HomeMy WebLinkAbout40013-Z �. d.4. Town of Southold
, ,� Grt, 9/16/2015
P.O.Box 1179
ft o 53095 Main Rd
AS OPr Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 37780 Date: 9/16/2015
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1345 Sound Rd, Greenport
SCTM#: 473889 Sec/Block/Lot: 33.-4-62
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/10/2015 pursuant to which Building Permit No. 40013 dated 8/14/2015
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:
FRONT STOOP TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Norton,Raymond&Cutler,Deborah
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Ad",
Authoriz FrSignature
_ TOWN OF SOUTHOLD
PSu��nt,r�y`�
BUILDING DEPARTMENT
o TOWN CLERK'S OFFICE
"py 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#: 40013 Date: 8/14/2015
Permission is hereby granted to:
Norton, Raymond & Cutler, Deborah
53 Sound Rd
Greenport, NY 11944
To: construct a stoop as applied for.
At premises located at:
1345 Sound Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 33.-4-62
Pursuant to application dated 8/10/2015 and approved by the Building Inspector.
To expire on 2/12/2017.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $212.00
CO -ADDITION TO DWELLING $50.00
Total: $262.00
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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. Vio//
New Construction: Old or Pre-existin Building: (check one)
Location of Property: � 3 S®t;.Llua
House No. Street Hamlet
Owner or Owners of Property: el,_ Ii ®q; /e0v-
Suffolk
County Tax Map No 1000, Section Block (f Lot
Subdivision Filed Map. Lot:
Permit No. 9-00 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: ►// (check one)
Fee Submitted: $ IJV��
-75ut.tyv-eg &0/1 (Ain--%
pplicant Signature
40013 �,�%4pF o
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FO DATION 2ND [ ] IN ATION
[ FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: % .
DATE '74/5
INSPECTOR 21-'-i (S�'�'�
FIELD IVSFiditoN REPORT DA • , _ • COMMS S
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INSULATION PEA N.Y.
STATE ENEflGY CODE
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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 . ,
4080-
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form ,
N.Y.S.D.E.C.'
Trustees '
L~ �� rr C.O.Application
J E ", L h _i Flood Permit
Examined r ,20 < Single&Separate
6 hJ0 } . Storm-Water Assessment Form
/ , J Contact:
Approved 20 .Mail to: ,ems /VOA
IDisapproved a/c h °"''�`� ..5"3 ®Cr&,d 4r�ee g ,ar_�
• , Phone: 9/y, `� 9c. ;4693/ /�94 '
Expiration / Z_,20 (7 _ 4
dor
ll,
Buildin:'`nspector ,
APPLICATION FOR BUILD • . ' RMIT
Date - i 0 , 20 kr-
- - .INSTRUCTIONS - S '
a. This application MUST be completely filled in by,typewriter or in inkand 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 Buiiding'Irispector Will issue a Building'Perinit to'the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupi`ed`or'used in whbleor 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 hasnot 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 Inspectormay 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,prdinances 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,buil'ding'code,housing code, and regulations,'and to admit
authorized inspectors on premises and in building for necessary inspections.
, . . - :, - ' ,i. 't, ' , taxi _
-
--;---,-
(Signature of applicant or name,if a corporation)
So / - ' 1-C'e"'IO ® A" e/
. ' . ' (Mailing address of applicant) /
JI9 VV.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Ow to c-i—
Name of owner of premises 2qA,, jci Alat ` '`��tio--� Ccd-1 -,-
(A' -on'the tax'roll or latest deed)
If applicant is a corporation, signature of duly authorized officer - S
(Name and title of corporate officer) t
Builders License No. S
Plumbers License No. . , . - ,
Electricians License No. . - ,
Other Trade's License No. , •
1. Location of land on hi�/h proposed work will be done: Al /�
5 3 So u M e� ' /k'/Q /3 YS Soue&Jc - &I vet-K3 j0 0
House Number Street Hamlet
County Tax Map No. 1000 Section is;i("j', ";;-':1''ABlockc`' • '`'"".'-r Lot ' 6 .)----
i`l'1401, , ,;,;(3 i-11, i'i';!(F51',1 IN r)
__.:;,01 ,,!li"'i,c.'...Sfif'',' t iMrat l°CU-)
1./
Subdivision 3 3 Filed Map No. Lot 6
2. State existing use arid•occupancy of premises nd intepded use and occupancy of proposed construction:' -
a. Existing use and occupancy eg? �4A 1
b. Intended use and occup'aricy Psi PA, Id - " ` - ' • -
3. Nature of work-(check which applicable):New Building Addition Alteration Scjp
Repair - Removal.. • Demolition Other Work
-- • (Description)
4. Estimated-Cost d '
�`"�;'�OOf,. Fee
- - (To be,paid ori filing this application) ' '
5. If dwelling, number of dwelling units Number of dwng units,on each floor
If garage, number of"pars . . MS 0 f ' ,
6. If business, cominercial-or•,mixes 'occupancy, specify nature and extent of each type of use.
• '.. 7. . -. Z
Dimensions of existing,structures , if any:Front ' � - Rear 7 6. Depth
Height Number of Stories .
/ ` e '
Dimensions of same'Structure with alterations or-additions:�Front ''4 Rear w
Depth _S r Height Number of Stories
8. Dimensions of entire new construction: 'Front–-' ;1','-- ` ,- 'Rear ' -'.•`'''• Depth
Height ' _ .„-Number of Stories
'. . 9 •1
J
9. Size of lot: Front ' , /O C� Rear - :�'! Q,T' Depth /O.-C— '
10. Date of Purchase' /0 '1101`y-"' Nanie'ofForiifer Owner ,'w. 2` `Oy,• ' '
11. Zone or use district ii'which premises'are situated'' ,. ''' ' ' ' ' ' . ' .
12. Does proposed,constructionj;violate any,zoning'law,;ordinarice'or regulation? YES ' `'NO
13. Will lot be re-graded?;YES NQ V.,,Will excess fill,be'removed,from premises?YES , .NO .fr/,
14. Names o£Owner:ofpremises ._E, NO� ;Address 41/1.-;;. SIP. � : . 4.4.h0:1CleINo.' `Vrii4, 0/
Name of Architect . f: . ';-::.• ,;...!,.i ; Address' •4 =F 3 . Thorie No ', , "
Name of Contractor' - ° ' ', „i,,, Address; ';i2'D5 :'.1/9V;c(_Phone'No.' , ' ---`{-' '
15 a.'Is this property'within;100 feet of:a tidal wetland or a fr`eshwaterwetland? *YES`' ,• ' NO '
* IF YES, SOUTHOLD•TOWN TRUSTEES 8i1-3.E.C. PERMITS`MAY,BE RE,QUIRED:" ` , , ' - - '
b. is this property'wit'hii 300ifeet`of'a tidal wetland?.* YES`" _' ',"'1:1-b"`.',' s., ` ''" "' ' '
* IF YES,D.E.C:PERIV1ITS'MA"YfBE REQUIRED. • ' „ t '' ' .. " ., '', ' . '
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.
s
STATE OF NEW YORK)
:
COUNTY OF a, I r
At-:(2 ;4;tbo..4 4 4 •. , iiJ, ..beirigd
. uly sw.orn ,''deposes'arid says that'(s)he is the applicant `
(Name�f individual signing contract)above named,
(S)He is the ' ' Ow n-c K - -- ,
' (Contractor,Agent,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 .
10+h day of Au U 20 15 ,
-citiar:P' TRACEY DWY -
CNotary PublicLtir Signature of Ate"
NOTARY PUBLIC;STATE OF NEW YORK''' ,
' NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2°I
1 )
ir
�SL,F��,! ,•- STO]R MWAT]ER
Scott A. Russell ,������� ,
SUPERVISOR 4 5( ,st� z ; MANAGEMENT
SOUTHOLD TOWN HALL-P.O.Box 1179 'yl m C
53095 Main Road-SOUTHOLD,NEW YORK 11971 y1 ;s' Town of Southold
-..°1 1 to
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No •
0 MrA. Clearing, grubbing, grading or stripping of land which affects more :
. than 5,000 square feet of ground surface.
❑� Excavation or filling involving more than 200 cubic yards of material . .
ithin any parcel or any contiguous area.
❑ C. Site preparation on slopes which exceed 10 feet vertical rise to
�/100 feet of horizontal distance.
•
0 lI D. Sitere aration within 100 feet of wetlands, beach, bluff or coastal ,`:
P P
0 E. erosion hazard area. 5
Site preparation within the one-hundred-year floodplain as depicted t '
on FIRM Map of any watercourse_
thrwriii8Tallation 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.Contrac or,Other) S.C.T.1vl. 4: ]000 Date
NAME. A L7p,7( 4 hie, itJ 33 It fol-- /45/
ia.,.,. dor ,A...... -�/ Section Block Lot
,
-'`i15ru�rrl
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.". ° FOR BUILDING DEPA T�.)z�.�T t,cr ONLY
Conixt Informatiore 9/171: 9 ,.. Ye) 5
Reviewed By_ '0A a -<,1.: _.e.— — — - - - - - -- - - - - - - - - - Date J e- to-15
Property Address / Location of Construct ion Work:
s SnC,"id K/� :1 r Approved for proce»ing Building Permit-
1 \\VI/ Stormwater Management Control Plan Not Required
T-"e�ir.) 0 l« { (1 Stormwater Management Control Plan a Required
(Forwaid to Engineering Department for Review)
FORM ' SMCP - TOS MA Y 20 I i
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RES. SEAS.AS. ,•
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LAND IMP. TOTAL DATE REMARKS -j 1 r ..J_ 1,:"....77;;A--" i/ /d/. // 74 27----
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Tillable 2
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Brushland FRONTAGE ON ROAD /'0r Jj g- l , g)
House Plot DEPTH / 47
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M. Bldg. .e,F"9t9 . ' Y-- � y ✓7.2 /� Foundation e1 Bath / Dinette
Extension /- x j 46 ---- 3.o o .5....,./0 osement Floors b 6Q K. -
Extension Ext. Walls A2.5,..3 . Interior Finish (.4/7 2. (17.121 LR.
Extension Fire Place Ai a Heat i DR.
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Type Roof 6 , bpi. Rooms 1st Floor BR.
Porch Recreation Room Rooms 2nd Floor FIN. B.
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Breezeway Driveway
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•
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J _ ITS SUCCESSORS AND/ OR ASSIGNS, APIMA
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O E115 Q• Sr SECTION 7209 OF THE NEW YORK STATE
00 y "o J0 '130G11 �I 1N Z' EDUCATION LAW. Nathan Taft Corwin UI
S ,• 20
Q� �F05cy �Gy 21 SIR COPIES OF THIS'SURVEY MAP NOT BEARING
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NG NF�SNkc // ; S TO BE A VALID TRUE COPY
�p �``\ I CERTIFICATIONS INDICATED HEREON SHALL RUN
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IS PREPARED, AND ON HIS BEHALF TO THE Successor To Stanley J. lsaksen, Jr. L.S.
pEpE GN FEN sF I TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
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S�pGSpE J\Ny� 9a o
TO THE ASSIGNEES OF THE LENDING INSTI- Title Surveys — Subdivisions — Site Plans — Construction Layout
A� F 50 TUTION CERTIFICATIONS ARE NOT TRANSFERABLE.
/ t, i0,1,/ TA 'PHONE (631)727-2090 Fax (631)727-1727
ETHE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
c ,gED
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
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A• •• ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
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