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Home My WebLink About35673-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 10/15/2012 CERTIFICATE OF OCCUPANCY No: 35997 Date: 10/15/2012 THIS CERTIFIES that the building RAMP Location of Property: 450 Basin Road, Southold, SCTM #: 473889 Sec/Block/Lot: 81.-1-18 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/28/2010 pursuant to which Building Permit No. 35673 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: HANDICAP RAMP ADDITION TO AN EXISTiNG ONE FAMILY DWELLiNG AS APPLIED FOR. Lot No. filed in this officed dated dated 6/28/2010 The certificate is issued to Basin Road Realty Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35673 Z Date JUNE 28, 2010 Permission is hereby granted to: BASIN ROAD REALTY (CURCURU) 35 TREMONT ST MAYNARD,MA 01754 for : HAI~DICAP PJkMP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 450 BASIN RD County Tax Map No. 473889 Section 081 pursuant to application dated JUNE Building Inspector to expire on DECEMBER SOUTHOLD Block 0001 Lot No. 018 28, 2010 and approved by the 28, 2011. Fee $ 200.00 ~~ d '~~ture ORIGINAL Rev. 5/8/02 F~rm No. 6 'tOWN OF $OUTItOLD BU[LDtNG DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OccUPAiqcy 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 s'urvey °f pr°petty with accurate location of all buildings, property lines:, streets, and unusual natural or · topographic featurds. · 2. Final APproval ~om Health Dept. of water supply and sewemgeglisposal (8_9 form~. 3~ Approval of electrical installation from Board df Fire Underwriters. · 4. 'Sw. orn statement from plumber c~rtiFying that tho solder used in system contains leas than 2/10 of 1% lead.. 5. Commercial building, iadus~al building, mtfltiple re~idence~ and similar buildings and installations, a certificate of Code ComPliat~ce'from architect or engineer rasponsible for the building: .6. Submit planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957~ aCh-conforming us~s, or buildings 'and "pre-existing" laud uses'.' 1. Accurate survey of proPerty showing all property line~,'streets, building and unusuM naturai or topographic features. 2. A properly c~mpleted application and consent to nspect signed by the app leant, tf a Certificate of Occupancy is denied, the Buiiding Inspector shaH 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 $50.0(1, Swimmir~g pool $50_00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00~ C~:~tificate of 0c~upancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Tempo[cry Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date_ Hew Construction: Lo~ation of Property: Old or Pre-existing Building: ' (check one) HOuse No. Street Dwn~r or Ownecs of Property:. . ~.ffolk .C,o.unty Tax Map No 1000 Section ~u~visi~n Yctmit No. ~ ~/r~},~ Date of Permit tealth ~ Approval: ~ ~ qanning Board Approval: I ieque~t for: Temporary Certi f~ ~¢11 Hamlet aio k / Lot / g Filed Map. Lot: a Approval.- ~te: (check one) AppliCant Signatmc ~oU~U),~iow (ism') ~OX.U~-~ATION (2ND) ROUGH ~O · · . ~ STA~ E~ cODE . AMERICA'S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631 } 765-9502 SoutholdTown. North Fork. net Examine~ a~ , 20 fro Approv~ ~ . 20 / O Disapp~ved a/c PERMIT NO..~'~'~'~-3 ~ Bt~JILDING PERMIT APPLICATION CIIECKLIST Do you have or need the tbllo,~ing, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NYSD.EC Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Expiratio ~r~'~'~ ~ ,20 ~c~~ Building Inspector Phone: APPLICATION FOR BUILDING PERMIT Date LO g. c( .20 ( o 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. Thc work covered by this application may not be commenced belbre issuance of Building Pernfit. 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 altEcting 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 IIEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the Budding 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 Il applicable laws. ordinances, building code, housing code, and regulations, and to admit (Signature of applicam c/f name, ifa corporation) ,59 5'H~,tg 0,'~ 5' ~to,,4o~.c ~Y It?v6 (Marling addresser applicant ) plumber or builder (As on thc 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 lrade's License No. I. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~j')/ Block / SubdMsion Filed Mao No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and o¢¢upanc~ b. Intended use and occupancy ~,..hLO.~g tWi-l-u~ex.~t.l-,a~r~. ('L4,'4P f~-r~ 1~,~7' Oo,-~-.-~ 3. Nature of work check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost :I~ ~q ~o Fee ~ (To be paid on filing this application) 5. I f dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancs, specil? nature and extent of each t3pe 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 Rear Depth Height Number of Stories 8. Dimensions of entire ne'~ construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear .Depth I 0. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed constmcfion violate any zoning law. ordinance or regulation? YES 13. Will lot be re-graded? YES NO ~'Will excess fill be removed from premises? YES NO 14. NamcsofOwnerofpremises cu^COvCa Address~''-O ~'~ ~ PhoneNo. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__ NO * IF YES. SOUTHOLD TOWN TRUSTEES & D.E.C. PERMfFS MAY BE REQUIRED. b. Is this property within 300 feet ora 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 an5' point on property is at 10 fi:et or below, must provide topographical data on survey. V9 18. Are there an~ covenants and restrictions with respect to this propert,. * YES NO ~, · [F YES. PROVIDE A COPY. STATE Of' NEW YORK) COUNTY OF~J~-.q~'fl ~ ~ ~'-~4-L(~ ~ t,.-L t ~O being duly sworn, deposes and says that ~0he is the applicant (Name of individual signing contract) above named, 9%He is the C ~ ,,~'r ~T~c~.~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is dui5' 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 ~Signature~ Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 September 14, 2012 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone(631)765 1802 Fax(631)765-9502 Basin Road Realty Trust Attn: Steve Curcuru 35 Tremont St Maynard, MA 01754 Re: 450 Basin Rd, Southold, NY 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 involvin0 plumbin0 after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) __ Final Planning Board Approval. (Planning # 765-1938) __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 35673 - Handicap Ramp Top View: FOLLOWING INSPLCTIO~ ~. 1. FOUNDATION - TWO PE~UIRED FOR POURED CONCR~ TE 2. ROUGH FRAMING PLUML,,~G, STRAPPING ELECTRICAL & CAULKING 3. INSULATION FULL RAILS 4. FINAL- CONSTRUCTION & ELECTRICAL ~- BOTH SIDES MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHAH MEET THE REQUIREMENTS OF THE CODES OF NEW YORK'STA~TE. NOT RESPONSIBLE FOR DESIGN OR CONS~UCTION ERRORS ~800-649-5215 ,Tob Name: Curcuru / 5outhold, Location: Amromp Long ]:sland ~equested: ,Terry K. Phone: 63! -579-06~.0 Fax: 63] -608-4402 Date: 6-9-~0 Zip: 11726 OCCUPANCYOR USEIS UNLAWFUL WlTHOUTCER FICATE OFOCCUPANCY , ELEV. = -3" 13 -4 · NOTE5 brown By: Conor Checked By: Pat O'ob Number: