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HomeMy WebLinkAbout38222-Z yp~, f Town of Southold Annex 8/13/2013 P.O. Box 1179 54375 Main Road ~ } Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36440 Date: 8/13/2013 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 7285 Great Peconic Bay Blvd, Laurel, SCTM 473889 SecBlock/Lot: 126.-10-1.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 7/26/2013 pursuant to which Building Permit No. 38222 dated 7/30/2013 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: "AS BUILT" REAR DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kraebel, Carol (OWNER) - ofthe aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ignature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 'a 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 38222 Date: 7130/2013 Permission is hereby granted to: Kraebel, Carol 7285 Great Peconic Bay Blvd Laurel, NY 11948 To: construct a deck "As Built" to an existing single family dwelling as applied for At premises located at: 7285 Great Peconic Bay Blvd, Laurel SCTM # 473889 SeclBlocklLot # 126: 10-1.5 Pursuant to application dated 7/26/2013 and approved by the Building Inspector. To expire on 1/29/2015. Fees: AS BUILT -SINGLE FAMILY ADDITION/ALTERATION $783.20 CO -ADDITION TO DWELLING $50.00 Total: $833.20 Building Inspector M~ ~iY,i Zt ° ~~,yQ C,o\ 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 unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of'eleetrical 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. 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. 8. 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 property completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state [he reasons therefor in writing to the applicant. C. Fees I . Certificate of Occupancy -New dwelling $50.00, Additions [o 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 ofOccupancy - $50.00 5. Temporary Certificate ofOccupancy -Residential $ 15.00, Commercial $15.00 Date. ' /a~.2~/,) ~ New Construction pp OtQd or Pre-existi~(ng Buildinng p ? (check'o/ne) Location of Property: 7~ Ad r ee 0 /l ; e SJ(~ tl CJl V Gr ~QGt,t'C~ ~ c/ 1 ~ ~ y House No. n M Meet Hamlet Owner or Owners of Property: I ~f'd ~ r r / ~ rQL' ~ e Suffolk County Tax Map No 1000, Section _ ~02 ~ Block _ Lot _ Subdivision pp Filed Map. Lot: Permit No. 3U Date of Permit. 7'30-/ 3 Applicant. Health Dept. Approval: Underwriters Approval: Planning Board'?,pproval: Request for: Temporary ~Cer~tificate Final Certificate: ~ .(check one) Fee Submitted: $ ~ . ~/yy i ~ ~ e ~~r . Applicant Sign u P'~LD ~ D COMN~NTS ' Uv b FOUNDA~IOPt (IST) a ' ~ . ~ FOUNDATION (~iD) ~ ~ ~ ' x ~ e e~ . ROUGH FRgNIINC~ & PLUMBING' s ~N~y W .U IIdSU7.ATION PERN. Y. STATE ENERGY COpE a FIlVAL ADDITIONAL COMMENTS ~F / - Fi dal In g 1 CPc jJt7 0 r~ rn z TO~V?N OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST Bi?ILDrNG 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 Survey SoutholdTown.NorthFork.net PERMIT NO. 2A'~„2~. Check Septic Form N.Y.S.D.E.C. r Trustees I~ ~ ~ C.O. Application l Flood Permit Examined / I ~ , 20~ D ~ru~ Single & Sepazate ~~~CC"` ~ 2 ~ Lv~+ Storm-Water Assessment Form C tact: I~ Approved ,20~ BIDG DEPT. Mail to: IIA,fCt'1 L,'Int2-~D TOWN OF SOUiHOLD nn / ,1y Disapproved a/c d45 Sl1~er Cyr I~LQ (.t1.~LhDG1(p l~(J r Phone: X031"707'[{.359 ~1~,7 Expiration, 20 (J ~/~d// Building Inspector APPLICATION FOR BUILDING PERMIT Date 7 ~ , 20 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. 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 frotn 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. ~ ~ , Signature of applicant o n e, f corpo//ration) ~N i ~~l r Co ~ C i7 0~ (Mailing address of applicant) u~ lc Q3S State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumb r or builder '~XeCit,~or L Name of owner of premises ~ YD J m , K r (i e /je' (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. 1. Location of 1~ don whic propos d wo k will be done: 1d,Ps rClt Dll1G ~ ~ ~l~~ ti a arcl K( ~l II Q4 House Number ST 7 Hamlet County Tax Map No. 1000 Section ~o~ r!i, D 0 Block />7~ d 0 Lot 6 d 1. o n S Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises ar+rl ~n*Anded use and occupancy of proposed construction: a. Existing use and occupancy t `1 ~%sn it'~ce b. Intended use and occupancy S' J ~~'~L`'~" 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work}~}~ ~-ec,k.- (Description) 4. Estimated Cost Fee ~ ~ (To be paid on filing this application) 5. If dwelling, number of dwelling units Nut~rtb~rf' 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 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase is 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 NO ~ - / 13. Will lot be re-graded? YES_ NO~WiII excess fill be removed from premises? YES_ NO y ~ d e~ ~sid G 3/- 7v y,~~9 14. Names of Owner of premises Q? 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 Y RK) S: COUNTY O I/,Q~- ~ 7i1 ~ being duly sworn, deposes and says that (s)he is the applicant (N~dividual signing contract) a/b~ov~e/n~am~ed, (S)He is the w'~ (Contractor, Agent, Corporate Officer, e[c.) 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 jp pefore me this of Cp day of 20 ITOTH ~No. 1 96 t~t~ Notary Public omm ssron xplres 1uty 2~8, ZO i Signatur f Ap cant SCOTT A. RUSSELL ~~4~~c,~F~Otf~Q~~` JAMES A. RICHTER, R.A. SUPERVISOR ~ MICHAEL M. COLLINS, P.E. z„ TOWN FL41,L - 53095 MAIN ROAD ~ ,y nom, - TOWN OF SOUTHOLq NEW YORK 11971 Tel (631)-765 1560 ~,,pp ~ ~+~C' Fax. (631)-765 9015 '~lli ll l~ S.Ot IIA~.~!_t)llA «)i ll{~71D~ilj "7~ ~ ~1l"+, (t1C it l}R„2!14~~f)(`„il,Ql ~A}'(.g OFFICE OF THE ENGINEER TOWN OF SOUTHOLD STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET (To be completed by the applicant) TO: Engineering Department pLEASEATTACH: FROM: Building Department ? A copy of the completed Application for Building Permit DATE: ? A complete set of Building Plans APPLICANT: /f/1 1 IZi 0 ? A completed Chapter 236 Stormwater PERMIT Review Checklist BRIEF PROJECT DESCRIPTION: ~ J ~ ~ ~ f ~PI,L ***.~C"?R ~1~ttVtil" ~ t3~P~?FtT14lE't'~T ~N~;~~~ i. !tie Bat: Date: ,Appr©vad . ddl~~l€I}tl+~tta~ott R~egt;riead: ? 7/22/2013 °~k~ Chapter 236 For Department UseOnty: 3.C.T.M. Property Atldr~s: ~ Stormwater Review Checklist o~° 5.~no~ &o~ REQUIRED PLAN INFORMATION AND IMPLEMENTATION DETAILS: 1 I I I Plan Sheet (Does the SWPPP Adequately Provide for and/or Indicate the Following:) 1 YES I NO 1 N.A. I Explanation for NO or NA. Location (pg. 1. Drainage Calculations&Stormwater BMPs Desi ned to containaTwo Inch Rainfall On-Site. ~ I 1 L_____________________ _2.- Construction Phasing Plan Indicetrng Sequence of Proposed ConsWCtion Activities._ 1 j~ 1 QI 1 --i I I F------------------------------------ _3. General LocationMap_------ Im1~101 r----------------- - 4. Draianye Sde Plan Drawn to Scale at Sixty j60) Teel to the Inch or larger indicating the Following: _ 1 OI 101 ~ 1 1 r------------------------------------ a. _Location and Descnptron of Properly Boundaries___________________________J DI DI~L____________________________________ _ b Site Acreage~____ 10101 1 _____________________________________________a I I 4-___________________________________ _ c. All Existing, Natural and/or Man Made Features on and within50'oftheProQertyBoundary;__1Di~i~r_________________ d__Test Hole Data Indicating Soil Characteristics 8 Depth to Seasonal High Water Table_ 10101 m1 e. Contours Indicating Properly Elevations (Min. 2'); ----i 1 1 r------------------------------------ iDi~i~i f. Spot Grade 8 Finish Floor Elevations for Existing and Proposed Structures; 0 ~ ------------------------'--------------J I I L---------------------------------- g. Location o~ Wooded Areas 8 Isolated Trees with a Minimum Dimension of 18" Diameter; 1 0101 1 I I F----------------------------------- 5. Background Information about the Scope of the Project, Location 8 Description of the Site, i Di 0 i m ~ Proposed Changes to the Site and All Existing Development on the site Including_the Following_ 1 I 1 1 - All_Improygmgnt@InSlp5110979Ia19~D91LafICRlSISdrD3ryg~~~j~Q~~~_________~~i Di t,_ _ b. All Excavation, Filling, Stripping 8 Grading Proposed and Identfied as to depth, Volume 1 ~i ~ i Q _8_Nature of Materials lnvolyed~_____ 1 i 1 1 1 1 1 r--------------------------------- c_ All_Areas Requiring Clearing and/or GruUbing~________ 1 ~i 01 1 i 1 r------------------------------------ d. PJI Areas Where Topsoil is to be Removed ,Stockpiled and where Topsoil will ultimately i Di ~ i 1 + 1 ------be elaced_-- 1 1 - e. All Tem ore 8 Permanent Ve elation to be Placed on Site; 1 1 1 1 ------'--_p - ~----------'~--------------------------------------~OIOI _ f._ All Tem ora 8 Permanent Stormwater Runoff BMP Control Measures Pro ed; 1 -----P--7---------------------------------------~---------7~i~i~r---------------------------------- g The Anticipated Pattern of Surface Drainage During Periods of Peak Runoff; 1 ~1 ~I m 1 ----------------------------------i 1 1 r h_ The Location of all Roads, Driveways, Sidewalks, Patios, Structures, Utilities 8 Other ~ I I ~ Improvements, Including Temporary Access & Construction Staging Areas 1 1 1 1 I. TFe Existing Final~ontours ana or$pofETevations of tFe site. i ~i Di i------------------------------------ --------------------------------------------------------------1 1 1 r--- 6. A Schedule of the Sequence for the Installation of All Planned Soil Erosion, Sedimentation i ~ i ~ 8 Stormwater Runoff Control Measures. 1 1 7. Description of Pollution Prevention Measures that will be lmp_lemented_ ___~Di0~1!JL________________________________ 8. A Description of the Minimum Erosion & Sediment ConVOI Practices to be Installed and/or 1 1 1 1 ___Implemented for Each Construction Activity that will result in Soil Disturbance. i 0 i ~ i 1 Ali ~y-~ _g._Description of ConstructionBWastematerialsE>~tedtobeStoredOnSite. _______10101L1Ji i 1 1 r------------------------------------ 10. Temporary 8 Permanent Soil Stabilization Plan that meets the Current Version of the 1 1 I I New York State Stormwater Design Manual Technical Standard_ I 101 1 ------------------A I I 4--------- 11. General Site Plan and Construction Drawings for the Project 1 1~1 1 t 1 1 r----------------------------------- 12. Dimensions, Material Specificafions 8 Installation Details for AI Erosion & Sediment Control Practices. 1 ~ 101 1 -----------------------i 1 1 r------------------- 13. Tem ora Practices that will be Converted to Permanent control Measures. ________~01 DI ------p--ry 1 I I I 14. Implementation Schedule for Staging Temeorary Erosion Control Practice or BMP._________a ~i 01 15. Maintenance Schedule to Ensure Continuous 8 Effective Operation of Erosion & 01 D I ~1 Sediment Control Practices. -------------------------------------------7 i 1 r-- 16. Names of Potential Surface Waters of the State of New York and/or MS4 that may be 1 1 1 1 Impacted by Development. I D I D i ~ 1 -----,---------------------------------------------------------i i i i - - 17. Delineation of Stormwater Control Plan Implementation Responsibilfiiesfcr Each part of the Project Constmclion SRe. i ~i,~/.~i ~ ____________________________________________i I1! 11 h______________ 18. All other Existing Data that Describes Stormwater Runoff and/or Natural Drainage Swales. 101 I Q 1 - Stormwater Review Checklist 07-13 Certificate# 71380 Surrogate's Court of the State of New York Suffolk County File#: 2013-1427 Certificate of Appointment of Executor IT IS HEREBY CERTIFIED that Letters fof_th~`~st tefof t cadent named below have been granted by this Court, and such Letters are unreucie~r~vva ~ir?~ull ff~e as of this date. ~ Name of Decedent: CarolKragl7~l - u Date of Death: January 2013 `F~, ~ ~ Domicile: Countrj of Sy of ~ Fiduciary Appointed: 'Kann Dmizi - _ ~ i ~ Letters Issued: LETTERS T, A Y °y`~~ - ~ v x h?~~ Letters Issued On: ' Ma~23, 201 - t" 4 Limitations: NONE ~ ~ - _ THESE LETTERS, gran~~d p G~ t to .urt, aut a an~~~ empower the above-named fiduciary or'i'di$ to p'rfor~ -g ~ ~e e ~ admfinistration and disposition $~s Q~~ of the estate/trust of the De~ede accordairce i~th~ 8ebree and the#hws of New York State, subject to the limitations and restrictions,wi, 'r~ set forth above. t , ~`r p #3 tit ~ and such Letters are unrevoked and in full forc'~-asaa~tlais-Fiat€."~~ . Dated: May 23, 2013 IN TESTIMONY WHEREOF, the seal of the Suffolk Riverhead, New York County Surrogate's Court has been affixed. WITNESS, Honorable John M Czygier Jr, Judge of the Suffolk County Surrogate's Court. /~/~G~~~ Michael Cipollino, Chief Clerk Suffolk County Surrogate's Court This Certificate is Not Valid Without the Raised Seal of the Suffolk County Surrogate's Court BRAY AVENUE _ ~ y ti I Subdivision - Secl. One of Prgperty o/ George , i Mop Na B6/ now or former/y Pe7er L Rooche - p ~ ti Lof 97 \ ~ ~ OZ 5 /9.56 eYJ~•E. 520.00 AO E. T ~ 399.42 - n 2538 Gl6111 UNlt FGAIUe / t 0 2 ' K us •T 4 ~ Z ~ ~ 'e..t~~ ~s a ! o TEar roLE o.o' N O • st T / y / -A D. aRO NN A ~ STN{ - ap Oq _ N l ~ ~ ~ ~ AA ~ ~ . ~ .11. _ ~ ? Y.. ~ / T tD - / 1~ T•'~ reo = 6/4 B5 s. f. r / s `4~~ ~ 1 ~ n Y 0 - 1 ~ 1 ~ U 1. l'j % ~ 1(/ (y~~'~~((`'.~ ~1 N l _d~ r~d 9 1 Y. 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NOTRESPON~ u_.- _ oFESSIONP~' G~ e l e- l,~t. ~ ~ 1 ~JSX.'~ C ~nv~ r t;'_ I Flo o~ ; ' y x 9 =~~cct 4 ~ ~i DESIGN OR CONSTRUCTION ea^"~ ht ~J 4 s ~~C1~w i-r _ - ~~2 (T~c~ LV'v^A'~e a ~ I2~ (a CaNCfer- FC,! wir w~l' ' ~ ti ~J . ,r 3 ~o ~I~,t, ~,kc~" _ J-.~- `1 5 13 ScaiC Iw~` -oil ~ ~ ur~_aG~~~_. -r r ~ Y - ' , ~Fi~ ir:~4,,,; CER"~' `"'1TI0~ OF ~ ~ _ NAILiNu ~ ~•"Nf~;~ ;TIONS ,.JLC3 RE~:..• ;~~u.