FORCH SECTION SCALE: ¼"= ILO" EXISTING HOUSE 5TRUCTU RE TO BALUBTEt~5 ¢ CAP RAIL CONNECTOR CPd f" X I 0'' PJM BOARD t' AROU N D 2" X B" ACQ GrRDER BOLTED THPJJ POST 4" X 4" ACQ POSTS ON I O" DECK :_SECTION SCALE: WALL5 ¢ ?OOTING~ TO REMAIN Q TO HOUSE FRAME WFFFI 5" / //~ x FOOTING SCALE:41,, = I'-O" FRAME PLAN EXISTING ENCLOSED PORCH NEW CONSTRUCTION PAGE: 3 ' WITHOUT CERTIRCATE :', FOR POURED CONCRETE DECK LAYOUT , ,,su~*~o. 4 FI*AL. 6ONSTRUOTION & ELEGT" OAk ALL CONSTRUCTION S~ ME~ ES[GN OR CONSTRUCTION ERRORS, g o~ BAC~ ELEVATION ~CAL~: ¼"= ,'-o" Q~zz Z ©~ Z 5IDE ELEVATION SCALE: ¼"= ILO" WALL% ¢ ffOOTING~ TO ~EMAIN <~) ~PICALALL~DGERLOCATIOND z ~ ~ ~ c Z ~~ Z ~IDTING HOUD[ 4,'x 4" ~obr w/z'x z' ' WIND LOAD PATH CONNECTION AND CONSTR. UCTION DETAIL DP-.AWING5 ~"~-~,,u~ NAILING SCHEDULE ~ ~DGE~ 5T~P 2ACI1 FACE ' DECK ~ POECH NOTES: ~C~O~51DIN*B~ UNDID~RBrD DOlL CLIMATIC $ GEOG~PHIC DEDIGN I