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Home My WebLink About37444-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 2/8/2013 CERTIFICATE OF OCCUPANCY No: 36137 Date: 2/8/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: DECK 1205 Route 25, Grccnport, Sec/Block/Lot: 35.-1-25 Filed Map No. conforms substantially to the Application for Building Permit heretofore 8/2/2012 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: Rear Deck Addition & Front Ramp at Cottage #116 as applied for Lot No. filed in this ofliced dated 37444 dated 8/15/2012 The certificate is issued to Peconic Lndng ~ Southold (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIHCATION 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 #: 3744~. Date: 8/15/2012 Permission is hereby granted to: Peconic Lndng @ Southold 1500 Brecknock Rd Greenport, NY 11944 To: construct a rear deck addition & front ramp at Cottage #116 as applied for At premises located at: 1205 Route 25, Greenport SCTM # 473889 Sec/Block/Lot # 35.-1-25 Pursuant to application dated To expire on 2/14/2014. Fees: 8/2/2012 and approved by the Building Inspector. SINGLE FAMILY DWELL1NG - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $254.00 $50.00 $304.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD 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 unnsual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form). 3.. Approval of electrical installation from Board Of Fire Underwriters. · 4. ~w.~mstat~m~ntfromphimbercertifyingthatth~s~~derusedinsystem~~ntains~essthan2/~~~f~%~ead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a ce~ficate 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 naturaJ or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. I. Certificate 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 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 - Remdential $15.00, Commercial $15.00 New Construction: V/ Old or Pre-existing Building: (check one) LocationofProperty: 1/~ ~ ~,%~ ~t~la.~/q ~ Street Suffolk County Tax Map No 1000, Section ~ ~ BlJock . ] Lot Filed Map. Date of Permit. ~//5-//2- Applicant:. Underwriters Approval: Subdivision Pexmit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ t~). Hamlet Final CertificateI / (ch, ik one) ? TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c PERMIT NO. ~ 7/7¥4 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Plamfing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit StonmWater Assessment Form Contact: Mail to: Phone: __~-~ ' Building Inspector 11~t /X,~J$-2 2017- /~-~/ Date ~ Z ,20~ a~ This appl~aai~ely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets ofpt~ ~ot 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 paa fbr any purpose what so ever until the Building Inspeclor issues a Ceaificate of Occupancy. L Every building pemfit 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 kom such date. If no zoning amendments or other regulations affecting the propeay have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit fbr an addition six months. Therealker, a new permit shall be required. ~PLICATION IS HEREBY MADE to the Building Depamneut lbr the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Sufiblk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or ~br removal or demolition as herein described. The applicant agrees to comply with all appticable laws, ordioances, buildiog code, I~g code, and regulations, and to admit (Signa'ure of~[~or name, 1fa co¢oranon) (Mailing address of applican0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~"'"~q'qa¢ ~" .}~ ~O p ' (As on the tax roll'or latest deed) If appl~t is ~oratio¢, signature~ duly authorized officer F (Name a~d t~51~¢orate officer) Builders License No. ~ ~¢~[ ~ Plumbers License No. Electricians License No. Other Trade's License No. House NL~rnbe~ Street ..... Hamlet County Tax Map No. 1000 Section 35 Block lp ~J'~Lot Subdivision Filed Map ~ ' Lot 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost State existing use and occupancy of premises and itv~ended use and occupancy of pr6posed construction: a. Existing use and occupancy / ~ ~/ b. Intended use and occupancy / Addition A lt7t~,~O Other Work '~%,f') --~-:--"'" r-~D4scr~ption) / Fee 5. If dwelling, number of dwelling units If garage, number of cars (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 $. 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 I I. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES No/X' __ NT~/Wil, excess fill be removed from premises? YES N_O~ 14. Names of Owner of pr~ ises Address Phone No. Name of Architect ~,/..)Ol'l Flo~,;'Jc~,~/'(.. Address Phone No ~"~ "' Name of Contractor !~__O .m' }"kl O lr~t'~_ f~-~ Address Phone No. 1 $ a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BtE~REQUIRED. b. Is this property 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 I 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restl'ictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: C,(~2YOF ) ~tg~L'--fi_~"~--~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH ¢ Notary Public, State of New York (S)He is the No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) ComUmt~,~o~U~';~rp'~'~';,'*'~ O/~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 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 thi~ ~ day of//~bt;~ 20 (~o~ Notary Public I t , ? OLCF,, t~_.,ol I 0 H p.co~c 4. FINI .CONSTRUCTII~I&ELECTR!'[' _ , ~ u~Ecour~=~=C.O. *i ' ~ ~ _,z,,.], ~ ~_ .-.. E .-.T . ,, ,~ DESIGN 1 I