HomeMy WebLinkAbout36580-Z7/5/2012
Town of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 35799
Date: 7/5/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
DECK
1200 Leeton Dr, Southold,
Sec/Block/Lot: 59.-1-1
Filed Map No.
conforms substamially to the Application for Building Permit heretofore
7/22/2011 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:
reconstruction of existing deck on an existing one family dwelling as applied for.
Lot No.
filed in this officed dated
36580 dated 7/26/2011
The certificate is issued to
Molloy, Margaret 2011 Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
f/~oriT~ Sign~ure
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 #: 36580
Date: 7/26/2011
Permission is hereby granted to:
_Mo_!l_o_y,. Margaret
101 Second St
To:
Garden City, NY 11530
reconstruct an existing deck as applied for per Trustees approval
At premises located at:
1200 Leeton Dr, Southold
SCTM # 473889
Sec/Block/Lot # 59.-1-1
Pursuant to application dated
To expire on 1124/2013.
Fees:
7/22/2011 and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ADDITION TO DWELLING
Total:
$638.00
$50.00
$688.00
Building Inspector
~orm No. 6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF occUPANcy
This applioation 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 9fprnperty 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 ofelootrieal installation from Board 0fFir~ Underwriters.
4. Sworn statement from plumber certifying thai tho solder used in system oontains leas than 2/10 of 1% lead.
5. Commeroial building, industrial building, multiple reaidono~ and a'mailar buildings und installations, a e~,ntifieate
of Code Compliance from arohit~t or engineer responsible for the building.
6, Submit Planning Board Approval of completed site plan roquir~aonts.
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:unusu/d 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 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 po01 $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.
New Construction: Old or Pm-existing Building: (ch~k one)
Location of Property: [~IDt~ ,~,ff~x /~ ~.~~ f~
Honse No.
· Owner or Owners of Property: /~ ~ ~.~
· 'Suffolk ~_,ounty Tax Map No 1000, Section
Subdivision
Permit No. -~ ~ ~,O .Date of Permit.
Health Dept. Approval:
Planning Board Approval:
]R. equcst for: Temporary Certificate
F~e Submitted: $ ~. ~'
Str~i
Hamlet
Block / Lot
F ed
Applicant:
Underwri~rs Approval:
Final Certificate:
(check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802 '
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH P~Q~.
[ ] FOUNDATION 2ND [ ]~SHI~ATION
[ ] FRAMING/STRAPPING [//~FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION I ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ~ I ] ELECTRICAL (FINAL)
R.AR,(S:
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] R~U/GH PLBG.
[ ] FOUNDATION 2ND [ ]~SULATION
[ ] FRAMING/STRAPPING [i/] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR/~~
Date:
To:
Re:
JAMES J. DEERKOSKI P.E.
260Deer Drive
Mattituck, NY 11952
(631) 774 7355
December 7, 2011
Town of Southold Building Dept
Foundation Inspection
Margaret Molloy
1200 Leeton Dr.
Southold, NY
Permit#36580
To Whom It May Concern:
This letter certifies that the existing footings/piers on the above mentioned Deck are of
sufficient size and the new footings were installed in conformance with all State and
Local Codes, and were constructed tg.t~.e specifications of the submitted plans. Any
questions feel free to call. '~
Ja~J Dee~koski P.E.
Dr,
BI ',;,iS BiEpI.
TO",",¢i i')F :0 i,~O[ B
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork. net
Exanlined
Approved
Disapproved a/c
Expiration
JUL 1 9 2011
BLDG DEPT.
TOWN OF SOUTHOLD
( Bulletins Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, betbre 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
Single & Separate
Storm-Water Assessrnent Form
Contact:
Mai[ to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ,20
INSTRUCTIONS
a. This application MUST be completely filled itl by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plau to scale. Fee according to schedule.
b. Plot plan showing location of lot and ofbuildiugs on prelnises, relatiouship to ad. joining prelnises 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.
tt Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not beeu completed within 18 months from such date. If no zoning amendments or other regulations affecting tile
property have been enacted in the interim, the Building Inspector may authorize, itl writing, the extension of the permit for an
addition six months. Tllereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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.
~ (Si~natt,('e~of-a-p~ficant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is o~vnet', lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name
of owner
of premises
/{ff~'rf'/'~'"w~-'"'/L//~'//~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. ~ ,O/~/dy ~ ~ ,Z/
Plumbers License No.
Electricians License No.
Other Trade's License No.
l,ocation of land on which proposed work will be done:
I4o~-se Nun-~6er ' Street '
tlamlet
County Tax Map No. 1000 Section 05'"q Block /
Sabdivision Filed Map No.
Lot /
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupanc~ ,vfi,,/.a
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building.
Rep.air ~ Removal
(
Estimated Cost G"ff ~'D2'/
Addition Alteration
Demolition Other Work -/~'/'°/a~'''v
(Description)
If dwelling, number of dwelling units
If garage, number of cars /
Fee
(To be paid on filing this application)
Number of dwelling units on each floor ,/
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front c/~" '
Height ~ ! ' Number of Stories /
Rear
Dimensions of same structure with alterations or additions: Front
10. Date of Purchase
.Depth ·
Rear
Depth ~[ ' Height
Dimensions of entire new construction: Front
Height _;2 {' Number of Stories
Size of lot: Front //~"d
Number of Stories
6/4, Rear q'~' Depth
Depth/~/, $/,2 ~'~"
Rear
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~:5
13. Will lot be re-graded? YES NO t,_tS) Will excess fill be removed from premises? YES NO
It~t s,,.v,,,.e ~rT'~2~ 57d 7~1 /72 7
14. Names of Owner of premises ,~aO~_ '~/~/0' Address~~one ~o.
Address ~e~/.r' ~,/ ~-none ~o
Name of Architect ~ ~/¢~ ,
Nme ofContracto~[ ~,_ ,~, Address~ ~ /odff Phone No.
15 a. Is this prope~y within 100 i~et cfa tidal wetland or a l}eshwater wetland? *YES ~ NO * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. ls this prope~y within 300 feet cfa 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
be ~g duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing coutract) above named,
CONNIE D. BUNCH
Notary Public State of New York
(S)He is the .t!e.
(Contractor, Agent, Corporate Officer, etc.) Qualif~l in ,~ffo~k Coun~
Commission Expires April 14,
of said owner or owners, and is duly authorized to pedbrm 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 know edge and belief: and that the work will be
perfbrmed in the manner set tbrth in the application filed therewith.
Sworn to before me this
7~,.-~,.~ day of C'x..,.~L- 20 l/
Nota~ Public
~ ' / Signa~Ofe0f/~pplic~nt
BOARD OF SO--OLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 7577 & 7577C
ISSUED TO: MARGARET MOLLoY
I~TE: JUNE 22~ 2011
PROPERTY ADDRESS: 1200 LEETON DRIVE~ SOUTHOLD
sCTI~i~ 59-1-1
AUTHOm TION
Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of
Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on
lu~ 22.2011. and in consideration of application fee in the sum of $500.00 paid by Margaret Mollo¥ and
subject to the Terms and Conditions as stated in the Resolution, the SOUthold Tow'a~Bbard of Trustees
authorizes and permits the following:
Wetland Permit to repair the existing deck framing, decking, and handrails, and
install new stairs; and as depicted on the site plan prepared by Nancy Dwyer Design
Consulting, Inc., last dated February 3, 2011, and stamped approved on June 22, 2011.
IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Co.orate Seal to be affixed,
and these presents to be subscribed by a majority of the said Board as of this date.
Jill M. Doherty, President
Bob Ghosio, Jr., Vice-President
James F. King
Dave Bergen
John Bredemeyer
Town Hall Annex
54375 Main Road
P.O, Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRtlSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0704C
Date November 22, 2011
THIS CERTIFIES that the reoair of the existing deck framing, deckine and handrails and for
the new stairs
At 1200 Lc, eton Dr., Southold
Suffolk County Tax Map #59-I-i
Conforms to the application for Trustees Permits heretofore filed in this office
Dated 5/17/11 pursuant to which Trustees Wetland Permit #7577 and Coastal Erosion
Permit #7577C dated 6/22/11 were
issued and conforms to all of the requirements and
Conditions of the applicable provisions of law.
The project for which this certificate is being issued is for
The repair of the existing deck framing_ decking and handrails and for thc new stairs.
The certificate is issued to MARGARET MOLLOY owner of the
Aforesaid property.
~t~or~d Si)gnat're
Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
: PROPERTY LOCATION: S.C.T.M.~ THE FOLLOWING ACTIONS MAY REQUIRB THE SUBMISSION OF A
'~ aL L~ STORM-WATER/GRAI)IN~ DRAINAGE ANB EROSION CONTROL PLAN
DIsblct (l.l= I~ I Irl"b BY A DESIGN PROFE8~IONAI. IN THE STATE OF NEW YORK.
$COPEOFWORK - PROPOSED CONSTRUCTION ITEM///WOP, KA$$F_~MENT [ Y~ No
(Inclnde Totsl Ama of all Parceis Iocatsd within 1 WI!I t~ls Pmjant Retain NI Sform-Watsr Run. Off
the Scope of work for Pmpeesd Constmc~n) ~ Genemtnd by a Two (2") Inch RainfaJl on Site? ·
(S.F. / ~,.) (ThiS item will thc~ude all mn-off created by site
b.
What
the
Tota~
Area
of
Land
Cleating
clea~ng and/or consb'uc~)n ac~flfos as weti as ;dl
and/or Ground Disturbance for the proposed /,~ Site Improvements and the permanent crea~on of
construction activity?~=:f/.~= impervious surfaces.)
( )
PRO'V~E ]BREEd' PROJ~--T DESC~d~'i'tON o~o~a~,.,~,,#,,~,~ 2 Does the SIte Plan and/or Survay Show Ati Propesed
Drathage 8buctu~es IndlcaUng Size & Location? This
and sediment control p~anUcos that witl be used to
~_ ' control site erosion and storm water discharges. This
Construc~n Pednd.
~'/:"7--k. 4 Wii" this Project Require any Land Filting, Gmdthg or
Excavation where there is a change to the Natural r'~
Existing Grade Involving more than 200 Cubic Yards
5EncompassingWill this AppticatiOnAreaRequire Land Disturbing Activities r'~
an in Excess of Five Thousand
(5,000 S.F.) Square Feet of Ground Sudace?
6 i, there a Natural Water Course Running through the
I----1
Site? Is this Project within the Trustees jurisdiction
General DEC SWPpp Requirements: or within One Hundred (t 00') feet of a Weflaed or
submated ~o the Oepartme.t pr~ to the commemeaent of cmstmeUon a~vSy, into and/or in the direction of a Town fight-of-way?
2. The SWPPP ahuil deSCT~e the erosion and sediment coMml pm~ttces and where 9 Will this Project Require the Placement of Matsrist,
~nsim~dtumduc~thep~u~antsinst~rmw~erdischanJe~andt~a~um~equimd~p~st-~ns~mct~st~m1waierm~n~g~me~1tp~ctice~th~twii1beu~eda~b~ RemovalofVegetstlrmand/ortbeConstmctfonofany ['~ ._~
core,lance wllh lira terms and comt~ of thb pem~ In addi~n. Ihe SWPPP shall Item Within the Town Right-of. Way or Road Shoulder
Identify po~enlfM soufeea of polutlon v/nich may reasonably be mq:e~ted to affect ihe '
STATE OF NEW YORK, Notary Pub#o, State o~ New York
C~CIUNTY OF ................. :, ................ SS No. 01BUS1
/ /"- ~ ........ Quatltled In Suffolk County .. _
'" "' ...... ~e ~u~'~'~i)' ................... oemg amy sworn, aeposes and sals that he/sbe is thc applicant for Permit,
sd at he/she is the ...... L~.Z.~'.~..~:... .......................
o,,~. c,~,,c~./,g~. ~:agi ...................................
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 £de 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 herewith.
Sworn to before me this; .,
........................................ , .................. ) ,,/:_.,
FORM - 06/10
/o o ~ - ~-?-/-- / TOWN OF SOUTHOLD OPERTY RECOD
OWNER
STRErr / 50 O
IMP. TOTAL
RES.
LAND
VILLAGE
DISTRICT
SUB.
LOT - L~;! ~'
27o0:>
FARM
DATE
/
Value Per Acre
REMARKS
Farm .Acre Value
Tillable 1
Tillable 2
Tillable 3
Wcodland
Swampland
House Plot
Total
M. Bldg.
Foundation
Extension Basement
Extension Ext. Walls
Fire Place
Extension
Patio
Driveway
Porch
Porch
Bath
Floors ,~"/,~.
Interior Finish
He~t ~ --
Attic
Rooms 1st Floor
Rooms 2nd Floor
Town Hall Annex
54375 Main Road
P.O. Box I 179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (63 l) 765-9502
December 13, 2011
Margaret Molloy ~ / D
164 Old Farm Rd
Basking Ridge, NJ 07920
Re: 1200 Leeton Dr, Southold
TO WHOM IT MAY CONCERN:
BUILDING DEPARTMENT
TOWN OF ~IOUTHOLD
The Following Item(s) Are Needed To Complete Your Certificate of Occupancy:
*Note: Inspector is requesting certification from an architect or engineer for all piers and footings.
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $50.00.
__ Final Health Department Approval.
__ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184)
~'~Trustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board Approval.
Final Fire Inspection from Fire Marshall. - Bob Fisher
Final Landmark Preservation approval.
BUILDING PERMIT: 36580 - Deck
51TUATE: 50UTHOI._I2
TOI,~IN-' 50UTHOLP
~:::T:OLK C,C%INT'K, N'r'
OURX,'~-'f~I2: O~-25-2011
.GUFFOL~- C, OUNT'f TAX #
I000- 5q - I - I
.IAMES T. MOLLOY
JOHN C. EHLERS LAND SURVEYOI;
6 EAST MAIN STP. EL~T N.Y.S. LIC. NO. 50202
KiVF, RIIBAD, N,Y. 11901 369-~288 F~ 369-=~287
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