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Home My WebLink About38984-Z Town of Southold Annex 7/7/2014 P.O.Box 1179 54375 Main Road fit* Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37007 Date: 7/7/2014 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 1275 Esplanade, Southold, SCTM#: 473889 Sec/Block/Lot: 88.-6-13.41 ' Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/5/2014 pursuant to which Building Permit No. 38984 dated 6/24/2014 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 A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Brooks, Joann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth d—Si ature ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE * � 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 #: 38984 Date: 6/24/2014 Permission is hereby granted to: Brooks, Joann PO BOX 1001 Cutchogue, NY 11935 To: "As Built" Deck addition as applied for At premises located at: 1275 Esplanade, Southold SCTM # 473889 Sec/Block/Lot# 88.-6-13.41 Pursuant to application dated 6/5/2014 and approved by the Building Inspector. To expire on 12/24/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $489.60 CO -ADDITION TO DWELLING $50.00 Total: $539.60 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 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 Date. j New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: /.2 7s 720E AJ'Ze ewe & House No. Street Hamlet Owner or Owners of Property: je9 A IIA( (e, t3 20011:fs Suffolk County Tax Map No 1000, Section F-9- Block 6 Lot /3 , Y 1 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (che one) Fee Submitted: $ pplicant Sign ure �� o��OF SObTyOI � o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROU PLUMBING [ ] FOUNDATION 2ND [ ] 1 [ ] FRAMING / STRAPPING [ FI AL [ ] FIREPLACE A CHIMNEY [ ] FIRE ETY I ION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR COMMENTS Y 1' 1 • w - INSULATION STATE ENER47Y ! r 1�a a � �3" 'ti'"��%r° e ��► ■ wi ' � i . rr�� .'�II�'' ` � �, IrA '!rjy--ldw,mmj RUN a 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 SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees ',!! Flood Permit Examined ,20_14 Storm-Water Assessment Form Contact: Approved 'K —,20IV Mail to: Disapproved a/c &�/' r Phone: ExpID iration 20 S I Building Inspector JUN -5 2014 a APPLICATION FOR BUILDING PERMIT ROG DLPT. Date kJyNE y , 20/q TO'X'IN 07 0011T�!OLD 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. YS' nature of appli ant or name, if a corporation) . C� 1�d /5�-r� 5d ITH,)(,be ".K I I ti 1 t (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises j'; rD0 k-f (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 land on which proposed work will be done: /a"7s ,4N,4-ate So t,f ta dL House Number Street Hamlet County Tax Map No. 1000 Section I 00- Block 6 Lot /3"// 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 ' 1-cI4 b. Intended use and occupancy )6-ele 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work CU b«e. (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units r 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 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories aria 7 `~ 8. Dimensions of entire new construction: Front Rear Depth 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 NOX g/o koro.- a6XA0.f.& 14.Names of Owner of premise Awl k, "f)'ef Address °GKr�` �`� by ��Phone No.437yy'�s'�a Name of Architect AN9cl A. 040.1#0 Address 6,020"*X'VN. -,Wdy0PhoneNo631-74,5'-65'34> 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�v I0 4-v F being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE D.BUNCH Notary Public,State of New York (S)He is the lq-jen i i No.01BU6185060 (Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires April 14,2-='- 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 154 day of D UIV 20( Notary Public ^� Signature of pplicant r Scott A. Russell 'Q ' STO]E AWWA' IER. SUPERVISOR NIANA\G]EMLENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 °' Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑P A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑® B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑�@ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑0 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑[D E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date: � e� District �i J NAME: �nq+gl 6/ Vo� 13- " 2/ /J Section Block Lot Contact Information: Reviewed By: — — — — — — — — — — — — — — — — — — Date: L Property Address / Location of Construction Work: typpr - - - - - - - - - - - -75' ��6 �4�ni2 coved for processing Building Permit. tormwater Management Control Plan Not Required. �Oc�r- u�� ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 m E - TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET j -'j� VILLAGE DIST. SUB. LOT - Aoo, v) Q ACR. REMARKS TYPE OF BLD. r } PROP. CLASS LAND IMP. TOTAL DATE y t "i [ -1 Iw--_---_- t :; i 117' e Vul)t'►(' i C 13- 44 , l c -- r: t 2. " .3 , - ---- - r I Cr Goo 10 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/tOT TOTAL ■■■■■■■■■■■■err■■■■■■■■■■■■ . ■■■■■■■■■■■■■■ate■■■■■■■■■■■ ■ONNI OMM ENEEMI■O■■■■■■■■■■■ 1 .. i N A �' n, ■■■■� ■■■� !■■■■■■OF ■OMEN■E■ r ._ ■■■■�■ �■■l■ OMEN MEN _, , . „ _ .. � . .- ■EEEE■EEEEEEEM■ MM■■■■EEE■■ Foundation Ext. Walls Interior Finish : ■■ENNMM■■NESE■■EMN■■MNNN■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • Fire Place1 Woodstov Driveway Rooms 2nd FI oor age 10 r 0 0 0 o _ _ SC T.M.NO. pS,pC,:1000 SECTION:eR etFIC1t:5 Logs):IJ n I<a. O-_W I NDS CO UIRp a\ IOf 39 L07 37 bo 593. U H / tat 14 ti t � ftX WA)FR SOPPLY,MCLLS.DRr*G$AND CFSSPOO. aD LOCADWS SHOW ARC rROV rRLD OBSCRVARONS -I AND OF DATA OBTAWD CROP ORKRS n AREA:.76.OW,50 SOFT or 0.83 ACRES nrMutbMA.4 + vaob pxnD N a4AaN a Aae.a m b.s sw,r,a.101AA.a sw—rFor a bX It.roar mut f—I— AUWFS a xW.0I 4tA4A4 N.tAW S>AtKWV ArwO39 4M bro4l NOI bt bgifblMb'm M A WtQ 1MY aK CW4M,[FS.IOICA,CS Nti[fx Y/Mt A1N �A;� IN[ NPI MM M NR S Wr K AKIAII(b NA,G.1/S Wrs'.f'Ib 4X-bkt tb1M+Nrt 4YN(IfMVf.11t At[hbr AW tFtm.10 Mr4MMA lOT 40 '1 trsXM 44r.%.W a 4X InVN(f5 a 4X t(.DN%—..Wit 4V+MNIXt.AW AM lINIW 5.*IL I r tr wf w il-oma"sm Mt ACMpr tftu w iIllm,-r iriFI TO.N freuCAMlt mf f4M A pr1FMi['.4pb¢MC VSC A,(�fJar[4#t,we Mor-w-ew a uMAn[vt rq mwf*"aws- m RAX AN Mir p rFAIY;AWAAW xArorAxrr OS A40 oMXAxMM[.q iCxi3 j,"W`rr W t ,AwW 9A%wW Sow% $*V*W o m vx4Ec I"•t[Wr euAnwa[b VHFSS.Nr9CaN.F CMtfRr A0r 44 AXI4(S At 0A'4NT N 9/1[tf a.Kr a:l.OJ 39 CER761CD TO:YVONNE 1.4L!£W.A1V(Y /� e4,J LOT 36 rn YA.a:ANGEL SHORES JOAC£ 5M1A' i ��j�j AUG. 23. 1995 No.9729 c aroaxo at BAYVIEVIr IMStt LS LlC' ^i �� ~ row v.SOUTHOLD C 1PNNHw6h. RsalYNtNg, MQSNrwel}Nt.NI Beb,l(A PLLC 5urr0LK CN(Y,NEW YORK S } 1I r1 V.O.D..153 Ayue6.0N..R..Y.rY 11031 N rA[V1♦-5} scu:l"rte' —APRIL 17. 201 A t0 H O r ► APPROVED AS NNOTIED -ATE- GB P # . =E: BY `� 1 R� )TIFY BUILDING DEF 5-1802 8 AM TO Pik FOR TH OLLOWING INSPECTIONS: 1. FOUNDATION -TWO REQUIRED FOR POURED CONCRLTE 2. ROUGH-FRAMING,PLUMBING1, STRAPPING, ELECTRICAL &CAULKING 3. INSULATION -:` x¢ 4. FINAL-CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C 0.' ALL CONSTRUCTION S REQUIREMENTS OF THE CODE's iJ.GyI/ YORK STATE. NOT RESPONSIBL • • ' DESIGN OR CONSTRUCTION ERRORS. o ' �D�t/G•. �'CS- ob 0a , n =Z� 3X'»01 / � \ Wc 1000-88-6-13.41 BROOKS RESIDENCE IRATE 6-2-14 ��ED ARS W:Q°� , 1275 THE ESPLANADE �. SOUTHOLD - NY A-1 o � 9l �'•91•� �� CHORNO ASSOCIATES arawtoew 90UM q NEW YORK