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HomeMy WebLinkAbout39046-Z �. Town of Southold Annex 7/31/2014 P.O. Box 1179 54375 Main Road AL�3 Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 37057 Date: 7/31/2014 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 1110 Brigantine Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 79.4-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/15/2014 pursuant to which Building Permit No. 39046 dated 7/23/2014 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 an existing one family dwelling as applied for The certificate is issued to Doering, Robert&Doering,Patricia (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t `riz SignAture ' 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#: 39046 Date: 7/23/2014 Permission is hereby granted to: Doering, Robert & Doering, Patricia 19526 SW 94th PI Dunnellon, FL 34432 To: Construction of an "as built" deck addition to an existing one family dwelling as applied for. At premises located at: 1110 Brigantine Dr, Southold SCTM # 473889 Sec/Block/Lot# 79.-4-30 Pursuant to application dated 7/15/2014 and approved by the Building Inspector. To expire on 1/22/2016. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $740.00 CO -ADDITION TO DWELLING $50.00 Total: $790.00 Building Inspector 1 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 �C k Date. Z4j New Construction: Old or Pre-existing Building: j pi/ (check one) Location of Property: /j/O Cll%14 nLz 6V, `5�,Yo_(d House No. / // Street ��// Hamlet Owner or Owners of Property:f,I P0 /`T DO�/�/Ykj !/v Suffolk County Tax Map No 1000, Section 29 Block Lot -3o Subdivision / rhnc I— glJ7`� �5 � Filed Map. ,3_11y Lot: 157 Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ App icant ignature N ie TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROU PLUMBING [ ] FOUNDATION 2ND [ ] SULATION [ J FRAMING / STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: P DATE © C INSPECTOR �: t o • MOM IM 175 PLUMBING WULATION PER N.Y. STATE RNERGY • 1 e ■'Li1 �1. a TkWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BI'ILD NG DEPARTMENT Do you have or need the following,before applying? T(3�WN IALL 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 C.O.Application Flood Permit Examined 7 2 3 20 Single&Separate Storm-Water Assessment Form Contact: Approved 7 3 20 Mail to: Disapproved a/c Phone:1(o!s- _s— Iq 5 Expiration 22- ,20 f T Qfor JUL 15 2014 PLICATION FOR BUILDING PE BLDG DEPT. Date , 20 TON,r�of sa��T�o'_o 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 n , if a corporation) ,Iy�i�o/7/ (Mailing addfess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OW NEe Name of owner of premises e1`nll) /L 1F— (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 onwhi h proposed work will be done: d D� House Number Sfreet Hamlet County Tax Map No. 1000 Section .77 Block Lot 30 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, b. Intended use and occupancy e-izi, P --�o CX/ I7S 3. Nature of work(check which applicable): New Building Addition r/" Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost AL/ g 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 it 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front /6*0 / Rear la�/wl Depth 222, .2S OiY 10. Date of Purchase lZO 1- Name of Former Owner Vl:�Vi]&6 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 NO jiio `/yarttine '. 14. Names of Owner of premises' /-f oPi'/M I Address,Soa lXo Id, N'L- Phone No.631 —Z Name of Architect Address Phone No 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 ) 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 1'1(S)He is the %p.--odo}gbg50 (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County����f Commission Expires April 14,2_ w 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 201 n n-� Notary Public Signature of Appl' a T Scott A. Russell ,��-°Su m ST01KMWA\TEIK SUPERVISOR MANA(G IE LENT z SOUTHOLDTOWN HALL-P.O.Box 1179 Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 'Td� of , �► CHAPTER 236 - STORMWATER MANAGEMENT.WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ------------------- DOES - ..DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING. (CMCK ALL THAT APPL n Yes No �A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. t E]Ej/B. Excavation or f illing involving more than 200 cubic yards-of material � within any parcel or any contiguous area. E 'C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑[']"'D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E[D"It. Site preparation within the .one-hundred-year floodplain as depicted on FIRM Map of any watercourse. i new -or resurfaced impervious surfaces of 1,000 square . ❑�Installatlon of p 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 Cbeck List Form to the Building Department with your Building Permit Application. - -------- ,— atr"s`C'T'M' # IOOO APPLICANT: (Property Owner,Design ProfessionalAgent,ContractorOther) District 7q L JO NAME: Gt Si;Oq Br.k Lot P I?-S 2 VAA ld ' °"FOR BUILDING DEPARTMENT USE ONLY"' Contact)nforrtwtiore C 3/1 -,09 - Reviewed By: V" L 6 cr0 me9t �t �,`Y/1 Date Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — f �� N� R � Approved for processing Building Permit- ,LG (�� Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FORM A SMCP-TOS MAY 2014 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET !1 VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR.,. f S W TYPE OF BUILDING RES. ;' SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS / �.d c 31 71 717 L 3 4�� 41CYi}jq /° .jA AP r"/c 4�~ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable I FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland j DEPTH House Plot I BULKHEAD Total `"' DOCK ■�■■■■■■■■■■■■■■■■■■■ ■■■■■■ MOEN ■���■■■■■�■■■■■®■■ ■viii■■■■■!■ " ■■■�■■■■'rL■■■■■■■■■■ii■Ifi■■■■■■■ _ F i o pa /ppp � F 64' v �Q WB41 Ory.�� ��• ��• �W �•N 111'Y l JY�9 n 1-a.`s iE'?• Q, ' a JQQ oast Down ou WITO a Nps s N?�eiJ. � L���` tt 1Tp., e �i F e o �Q CA�e� ct',g.ArvicAg a�• CERT/F/ED TO FIRST AMER/CAN 77ME /NS. CO. MAP OF A'130-S-0232 of NEW SOUTHOLD SAV/NOS BAW LOT 51 PtE k, ROBERT w "R/N6 B 54, ow•DON" �� PArAVA A- DOERING HARBOR UVIrS ESTATE °� IL, SECT/ON 3 �c onack associates Ar 8A VE1 w 313 west main street TOWN Ur` SOf1THOL0 `'�Fm No, g9263 ��°� I riverhead ,new York 11901 SUFF. CU.,N.Y. SFb o s��� FILED A/1L G71-068'*5/47 _ (516) 369-1717 Nov. 3 , 1983 Job No. 83-354 GOC 8 F.HA4-12-9-83 11 NOTE ELEVAT/ONSAw1NASS/1ME!' DATUM PLOTa,4N //-/8-63111000-079-04-30 Soole:I = 40' ;�� _ ,- ' �`.."c3�+LY..�Esti ?;;;vim•'; APPROVED AS NOTED DAeE: B.P.#� tFE Ia. I ' I 7651802 8AMT0 t.4 PM TME FY NT AT � — i x�� � R THE FFOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. ATI ON4 0 NSTR �T N IO MUST . FINAL .. , BE COMPLETE : JR C.Q. .s T �/� � �� f�31 ` �X rp �� G�' , t �----- - -- -- _t ALL CONSTRUCTION SHALL MEET THE f g � -� t��� r REQUIREMENTS OF THE CODES OF NEW �'' =, _ ►� YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ' 7 3 E r I RETAIN STORM WATER RUNOFFOCCUPANCY. OR PURSUANT TO CHAPTER 236 --t -� USE IS UNLAWFUL I � OF THE TOWN CODE. ' WITHOUT CERTIFICATE OF OCCUPANCY - 1 COfv`!FLY A'!—H ALL CODES OF .EG.G �/igTjc?it/ �- TS,I E & TOWN CODES N YORK S _. AS REQUIRED A OF -A ! S f I ARD Of N `. ROBERT O'BRIEN P.E. Q CONSULTING ENGINEERING 8gViCE8 , , TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, Main (coedLaurelN.Y. 11948� ,E'iQ//✓ LAS/�D,dNG /�.SQIJ/ THESE PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE RESIDENTIAL CODE L TowN ///G �JGRiv�—in.,art Dre .So X521%' �O SCALE I A DRAWING NO. SHEET N�� DATE -3p I .6 G ��f l OF