HomeMy WebLinkAbout40181-Z os
bq CDG,a Town of Southold 11/6/2015
iX o P.O.Box 1179
53095 Main Rd
-a°l Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37892 Date: 11/6/2015
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 960 Middleton Rd, Greenport
SCTM#: 473889 Sec/Block/Lot: 40.-5-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/13/2015, pursuant to which Building Permit No. 40181 dated 10/16/2015
• 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:
"as built"deck addition to existing one family dwelling as applied for.
The certificate is issued to Martocchia,Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
AlgrAlrAM
oriz Signat 4 re
SU-.. TOWN OF SOUTHOLD
0.,�,�0, x47V- BUILDING DEPARTMENT
a r? TOWN CLERK'S OFFICE
>?� o. SOUTHOLD, NY
°1 *.>
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#: 40181 Date: 10/16/2015
Permission is hereby granted to:
Martocchia, Maria
25 Middleton Rd
Greenport, NY 11944
To: As-built deck addition to existing single-family dwelling as applied for. Additional
certification may be required.
At premises located at:
960 Middleton Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 40.-5-10
Pursuant to application dated 10/13/2015 and approved by the Building Inspector.
To expire on 4/16/2017.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $515.20
CO -ADDITION TO DWELLING $50.00
Total: $565.20
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Buildi . _ . -ctor
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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 110® M j cC d,(e �- 1
pod--
House No. Street Hamlet
s
Owner or Owners of Property: Ck,1('I O s ak-rf-D q
Suffolk County Tax Map No 1000, Section 0 Block �r Lot ! l.✓
Subdivision Filed Map. Lot:
Permit No. `I D 12 O Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
OF SOply-1;
/g/
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: 7491 .►rr
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DATE INSPECTOR Atifr
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INSULATION PEi N,Y. _ 6
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TOWN1)F 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
1
SoutholdTown.NorthFork.net PERMIT NO. `� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined I Di I Le ,20 15 Storm-Water Assessment Form
Contact: k
Approved 1 I) 1 LQ ,20 k5 Mail to: lam'64 11 rte/
Disapproved a/c
Phone: 7(�- 8 5O 5
Expiration if i L ,20 /
Buildin Sector
PLICATION FOR BUILDING PERMIT
_ •0C1132015 _
_ Date / D 7 , 20 /S
BiDGDEP! INSTRUCTIONS
TOWN or 00011101 D
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 name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee,agent, architect, engineer,general contractor, electrician,plumber or builder
De si
Name of owner of premises /4,01-4 BGG I�
(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:
(14(d . roe' I�;' - �r / dr
House Number Street H. et
County Tax Map No. 1000 Section �D Block Lot /0
Subdivision Filed Map No. Lot
• - -
2. State existing use and occupancy of premises and intender,use and occupancy of proposed construction:
a. Existing use and occupancy St 11 lc. —H,44 i H 'VCS stez
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition s Alteration
Repair Removal Demolition Other Work A S- hi), I+ k -
(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 11 /- 104 Depth /1 1 d h
Height s " 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 1 — qo
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO/C)
13. Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO/\,c)
14.Names of Owner of premises ,kA00/ 1-060/ Address 2 0(7 - Phone No.
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 E 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 ) "
Iiabeing duly sworn,deposes and says that(s)he is the applicant
(Name ofinividual signing contract)above named,
(S)He is the
(Contractor,Yilgent,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
tday of O� 2� NtE D.
CONPio,State ofBUNCH yolk
No.01 BU6185050
Commission in Suffolk County
C
Notary Public � April 14, ,1,
Si_, a OPPApp
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Scott A. Russell ,•,'�� ,°su p -_ ST(0)RIVIWA\T]ER
SUPERVISOR = MANAGEMENT
SOUTHOLD TOWN HALL-P.O.Box 1179 11:5 43
53095 Main Road-SOUTHOLD,NEW YORK 11971 ft, 4. Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE]E )FOLLOWINC4:
Yes No (CHECK ALL THAT APPLY)
❑
caA. 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.
❑yl)C.
Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑[71 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑
cgE. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑p 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 YE5to 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. i`: 1000 Date
AA 11^^'' � • , " �� Dist t / �f
NAME. 6 1 t/V✓ LA -__L 1 O /f�✓� !
Sec ion Block Lot
G� `7 ****FOR BUILDING DEPARTMENT USE ONLY****
Contact Information. t 0 J . V�//��
(Telephone Number) \
Reviewed By: �P l�e�V
Date: /0 /Thii
Property Address/Location of Construction Work:
/,b n L 1�i 1 _ ,D i Approved for processing Building Permit.
Carv� o►' L2�I C)V I Stormwater Management Control Plan Not Required.
v ur a L_ vy c Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM 4 SMCP-TOS MAY 2014
S.C.T.M NO DISTRICT 1000 SECTION 40 BLOCK: 5 LOT(S) 10
LOT 8
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8 pp.
•AS•
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WASHINGTON AVENUE
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 9,409. 14 SQ.FT. or 0.22 ACRES ELEVATION DATUM.
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 9 CERTIFIED TO. NICHOLAS CARLTON BOGATY,
MAP•OF. FLEETFIELD EVA HORTON BOGATY;
FIDELITY NATIONAL TITLE INSURANCE COMPANY;
FILED: AS No.1351
SITUATED AT. GREENPORT
TOWN OF• SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE N 15-171 SCALE: 1"=20' DATE: SEPT. .30, 2015 PHONE (631)298-1588 FAX (631) 298-1588
N.Y S LISC NO 050882 maintaining the records of Robert .1. Hennessy & Kenneth M. Woychuk
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APP O ED AS NOTED NEW YORK STATE & TOWN COD
DATE: , P # 1-{-QIg1 AS REQUIRED AND CONDITIONS
FEE: S -fib BY: 4 !9E$ '";Z$,4
NOTIFY BUILDING DEPARTMENT AT �6 z o
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765-1802 8AM TO 4 PM FOR THEo N o
FOLLOWING INSPECTIONS: °� i-
t FOUNDATION - TWO REQUIRED --- ..._..-M Y.S.DEC o
FOR POURED CONCRETE o o
2. ROUGH - FRAMING & PLUMBING
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3. INSULATION
4. FINAL - CONSTRUCTION MUST OCCUPANCY OR
BE COMPLETE FOr. C.O. �+ IS
111 ALL CONSTRUCTION SHALL MEET THE USE UNLAWFUL
REQUIREMENTS OF THE CODES OF NEW !—
YORK STATE. NOT RESPONSIBLE FOR WITHOUT CERTIFICATE _ sz
DESIGN OR CONSTRUCTION ERRORS.
EXISTING OF OCCUPANCY m �'
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_ _ RETAIN STORM WATER RUNOFF A I 17 c n ---�'P • Q
PURSUANT TO CHAPTER 23 u , �� CCr I . I cCc IC�1
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OF THE TOWN CODE. ilviy Ioi'_ 1re(t t I t,—f c)•
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• The information contained on these plans and drawings reflect work performed and DECK Q
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completed, as shown, to the best of my knowledge. These drawings are certified to be OF NES }
in accordance with NYS building codes. The contractor is responsible for ensuring that
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UNAUTHORIZED ALTERATION OR ADDITION TO THIS DRAWING AND RELATED DOCUMENTS ISA VIOLATION OF SEC. 7209 OF THE N.Y.S. EDUCATION LAW
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UNAUTHORIZED ALTERATION OR ADDITION TO THIS DRAWING AND RELATED DOCUMENTS ISA VIOLATION OF SEC. 7209 OF THE N.YS. EDUCATION LAW
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