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HomeMy WebLinkAbout37361-Z Town of Southold Annex 2/4/2014 ss P.O. Box 1179 = 54375 Main Road 3 W'~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36753 Date: 2/4/2014 THIS CERTIFIES that the building DECK Location of Property: 1020 Bridle Ln, Cutchogue, SCTM 473889 Sec/Block/Lot: 102.-8-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/2/2012 pursuant to which Building Permit No. 37361 dated 7/13/2012 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: 12'x 32' DECK ADDITION TO A SINGLE FAMILY RESIDENCE AS APPLIED FOR The certificate is issued to Krazner & Mitchnick (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ed ature l Fwi~... TOWN OF SOUTHOLD J 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 37361 Date: 7/13/2012 Permission is hereby granted to: Krazner & Mitchnick 1020 Bridle Ln Cutchogue, NY 11935 To: construct a 12'X 32' Deck Addition to an existing single familly dwelling as applied for At premises located at: 1020 Bridle Ln, Cutchogue SCTM # 473889 Sec/Block/Lot # 102.-8-15 Pursuant to application dated 7/2/2012 and approved by the Building Inspector. To expire on 1/12/2014. Fees: SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $353.60 CO - ADDITION TO DWELLING $50.00 Total: $403.60 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: 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 electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 9110 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: I- Accurate survey of property showing all property lines, streets, building and unusual natural, or topographic features. 2_ A properly spmpleted 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 Date 7 _ Z New Construction: 1 Old or Pre-existing Building: (check one) Location of Propert y~d,~z0 3210Ct /.UC_- ~y7C~fo6 y~ House No. Street Hamlet Owner or Owners of Propert~: ~o l3lr l Cf~/} ZNE ?z, ~t21C M I%C 14 Q ICi- Suffolk County Tax Map No 1000, Section Block ~j Lot (gyp Subdivision +4 ) 0 LA f r O ES! HT Filed Map. 6 5-37 / Lot: ~ p Permit No. '7 Date of Permit. Applicant- Health Dept. Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ r UU Applicant Signatt e Of SOOlyo6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 NSPECTION [ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROU H) CTRICAL (FINAL) AZO REMARKS:- I ~ i I DATE XiZIV INSPECTOR i 3~3 ~o~,~,oe soulyo N *©6 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTIO [ ] FOUNDATION 1ST [ ] ROU PLEG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: C DATE INSPECTOR FIELD DWECl~ON REPORT DATE COMMENTS W c tA W FOUNDATION (IST) FOUNDATION (2ND) ~ o Tt> ROUGH FRAMING & PLUMBING 5 P kq INSULATION PER N. Y. j STATE ENERGY CODE FINAL -7'1 1 ADDTfIONAL COMMENTS Z n O m t- A 5 Z 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 Survey SoutholtlTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 30 Single & Separate Storm-Water Assessment Form Contact: Approved_ 2O mail to: Disapproved a/c_ - LYW Phone: ~9h'7 Expiration Building Inspector PLICATION FOR BUILDING PERMIT 2 ZC12 Date CJ61C Z 20/2- U u INSTRUCTIONS cFP~. G A. This appli6pf e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pla s, a ' of plan to scale. Fee according to schedule. b. of plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The wort: 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. APPLICA"FION 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) (Mailing address of applicant) //9-5 Z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises z~,f_ (As on the tax roll or latest deed) If applica otpo n, sign re of duly authorized officer (Name and title < cuiEnora e officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: _ ZO ~5/2//.7C t- G~irJE ~ ciJTC/ J Fr~/C House Number Street Hamlet County Tax Map No. 1000 Section 102- Block Lot Subdivision 4IG41JA-kJ[) (~S7F}TtS Filed Map No. 637 Lot ~ g 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy > S I0E-AJ T/0L- b. Intended use and occupancy St OC of Ti AL 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work WCGZ rY7- /JEca~ 5-123 = ev (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 0 CNumber of dwelling units on each floor M I ~A- If garage, number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N i 7. Dimensions of existing structures, if any: Front r Rear 01 Depth z Z Height -212z Number of Stories -T-vJ(f) i Dimensions of same structure with alterations or additions: Front ,Q Rear o z Depth 2L Height Number of Stories T~?y 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front / Rear Depth 10. Date of Purchase /2- Name of Former Owner 22)75-c 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 UNO V 14. Names of Owner of premises z MRWNJ 1OZD $21QCGA Phone No. //7 3--?7 9/78 Name of Architect Address Phone No Name of Contractor HAh57trZW0Ck-- Its- Address 14 ~ Mk4l OC-L.Mione No. 3) 2- 8 7 - T MW?T 17uc~ 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_4 * 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 NOZ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~jZ- rA l <2'C-Z being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Zo~T2~te7o<-' C O /2~7 l~~F/C~~L (font etor, Agent, orporate 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 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 to before me this day of ' 20 - RICIA RICHERT - Notary Public State of New York No. 3b-4741154 ^ t~I'Alfiedio-tdassau/Su Notary Public Commission Expires o Signature o it, cant Town of Southold - Chapter 236 - Stormwater Management } SWPPP - Storm Water Pollution Prevention Plan Assessment Form Jf y y,° GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-/pant-Consultant- Contractor or Other (Clock, one) Propery OWNER: (it Dinarent than Applicant) Nf~~c.K_ !~/CV~~,cg- /'/3'? K c~/C nil/Zff~//C~ Addm ke., 771'~ Address/O LU ~rv~CC N~ Cc ULcJGF~,~ TeI rM ~-~,p/- Fas R i7 _ 1/-7 Z' Talep~yene / O F. M: E-Mail: :Z9 e O L o Y- E - M!H: O Properly d ss: Brief Desai on of it t uct on Actiw Pro p /.Y21OLc C ITC~/oCT~l~' ptity, posed Slnuon-aIBMPs, Soil s T * t000 f Staba imfion BMPs, Project Scope and/or sequence of construction ACE* 3 p.0 s.a.n abN W Po tle Adl aonN Papaw eedatl) Name ofContractor jndfor contact Person Responsible for Implemematfon of SWPPP: _ - Tolopl%27 L /U K7~. Fax M.Z `/7 -,eve&C.__../~ - U~ J E - MNIO _ Name of Pera?nponsibls ter InstellNbnSd M~nlenanee W Erasion CorrbW Practlca: A~ -G NOT S -Cr?/ 5Zczc I? 9f~ _ ~`_`T w/ Aaorees: ~vF LJTT/lcC ~S y_<'l3cn-`?- ,t Tele - e#: Faxe: tx r6.,_/ E - Mail: Q Total Area of Ap j0 Total Area of land gearing Project Parcels: anNa Grountl DiaMbanca: is R I..) Project Duration: start Entl _ (Anticipated) ~f Dab: l (NUmlerd G.navMw) V v F~ Will this Project Disturbs five (5) or More Acres at o - Any One Time During the Proposed Development? Yes No IfYES: Please Amwerthe Folbwingl a. Does the Applicant have a Qualified Inspector On Q Q Staff To Conduct the Required Inspections ? Yes No b. Does the SWPPP Indicate How Frequently the Site O 0 List the NAMES or description fall Potentially Impacted Waterboaies analor Wedands: Inspections will Occur and for What Period of rime ? Yes No c. Does the SWPPP Adequately Identify All Temporary = and/or Permanent Soil Stabalization Measures? Yes No d. Does the SWPPP Adequately Identify a Complete Q Q - - - - - - - - - - Project Phasing Plan ? Yes No Status of impactetl Waterbotly: (eg. TMnL, ]03(tl) L.teq Impaired...) e. Does the SWPPP Indicate Additional Site Specific 0 = Practices that Will be Utilized to Protect Water Quality ? Yes No C Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance Form for Review Q fdWysworn, of impacted Waterbody: (eg. Lake, Creak, Bay, Pond, SourM, FreshwaM Wctk,ntl...) by the Town of Southold ? Yes NSTATF. OF NEW YORK, Notary Public, State of New York COUNTY OF SS No. O16U8185050 Cpl That I SZcZSkjT~}/~ Qualified in Suffolk County being deposes E9`%qH Fh€fSBlrQ€&gb)AC&fnr Permit, And that he/she is the Icy (Owner tracror, Agent, Corporals Officer, etcJ Owner and/or representative of the 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 herewith. Sworn to before me this; C day of'.......... 201.~- Notary Public:...... ~ITX.l.f......~j~ 1 1~ (Siytalura of Applica ) SWPPP Assessment FORM: 03-12 i i 1 LAh 1L. 20,, fr, f _ t YA~Js,NT Pi7aL (tJ I u11 ' TANie ~l . 44 ~L ' lI l 'y' hi 1 > \ JZ E•~~ ~ l'~' 7..t i` WELL (yy ~ 1. .0- i 22 1 26 41 C VACANT-) i ~ ([~.itJENCE) u + a ~~F ~Ji•Ef - I:I T N GEC M MIAs= 0F HIC±L-I~ILLL E 7grE_ GfLEU IF1_i E ~ 16 r ~C~ Ll 04"S OM CE Au MAC' P40, 6 53_7. 77 ~?os°„~e_ rz,(72,r Cavw~ecX~o"1 -~`DC~we-~,VX^~~°+' S~ T .5"Y~a~cTyfy" - 2 -Vol ~nKvf6Z. Ai;46 i ~}O~s7 ST~'RRPI +r~+4o6rL `s APPROVED AS NOTED 1: ~X t)5 W~v DATE r/3 I')-B.P. # 373 Z .2' 1r 4641 ldcal -bD BY _ FEE: 3t;3 NOTIFY BUILDING DEPARTMENT AT lN "~5T3 t~A1[rIEFJ ~capt~tT~ f~j ;S 765-1802 8 AM TO 4 PM FOR THE FOLLOVUNG INSPECTIONS' ~r 1. FOUNDATION - TWO REQUIRED 2G FOR POURED CONCRETE Z ROUGH - FRAMING, PLUMBING, OR STRAPPING, ELECTRICAL & CAULKING ©CCUAN'JR 3. INSULATION 4. FINAL - CONSTRUCTION & MUST BE COMPLETE FOR C.O.ECTRICAL U S F IS UNLAWFUL ALL CONSTRUCTION SHALL MEET THE ~ITr I, UT CERTIFICATE REQUIREMENTS OF THE CODES OF NEW GAT!t-'Tl~ 7G' lREV;= 11 i'p y r ; ~U7 c f~ N /~c J ycJ~c _t UP :5/01 12' ~ ,r TCv _~<~~Si N.91~6u` Cad o~c To cccX MLIi -rSiegFf~l - Zx ~ i~i_L_ Joy S rs '000000 too /T To ~l ! is ~fGc art C /~"in(~~~ 1< _ t s 5ck/eTyBc ° 4CIC F0E p~c5' O c~ /