Loading...
HomeMy WebLinkAbout38985-Z fir,°:ZZ�{t �� y�►FFQI �w� Town of Southold Annex 7/15/2014 P.O.Box 1179 54375 Main Road � ' • Southold, New York 11971 f•. CERTIFICATE OF OCCUPANCY No: 37023 Date: 7/15/2014 THIS CERTIFIES that the building RAMP Location of Property: 2825 Kerwin Blvd, Greenport, SCTM#: 473889 Sec/Block/Lot: 53.4-44.32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/24/2014 pursuant to which Building Permit No. 38985 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: HANDICAP RAMP TO A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Bondarchuk,Marie (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ed ignature TOWN OF SOUTHOLD w 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#: 38985 Date: 6/24/2014 Permission is hereby granted to: Bondarchuk, Marie 2825 Kerwin Blvd Greenport, NY 11944 To: handicap ramp as applied for. At premises located at: 2825 Kerwin Blvd, Greenport SCTM # 473889 Sec/Block/Lot# 53.-4-44.32 Pursuant to application dated 6/24/2014 and approved by the Building Inspector. To expire on 6/24/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ADDITION TO DWELLING $50.00 tal: $250.00 'uildi g 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. 2LO2Q New Construction: Old or Pre-existing Building: (check one) Location of Property: kC/z Gill A) FLVV House No. Street Hamlet Owner or Owners of Property: _M)'A t & OA ):2 12C f-(iack Suffolk County Tax Map No 1000, Section Block Lot Subdivision p Filed Map. Lot: Permit No. 0 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: `� (check one) Fee Submitted: $ fa) '03 C)Mn& � 014 scant Signature �_ �o��pF SOUTyO� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROU LUMBING [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ) ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: AA �EL�� DATE INSPECTOR ZL FIELD IXSPE ON RI ORT DATZ COIVMNT3 p0 FOUNDATION(1ST) C4 FOUNDATION(2ND) 5 sa� DCS rh ROUGH FRAA31G& y PLUMBING ' 1 cp INSULATION PEA N.Y. STATE ENERGY CODE rx, 61 O FINAL • m �V 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 Southold Town.No rthFo rk.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration 20 Building Inspector Ir 1, 'pt PLICATION FOR BUILDING PERMIT ?n14 1, Date , 20 _.m 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. Qn, I W (Signatu f applicant or nam of a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer general contractor, lectrician,plumber or builder Name of owner of premises m igt-7 61.LC13 /'yD)9 N c Lk (As on the tax roll or latest deed) If applicant is a corp tion ' at e of duly authorized officer (Name and tit of corporat icer) Builders License No. 13ni-,RH l Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: a8'PS keatirN Bwp �C House Number Street Hamlet County Tax Map No. 1000 Section �� Block_ _Lot t �� 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 b. Intended use and occupancy , c 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 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. 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 Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoni g 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 Re,.voc)AacWtAeAddress 22ZSk6-&10A2 hone No.U "77-12517 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. s this property within 100 feet of a tidal wetland or a freshwater wetland? *YE NO * YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE IRED. 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 ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,A nt, Corporate 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 201L�_ CONNIE D. Notary Public,Statea of of New York Q-C� Notary Public No.OIBU6185050 g ture of Applicant QuaNiled in Suffolk County Commission Expires April 14, Scott A. Russell , a°SU Ir STO]KIAWA\TEK SUPERVISOR \NA\G]E1\\41ENT 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 ) ------------- DOFS THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes NO (CHECK ALL THAT APPLY) ❑0 A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. E B. Excavation or filling involving more than 200 cubic yards-of material within any parcel or any contiguous area. El L C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. t n[3/D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. El EI/E. Site preparation within the .one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑0"'F. Installation of new -or resurfaced impervious surfaces of 1,000 square . f feet or more, unless prior approval of a Stormwater Management I 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. ------------------- -=-- ----- - - _—._ .. S.C.T.M. 1000 Date APPLICANT: (Property Owner,Design Professional,Agent, ontracto Other) ": trim qn- NAME: T� YCoE CC t w• Section Block Lot Qnto- L " Q * FOR BUILDING DEPARTMENT USE 0,-L'r Contact Information � '—92!0 "5 Mkph rk..W) _ - — — — — — — — — — — — — — — — — — — Reviewed BygiJ A ate: Property Address / Location of Construction Work: — — — — — — — — Da — — — — — — — Approved for processing Building Permit_ 20612.191 d1kk"' Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — mi6f_ftuo/n) f3L.uYJ Soe 1-rt-LL b Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 �U-3o �61e 8 �r l�T zt l.o j 28 o 32, 4 i.> m M wr•TGw � id r w ,A 23 nS,S Zc7r y i I' �L.P• T� U Sir 6 2— zolk fA.:r A Yo :zs,00 43-at-4a w IC.4.00 Kuw'" &VA a cap qrai,yy�),�a,rP��'n� . �•�� �,���c� °ir.§s.'•r:k, THE LOCATION OF WELLS,WATER SERVICE dtf+SK 3:ttiePcrenk3til�S i yr9hYv'�cvvsaaat�ir,rtl..t�3s*:ts:tts i,rtl tounfl Ltr LINES, SEPTIC TANKS AND CESSPOOLS SHOWN HEREON ARE FIELD OBSERVA- TIONS AND OR DATA OBTAINED PROM OTHERS. il�pttr„„)A:evz'?•1,11:11.Clitvf offic?of Water mill Wasiawohs C:New York State Ealteration ca edditon to this document is a violation of Semon 7209 a1the New vark state Education Lew. SURVEY OF: L, Cern his ban l indicated th ed hereon pan run very to the person r whom n I�preparetl , ,f A n _/ ����w�-/ and ort his MMII di the Title Consent/,Govern mantel Agency and omit A t,41-�1” of Institution listed hereon.and to the assignees of the lending institutions or subse- W ant owners - Copies of this document not bearing the prolessional's inked seal or embossed t seal shall not(o dimension a valid true copy. N � I I�w ��1 7th offsets(or dimensions)shown hereon from structures o the property Fees are !7 1M' K for a specific purpose and use and therefore are not intended to guide the erection of 1 fences,relanmp werts.pools,patios,planting areas,addition to buildings or any other oonstrucnon. The existence of right of ways and/or easements of record.if any,not shown are not guaranteed ,�fG F> TE: I I 14 8 SCALE: I CERTIFIED ONLY TO: y DE IN G.G DESTII �G1AF 'wf tin �y LAND SttJtVEYOR Ncai +� By OA p0$ 73 W. ­ rf ftP '.pt Oi t eadth SO DESTIN G.GRAF N.Y.S.LIC No.50067 9 P ROCKY POI Nrr � gjl�'to1±3�ti0 TAX I.D.No. `� _ 2�_0 — 44.3L SION PHONE(516) aaz JOEL DALY GENERAL CONTRACTING INC. A BETTER BUSINESS BUREAU ACCREDITED BUSINESS PO BOX 343 205 BOISSEAU AVE SOUTHOLD NY 11971 Email:JoelDalyHl@optonline.net 1631766 1223 OFFICE AND FAX NAME: Bondarchuck ADDRESS: 2825 Kerwin Blvd CITY: Southold STATE: NY 11971 PHONE: 477 1247 or 768 0345 Subject: Emergency Ramp 67-Qq'rr nod -I 1 ♦7�� lT aX�J To nA 2,4—a- l7 fc/N 6 1 co! y f L 0 0 06A 6Y.15 r1 pub Cv n7c/{�t6 TO _t0 11 7�3t A31 4 BBB.