HomeMy WebLinkAbout39732-ZNo: 37560
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 815 Old Shipyard Rd, Southold
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 64.-5-19
Filed Map No.
5/15/2015
Date: 5/15/2015
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/5/2015 pursuant to which Building Permit No. 39732 dated 5/5/2015
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:
ALTERATIONS TO ENCLOSE A BREEZEWAY (UNHEATED) AND WINDOWS TO AN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Martin, John
of the aforesaid' building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o • 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 #: 39732 Date: 5/5/2015
Permission is hereby granted to:
Martin, John
815 Old Shipyard Ln
PO BOX 680
Southold, NY 11971
To: CLOSE IN AN EXISTING BREEZWAY ( UNHEATED) AND INSTALL WINDOWS AS
APPLIED FOR. THIS PERMIT REPLACES EXP. BP # 35189
At premises located at:
815 Old Shipyard Rd. Southold
SCTM # 473889
Sec/Block/Lot # 64.-5-19
Pursuant to application dated 5/5/2015
To expire on
Fees
11/3/2016.
and approved by the Building Inspector.
PERMIT RENEWAL $37.50
Total: $37.50
DUIIUiny MbPUL OF
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35189 Z Date DECEMBER 3, 2009
Permission is hereby granted to:
JOHN F & LINDA M MARTIN
PO BOX 680
SOUTHOLD,NY 11971
for :
CLOSE IN AN EXISTING BREEZWAY ( UNHEATED) AND INSTALL WINDOWS
AS APPLIED FOR. THIS PERMIT REPLACES EXP. BP # 23024
at premises located at 815 OLD SHIPYARD RD SOUTHOLD
County Tax Map No. 473889 Section 064 Block 0005 Lot No. 019
pursuant to application dated DECEMBER 3, 2009 and approved by the
Building Inspector to expire on JUNE 3, 2011.
Fee $ 75.00
Autho ized Signature
ORIGINAL
Rev. 5/8/02
FORM NO.3
TOWN OF SOUTHOLD
\�C,
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
� s I Date � s ....................... 19Y.....
-23U2 -T Z
O/W I Y13 9? -
Permission Is hereby granted t ,
.... ....(.L.......................................................
T�......................................................
to.... .....................:.
.......... �........................
..................................................................................................................................................................
................................................................................................................................................................ .
at premises located at................� ...j................. .��P.:..........................
.......................................................... .....................................
County Tax Map No. 1000 Section .......... T........ Block ....... �............ Lot No. . Zf ...................
pursuant to application dated .........................�................. , 19 ..... ./...�.�., and approved by the
Building Inspector.
Fee $...7 .:` ......
Rev. 6/30/80
......... .... ................ .......... :......
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN MALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
® Z Date ........................................... 19
A, 41, 64�Ae ;2- 3 02.V —j—,
Permission is hereby granted to
.....1.: .. .........i.w....... .. ...
... .....
...........................................................
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to.... ...,. ...... .. �4... U .. �
?
..... .......... ...... '��..................................................
atpremises located at............................................................................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section
......... /�.�.....
Block .......��...J......... Lot No.................
116-9,
pursuant to application dated ..........
41V-0 ................................
I 19Z42., and
approved by the
Building Inspector.
Fee
Rev. 6/30/30
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: ofCerti�c-aFe—of Occupahcy
4. Updated Certificate of Occupancy - $50.00
..-5emporany_C-ertificate_oMccupanc_y-.-ResidentiaL$-L5.00, CommcxciaL$1-S.OQ
Date. �/� �f -
New Construction: ✓ Old or Pre-existing Building: (check one)
C)� � 15Location of Property: S.
l
House No. _ Street . l Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section(cam `7 Block s Lot15
Subdivision 2 Filed Map.
Permit No. `,� Date of Permit. Applicant:_
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
0D
Fee Submitted: $
Underwriters Approval:
Final Certificate.:
Lot:
V/,-*�
(check one)
Applicant ig ure
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
MING [ ] FINAL
REMARKS:
DATE 97118?,/J INSPECTO
--3i -7 3D_
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ �JFINAL ULATION
[``
DATE �'�/ S INSPECTOR �
�o �
3:
ti���OE SOpl�olo
�'7 3 <
cDONI'I,Nc�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIO
[ ]FOUNDATION iST [
]ROU PLUMBING
[ ]FOUNDATION 2ND [
] 1 ULATION
[ ]FRAMING /STRAPPING [
FINAL
[ ] FlREPLACE & CHIMNEY [
] FIRE SAFETY INSPECTION
I 1 FIRE RESISTANT (AlISiR11CT10N [
]FIRE RESISTANT PENETRATION
[ ELECTRICAL (ROUGH) [
] ELECTRICAL (FINAL)
[ ]CODE VIOLATION [
]CAULKING
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FOUNDATION (1st)
FOUNDATION (2nd)
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ROUGH FRAME &
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3.
INSULATION PER N. Y.
STATE ENERGY
CODE&CAry
4.
FINAL
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ADDITIONAL COMMENTS:
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Examinee!
Approved ..
Disapproved 4c
FORL4 NO. 1
U
TOWN OF SOUTHOLD
13UILDING DEPARTMENT
TOWN HALL
IaDEPT LD DEPT N.Y. 11971
TEL.: 765-1802
ps
?P ........, 19....90
a
........ 19'�?P, Pcrrnit No, ./�✓
BOARD OF HEALTA.
3 SETS OF P`L.Y:1S
SURVEY ........
.............
CHECK .. . _
SEPTIC ,FORM ...
NOTIFY:
CALL
••
MAIL TO: ' i°6
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....?°.............
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............... ... ..... .... ....
(Bt '.cling. Spector) .
APPLICATION F SUILDING PERMIT
INSTRUCTIONS
Date' .��f • ---- .. TS 99
a.
This application must be completely filled in'b ,•j
sets of plans, accurate plot plan to scale. Fee according scheduleor in ink and submitted to the Buildit>;Inspector, with 3
b. Plot plan showing location of lot and of building
or areas, and giving a detailed description of layout of property must be otn the diagram which p to adjoining premises or public streets
cation. part of this appli-
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 issued a BuildingPermit t
shall be kept on the premises available for inspection throughout the -work. o the applicant. Such permit
C. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 Lairs. Ordinances or
Rc ulations, 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, uildin�
admit authorized inspectors on premises and in building for necessa =code, housin., code, and rco lations, and to
ry _• ections�
(Signature of applicant, or me, if a corpora;ion) • -
Pj
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect,. enoineer,'general contractor, electrician, plumber or builder.
Name of owner of premises ..: , •�;rz aL�..
(as on the tax roll or fi-tes t • .. • . . . . • • - - . • . ' ' ' ' ' '
If applicant is a corporation, signature of duly authorized officer. deed)
(Name and title of corporate officer)-
Builder's License No. -/A 9 7,. j, _T ...... • . • . .
Plumber's License No.
Electrician 'sLicense No. ,..,••„•,,,,,,,.•.••.
Otlter.Trade's License No . ...................
Location of land on which proposed work will be done;
............................�1 . L
house NumberStreet.
Hamlet •.........,.
County Tax Afap No'. 1000 Section ...
.. �.. �•...........7,;i: •
Lot .
i:
Subdivision ............... ........... . !;.fled Map No. :•:i•
•(Nanicj • ;tiLot
State existing .......... - • •
• ' '
o use and Occupancy of premises and intended use and occt?pay of oposed construci
nc ”
a. Existing ,,� � prton:
useand occupancy ...l.:� .� ::": �:' .....
b. Intended use and -occupancy`°° �'' ...........
.. s< • •
1
`3. Nature of Vd'craian'
work (creek which applicable): New Building ........ _ . Addition ... � � -� ? � , • • -
• . Demolition )Wim pool....:' ..?;
Repair ....... Removal .... ... .
Tennis • Court • ......... Accessory Building• • . - - - • . • " . aailj ';
• .Fence .... : 0tFtUT5.�IJork......•:4. ,... .
~4. Estimated Cost ..................... Fee ........... .... _ ..<..-.. • . .
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....�t ..... o .... Number of dwelling units on each floor. .
Ifgarage, number of cars...a............................ ......... .. .. . .
6. If business, commercial or mixed occupancy, specify nature and extent of each•�ype of use ........�,- - , • .... , .
t
7. Dimensions of existing structures, if any: Front . .. P,57 Rear 5:3..• .. Depth .
Hci_lit . 1..7 ......... Number of Stories ..... • •
........ ... • ... - ..... , ' .......... . .
Dimensions of same structure with alterations or additions: Front 5! lg ?"? T ....... Rear
Depth =�- _ . • . - .... , Height ..�c,,�''?.............
Number of Stories ..2.... ... ..... .
S. Dimensions of entire new construction: Front . �: r'? �, • . - . Rear SJU.", c...... Depth
Height ?;� !';�, , , Number of Stories . , .. •
9. Size of lot: Front ..%SO :�?<?..... .. Rear'. Q?:......... Depth .� :.Z_, -c ........... .
10. Date of Purchase • , _ , , • • • ,Name of Former. Owner
11. Zone or use district in which premises are situated .... ..'..........................
1 ". Docs proposed construction violate any zoning law, ordinance or regulation: .................. ,
13, Will lot be regraded p , , , , , , , Will excess fill Uc r ovcd from premises: Yes Ne• •.
14. Name of Owner of premisesfl:P,c ;�/�c�a;1'YJ2�`�;,a , Address0lWS%% . ..... Plione No?�r =3 ..... -
Name'of Architect .. .......Address tip ALj�- ..Phone No.
fid., . ..
Name of Cortractot `'. le • • • , • Address�� 4��s�hp�! . • .Phone No�� .?.Z
...
15.Is this property to ated •with.in 100 feet of a tidal wetland? *YI;S_a _NO....
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set -back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
'Maud
L 1/ •
STATE OF NEW YORE,S•S
COUNTY OF .............. .• •
l�
CA/ �7. C.11P
zn E e Qrf O YL �_,A
_ • • _ • • • • • •.••• _ . • • ..... being duly sworn, deposes and says that he is the 'applicant
(Name ofindividualsigninocontract)
above named.. �/
Heisthe.. :U ?c P.. .........................................................
(Contractor, agent, corporate officer, ctc.) r
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 ; 7n
.......................day of . Lf...—...........
XVotary Public, ...... .:...�:::�::!County
HM IC DE Y0E
KOtARIfPUBUC,StateofNewYork •......• ..••••••••�•..•.•• •••••0
No. 4707878, SuffolkCou* (Signatu of applicant)
Term Expires March 30,19
r1�r�17/ \1
Telephone (631) 765-1802
rager.richert(ale so65..-R51d.ny us
WADING DEPARTMENT
'OWN OF SOUTHOLD
REQUESTED BY: Date:
Company Name:
Name. d ,
License No.:
No..
JOBSITE INFORMATION: (*Indicates required information)
*Name: rJ &I
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax•Map District: Ivuu erection: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection::Y / NO. Rough In Final
*Do -you need a Temp Certificate: YES / NO
Temp Information (if need
ClPhate
ed)
*Service Size: 3Phase 100 150 200 300 350 .400 Other
*New Service: Re -connect Underground Number of Meters Change of Service Overhead d
Additional Information: PAYMENT DUE WITH APPLICATION
.82 -Request for Inspection Form ��
AeroTech Publications, Inc.
THE HOME OF
THE adlog- 3
0 AIRCRAFT RECORD KEEPING SYSTEM
PO BOX 1359 SOUTHOLD, NEW YORK 11971
1-800-235-644411-631-765-937511-631-765-9359 FAX E -Mail adlog@optonline.net
M E M O
Date: 11/2/2009
To: Mike Verity
From: Fred Martin
Ref: C/O House at 815 Old Shipyard Lane Southold
Hi Mike
Here is the check for $75.00 as we talked about last week. You should have the
paperwork in or on your desk.
Let me know when is good time to meet, preferably week of 12/07 thru 12/11 if
that's OK with you.
You can call me at the above number 8 til 5 weekdays or my cell 681-9225.
Thanks Again & Best Regards,
red Martin
Z
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
May 12, 2015
John Martin
PO Box 680
Southold NY
pF SOUI�o1
O � iQ
yC4UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Re: 815 Old Shipyard Rd, Southold
TO WHOM IT MAY CONCERN:
Telephone (631) 765-1802
Fax (631) 765-9502
The Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
7Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4!1/84)
Trustees Certificate of Compliance. (Town Trustees # 765-1892)
Final Planning Board Approval. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 39732 - Alteration
P+S3hslF-.rte.-.' _,� -•: ^'`-� ( 1, �.` -,�"� ' �..-R- _ _^-----�_..-�-
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FORMER OWNER N E ACREAGE L' Q
S W TYPE OF BUILDING
RES. '� w SEAS. VL. ARM„ COMM. I IND. CB. I'MISC. I Est. Mkt. Value
i
LAND. IMP. TOTAL DA+E REMARKS
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AGE BUILDING CONDITION
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NEW., NORMAL. BELOW ABOVE FRONTAGE ON WATER
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Form Acre - Value Per Acre Vdiu1e FRONTA4 OIJ kOAD
Tillable 1 BULKHEAb j
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