HomeMy WebLinkAbout40242-Z xsUFFd1tK�� Town of Southold 12/14/2015
{® P.O.Box 1179
o 53095 Main Rd
If �°t;i -`Y Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37959 Date: 12/14/2015
THIS CERTIFIES that the building ALTERATION
Location of Property: 905 Aquaview Ave, East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/27/2015 pursuant to which Building Permit No. 40242 dated 11/5/2015
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:
hearth alteration in existing one family dwelling as applied for.
The certificate is issued to Weile V R Revoc Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
'1A7tit2%4re
TOWN OF SOUTHOLD
11�o S�FFot�-4 . BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
1.
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#: 40242 Date: 11/5/2015
Permission is hereby granted to:
Weile V R Revoc Trust
905 Aquaview Ave
PO BOX 223
East Marion, NY 11939
To: make alterations (hearth alteration) to an existing single family dwelling as applied for.
At premises located at:
905 Aquaview Ave, East Marion
SCTM # 473889
Sec/Block/Lot# 21.-2-11
Pursuant to application dated 10/27/2015 and approved by the Building Inspector.
To expire on 5/6/2017.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
i///////li
Building nspector
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. ao 066 2A(-15
New Construction: Old or Pre-existing Building: J (check one)
Location of Property: w6acira.JV1f bl"J unAvi
House No. 1 Street Hamlet
Owner or Owners of Property: \Itot-bra wet lig_
Suffolk County Tax Map No 1000, Section ra Block 2 Lot U 1
Subdivision /� Filed Map. Lot:
Permit No. Li VZ qp_- Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ../ (check one)
Fee Submitted: $ 50 ''C'
4A
;r1
Appli1,Int Signature
' 2 .,,,��,oF,S,0,,,1,,1 45,- \
11
TOWN OF SOUTHOLD BUILDING DEPT:
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG PLUMBING
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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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
SoutholdTown.NorthFork.net PERMIT NO. �ad` Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ,20 Storm-Water Assessment Form
IContact:
Approved Si)
,20 Mail to:
Disapproved a/c
41
Phone:
Expiration 1-','20 -
ri) [ V 1 Building Inspector �"
.) APPLICATION FOR BUILDING PERMIT
lq OCT 262015
Date 26 Oc-b(n ( , 20 L'S
BLDG DEP{ I INSTRUCTIONS
TOWN OF SOUTHOLD .
' ---Eiis 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.
(Sign ure of app scant or name,if a corporation)
905 A9NieuJ Ave, att.Niao&n, K1y hops)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
apple t is btou 21U211ilek)
Name of owner of premises USG\flui21 K1et\e..)
(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�aTfa'de's LicenseNo.
fi,, r'•,n .5':-.'fs,4,
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1. JLo°cation: 1'and on W1 ich proposed work will be done:
l 'D'& ',1'°.iia J au]it IA venue, bac, IJ\ DV'
\' ouse Number '''J Street •,v,z:-- .,;r�,' - ,Hamlet
County Tax Map;No. 1000 Section 2l ,'•';''',,-BFlock?-, -,,.; . ', - , , 'l
,• Lot
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 l esvkoMy . oho akklX111\1
b. Intended use and occupancy 512 2c a6Ove,•
3. Nature of y�ork(check which applicable): New Building Addition Alteration
Repair J Removal Demolition Other Work
(Description)
4. Estimated Cost coo oD Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units one) Number of dwelling units on each floor
If garage, number of cars Dile)
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 Depth
Height Number of Stories
9. Size of lot: Front 55.1- t Rear 56.x'' Depth 6.1A1
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated Tl
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO/
13. Will lot be re-graded? YES NO J Will excess fill be removed from premises? YES NO ✓
14. Names of Owner of premises V of:Wetk Address eSOS cketwUletil aVe Phone No. 631 411- 00)x'
Name of Architect vX.Weil 0 , Address !O5 UA►VKtoa16 Phone No tell (R4 lam)''
Name of Contractor Atilt IoVY ns Address 1'}5® Na/1432A\ Phone No. 4(0- 1112.0)
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES 1N0
* 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,1
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF `r )
re 1 ,`1-' being duly sworn, deposes and says that(s)he is the applicant
(Name of Individual signing contract) above named,
(S)He is the 26Wec,)(j 1 over
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have perfonned the said work and to make ai . .•plication;
that all statements contained in this application are true to the best of his knowledge and belief; and tha > K.-
performed in the manner set forth in the application filed therewith.
Sworn to before me this , "
Wei\ day of() ...
20�� CONNtE D. BUNCH *:14 •' •" oy �Noofary Public,State of New York J2� -a ni
6A/Niik No.01806185050J� bNi 3� y�
No.
in Suffolk , . Alt .I -
Notary Public Commission Expires April 14,2_911.0 ignature of Applicant oay o -
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SURVEY OF PROPERTY ,
SITUATE: EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY _ �,
SURVEYED OI-2-1-cid ,,o � `
AMENDED 02-22-aci
SUFFOLK COUNTY TAX # . AD iii,
1000 - 21 - 2 - II '0� , 0:4
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NOTES:
'Unauthorized alteration or addition to a survey
map bearing a licensed land surveyor s seal is a
violation of section 7209. sub-division 2. of the
New York State Education Law.'
'Only copies from the original of this survey
II MONUMENT FOUND �"""'� or s
stampedaseal tshall h an obegconsidered inal of etoabe valid nd ytrue
• ° o f NE ,— copies-
0 _.
�- 'Certifications indicated hereon signify that this
PIPE FOUND ''t NO. 5 S �.E�y��9Go w survey as prepared in or Land Su with the te-
1st1nB Code of Practice for Land Surveys adopted
by the Nov York State Association of Professional
_ _ _ lk Land Surveyors Said certifications shall run only
J 7 to the person for whom the Survey 1s prepared.
i„�,.+,.�.� HEDGE e �r and on his behalf to the title company, governmen-
t 41 !t -i tai agency and lending 1ns[ltutlan]lstetl hereon, dna
p—p—p—p- 4” O.D. OIL LINE EXPOSED AT 2' O" `_ i .1... \r,•00:, * `°tions are transferable"[a'eca[fonel"fns[S[utlons
AREA = 24,646 SF OR 051 ACRES 'k r. A� - p���
F, r`'-0 50202 ,�,,k 1
�.., (.0 L4r.tU steed
N.Y.S. LIC. NO. 50202
GRAPHIC SCALE 1"= 30' 60HN EAST MAINERS STREETD SURVEYOR
=sem-riF_ - - = RIVERHEAD, N.Y 11901
--- -.1---'-'4-Mil:. 369-8288 Fax 369-8287 REFERENCE # 99-0104
905-Aquaview Avenue
Modification to Wood Stove Installation
Stove: Jotul -American Fireplace Stove#8
Porcelain Enamel, Glass-Odor
Existing Unit
Manufactures Specifications: .
Protection : sides @8"min.
front @-18" min.
heat shield at wall @14'; 36h'to mantel
NOTES: installation to be modified as Fellows:
1. Extend hearth at floor to 18'' front: 24 gauge sheet metal.with 1J"non-cornbustable board- or brick to
matchiexisting•
2. Remove masonite decorative wall board.-Install 24-gauge sheet metal with 1 f=2'non-combustable
board at wall extending 14 from tip of stove. Extend-horizontally on both sides to cover existing brick. -
3. Existing stove.pipwis 8" diameter @ 24-gauge'runr,ing.up existing-brick chimney flue.
— •\ycsRED ART-,-----,.. C01‘121 `I"L;'� �i-i ,AL3 ODES OF
41-- 0 R• it.��'� NEW YE'... K STATE & I:OWN CODES t- iit; 2
et • �`,S REQU+r"QED !�` �' - 11 1 i• •
' , 5 , l LD TGVIN ZEA
., �•` ` '' *y -. . :BARD _4 �- = ;
0), 1192 ! .Q • : ;, , -. _ �-: :C�--,,,„...„,,,,,:-..,4,„-„,,,,,,.-,_
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PROVED AS NOTED .. ;r
• /' xPi, IJ P�(od E
DATE: B.? 0 ,.i
�/p� fi -4 . -
FEE: BY . ..I�a
NOTIFY BUILDING DEPARTMENT AT ;^ •5..-�'r '••�:. '.
765-1802 8 AM TO,- PM FOR THE ^ 'i.i,l- '::°:,,_ .t.: .� =.,:�.,; `., � :_:irr- € ..rK.; . ;. i
FOLLOWING INSPE9:T,IONS: '_ %.- 1'=• - 'ri - •
__ `j ,''.;F:'�- ;