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Home My WebLink About38375-Z Town of Southold Annex 10/15/2013 p P.O. Box 1179 54375 Main Z+ Road Southold, New York 11971 ! CERTIFICATE OF OCCUPANCY No: 36566 Date: 10/15/2013 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 160 Albo Dr, Laurel, SCTM 473889 See/Block/Lot: 126.-8-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofced dated 10/1/2013 pursuant to which Building Permit No. 38375 dated 10/1/2013 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: "as built" deck addition to an existing one family dwelling as applied for. The certificate is issued to Vonatski, Patricia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut r ed Si ature TOWN OF SOUTHOLD fw` BUILDING DEPARTMENT TOWN CLERK'S OFFICE Zia SOUTHOLD, NY 1o 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 38375 Date: 10/1/2013 Permission is hereby granted to: Vonatski, Patricia 9 Deer Path PO BOX 1615 Quogue, NY 11959 For: deck addition "as built" At premises located at: 160 Albo Dr SCTM # 473889 Sec/Block/Lot # 126.-8-2 Pursuant to application dated 10/1/2013 and approved by the Building Inspector. To expire on 4/2/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $528.00 CO - ADDITION TO DWELLING $50.00 Total: $578.00 4z Building Inspector 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: 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: 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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, Commercial $15.00 J/ Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 160 141b,, Af i i le 01010 House No. Street Hamlet Owner or Owners of Property: ~q lrl 14. V-0 /1 q ~s /1 Suffolk County Tax Map No 1000, Section 6. 00 Block Of. 0 O Lot G o 2 _ o O O Subdivision Filed Map. Lot: i Permit No. JS 3 7 5 Date of Permit. /b - / - 1,3 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ J7 0, ~~CJ paE2111t p Applicant Signature FIELD DATE CONIIMM ~b 04 FOUNDATION (1ST) v' FOUNDATION (2ND) x ulmommommomm" Now ROUGH FRANTWQ & PLUMBING :rN INSULATION PERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COIVIIams C O , - O p 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 2 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20-LL 1 9 2(11 Storm-Water Assessment Form ~ Cogtact: Approved 20J I~ - Mail to: Disapproved a/c aSFC_ Phone: Expiration 20_L_ Building Inspector APPLICATION FOR BUILDING PERMIT Date 9 $ 20L/3 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 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. (Signature of applicant or name, if a corporation) PO,6OX /6/S. Ottegue NY 11957 (Mail* n address licant) AERED r1~: Pd ED hS 13JI LT State whether applicant is owner, lessee, agent, architect, engineer, general c8 )jl9cto tl r 'cgi P , ltt3rr}~ber~ r builder OWh er EEE, S ev -iLZ ~1 QTIFY BUILDING DEPARTMENT AT Name of owner of premises ~4 7<i^/ C i ei A . ~o n a /3g5-1802 8 AM TO 4 PM FOR THE (As on the tax roll or la ' IMPE NS: If applicant is a corporation, Mature of duly authorized officer ATION - TWO REQUIRED FOR POURED CONCPcTF r , ` : 11, 1, ! . > Q 2 RGvOH • FRAMING PL" ' 177A7- (Name and title of corpol~t~0 b 3 MSULA"A iNG ELE a 'TICN a;L r0 ','Ri r Builders License No. C iDT l w l f' l17 ~ "US' BE 00 ti ^LE ; y Plumbers License No. A' I CONSTRUCTION SHALL i,'. r "'rE Electricians License No. REQUIREMENTS OF THE CGC Other Trade's License No. YORK STATE. NOT RESPONSE; DESIGN OR CONSTRUCTION ERRORS. 1. Location of land on which roposed work will be done: l60 / ldo per?e kaurel N Y House Number Street Hamlet County Tax Map No. 1000 Section 0 D Block O 0 0 Lot O O A, 000 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 Fan ,'/v RPS wrnr e b. Intended use and occupancy Fa l' 47eS / crF C'o 5 3. Nature of work (check which applicable): New Building Additt iF ration Repair Removal Demolition Other Work ec% Q rear /0 g" v16 ' (Description) 4. Estimated Cost ~7Do. ' 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. /V 119 i 7. Dimensions of existing structures, if any: Front S7 Rear HC /3 N Depth Il H /I Height /S ' Number of Stories 1 Dimensions of same structure with alterations or additions: Front S 9 Rear 6 '3 " Depth 9, " Height /s/ Number of Stories .1 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 1 S 9 7 Rear----!`L5 7 .Depth `I. S 6~ C's 10. Date of Purchase l2 / d S Name of Former Owner Pr yv k o 11. Zone or use district in which premises are situated A t r u Tar & d- Re S l P~ t i a 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 ~aJ1r1c14A.Von4ddressP0BaxhPfQugLwePhone NoW/ C53-80`7S Name of Architect Address NY /195-9 Phone No Name of Contractor o «n er 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 1 PM TAYA A • Vd tJPrSkI being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the d (N/yIFP, (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 pplication; that all statements contained in this application are true to the best of his knowledge and beli dr t performed in the manner set forth in the application filed therewith. No. 01 LE6076481 )ualified in Suffolk County Sworn to before me this ommission Expires 06/24/20 day of 20 Notary Public Signature of Applicant S 1 TOWN OF SOUTHOLD OPERTY RECORD CARD 00 - a6 OWNER STREET r VILLAGE DISTRICT SUB. LOT FORMER OW . R n VIC. NE ACREAGE ' o i'I. `yam?/ , ~`crrgar~+/6~' i W TYPE OF BUILDING rR_ Kln .t La f `~''I. r<.•1•r CHG... RES. SEAS. VL. FARM COMM. 1 IND. I CB. MISC. Est. Mkt. Value DATE REMARKS LAND IMP. TOTAL 1 000 6- < 2 ti' to d ? c 6 <I Y ~f/vr - 6SG G ~4 0~ j~>' %ic 1 J. GQ f4kv ID f V / I AGE BUILDING CONDITION w a~% n' NEW NORMAL BELOW ABOV 'FRONTAGE ON W, iER e n Farm Acre Value. Per Acre Value FRONTAGE ON ROAD .1 iL` 0 Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 ~jrG ~y Lr / ~U Woodland Y 3 yr Swampland 47 q.7 Brushland 0g 7 I T pS House Plot C. C1 am L7- ~w Total 1 -L! I ~(o pL~ - YrrjO!~Cp . Trt3 t irl~'r~ 4 tr ~ i i I I I I ~ I I r IT /Ir I I Al 127.-B-2 2110 l" s 1 I 4. Bldg. ) c/ 3 yj - ~~IG Foundation M1'_ it Bath xtensio r ( I Basement Floors G xtension Ext. Wolls Interior Finish Shec xtension I Fire Place Heat Porch Roof Type i Porch Rooms Ist Flow i reezeway I~ I Patio Rooms 2nd Floor ;a rope, f j ~j•O Driveway Dormer VIL- 3-w s. B. 4 i - SURVEY OF PROPERTY ALBO DRIVE SITUATE LAUREL TOWN OF SOUTHOLD R . 208.E x /'-15'.07 SUFFOLK COUNTY, NEW YORK / m A li Pm ;J m; gm;{w s ( i7 N x 140 Oe RopF OAR WALK I h ~ N R ~ 33.5 wa Gi ~ ~t.s• iSTORY FRAME d ~L lu r HOUSE 8 GARAGE 53 ~ <5S O 3° icy ~P^~pose~ a POa R OF mmo GR ON Une w 4~~b LINE S p ~ec~( a~y4. imi~r'a4 JF Q) y w0 .o h 56991600 s~$• 20. NOW OR FORMERLY JOHN K. KROONAN JOHN OALLACRER LAND SURVEYOR 59 FLORENCE DRIVE MANORVILLE, N.Y. 11949 SURVEYED: DECEMBER 16, 2005 (631 ) 874-0400 l2_~ lv cerr9X~sr t7o« e: o' 14J1jc- . ;Z Y 4 r y i i .2 2~ Pr o~UmsL'Q deck : ! /?IOm Lp fi rr"n3 x i' ? IG i Oki