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HomeMy WebLinkAbout38081-Z Fps' Town of Southold Annex 8/5/2013 ~ r P.O. Box 1179 ~ 54375 Main Road 'i3 ~ Southold, New York 11971 `'a CERTIFICATE OF OCCUPANCY No: 36430 Date: 8/5/2013 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 2395 Bay Ave, East Marion, SCTM 473889 Sec/BIocWLot: 31.-18-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/29/2013 pursuant to which Building Permit No. 38081 dated 6/7/2013 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: entry reconstruction as applied for. The certificate is issued to Liegey, John &Liegey, Elizabeth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED d Auth ' ed gnat re TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE 'a~~' SOUTHOLD, NY p,~ ~ is i -x:,;~nni~~ 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 38081 Date: 6/7/2013 Permission is hereby granted to: Liegey, John 8~ Liegey, Elizabeth 110 Bayview Ave Port Washington, NY 11050 To: Entry reconstruction as applied for. At premises located at: 2395 Bay Ave, East Marion SCTM # 473889 SeclBlock/Lot # 31.-18-1 Pursuant to application dated 5/29/2013_ and approved by the Building Inspector. To expire on 12/7/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 uilding I sp , Form No. G TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled 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 I% lead. 5. Commercial building, 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings 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 Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 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 -Residential $15.00. Conunercial $ 15.00 Date. s 3 New Construction: Old or Pre-existing Building: (check one) v ~ Location of Property: R.~J ~c9R_~~l.~ ~ lU,., r~}ni ~ ~ 1~1C'J House o. Street Hamlet Owner or Owners of Property: ~~~~aA Suffolk County Tax Map No 10 ~ ,Section Block Lot p Subdivision Filed Map. Lot: Permit No. 'fi`b ~l Date of PermiL~ Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request tor: Temporary Certificate Final Certificate: check one) Fce Submitted: ~ A lica t Signahu • M FIELD • N REPORT DATE COMMENTS ro . oQ FOUNDATION (1ST) a a y FOUNDATION (2ND) ~ ` C ROUGH FzzAMnvG & PLUMBING m C n . U '1 INSULATION PER N. Y. ~ "j STATE ENERGY CODE O FINAL ADDTTIONAL COMMENTS O ~7 M _ J ~ ~ °x d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 QQ-- (y ~ Survey SoutholdTown.NorthFork.net PERMIT NO. (~Q O I Check Septic Fo m N.Y.S. D. E. C.O. Application _ Flood Permit _ Examined, 20~ Single & Separate Storm-Water Assessment Form -/TUlrl. ~U~/ Contact: Approved, 20~ ~ ~ r~~ I Mail to: Disapproved a/c ~ ~ 1 Phone: ~ Expiration , 20 D ~ ~ ~ ~ IS ~ s c or v APPLICATION FOR BUILDING PERMIT ~(29~ Date~~ , 20~ atoc. oFet. INSTRUCTIONS ZowN of souiNO~o is 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. The work covered by [his 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. .1(Si ure o //~~name, if a corpo~ratio,,n/)) N~ (~ailingaddressofapplicant) ~~SO State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~F~ ~ ~~,Qc~eU s on the tax ro or I est deed) If applicant is a corporation, signature of duly authorized officer r (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I . Location of land o"n which proposed work will be do ~s -~6 J 1~ 46;--q''~~ I~ - / ~~r9r1 ~ ~ ~ p House Number Str et -rT amlet County Tax Map No. 1000 Section ~ ~ Block `Q Lot d - --r 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 `e~,~.l, le~~ b. Intended use and occupancy _ D~o~.~ F~,]~~~;M ~ ~~a d 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ) S~ p Descript one' ) 4. Estimated Cost Fee (To be paid on Filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. IF business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories j 1,~ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear DeptH""' p ~ 1~ Height Number of Stories 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 Address Phone No. Name of Architect Address Phone No Name of Contractor 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. 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 OF ) being duly sworn, deposes and says That (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Public, State of New York (S)He is the Notary~_81BU6 p60 (Contractor, Agent, Corporate Officer, etc.) pual'rfied in Suffolk Coun l~ Commission Expires Apr~'~ 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 statement 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 q ~iefore me this -1~'~~ of 20 ~ ~ NotaryNotary publi~ / i r pp icant G _ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~y _ ~ y OWNER STREET 1,' Jc VILLAGE DIST. SUB. LOT ti John ~l~z~tbe~(- ~ 1 ~r~e-mot ~ ORM R r P.f v~ N E ACR. j J~O~ t? n I"lGt YGP ~ ct` !Nf /jLC.^,2'I~z'. ~','-'1~`' r~~~'~e?.~-Gt? I 1 l?• cif L. {demo/ S W TYPE OFBUILDING~ RES. SEAS. , ~C,a VL. FA COMM. ~B. MISC. Mkt. Value - iv9 LAND IMP. TOTAL DATE REMARKS ~ ~ 3 ~ .5 .fv 6 0 3 ,s' D D D r7 ~ Z~ 3 i 1 „ten s 44 QD 7a0 6 ~ s ; T 6 v v G o- ~ d ~ as ~ ~o ' ~ ~ - ~3Prr o +o eX'~s~ ~e~~ 'Tuao s~rovagP you Tod ~ 3n:~ , ~ 30 83- j - er f!J l? r' N c GE Q~ PAIL UI DI G DI I _L _ hnr ~ KrU~p~ ~ /~fS~~d ~ n ~ NEW ~oo~E+/ ORMA ~ E OV S~~/~'a'11 02.4( /CC'l.~,i,c, ~L'~era~'~nn~,~uJ~„~nuls 1 FARM Acr Value Per olue ~ e ~ D f -Lll~t I ~ a 'e ~ ~ ~5 c~a Tills i a ~ 2tnmo 3emo u 3 Tillable 2 ~~pd 3mob 3 ~ 20~ ~z~ ~Z®11 ii$ ' •'ra ®a~ Tillable 3 ~ 2~~ 7? (p3t, r~ Io~Q3 f~~a~cee9 Woodland _ Ip2.24 3 Swampland FRONTAGE ON WATER .3 ~ C~ C G ~9~ ~ / Brushland FRONTAGE ON ROAD ~ 0 - AS 3 b l~ A ~ 6~ • r5 :S House Plot DEPTH o. BULKHEAD Total 6 DOCK r COLOR I f,lghn.DYb X TRIM / 31: 18-1 3/13~ - - - -r- M Bld ` F ~ Z ys/ ~ - _ F ndation 'a - J Bath rOd _ ~.C,~LjL Dinette Ex ~ ion ~S ~ .Z 0 O Basement /y`d Floors ~ K, Ex ension gag Z Ext. Walls 4,6~'«.•w,~l~ Interior Finish G' LR. Extension Fire Place © Heat DR. r' Q$,Y ~E~ $y,p Type Roof Q~ Rooms lst Floors 4$ ~a~ gR, - ~ , ~ Porch _~~,~Y ~ ~ p Re reation Roo le~a~ Rooms 2nd Floo FIN. B. Porch Dormer ~ ~ Breei wa ~ K v ~~O y Driveway Garoge ~ q3 2 a R°tI° -DeC Pt Icu~ l~ c 3 0 ~2S° Q 5 ~ ~ 6L~ l~ ~ar~ati..o~C ~+~o •5- O. B. ~Oj~i3 C 1"T 4 e~~1~3 Total i~n3 9/ge ; q y-- ~ ~ . / ~ ~ I~t3 COM1~'?L'~ in~iTFi ALL CODES OF NEW Y JRK MATE & TOWN CODES AS REGU~RED AP R VED RCS NOTED s~ ; ~p~ DATE: 6 ~ RP. ~i~.p~~~~ SC~,cES NGT~~ EUIi ~ d R11vitN7 AT _ 7ti5-1802 8 AM ~ Fh.~ FOR THE FOLLOWING !NSFEGTIONS: 1. FOUNDATION - T~`10 REQUIRED FOR POURED CONCRETE _ h 2. ROUGH - FRA ~?rvG 8 PLUMBING 3. INSUL4TION 4. FINAL • CONSTRUCTION MUST ' BE COMPLETE FOR C.O. "r ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR + ~ DESIGN OR CONSTRUCTION ERRORS. I D C i., ~ 3 ~~^w ~4 ~~a A~ K s~ ~~~~r~'~ 1 ~gB~g a ~°N E 38.Sp' s MnK rp~ No "ooo stycE 25 1 ~ ~q~T~< ~ I ~ 3 r ' y v d A o~ auSiS~~Z/l -t m 1 F-~ a ~ ~ ~,vnn~i'vaa,oz x.os ~ ~ ^ ~ j ~ O 's7 7,, /NL ° e. ~GECK ~ V ~ ~ ~'F~$ c1 15.5' D.9 E. E I ~ ~ g s ' a 1. ~ ~ ~ :O ~ ih ~ ~ ~ VHN[ S vfi# n BLDG. N ~ ~ LS`.. Sda35/M !t.8'E rn ~ m AS CpASiAI ~ u ~ (awa) 46i4 319) 43~a1 loo! Zti ~~Y o~N ~O AREA MAP PHO~pONo Tq~A~ 6 83 ~ ~ ~ zo.l~ ~ ~ ± xJ303d1111011Ob SNSa~.~35 '0~ 1tlN05tl35,9X,9" O . Fx "O (a~ua~ 46l4 3;9) ~ ~ ~ ' ice, v / ~ yl6ualloo}8l ~Fs ~ ~%%i.~% ~ , 4 TiN OMds SpyVA9l j Ilene ail as 46!4 yew L l wood B~KNC~ - BUU~HFAD - ~ ,.9•'N - - - - - - 37.61, ~ saitlls H~~a 5 50 ~ ~ = 53" ~ W ~ ; ltlNOStlasA x.oti X SNVId ~AV AV8 56£Z` r -