HomeMy WebLinkAbout40372-Z EF0,{4
% Town of Southold 12/31/2015
cfrP.O.Box 1179
' ' 53095 Main Rd
��d ��4� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37993 Date: 12/28/2015
THIS CERTIFIES that the building AS BUILT ADDITION
Location of Property: 50 Spring Ln, Peconic
SCTM#: 473889 Sec/Block/Lot: 86.-5-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/23/2015 pursuant to which Building Permit No. 40372 dated 12/28/2015
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 with outdoor shower to an existing one family dwelling as applied for.
The certificate is issued to Marcy,Donald
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth 19-d Signatur
TOWN OF SOUTHOLD
a v,h BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
:131 SOUTHOLD, NY
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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#: 40372 Date: 12/28/2015
Permission is hereby granted to:
Marcy, Donald
59 Fairview Ave
Madison, NJ 079401319
To: "as built" deck addition with outdoor shower on an existing one family dwelling as
applied for.
At premises located at:
50 Spring Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-5-1
Pursuant to application dated 12/23/2015 and approved by the Building Inspector.
To expire on 6/28/2017.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $464.00
CO -ADDITION TO DWELLING $50.00
Total: $514.00
Building Inspec
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. i i Q c//
New Construction: Old or Pre-existing Building: (check one)
Location of Property: n Spa.toi" Q„
House No. cJ Street Hamlet
Owner or Owners of Property: Bb I cc� ]n ea. el
Suffolk County Tax Map No 1000, Section ( Block Lot i
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ ��
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Applicant Sign. e
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L-: - L-F I S IC 11----1 iE 7 Ir 1
L1ENINEERING
28 December 2015
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Town of Southold '
Building Inspector ' . , ; DEC "°2 S. 2015 l.L -
Main Road -
Southold, NY 11971 ; ' - —
Dear Sir, "
' , . the re. sem,- structed yy shower 1 .s b-- - .r'Bred to dra.• :- o the,...'d
and then.for co •• : i' r • . : ? `..cx1?�: •partment : : -.
I also certify the deck also complies with New York State Codes. ', ' ' ', , : '
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BOARD CERTIFIED IN STRUCTURAL ENGINEERING
JOSEPH@FISCHETTI.COM FISCHETTIENGINEERING.COM 631 -765-2954
1 7 2 5 H O B A R T ROAD S O U T H O L D , NEW YORK 1 1 9 7 1
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; ENGINEERING
5 February 2016
BP#40372
Building Inspector , - - - _- - - -
Town of Southold
Main Road
Southold, NY 11971
Dear Sir, - -
I certify to the best of my knowledge that the as constructed exterior deck for the dwelling at 50
Spring Lane, Peconic has been constructed in accordance with New York State Building Codes.
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FEB 5 2016
, - BUILDING DEPT. '
TOWN OF SOUTHOLD
BOARD CERTIFIED IN STRUCTURAL ENGINEERING
JOSEPH@ FISCHETTI.COM FISCHETTIENGINEERING.COM S31 -765-2954
1 7 2 5 H O B A R T ROAD S O U T H O L D , N E W YORK 1 1 9 7 1
FIELD INSPECTION IMO= DATE � 4 ..L a„CO S C
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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 s is of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N Y--.SD: C.
Trusty ee
1' �) — C—.O Application
1 1 Flogd Plit
Examined ,20 1 ,��1 DEC I. 2015 Singleleparate
St¢rm-Water Assessment Form
;,C-onta •
Approved ,20 -- M i1 -I Don RiaC/z
Disapproved a/c
Phone: c,5 1, b2c1^--53 70
Expiration ,20
�- -f i - l Building Inspector
i
{ ��
ii I APPLICATION FOR BUILDING PERMIT
?1 DEC 2 2 2015 I
Date Or , 20 %3
L — - -' INSTRUCTIONS
1 -i
----a—This-applic-arion MUSTbe 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 inspectiocJ24
1
a1,
(Signature of appli eror name, if a corporation)
126,5 C i'W tn"2 -mei Aka U/M (112/
(Mailing address bf applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C-0/LTl(sce- R�
Name of owner of premises NA) ct-tcO 111 GAP. G
(Mon 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. '46 1 a D
Plumbers License No.
Electricians License No.
Other Trade's;License'No.' ,
1. Location,bf laiid on-,which proposed work will be done:
_ ,,_,�_:..,ti, _0‘;:' .i:454m, L.a�� PQC-6it!I C
House Number Stfeet Hamlet
County Tax Map No. 1000 Section 26 Block Lot I
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 ioQtPnA. 0
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
O 0 c O (Description)
4. Estimated Cost4- 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 Depth
Height 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
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises £aueL( �c� Address S s'R ns rte_ 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 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
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY /OF ac 1K)
a MTI C— j,C�c.- J bs being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the (..62. %kr 4c-CCS 2 Pir\'1"
(Contractor,A nt, 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 iA verb
performed in the manner set forth in the application filed therewith. NOTARY PUBLIC,STATE OF NEW YORK
NO.01DW6306900
Sworn to before me this QUALIFIED IN SUFFOLK COUNTY
a day of e vyk),r 20 15 COMMISSION EXPIRES JUNE 30,20/8
<-31aCe-gd OcrA.ts 4 se
Notary',Pub c Signature o A •plicant
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S.C.T.M. NO. DISTRICT: 1000 SECTION: 86 BLOCK: 5 LOT(S): l #R10-1 1-002 1
DWELLINGS
w/PUBLIC WATER --c- ----:;31111.17-,-.:.t...1'
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I 150' I'r _ ---171::::j.:.--:;;
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/ • CL 19.92 CL T9.54 .. ` . LJ`}; .A}
SPRING �1ANE~.._ - .. _ - �� �11 ` J �1�.� , 1
I EL 20.2 N69'24'00"E i:'spected anM/or ce h U:r _ ,• 1
165.09' EDOE OF PAVEMENT 0`<'G;`�CIOr�FOR,� +gyp IJ+,:.;f,r^cr;'^c`r t L3f,:.t h�+y�been
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y_ Z /1345 .� /P f�IC WATER -.
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6.0'_ RECEIVED
EXISITNG O WATER SERVICE h 69.9'a� o
W.M. o 1 1.4' SANITARY LOCATION
1-4 _ � • . _.. EL 10.3, 3_, r: )I _ /DECK
4' 19.4 M.H.
CLI 19.34 ^ N . f fit DECK ] q POINT A" POINT"B"
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1 o '� °EXISTING 'o- O o 5L-1,-' ` f .P•1 SEPTIC TANK 17.5' .33.5'
U I ! a. 19.A WELL TO w N 5.0 Lep J j� N 0.9'W■ O r-
ABANDONED
^ Ci® HEALTHr�'vPef`£'T. L.P.iT 29' 47.5'
IPIPE 0.3'S 1Z.4•W aSrUrF��+. G \lSn,,A,-..:111:..Y _`.'__-.. L.P.#2 26.5' 29'
FND. 56924'00"A 6' STOCKADE FENCE PIPE O`f��+
FND.
165.00' 1.3'S
DWELLINGS 14 a THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
W/PUBLIC WATER LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS
150' AND OR DATA OBTAINED FROM OTHERS
1
AREA: 20,588.70 SQ.FT. or 0.47 ACRES ELEVATION DATUM: ASSUMED --�-_--
! UNAUTHORIZED ALT£RA770N OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEAP,ING THE LAND SURVEYORS 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 SUBSIIRFACE STRUeI'URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
' SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: DONALD MARCY;
MAP OF. ALBERTA MARCY;
FILED: FIDELITEY NATIONAL TITLE INSURANCE CO.;
SITUATED AT. PECON1C I
-
' FINAL SURVEY 06-1e-11 TOWN OF: SOUrIOLD KENNETH M. WOYCHUK L.S. 11
ADD PROPOSED DRWEWAY 05-26-11 SUFFOLK COUNTY, NEW YORKLand Surveying and Design
I UNDER CONSTRUCTION / LOC GARAGE FND 03/20/?I — f isr''/pia P.O. Box 3, Mattituck, New York 11952
ADD PROPOSED GARAGE 02-I?-1I FILE I/ 10–1 14 SCALE: 1.,=30' DATE.DEC. 6, 2010 - - - PHONE (631) 298-1688 FAX (631) 288-1688
,,: Y S I PC NO 50227 maintaining the records of Robert J. Hennessy
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'° -/- Pam 1725 HOBART RD/ PO BOX 616
SOUTHOLD, NY 11971
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1725 HOBART RD/ PO BOX 616
SOUTHOLD, NY 11971
631-765-2954
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