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38146-Z
Towu of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36452 8/19/2013 Date: 8/19/2013 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 9900 Soundview Ave, Southold, SCTM #: 473889 Sec/Block/Lot: 59.-2-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 6/24/2013 pursuant to which Building Permit No. 38146 dated 7/1/2013 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: accessory two car garage as applied for. The certificate is issued to Barry, John & Barry, Carol (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED --- fl orize Signature `""~ ~ ~ TOWN OF SOUTHOLD ~~ ~ A ~ BUILDING DEPARTMENT ~ ~' ~ ~ TOWN CLERK'S OFFICE ~ ~v 1 , +q6 ,~ 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 #: 38146 Date: 7/1/2013 Permission is hereby granted to Barr~r, John 8~ Barry, Carol PO BOX 965 Southold, NY 11971 To: construct a 24'X 24' accessory two car garage as applied for At premises located at: 9900 Soundview Ave, Southold SCTM # 473889 Sec/Block/Lot # 59.-2-7 Pursuant to application dated .6/24/2013 and approved by the Building Inspector. To expire on 12/31/2014. Fees: ACCESSORY CO -ACCESSORY BUILDING Total: ~~'~~.c Building Inspector $330.40 $50.00 $380.40 C~~- ~ lIl/7~ ~1 Fa nn No.6 TOWN OF SOUTHOLD BUILDING DEPARTMF,NT ~ ~ u ~ ~~ 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. 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: l . 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.OQ, Commercial $15.00 Date. ~ ~ ~ Z ~ ~ 3 New Construction: ~ Old or Pre-existing Building: (check one) Location of Property: ~ ~Q~ SpU qn(~ ~ t'~.J ~~(~ Sov~.•~~ ~~ House No. Street ~ Hamlet Owner or Owners of Property: ~ ~ ~ y iq~t/L~L A~i~'~j --7 Suffolk County Tax Map No 1000, Section ~ 1 Block 2„ Lot Subdivision _ Filed Map. Lot: Permit No. ~ ~ Date of Permit. 7 ! ~ Applicant: ,L~n ~Cw,~ ~1/~^~ Health Dept. Approval: -' Underwriters Approval ^- Planning Board Approval Request for: Temporary Certificate __ Final Certificate: (/ (check one) I~ee Submitted: $ Applicant Signature .~i~~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION ~ ~~ [] [] [] [] [l REMARKS: ~='rC~ FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ]ELECTRICAL (ROUGH) DATE INSPECTOR ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION ELEC AL (FINAL) ~~~~ ~J ~ ~O~~Of SOU)y06 +F ®+~ ~~~~.~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FO DATION 1ST [ ]ROUGH PLEiG. [ ] UNDATION 2ND [ ]INSULATION [ FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) DATE l 3 =~ .oq.~`OF SWTyo6 +~ ®'/~ ~~,~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION [ ]FRAMING 1 STRAPPING FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ] ELEGTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: l ~~ ~' ~~ ~.~ ~ ~~ ~ ` ~ /~ ~ INSPECTOR ~A~s.°r~ >ur~+~'~~rt rsrm~ ~& ROU~~ 7rlg'~'~'~ G+y CODS s~ra.'r~ ~~ ~~ ~, ~~ `_ ~ ,s ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Fvam ined~. 20_~,~ Approved { _, 20 ~3 Disapproved a/c E.vpiration J ~0 -_ __~ r =- - \ J( i ' 111 ~~ I i .I JUN ,,U _,~ 2 4 2013 ,;~ Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Forin N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate SCOrm-Water Assessment Form PERMIT NO. ~'~ o ~ Butlding Inspector Phone: Z !t s cl APPLICATION FOR BUILDING PERMIT I__ ~ __~ Date , 20 rr~: _, ~,ii~~p INSTRUCTIONS ~- a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector w' i 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. c. 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. , 11 _ (Signature of applicant or name, if a corporation) rte' (_ 1 ~ ~ t/~c'. 1 1 . 1- v~ 1C.. N'•`P~ ~~ s-L ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name oC owner of premises ,,~ c~ ~ y~ ~~~~~ /Z v^c-"~ (As on the tax roll or latest deed) If appl~iFjant is a corporation, signature of duly authorized officer I~ ~ ~u~~ i-~ i t- ~ Z (Name and title of corporate f fficer) Builders I,icenseNo. ~ ~j t ~ 3 ~L%~ 1-11. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be House Number Street BUILDING PERMIT APPLICATION CHECKLIST c~~ Hamlet Contact: Mail to: County Tax Map No. 1000 Section ~ ~~ Block Z ~ ' ° ~ T©r~n of 5ota#ho1~3 - Ghap#er 236 - S#oranvstater Management ~ ~ °~`~~,g SWPPP -Storm Water Pollution Prevention Plan Assessment Farm GENERAI. INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: 1Ownor-Agenr-Cbasidhnl-Co br or O[hw tcircb Onel Propn~'~t{,`E~R:_p_IDI teen ApplkaM "' t-r tit 4 :-~L N'~ `l. I t ~; ~ Z a ' Addrete'*`~C s~t,•y~d i', i+~. Sr~~ c f ~ 1 ~ /I Tabphomt:~Cl f^'W~1! ne: Ltl tl~ 1 7 Telephone A. Fax is E-Ma ' 1 Mlo+..~ jleuuo .s ~,1~ i afar.. uQ. ae/T E-Mail: Pmpwly AddreY: , V~t~ } 1 D t ` CC ~c . .N' 1] ~C:r Brief IkxliPaon of ConBINCUOn 1lcRvity, ~PaT~ SR°elnral BbSPa, $Ofl S.C. .M. /: t000 °C ' 1 $ey~tioa BMPs, RojeGSmpe and/or Sequaa'e of Cooatrw:N°n.AsUVity IPmrae OEQamY Pe nn Needn) DbbM ~ ~ _ p / ) ~ b $w P ~~~ l 5 ~~CL mnnbtion d PP : Nvnaot Cenbx~br andla Codael Pereonau aibb for bep CiNYL1L (~.. GN lam - [~c `.~a+•~' J li! ; ~ ` ~~ T'~L"~ y y '4- ~ PJ Addtaee:: _ _ _ _ _ _ __ _ ___ _ 1 _____1__ !Ja ~ ' ,> S ^ TebPham ik Fu Y: .._________ _ ___.._______ _ _ _ ___ ~SCtCflsf L~ ~\~ CYc- E-Meet _ _.._._____..___...__ .._ _____ ___ _ ______ ____ _______ __ _ w kame d Pemans Responalhle tar Installanan & Malnhrunce of Eroalon Contrd Pxdu: ~ ------ ~~----- --- ~-L ------------- aaasese: Telapteorw C. - Fat it E-Melt ---- 7dal Area dAn ~ l~l'(~ l.Al Trial Area of land Ckain9 ( ~/^ J W _______._________________________________. _...__ Pwiecl Parwly: anNOr Ground Diswrbance: w ________________._____._______.._______________ (5 F.lMnl IS G.1 Amu) Pmlect DaraHon: 11 ~ (Anedpatedl ~} ~ C+c ~ 5 . SLrt End Date: oale~ ___ __. ._.._____ ._ _._.-___.__.____-___ trJOna^,JCJm&•ILpI WIII this Project Dlsturbe flue (Sl or More Acres at O Any One~Tima Daring the Proposed Developmerd7 Yas No ____________.________________________________ IfYEe: Plsaaa Answer tlee FOllowb,gl a. Does the Applicant have a Ouallfietl Inspector On ~] _.___.__.___.____.._.._._______.,_____.._______________ Slaft To ConduG the Required Inspecions 7 Yes No b. Does the SWPPP Indipte Haw Frequently see Site ~ 0 t'sl the NAMES m desarytion of all PoMntially Impacted Walerbodies andlor Wetlands: Inspections will Occur antl for What Period of Time 7 Yes No c. Does the SWPPP Adequatery Idenfdy Ali Temporary ~ ~ _ _ _ _ _____ _ ___ ______.__ .._ . ..... _._. _..___.....___ antl/or Permanent SOH Stebalkapon Measures? Yes No __ _ _ _ _. _ _ d. Dceslha SWPPP Adequateb ldenaYya Complete. Q Q Y N ____._____._ __..._..____..______________.___.:_: _______ es Project Phasing Plan ? O e. Dces the SWPPP Indicate Adtlitionai Site Specific ~ [_] Stews of enpa<led WaUMway: (eg. TMDI, ]03(a) Cbted, lmpaired_) PraGlces that Will De Utlllzed to Plolecl Water quality 7 Yes No f. Has the Applieant SDDm{pad a COmpleied DEC NotlLe Of tnteM and SWPPP Acceptance Fonn for Review Type of bpec[ d Walerbody. (eg Lake, Creek 9aY Ppad, SamM, Freshwater wewad...) by the Town of Solsatdd 7 Yes No STA"1"N: OF NF.W YORK, /~' ~ ~p 1 a7 5 !~ SS Y OF ~ ` ~ ! C U N T .--...... - .: . . .. . - O, • ' e ~ ~L """- ' ~ ~ ~' ~. Z ... being duly swum, depcises and says that he/she is die applicant for Peralit, That I, ._.. . - (Name d iodieldubl e~rdnq DaapraeY) L `\YA/•~" __ t _ Andthazhe./sheisthe (Owntt,QnbaUO,Ag°N. Cerywa030Mw,etc) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have the said work and to make and file thu application; that all statmtents cotkained in this application are true to the best of s kn dge and belief; and that the work will be performed in the manner set firth in the applilatiori Filed herewith. Sworn [o before a this; /q --..__..._~.~~._._.----~ayaf s --- ._.......___ ~~3 ~~~ / Notary Fub,ic:._l./...RJ_~ ~'.P_.~.... ~:C~.'.._.---. ..............".. ..................... ..........................._... IS;arrolwe q SWPPP Assessment FORM~~~g 6. t3UNCN Notay Pubfi0. State aj F':r---err York Ous9ified in S+;Rrlk C:c:lns{ ~ !I Cammissio^ =.x,?ire's .'~t?ei; ~ ^. ?. 4D S.C.T.M. N0. DISTRICT: 1000 SECTION: 59 "~ ~~ ~~~M ~Z~~ ~~v/`~~ A O Q O -~i O f~~~[~~~'1[~ n D JUt 2 t 2dN e~~oc otF1. Tr~~~~, nr ~m~~nam o U.P. MON. 0 0 _. e z JYr YJ YV 11 Y/l3 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS FOUNDATION LOCATION 07-22-13 AND OR DATA OBTA/NED FROM OTHERS. AREA: 15,166.87 SQ.FT or 0.35 ACRES ELEVATION DATUM: ______ ____-- UNAUTHORIZEO ALTERATION OR ADDI T/ON TO THIS SURVEY /S A NOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COP/ES OF THIS SURVEY MAP NOT BEAR/NG THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES lND/GATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HlS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING /NSTI TUTION LISTED HEREON, ANO TO THE A55/GNEES OF THE LENDING INST/TUTION, GUARANTEES ARf NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LlN£S TO THE STRUCTURES ARE FOR ASPECI~/C PURPOSE ANO USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY L/NES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUP.'TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON THE PREMISES AT 7HE T/ME OF SURVEY suRVEV oF: DESCRIBED PROPERTY MAP OF: FILED: SITUATED Ar: SOUTHOLD TowN oF: SOUTHOLD SUFFOLK COUNTY, NEW YORK FILE N 13-90 SCALE: ~ ~~=20' DATE: JULY 22, 2013 CERTIFIED T0: JOHN BARRY; KENNETH M 110YCHUK LAND SURVEYING, PLLC /, Profeaeional Land Surveying end Design /yi L/O~D~ P.O. Hoz 153 Aquebogue, New York 11931 _, rAONa (esi)zee-><see PAx (eai) zaa-LSae N.Y.S. r_ISC. ~JU. 050882 mainteinln` Ne recorUe of Robert J. Hennessy k Kenneth M. 7loychuk BLOCK:2 LOT(S):7 ~~~°~/