The URL can be used to link to this page

Home My WebLink About37738-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/30/2013 CERTIFICATE OF OCCUPANCY No: 36268 Date: 5/30/2013 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ADDITION 275 Goose Creek La. Ext., Southold, Sec/Block/Lot: 78.-8-13 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/16/2010 pm'sunnt to which Building Permit No. 37738 dated 1/9/2013 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: alteration and addition, including covered entry, to an existing one family dwelling as applied for. The certificate is issued to Llinda Saeli (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 3/14/13 N291037 9/30/93 Richard Saeli 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 #: 37738 Date: 119/2013 Permission is hereby granted to: LINDA SAELI 827 N. BAYVlEW RD EXT. SOUTHOL, NY 11971-2135 To: PORTICO ADDITION AS APPLIED FOR. REPLACES EXPIRED B.P. # 36028 At premises located at: 275 GOOSE CREEK LA EXT SOUTHOLD SCTM # 473889 Sec/Block/Lot # 78.-8-13 Pursuant to application dated To expire on 7/10/2014. Fees: 11116/2010 and approved by the Building Inspector. PERMIT RENEWAL Total: $75.00 $75.00 Building In'spector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36028 Z Date NOVEMBER 16, 2010 Permission is hereby granted to: LINDA SAELI 827 N BAYVIEW RD EXT. SOUTHOLD,NY 11971 for : PORTICO ADDITION AS APPLIED FOR. THIS BP # REPLACES EXPIRED BP # 31056 at premises located at 275 GOOSE CREEK LA EXT SOUTHOLD County Tax Map No. 473889 Section 078 Block 0008 Lot No. 013 pursuant to application dated NOVEMBER Building Inspector to expire on MAY /~6, 2~1~2 y -~ Fee $ 150.00 ~ ~~ -- ~c~orized S 16, 2010 and approved by the ~gnature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31056 Z Date APRIL 15, 2005 Permission is hereby granted to: LINDA MAJEWSKI 827 N BAYVIEW RD SOUTHOLD,NY 11971 for : PORTICO ADDITION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 150.00 275 GOOSE CREEK LA EXT SOUTHOLD Block 0008 Lot No. 013 14, 2005 and approved by the 15, 2006. Authbrized~3~~_ Rev. 5/8/02 COPY IN)mM NO,, It TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULl. CO~PL~ION OF THE WORK AUTHORIZED) No-No. 21013Z Cou~t~ Tox Map No. 1000 Section ......... ,~...~....- Block o...~.. ..........Lot' NoJ.~..~.- - / pursuant to application dated ......... ~..~.../~. .............................. , 19..~.....~T, and approved by the / Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMg;NT 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: I. 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 from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. C°mmercial building, industrial building, multiple residences and similar buildings and installations, a certifieate 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 natural 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. C. Fees 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 ou Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $·25 Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15·00, Commercial $15·00 Old or Pre-existing Building: (check one) House No. Street Hamlet New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Block Lot Filed Map. Lot: Applicant: (check one) Apphcant~gnatme Underwriters Approval: Final Certificate: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF $OUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roqer.richert~,town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Linda Saeli Address: 275 Goose Creek Lane Ext City: Southold St: NY Zip: 11971 3uilding Permit #: 37738 Section: 78 Blcck: 8 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Re~ideotial J~ Indoor J~ Basemellt ~ ServJceOnly J~ Commerical Outdoor 1 st Floor Pool New Renovation 2nd Floor HOt Tub Addition Survey Attic Garage INVENTORY Se~viceServicelph ~ Heat3 ph HOt Water ~ DuplecRecpt ~ Ceiling Fixtures [~ HID Fixtures ~GFC, Recpt Wall Fixtures~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel NC Blower Range Recpt Fluorescect Fixture M Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~ TVSS Other Equipment: install 1 portico light Inspector Signature: Date: Ma}, 16 2013 Elect ricat Certificate.xls THE NEW YORK BOARD OF FIRE UNDERWRITERS 11~5~77 BUREAU OF ELECTRICITY ~' 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date SF,~'EHBE~ 3i~,!991 ~ppllcationNo. onfile 7~7~593/93 ~) 29}~137 THIS CE~IFIES THAT ~.t~.~o~.~,--ao.; ~ ~.~.., ~ ~.r:. ~ ~.d ~'~. OUT ,~.o. .:~ ~s examined on and found to be in compl~nce with the N~n~ Elec~c~ C~e. RANGES ICOOKING DECKS [ OVENS I E~SH WASHERS J b ~ ! 6,9 TIME CLOCKS BELL UNIT HEATERS MULTI-O~JTLET SYSTEMS A,v~?. ~,~PS. TRANS.NO. OF FEET EXHAUST FANS OIMMERS H£ TO;~,$: 1- F <'~ 6'.C, [:-7 ~O. OF S R v I C 164 CUTCHOGUE, NY, 11935 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971~959 Telephone (631 ) 765-1802 Fax (631 } 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD .CERTIFICATION Date: Building Permit No. ' 37 OWne : (Please print) Plumber: (Please print) I certify that the solder used in the water supply system contain~ less than 2/10 of 1% lead. Sworn to before mo t~ ! q~ dayof {-~x~ Notary Public,~V~ County (mura6ers Signature) CONNIE D. 13UNCN Nora,3' Public. State of Nev~ York Nc 0IBU6185059 UILDING DEPT. INSPE(:TION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION DATE INSPEL'~O~~/ 7GS-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ]ROUGH PLBG. [~]~UNDATION ;ZND [ ]INSULATION [ ] FRAMING []FINAL REMARKS, ~_/~ ~ 7(,5.1802 BUILDING DF. PT. INSPECTION [ ] FOUNDATION 1ST [ H PLBG. FOUNDATION ZND [ ] INSULATION DATE //~-~/'~ ~' INSPECTOR 765-1~0Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOU~TION ZND [ ]INSULATION [~]"F~MING [ ]FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~*,.**]~SULATION [ ] FRAMING [ ] FINAL 765.1~0Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ~ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU~LATION [ ]FRAMING/STRAPPING [.~'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) .[ ] ELECTRICAL (FINAL).. REMARKS: INSPECTOR 5/3/2013 Attn: Mr. Gary Fish Southold Building Department Town Hall Annex ooutnom, NY 11971 Re: Saeli property, 827 North Bay View Road, Southold Dear Mr. Fish: I have inspected both the front porch and the kitchen additions at 827 Bay View Road, Southold. The purpose of this visit was to determine compliance for a certificate of occupancy on the existing residence. Both additions were built to permit specifications and drawings. There is no evidence of deflection or any kind of material degradation. The flitch plate girder in the ceiling of the kitchen is present as per plans. Additionally, the construction is plumb, true and solid. The foundation is in excellent condition. I certify that when the additions were built they were in compliance with the Residential Code of New York State. Sincerely, Anne Surchin, AIA OU~DA'TION (1st) OUNDATIOU (2nd) OUGH FRAME & .PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS,~ £LD INSPECTION REPORT DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE .............. ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined /~/~ ,20'q~ Approved ~/~0~-- 20 ~ / Disapproved a/c Expiration ./¢"'-' , 20 6 DEFT. NO. BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health / 4 sets of Building Plans Planning,~rd approval Survey Checke~ I~ ~ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 set£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 ar?,as, 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 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 .... ~-ignatureCof 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 (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. Lo_cation of land on whi, ch proposed wo,rk~i~ be done: House Number Stre~ x County Tax Map No. 1000 Section Subdivision Hamlet Block Lot J~ Lot Filed Map No. (Name) 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 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost '~t'~'~t O ~)~. Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (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 8. Dimensions of entire new construction: Front Height Number of Stories 9. Sizeoflot: Front ('d 0 Rear /~ u 10. Date of Purchase Name of Former Owner Rear Depth 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 NO * 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. STATE OF NEW YORK) COUNTY OF~ being duly sworn, deposes and says that (s)he is the applicant CName of individual signing contract:) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) 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 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 therewith. Sworn to before me this~ -- 20 ~ ] ~ day of,~A_~ ~7 f'~.J /- ~//G - /' / . ~ot~ ~blic ~ Signature of Applicant PATR,C g C,~m,,,~ Public, State 0t Nevi York N0.01C05011852 Or.ailed ia Suff01k C0u~ Examined . · .......... , I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c .................. 0C~' -'7 ?,q2 50AKD OF HEAL'Eli ......... 3 SETS OF PLAN.~ .......... SURVEY ................... CHECK · ; ..... ........ SEPTIC OR:I ........ : ~G.AL L A:. lC T INSTRUCTIONS a., This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 issued a Building Permit to the applicant. Such permit hail 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 whatever until a Certificate of Occupancy ~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, sin code a ' Jmit author/zed inspectors on premises and in building for necessa~iri-ff~-~tions li~., g , nd regulations, and to -- i (Signature of app'l~~ (Mailing address of applicant) tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...D /. &oe. ............................... :amc of owner of premises ..... (as on the tax roll or latest deed) :'applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..../.~. 12'4( Plumber's License No ......................... Electric an's License Nb Other Trade's License No ...................... Loca. tion of land on which proposed work w i1 be'done ................... .... , .................................. <.=,.9 ~ .O .~rk~:.,~ .c~t .~ ..................... llouse Number '7' Street Hamlet County Tax Map No. 1000 Section ... ~..~..~'. ........ Block ..... ~ ........... Lot.../..,,% ............. Subdivision ................ (}q'a;~) ................ Filed Map No ............... Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~. W-~.- ~-'-~-,~,- ~_ . .............. ~ · . =..-: ...--~..~ ......... . .... .,~ ....... b. Intended use and occupancy ..... 3. Nature of work (check which applicable): New Building .......... Addition .. ~.. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ?..~..O. (Description) 4. Estimated Cost... t' '~'°'°' ' . ..... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number Of dwelling units .... ( .......... Number of dwklling unit~s on each floor ................ lC garage, number of cars ... ~ ..... 6. If business, commercial or mixed occupancy, specffE, na~ture and extent of each tylpe of use ..................... 7. Dimensions of existing structures, if any: Front..,~..~ .... '... ~ .'.; Rear . .~..-.gl. Depth Dimensions of ~me structure with alterations or additions: Front 53 ' Rear 2~,;fi' ......... Depth... ~ ............... Height .................. ' ....Number of Stories.. ~."? .2~.~. 8. Dimensions of entire new construction: Front ...0~~. ........ Rear .. ?//. .......... Depth . ~:. $/. ......... Height .............. ./Number of Stories .... ~. ...... '/ ....... . 10. Date of Purchase ...... : '. ....... Name of Former Owner ............................. ~ Zone or use district in which premises are situated ..... ~r~lA~..~'c~ .................................... 12. Does proposed construction ,viplate ~iny zoning law, ordinance or regulation: . ,h/l~ ............ . ................ 13. !¥ill lot be regraded ...... ~t~.~.. '. .... ,tv ........... Will excess fill be removed from premises: Yes 14. marne of Owner of premises {--:.OVO~....//./~.~..~.c¢..~./Addr6ss ................... Phone No ........ ' ..... Name of Architect ........................... Address .... Phone No . ..... ~. ' ;.'.,;,'t'.. ........ . · ~.,,~-,~-rt.-.,~vt~,~,.w.o~.-A-r~.rnone lxlo. /'. .... ~f..-., ..... 15. ~s cn~s property w~tnxn ~uu reef of a txdal wetland? ~Yes ...... {-~ No...~~. .... · If yes, Southold Town Trustees Permit may be required. ... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, arid. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ! SI kTEOF NE~"Y~RK~>x-.- /J/ S S cc t .5 '. " ' . .... L[~ ~ .......... ~. ~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signi~contract) tbove named. (C t ............. ' ...... - on ractor, agent, corporate officer, etc.) .................. >f said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work hnd to m~e and file this tpplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the york will be perfomed in the manner set forth in the application filed therewith. ;worn to before me t~is . ~ r~ ~ ' ., .......... ..... .... ~Ota~ Publ~ .... County ~1) 765-1802 ~)'3~.ny. us BUILDING DEPARTMENT TOWN OF SOUTHOLD A~PLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: _icense No.: ~ddress: Phone No.: JOBSITE INF~ORMATION: (*Indicates required information) Pete T~Map Dist~t: 1000 Se~iOn: Block: Lot: *BRIEF.,~scR'klI~TION OF WORK (Pier,se. Print Clearly) (P!e~e Cimle NI Th~ ~y) ~s ~b ~dy for in~pe~n: *~-~u need a Temp Ce~te: Temp In~aflon (If new.d] QNO. Rough In Final Additienal Information: PAYMENT DUE WITH APPLI ~ / ,'i~ D~Pr. 82=Request for Inspection Form /,~ n ~ - ~'~--/,,~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ' OWNER STREET ~ '~',,~ VILLAGE DIST. SUB. LOT FORMER OWNER N.~,1~,~,,/ ~/' E /~2 .~/. ACR., r~ ~ ~,~ ~L~ S ,. ~ W ,. ~pE OF BUILDING . .. RES. ~/6 S~S. VL ~ FARM CO~. CB. MICS. Mkt. Value ~N~ ~M~. ~OT~L DATE RE~RKS · ' t- -' . ......... I AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE FARM Acre Value Per Value '. Acr~ ' ' Tillable FRONTAGE ON WATER W~land FRONTAGE ON ROAD - M~adowlan~ DEPTH ~ ~ - Hous~ Plot ' , - ~- BULKH~D .... [l ~ ~ ., Total ,/, ,.' ' ~' ~ ..... ' '- ' TRIM M. Bldg. Exte~ion Extension Extension Foundation Porch Basement Porch Ext. WalKs Breezeway Fire Place Garage Patio Total Type Roof Recreation Room Dormer Bath Floors Interior Finish Heat 8,/ Rooms 1st Floor Rooms 2nd Floor Driveway LR. DR. BR. FIN. B Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 28, 1996 Ms. Linda MaJewski 827 N. Bayview Road Southold, NY 11971 Re: Building Permit #21013-Z Premises: 275 Goose Creek Lane Ext. Suff. Co. Tax Map #1000-78-8-13 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, $OUTHOLD TOWN BUILDING DEPT. Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 0959 Fax (631 ~ 765-9502 Telephone {631 ) 765-18{)2 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 22nd, 2007 Linda Maj ewski 827 N.Bayview Road Southold, N.Y. 11971 RE: Goose Creek Ln. (addition) SCTM# 78 8 13 Dear Mrs. Majewski, Please be advised that your Building Permit #21013 issued October 9th, 1992 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $50.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall. 53095 Main Road P.O~ Box 1179 Southold. New York 119714)959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 16th, 2007 Linda Maj ewski 827 N. Bayview Road Southold, N.Y. 11971 RE: 275 Goose Creek La. (Portico addition) SCTM # 78 8 13 Dear Ms. Majewski, Please be advised that your Building Permit # 31056 issued April 15th, 2005 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD ,Tune 19th, 2008 2nd No'rt~.CE Linda 5aeli 827 North Bayview Road 5outhold, N.Y. 11971 RE: ;>75 ~oose Creek La. (Portico Addition) 5CTM # 78.-8-13 Dear Ms. Saeli, Please be advised that your Building Permit # 31056 issued April 15th, 2005 has expired. According to the Code of the Town of $outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00; at that time we can schedule an inspection by one of our Building Znspector's. Ef you have any questions, please call us at 631-76§-1802. Respectfully, 50UTHOLD TOWN BUZLD]~NG DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ New York 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD October 14th, 2008 Linda 5aeli 827 North Bayview Road 5outhold, N.Y. 11971 RE: 275 Goose Creek La. (Po~ico Addition) SCTM # 78. -8-13 Dear Ms. 5aeli, Please be advised that your Building Permit # 31056 issued April 15th, 2005 has expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit please submit a fee of $150.00; at that time we con schedule an inspection by one of our Building Inspector's. If you have any questions please call us at 631-765-1802 Respectfully, 5outhold Town Building Dept. LEGAL DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ New York I 1971-0959 Telephone (631) 765 1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD Februory 18th, 2010 Linde 5aeli 8;>7 North Bayview Road 5outhold, N.Y. 11971 Re: 275 Goose Creek La. / Violation $CTM# 1000-78.-8-13 To Whom This May Concern: Your BUILDING PERMIT # 31056 for construction of a PORTZCO ADDITION has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by $outhold Town code. Pursuant to 144-15A, of the $outhold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt of this letter to submit a check ma~e out to the Town of Southold in the amount of $150.00: to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Damon Rail" , Zoning Inspector Southold Building Department COUNTY OF SUFFOLK ss 827 North Bayview Road ) Defendant(s) "~/ TOWN OF SOUTHOLD ) Southold, NY 11971 The undersigned Town Employee of the Town of Southold, being duly sworn, says that On and before November 9, 2010 at 827 North Bayview Road, Southold, Town of Southold, County of Suffolk, State of New York, the defendant Linda Saeli wrongfully, intentionally, knowingly, recklessly, with criminal negligence, committed the offense of violating Southoid Town Code Section 144~15. § 144-15. Certiflcateofoccupancyrequired; application. A. No building hereaRer erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector. To wit; the defendant is living in a single family dwelling without a valid certificate of occupancy for additions and alterations to a single family dwelling, constructed under building permit #21013Z and #31056Z. This complaint is based on personal observation and records and files of the building department. SWORN TO BEFORE ME THIS / (-~'~ DAY OF Signature of Official Administering Oath Notary Public Title Town of Southold ,20 ! rv . (X)NNIE D. BUNCH No. 01BU~O~O TOWN OF SOUTHOLD . . APPEARANCE TICKET- Southold, New York, 11971 Issued to: Ci~ or Town YOU ARE HEREBY directed to appear at the Justice commission of the offense of: contrary to the provisions of Sec on Court, Town of Southotd (Town Hall) 53095 Main Road (State Route 25), Southold, New York 11971. On the ~t~~L~ day of._~'J~Z'~20 /0 o'clock in the /~- M. at / in connection with your alleged of the code of the Town of Southold Nam~-~~Issued an~'subs~ribed bY: / IF YOU FAIL TO APPEAR ON THE DATE AND TIME INDICATED, A CR NAL SUMMONS OR WARRANT FOR YOUR ARREST MAY BE ISSUED. TOWN OF S6UTHOLD Southold, New York, 11971 Issued to: Last Name Fire{ Name M.I. Number a~d ~lme! C~ or Town Slae ~ YOU ARE HEREBY directed to appear at the Justice Court, Town of Southold (Town Hall) 53095 Main Road (State Rou~ 25), Southold, New York 11971. Onthe ~ dayof~Oco~O( 20 ~L) at ~ o'clock in ~e ~' --M. in connection with your alleged IF YOU gAlL TO APP~A~ ON TH~ DAT~ AND TIME ~A~ANT FO~ YOU~ A~ST MAY BE ISSUED. APPEARANCE TICKET- 1 ~1.1 commission of the offense of: contrary to the provisions of Secaon tqN-- A of the code of the Town of Southold Dated: dt~,J. 7 t ,0010 Issued an~ 's-u;scribed b~-~ INDICATED, A CRIMI SUMMONS OR "'" Z Zo I hflAP OF PF2OPEf~T"¢ SUf~VE'¢ ED FOD.. i [ L FR~ONT ELEVATION R~GH ELEVATION APPROV. ED AS NOTED DATE=#. 765-1802 8AM TO 4F'M FOR THE FOLLOWING INSPECTIONS' 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4, FINAL- CON~Tql)PTION MUST BE COMPLETE :ON CO ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF --'/'1 !//I SOU,~'.OLD TOWI4 PLANNING BO~D ~ SOUTHOLD TOWN TRUSTEES ~ N,Y,S. DEC ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE, CODES OF NEW YORK STATE, OCCUPANCY OR v,.,~ ~5 UNLAWFUL WITHOUT CERTIFICATB OFOCCUPANCY ~LO0~ ~O~E ~ - COMPL'f WITH CHAPTER"46" FLOOD DAMAGE pREVENTION soUTHOLO ToWN .cODE, UNDERWRITERS CERTIFICATE, REQUIRED CERTIFICATION OF NAILING & CONNECTIONS RE_~!q!~ED, ,, .... - ,~ Ar , ~ ' ; ~- ,, ......... ~ . , , . -,,,~, ~r ~ FOUNDATION PLAN FLOOR PLAN WIND LOAD PATH CONNECTION AND CONSTRUCT[ON DETAIL DRAWINGS RAFTER-TO-LEDGER CONNECTION HANDRAIL CONNECTION RIDGE TO RAFTER CONNECTION RAFTER TO PLATE/STUD CONNECTION RAFTER TO PLATE/STUD CONNECTION HEADER TO POST/STUD CONNECTION POST-TO-DECK CONNECTION / POST-TO-GIRDEF~HEADER CONNECTION SPL CED JO STS OVER HEADER GIRDER ' ...... CEILING JOISTTO SLDG CONNECTION FLUSH JOISTS WITH HEADER/GIRDER DECK/PORCH LEDGER CONNECTION SPLICED JOISTS OVER HEADER/GIRDER E)ISTUF~E~EE) / POOF~ I tlY 4 6" J AYER OF CRLtSHEB STONE OR CONC, PIER FOOTING POST-TO-GIRDER/HEADER CONNECTION HEADER/GIRDER-TO-POST CONNECTION DECK POST FTC CONNECTION CLIMATIC & GEOGRAPHIC DESIGN CRITERIA DECK AND COVERED PORCH NOTES: NAILING SCHEDULE ROOF SHEATHING: ROOF FRAMING: WALL FRAMING: DECK FRAMING: I-- ,9° ~ z F~ ii -q OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PLUMBING AIL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING If (X)pplt' tubing II uled fo~ water distributing I~ltem; piping Ihall b~ of Iypel K or L only. APPRO~/ED AS NOTED NOTIFY ~U~N~G OEPAR~ a] FOLLOWING INSPECTIONS 2 ROUGH ~ FRAMING & PLUMBING 3 tNSU~TION 4. FINAL - CONSTRU~ION MUST 8E ~MPL~ ~R C.O. PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN'WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. UNDERWRITERS CERTIfiCATE REQUIRED 7*0400 ~ Main Road .F =1 d~ ,'0