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HomeMy WebLinkAbout40065-Z '�C®GTown of Southold 12/7/2015 P.O.Box 1179 4 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37950 Date: 12/7/2015 • THIS CERTIFIES that the building DECK Location of Property: 2820 Shipyard Ln Unit 3L, East Marion SCTM#: 473889 Sec/Block/Lot: 38.2-1-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore Med in this office dated 8/20/2015 pursuant to which Building Permit No. 40065 dated 9/8/2015 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: SECOND STORY DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING (Condo Unit 3L)AS APPLIED FOR The certificate is issued to Solomon,Froma of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /o ' ed Signature _=� ' TOWN OF SOUTHOLD �'4�SVFFQtx''' ' BUILDING DEPARTMENT {t TOWN CLERK'S OFFICE `�p� 11 . 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#: 40065 Date: 9/8/2015 Permission is hereby granted to: Solomon, Froma 25 W 54th St Apt 7A New York, NY 10019 To: construct a second story deck addition to an existing deck as applied for. At premises located at: 2820 Shipyard Ln Unit 3L, East Marion SCTM # 473889 Sec/Block/Lot# 38.2-1-32 Pursuant to application dated 8/20/2015 and approved by the Building Inspector. To expire on 3/9/2017. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $222.40 CO -ADDITION TO DWELLING $50.00 otal: $272.40 410a 0. _ 1 Buil'''. s•- _ 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: C 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 q Date. New Construction: n� Old or Pre-existing Building: V.."-- (check one) - F Location of Property: 2020 ,5/4i 12P 49/1/g— lowdebir5ggL e511 ,Pitioti House No. Street Hamlet Owner or Owners of Property: OAKIL /OMA- SSU-Z)104"// Suffolk County Tax Map No 1000, Section 36.. 2 , Block / Lot 32 Subdivision • Filed Map. Lot. Permit No. y0066- Date of Permit. Applicant: Health Dept. Approval: _ Underwriters Approval: Planning Board Approval: _ / Request for: Temporary Certificate Final Certificate: ✓ (check one) 'Ob Fee Submitted. $ Ar-ie_szeigo-Al , Applicant Signature 6c) 1�,�o,,,pF SOUlyolo`. ?a Q,; TOWN. OF SOUTHOLD BUILDING DEPT. 765-1802 r- INSPECTI9N _______ [ ] FOUNDATION 1ST . [ ] RO H PLUMBING . [ ] FOUNDATION 2ND [ ] -1 SULATION I/ [ ] FRAMING / STRAPPING [ FINAL / [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION /7 [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) / [ ] CODE VIOLATION [ ] CAULKING i REMARKS: / iie Lii -Z. ?tie-tee-SLY ( . diS° Al( CD 0111-4.‘- PWai-z76.6ty, C4ac0v.� itpF c )( .6,5 4,, ,,., ,,,,2- & c-4-44-84-7u h-7 41141\IY`16 ‘c7- Ok t 44-kit--- '' DATE /(/ / i INSPECTOR rA-4 - 1 _ , ,----- ___ LILepi o S - ��„,,,, OF SOUi; :* ic : ee,„\ ; ... , . 1 -----__,....:,,, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH MBING [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE.& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ,r, 4,. DATE / INSPECTOR • FIELD INSPECTION ItEVORT DATE ' COIt? 2FiNTS rr 4..,...1._..4. • o • ROUGH FRAMING& ---l• ` • • • PLUMBING - " ti • • INSULATION PEA N,y, • . ' F y STATE ENERGY GONE ,'. . . ' • ' • • . , , ,_ . ' en./ . ._ . r . . • rl- .1. ,*.. .._,. :ted ;�_ C•: - , • 4, 9 46,41.• •• .:4,' ,' ./' ' 6 0 ,um a , .4, , L , ,,- ....,,,,,, ,,d- � 0r _____z:- p,m r. -6 • ' FNAL 1113 MeV-�WA � ,�' • " . . . • • • A Vie I 8 E vR'ti�, Ts 1 0--13 , 'A ' . 6 :(ec : .72 h '_,..7Tt ! • �/� 1 • . mow• / 1 . . ' �� . ' ,• • ' • • • • • • • . • 1 • W 2 . .. . . . . , . . . .. . . . .._ . . . . , , .. . .. 04 , . " ,,. ... .. .. . . . , ' �.•�+. ''\. i • 1 e boy aJ Z • • • • • • • • rr • r L. b TOWN OF SOUTHOLD ' BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALLBoard.oi;';-Iealth , 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.46 76 5 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 q,i - c& /� /� /� Q Phone: �` Expiration ,20 D) i � D) `J , 1• .: sing Inspect I ILI' AUG 2 .20 PLICATION FOR BUILDING P- '+ J. Date *66r-27- 1/ , 20/5-- iINSTRUCTIONS 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'Ins'pector 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 fn*hole or iri'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$,uilding;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,buildirtg`code,housing code;and regulations,'and"to admit authorized inspectors on premises and in building for necessary inspections. ' ,,, , , ., "~ , ,,--43---7/07" (Signature of applicant or name,if a corporation) ,5e- W . iii7A- /owy S•,. , t° (Mailing,address of applicant ' . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ikeiesv Name of owner of premises i 5202146d , 7g7-0/11- r ,v2\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: '3 L2 .qc7 1-+l p yin L•/i7/b-- £•--r y 1,.e/e7t,.) House Number Street : s: ;,Hamlet ; ?I-PT(`•te'i:f ki F:!t �',?.5Pri' sr p:y-'S i County Tax Map No. 1000 Section 5.1'.. 2 , c ; �t B.},O '' „, Lot 3z 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 e&55/2:E5A/C� b. Intended use and occupancy ie f 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal, , Demolition Other Work,= ! /k /07/7Wi m ets aim � (Description) 4. Estimated Cost ee - (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor /-719a/iii f z� If garage, number of cars . / 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. all* /7 /C6" 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 '` ' ' ` At iepthc' r, f,; Height Number of Stories 9. Size of lot: Front Rear r ` :3. + ' : Depth 10. Date of Purchase. , / ;,, 'Narri'e•offormer Owner'+ „ ' "'• •- • 11. Zone or use district in"whichpremises are situated° n- a)e, :, : : }•; ',,:" 12. Does proposed construction violate any zonirigtlaw,;ordirarice or regulation? YES • ,NO 13. Will lot be re-graded?,YES NO ✓r Will excess fill�be remo,ved,from,premises?,;YES NO 14. Names.of Ownerof premises . r ,>.; , , 7():: -Address r _J ;>.Phone No. Name of Architect , `'Address' 5=:! _ <'i111:- :1 .r •Phone•No• Name of Contractor r ti3, Address - ' '_a,c,`rl,r ' - -Phone No.' • • 15 a. Is this property'within 100 feet of a tidal wetland or a-freshwaterfwetland? *YES ' * 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 MAYBE 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) S COUNTY OFL p p //14e, • ' :b.eingtduly sworn;deposes and says that(s)he is the applicant (Name of individual signing contract) above named, fS'fHe is the A/Wel* - -- - - - (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. - Swsr to before met 's day of bn., 20 k� % S deyyJugs x ' 7 -/ . _i�.A_. Notary i'ublic 4) Notary Public State of New ' ' Signature of Applicant No.01JU6070416 Qualified in Kings C• Commission Expires - 20. ,. . «,R „'� Scott A. Russell e.,,,,,vS "`�`'•: STORN[WAT)E)E�. SUPERVISOR - 26...___ --.6:, 2 SOUTHOLD TOWN HALL-P.O.Box 1179 - p 4'1/ T 53095 Main Road-SOUTHOLD,NEW YORK 11971 'f'��O ���/�� Town of Southold ...�*.i . �v,,, CHAPTER 236 - STORNIWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) i DOES THIS PROJECT INVOLVE' ANY OF FOLLOWING: , , Yes No (CHECK ALL THAT APPLY) ®ErA. Clearing, gi-ubbing, grading or strippingof land which affects more ' . than 5,000 square feet of ground surface. O ✓[ 'B. Excavation or filling involving more than 200 cubic yards of material 4 ^/ 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. •• ❑E D. Site preparation within 100 feet of wetlands, beach, bluff or coastal : erosion hazard area. ❑EVE. Site preparation within the one-hundred-year floodplain as depicted s on FIRM-Map of any watercourse. . • ®N/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 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 APPLICANT: (Property Owner.Design Professional.Agent,Contractor.Other) .C.T.M. : 1000 Date: District NAME: ' 38,E 3 - g- Zv-is tr„�, Section Block Lot •a • 7rkywnr i .. - , » BUILDING rEPA>rN lFNr USE ONLY ' r. Contact Informatiore 9l7/M53R-/3/OD Reviewed By: dill° Date F” -i) Property Address / Location of Construction Work: Vg2o `3krP / Awe ifN9 / 3 L Approved for procem er Building Permit g r Stormwater Management Control Plan Not Required- / - .E/ti.5 T/17/172) OA. 1 Stormwater Management Control Plan a Required (Forward to Engineering Department for Review) FORM SMCP- TOS MAY 2014 ......_ _ oFrt C6 A*PROV D AS NOTED _. ..f-I, ;�r \q ��77 3 r'-' - . ._. D � B.F. G PAS ��l ATE: B °017a • 1- _ ... t� .4 ., _ I' .,,, E .,�. � J ._. w. . Tf" `y f� r `` '�' ,l ® FEE. 2✓BY:. N � .. �_ , .1 !! �r M, E E , , 1 NOTA- f= L , w `s ... ! � . ' t . » '�,..,, K � I : FJ:;. L r. BUILDING D_r AfL�tv1ENT AT USE i4 UNLAWFUL CI 765-1802 8 AM TO 4 PM FOR THE WITHOUT I FOLLOWING INSPECTIONS: YYTHOUT CERTIFiCATE 1. FOUNDATION - TWO REQUIRED OF OCCUPANCY FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING ; 3. INSULATION :'~. y` � =• "� t r'"i - -, , �:_w, ;- of .. 4. FINAL - CONSTRUCTION MUST .� �. �` G t : Ti .. --. S r� ' . r � BE COMPLETE FOR C.O. `r S`'�,jr I. -; ,` •• :. .' i t " ''' ALL CONSTRUCTION SHALL MEET THE . F . -:.�� ; AT REQUIREMENTS OF THE CODES OF NEW AFF YORK STATE. NOT RESPONSIBLE FOR �P- -.9, "�2 6 DESIGN OR CONSTRUCTION ERRORS. E.\P\�S. ROG\APSE R PN 00 s �;x ;a p �S\)P pW��' CON/IPLV I'/1TI-I ALL CODES OF ;_>;; s; 2,.. 21T 8 PYA L Bldg. #4 p��� .� IVEb'V_YO K ST t & TOwrJ CODES <�.- :1�; �� `a r ��f ,. r 2 AS REQUIRED D-''OND! I IONS OF t Cf-; � :: p g N. hJ i t{ t i .-- - .• ,S` t� ,..,r -,:7 ).; TO {�r tt. r SE QD DF`K �m®� SOUTNB N ZBA1 1� F5 T�4 '�, �H �y34GPY. fF ` p �W '-'' t_u, S4NP1 PLANNING 80ARD �� ,fi ,t' A -' 3p` 11939 Skop 40D DE' �d• 3 E ..,) H r s r .,..,..5 `�M y� Bldg. #3 sa_ ����m DEC �:z�� -�;� =' . 6.I'',., :x:........._, tiE��1—. y9tfflfllNG ®�1��lYY� �j HII�'. ~ A c\\�' ia "---�- -+ ~,.,� L{' \amu TQNHOUSE 3U3K OkSiONPROncx�AE.waOEFtH+r LarASTrsvcTsgyF�Ea aireEmn.3,cM SHECRAuTAC EROa^3QN ?tAzARt}ilyg A _ y�.� ""A'- ,ALER0,!s t Tsa scA, r �' ,y `I�i.•: .vi 580 fifth Ave.Suite t2 t0,NY,NY 10036 a;0 No as-SJ6 srf Er 6-0,' 49 Rov S-, :04- :_. 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