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Home My WebLink About37213-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/14/2012 No: 35875 Date: 8/14/2012 THIS CERTIFIES that the building DECK Location of Property: 390 Custer Ave, Southold, SCTM #: 473889 Sec/Block/Lot: 70.-8-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/10/2012 pursuant to which Building Permit No. 37213 dated 7/26/2012 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: "as built" deck addition to ~n existing one family dwelling as applied for. The certificate is issued to Martocchia, Debra (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 #: 37213 Date: 7126/2012 Permission is hereby granted to: Mart0cchia, Debra 390 Custer Ave PO BOX 1848 Southold, NY 11971 To: construct an "as built" deck addition to an existing one family dwelling as applied for. At premises located at: 390 Custer Ave, Southold SCTM # 473889 Sec/Block/Lot # 70.-8-32 Pursuant to application dated To expire on 1/26/2014. Fees: 5/10/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $476.80 $50.00 $526.80 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 7654802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatiou 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. Commercial buildiug, 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. For existiug buildings (prior to April 9, 1957) non-conforming uses, or bnildings and "pre~existing" land uses: I. 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 Btfildmg Inspector shall state the reasons therefor in writing to the applicant. Fees t. Certificate of Occupancy New dwelling $5000, Additions to dwelling $50.00, A[terations to dwelling $50.00, Swimming pool $5000, Accessory building $50.00, Additions to accessory bui[ding $50.00, Businesses $50 00 2. Certificate of.Occupancyon PreexisdngBuildmg- $100.00 3 Copy of'Certificale of Occupancy - $25 4 Updated Certificate of Occupancy - $50 00 5. Temporary Certificate of'Occupancy Residentia} $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property: .~:3 ~0 C.4,tS4-¢r-- JSxk]e House No. Street Owner or Owuers of Property: '~ ~' ~K:) (0,. {LJL ~_ (Jr 0 CC _ Suffolk CountyTax MapNo 1000, Section]'/73~:~ - r'] O Block SulSdivisiou Permit No. '~ ~ 2- { "~ Date of Permit. Health Dept. Approval: Planuing Board Approval: Request fo]-: Temporary Certificate Fee Sub,nilted: $ ~. ~.). /,,e_.,,/,~/_~ ~ (check one) Hamlet Lot Filed Map.. Lot: Applican!: Underwriters Approval: / Final Certificate: {-'/'/' (check one) TOWN OF SOUTHOLD BUILDING DEPT. ~ _ -------~ 765-1802 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE ,INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH P~,BG~. [ ]FOUNDATION 2ND [ ] IN~I~ATION [ ]FRAMING/STRAPPING It/[FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRI~(~L)~OUGH) REMARKS:~ [ ] ELECTRICAL (FINA~L) DATE~~-/--~---INSPECTOR_~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI [ ] FOUNDATION 1ST [ ] [ ] FOUNDATION 2ND [ ] DN [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROU_GH~ [ ] ELECTRICAL (FINAL) REM~C'~/~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN L-~tALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined ~//')~ _, 20 J Approved Disapproved a/c , 20 /> Expiration /I/.)~` 20/t'7t PERMIT NO. 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 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mailto: 1~0 I~T, S~PJ~I'A ~V~' Building Inspector ~ a.~~UST be c~npletely filled in by ffpewriter or in ink and submiued to the Building Inspector with 4 sets {f ~~Fee according to schedule. ~~ showi~ ~c~ion of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and wate~vays. c. The work covered by this application may uot 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 pe~it shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pan for any purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. L Eve~ building permit shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. lfuo zoning amendments or other regulations affecting the prope~ 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 Depamnent ~br the issuauce 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 fBr removal or demolition as heroin 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 necessa~ inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) ] { Q/~'{~ ] State whether applicant is owner, lessee, agent, architect, enginee~al contrac__~gt~n, electrician, plumber or builder Name of owner of premises ~.~('r-,. ~5o~ c Jr 0 ¢C~'lo, (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. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: 390 ),de. House Number Street Hamlet County Tax Map No. 1000 Section 6/73 8'c - q o Block ~ Lot ~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ~- e ~ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify natnre 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 Address Phone No. Address Phone No Address Phone No. 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 BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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. NO STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)be is tile applicant (Name of individual signing contract) above named, GONNIE[ O. Nota~/Public, St,.:.~: o~ ~,w York No. 01 BU8185050 (S)He is the (Contractor, Agent, Corporate Officer, etc.) Commmsion IExplr~ April 14, 2~ of said owner or owners, and is duly authorized to perform or have performed the said work aad to make and file this applicatioa; tbat all statements contained in this application are true to tile best of bis knowledge aad belief; and tbat tbe work will be performed in the manner set forth in tbe application filed tberewith. Sw.,orn to before me this Jc;~Jrh day of Notary Public Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) S~6on BMPs, ~ Sco~ ~or $equ~ of ~ns~on A~ WIll this Project Dlstu~e f~e (5) or More Acres at ~ ~ Any One Time During the Pressed ~velopment ? Yes No al Does the Applicant have a Qualifl~ Ins~ctor On ~ ~ Staff To Conduct the Requir~ Ins~ctions ? Yes No c, Does the SWPPP Adequately Iden~All Tem~ra~ ~ ~ d. Does the SWPPP Adequately Identi~ a Complete ~ ~ by the Town of Sou~old ? Yes No STATE OF NEW YORK, C~NIE D. BUNCH COU~I~ OF ........................................... SS Nota~ P~I~, ~to ~ Now Yo~ No. 01BU618~ ql~at 1 ............................................................ ~ing duly sworn, de~ses mid sa~~ f~;~e~t, (Na~ of indivi~al signing ~ment) C~ml~lon E~i~ ~nl ~4, 2~ ~d ~at he/she is ~e ............................................ (~;;~ ~gg~;~ X~ghi~'~;~t;"~;.' gt~] ................................................................ Owner an~or representative of &e O~er or O~mrs, mid is duly au~or~ed to ~ffo~ or have peffo~ed ~e s~d work ~d to m~e ~d file ~is application; ~at ~1 statements cont~ned in d~s applicadon ~e ~e to ~e best of his ~owledge ~d belieF; ~d that the work will be performed in &e m~ner set fo~ in ~e application filed here~. Sworn to befol-e~ me this; ............... ............... :. ........................ ...................... SWPPP Assessment FORM: 03-12 11x17I LAO 5/4X6 BLANKING 5~" LAG BOLTS BOLTS t_ 8"×36" FOOTING~x~-~ EVERY 1 6"~ 16' 0" 4X4 T-CO~/~'-' -- (.IXI;', 2X6~/ Vi/JOIST HANGER DA1 FEE NO1 765. ¥0~ OCC[ ~' qqi',~S (OR "'* ""' :' "~!! AWF ; !,,'m- i,,~; ;," "' CERTi ' APPRaO_O~EOi~,~O~O E~/_A,,,~B.P. # ~ ;~,~.-/ ~ I~Y BUlC~IN6 D~P~RT~ENT AT ~8~ 8 ~ TO 4 P~ FOR THE .O~N6 IN6P~CTIONS: gUNDATION - ~ REQUIRED OR POURED CONCRETE OUGH· F~I~, PLUMBING, TRAPPING, ELECTRICAL & CAULKING INAL - CONSTRUCTION & ELECTRICAL lUST ~ C~P~TE F~ C,O. IUIEEMENTS OF THE CODES OF NEW JOB TITLE: DEBRA MARTOCCHIA ADDRESS: 390 CUSTER AVE SOUTHOLD, NY 11971 DRAWING TITLE: DECK PLAN 11x17I 2X4 TOP 2X4 FRAIL POST BAS Z ~ L~ 2X6 FINISHED CRADE J CE) CONNECt, OR REV NO: DA?E: [IESCRIp T~ON: . J~l~ TITLE; .......... ~' D~ ADDRESS: 390 CUSTER AVE SOUTHOLD, NY 11971 DRAWING TITLE: DECK ELEVATION