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HomeMy WebLinkAbout40406-Z vim.- , VItFUl��o Town of Southold 3/22/2016 a` ® G ', P.O.Box 1179 Is 53095 Main Rd �'#4ol* - i Southold,New York 11971 :+.N t CERTIFICATE OF OCCUPANCY No: 38160 Date: 3/22/2016 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 65490 Route 25, Greenport SCTM#: 473889 Sec/Block/Lot: 53.-5-12.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/8/2016 pursuant to which Building Permit No. 40406 dated 1/14/2016 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: REPAIR AN EXISTING COTTAGE(#16)-FOOTINGS, AS APPLIED FOR The certificate is issued to Breezy Shores Comnty Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED .AillakffK.,..c.i Au : s, • es Signa re -- TOWN OF SOUTHOLD ofFOii °� , BUILDING DEPARTMENT ` - TOWN CLERK'S OFFICE oy $ 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#: 40406 Date: 1/14/2016 Permission is hereby granted to: Breezy Shores Comnty Inc PO BOX 925 Mattituck, NY 11952 To: repair an existing cottage (#16) - footings - as per Trustee approval. At premises located at: 65490 Route 25, Greenport SCTM # 473889 Sec/Block/Lot# 53.-5-12.6 Pursuant to application dated 1/8/2016 and approved by the Building Inspector. To expire on 7/15/2017. Fees: SINGLE FAMILY DWELLING -ADDITION OR • '.• C $200.00 CO -ALTE -..• 1 e DWELLING $50.00 To . : $250.00 --f. Building Inspector Form No.6 TOWN OF SOUTHOLD iip'S'' IP-3 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 $15.00, Commercial$-1-5.00 Date. { I gJ) Go New Construction: Old or Pre-existing Building: 'V (check one) Location of Property: tk. I p 3 OS 0 'reo- e 61 \(.8 • C(een c v House No. StreetJ Hamlet Owner or Owners of Property: Pe--I[ S�{(1 S Suffolk County Tax Map No 1000, Section S5 Block 5 Lot 1 2. r [P Subdivision Filed Map. Lot: Permit No. Li®( Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: /' Request for: Temporary Certificate Final Certificate: V (check one) CV Fee Submitted: $ 50 gi4U1Applicant Signa e Agi II TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 / INSPECTION NDATION 1ST [ ] ROUGH PLUMBING [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] 'FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: CA--f-tic- 6,1/4,1tow DATE -3 ag INSPECTOR - 1 FIELD IN•S'I'ECON REP'OZr AAS _ CO 1 I. S • iligig,, AillreMPOMPWINIFffie, ' , . -C::1 • FO ,A.tONN(1ST) _f ,-.4W4 1111 r r' •A LI PPj' N ill I I 111- / ' • . FOUND A,TION(2ND) • • ROUGH FRAMNQ& ,.. — . PLUMBING ,.._—.— • , , 1 • tzJ INSULATION PEA N.X. 15 -•1 STATE ENERGY CODE ..�J ESN • FINAL ' Ill .: .. . , . — —REIgligitaiitiA , ' ° . . . 5) . r -. . ..,.r , . .. �1 J z � , , ..� • .r . . •. • •. • - 4, , .. 'tr . :....,_. . . .�•••••r t .•. - . ., ., ' 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.NortliFork.net PERMIT NO. °(O92e Check Septic Form • N.Y.S.D.E.C. . Trustees - •, r� i� C.O.Application. " _, , _ ; i Flood Permit • t Examined " • • '–,•26 ' �� II. ,�-I` Single&Separate 11 r + ; I JAN m g 201611.—_, —Storm-Water Assessment Form q / ( - – I X Contact: 30e1 ORM belle-a: 645th a n3 Approved / 1 ,20 1 -- ,-,---,----,–,-7-- - - M�itto:C�-o O. X Z1 -- • Disapproved a/c( _ ,(.; 1SCyVN4b N`• I 1c1 7 tt Phone:(p31–'1(05– i aa3 Expiration 2 0 ,20 / Building Inspe ,-•r APPLICATION FOR BUILDING PE'I Date to] a 7 , 20-I INSTRUCTIONS 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. - Joel 024tA 6eneXole Cor • '• (Signattfre of applicant or name,if a corporal) ?O• X 3 � ,), tO9 (Mailing address of applicant) 11q- I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Cie tcoS. Czn _Name of owner of premises 'Pe)u & ®—S (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. 13 o(c,R H I Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: .foto ze)Se SfALEZ D Gil 02olZ 1 ) 1 QiV q House Number Street Hamlet County Tax Map No. 1000 Section S 3 Block . S - Lot 1 2 6 ' Subdivision (?)(eel ( eS-4-I(0 Filed Map No. 53 S f Z-6 Lot 2. State existing use and occupancy of premises and intended use and occupancy, of proposed construction: a. Existing use and occupancy 1;e451eve-xyW0..\ ' b. Intended use and occupancy 'esihech;o_\ 3. Nature of wor (check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work'ROA/ad&C.jvldreyr '3& h a i?eixJ5okasZigoiti writs 4. Estimated Cost f`00 ea Fee asjou& ecK/Sr FcaD?%/tro (To be paid on filing this application) 5. If dwelling, number of dwelling units I Number;of dwelling,units on each floor If garage, number of cars 6. If busiriess,commercial or mixed occupancy, specify nature and extent of each type of use. NJ II' 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 2.010 Name of Former Owner G1 NS,,,,Q 'c \c-ss.,,, R 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 Xill excess fill be removed from premises? YES NO 14.Names of Owner of premises S R\CciS Address--`12AI 9' N`ic I%ooa Phone No.9(^]--Sci2r7I 7J Name of Architect Address Phone No Name of Contractor Joel pfWL C feral Gsafacb125 Address 1123q1,4. ,-1 .+,M' Phone No. Ml-71a5-1Z Z3 /67/ 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. Done. ✓ b. Is this property within 300 feet of a tidal wetland? * YES NO V * IF YES, D.E.C. PERMITS MAY BE REQUIRED. . , 16. J roviae-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 O$1,1 90(a-- , _- - 6 or, go Qmt A . V”1'9()J b�YYr\/being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) a'tfove namdd, (S)He is the GI ee C a.r ontractor 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 the day of \J e0--\A 20 I / MUM'V. °` ( ?Af.01/1/VeSignature re A ant \ Notary Public m��,,v g pp 1 ti4 40712 i x131-7 f_ .,4 � a -1 e~� �P '- -:',7k_' 4 4,24' 9. - _,:. :4n y^!'Pop 5 .f.,4 4p - aa es,VP°� 14.® z4 ffp; • ° °� rt8 _ '4V-4:422 - ^ � ° d - r 3 q°4°4A�!°i - 44�4 o 'Y 4°1 d!Vie i a n ♦e p,'*�, ����b • {A�4Jl, 'r 4 . _ r• i' t.r1„ i��:5r(r y ' i''C_ it ''' . ''._. ,g `, , 5'vr.7.ra 5,55c7- _, . &cs r jai:sr �c�: i�`; BOARD OF SOUTHOLD TOWN TRUSTEES ' SOUTHOLD,NEW YORK PERMIT NO 8711 DATE: DECEMBER 16,2015 %h ,. b';', " ISSUED TO: PETER SAKAS }5 s• �4 PROPERTY ADDRESS: 65490 ROUTE 25,BREEZY SHORES COTTAGE#16� +/ {,;; r'? GREENPORT �.; \\:'-177?• (.4:' SCTM# 1000-53-5-12.6 t ;0,0,.....:::i......: 4 •164' • AUTHORIZATION 4 0 4,..-_____— ,t, Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in � '. accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 16,2015, ` • d and in consideration of application fee in the sum of$250.00 paid by Peter Sakas and subject to the Terms and k. �,','., ` Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the1. .pt: following: fir.4:-.7,, A_ Oh i 44i;t'rs :. Wetland Permit to repair the foundation on the existing+/-12.6'x33.6' cottage with - Q t:4 attached+/-7.6'x19'porch by removing and replacing four(4) courses of 8"x16"blocksit''''--0,-1.L4;71,1:1-- -.5::',.-7 ' ' onto existing footing in an approximately 12' area, and install gutters to leaders to drywells to contain roof runoff; and as depicted on the site plan prepared by Joel Daly , r z r} rn, General Contracting Inc.,received on November 16,2015, and stamped approved on f December 16,2015. x'` IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, !ti---':;:;1:17, 4 ', '`/I 6' and these presents to be subscribed by a majority of the said Board ...of this date. ' es ' . 4 ( '"j . s ,"° ' (( /0OfFOL , _ , , 0 Ok ,Ahl r • . / ur ..,„,..,../, 4 -AV 1.--/--/-,..., -41 .._( il'may°[ vy Jaws F. King - Absent D •--43 (3 -'." \ " O/, 0 ' '., t ,rte I p �r .4 lld 4' 4O ▪ 4 ,-i; s si �.:•::tiVa ikOVirWRAMliia.ZW•b711A/DX •aa , U 5.N.:FfE O'Zht'ticrZnartteaa YXt"%':sU a.Wj:4d3` li9FlfA7L?iR,S-St�4nAkq°i5n,m'ibc^AfFfi*6-' CGSa Og„aa'tita, � ,c,,,,,- e;4a , t. wir ilii-,,,,,„,:dzia,;,,,,,,,,,„;_o #4,..,iw,.:fiewr.„:-4,',“wi_ Iv, ,: 7 A/0,--,, ;WPA\WIrrn- •. .� Y `' '. i ,` � t7, ;:`,7_,..-.• vn4.� ' J j� a '� w.:_±.:7)----.--,4,1 pds1%,00,00,,4� yrdi' ✓ t^l � ti; -,41s<4,),!..:-.:4,0,, 4xt, qpb0 . y 50t! t4 03/21/2016 12:41 6317656641 SOUTHOLD TRUSTEES PAGE 01/01 *©WSD!/p '� John M.Bredetneyer III,Prosident f l p Town Hall Annex Michael J.Domino,Vice-President � � 54376 Route 25 4111 Glenn Goldsmith * P.O.Box 1179 crs Southold,New York 11971 A.Nicholas Krupsld Telephone(631)7654892 Charles J.Sanders Fax(637.)766-6641 REgEovE MAR 21 2016 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BUILDING DEPT. CERTIFICATE OF COMPLIANCE TOWN OF SOUTHOLD # 1208C Date: March 21, 2016 THIS CERTIFIES that the mut of the foundation on the existing+/-12.6'x33.6' cottage with,attached+/-7.6'x19'porch by removing and replacing four(4) courses of 87x16" blocks'onto existin footin in an a roximatel 12' are and install g tiers toleaclers to drvwells to contain roof runoff; At 65490 Route 25 Bzee Shores Cotta. a#16 Green ort Suffolk County Tax Map#1000-53-5-12.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 16,2015 pursuant to which Trustees Wetland Permit#8711 Dated December 16,2015,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the repair of the foundation on the existing_+/- 12.6'x33.6' cottage with attached+/-7.6'x19' porch b removing and replacin four t4)courses of 8"x16"blocks onto existing footing in an avnroximately 12' arca. and install gutters to leaders tcLikmells to contain roof runoff. The certificate is issued,to PETER SAKAS owner of the aforesaid property. dot, Ayr, eir3104109,,,,yee, Authorized Signature { ` :2 sLrfGL,, ST(0))[LM[WAT E]R Scott A. Russell ? MAN A G 1EM]ENT SUPERVISOR � � SOUTHOLD TOWN HALL-P.O.Boz 1179 Yt��\• /S`''�. Town of Southold 53095 Main Road-SOUTHOLD,NEW-YORK 11971 •� 'l0 b�t� CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) tOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑®'A. 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. ❑L]d C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. [✓J® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. 1210 E. Site preparation within the one-hundred-year floodplain as depicted on-FIRM-Map of any watercourse:- , 0 LEI 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. APPLICANT (Property Owner,Design Professional,Agent Contractor,Other) S.C.T.M. ": 1000 Date: h r • Dotrict NAME- ktack1J.A` 53 5 12--4, 1 ( 811(0 ��\ O-v,n,•���h�� Section Block Lot ��I'-1(OcJ-I 22 FOR BUILDING DEPARTMENT LSE OM_.'F u , .. Contact Informal � Reviewed By tine\ Date. 14--- Property S Property Address / Location of Construction Work. ' '2 ^ Approved for proces�tng Building Permit � _3050 e ���• Stormwater Management Control Plan Not Required Com( nFOt} i Lii9144 - _ Stormwater Management Control Plan a Required (For and to Engineering Department for Review.) 1-0131V1 SMCP - TOS M A.Y 2014 Troja - does not re ut v - WOMichoul kieitY-ta - gr-1--- ' 17, JOEL DALY k• GENERAL CONTRACTING INC. - A SETTER BUSINESS BUREAU ACCREDITED BUSINESS PO BOX 343 205 BOISSEAU AVE OCCUPANCY OR SOUTHOLD NY 11971 Email:JoelDalyHl@optonline.net USE IS UN1 631 7651223 OFFICE AND FAX vvITHOUT CERTIFICATE '''APPROVED :S NOTED DATE: /41.4 B.P. y�t OF CCCUPANCY Peter Sakas Residence FEE. ��� '' `Breezy Shores#16 NOTIF BUILDING DEPARTMENT-AT _— COMPLY V•,°I lyl-I ALL CODES OF 765-1802 8 AM TO 4 PM FOR THE NEW YORK STATE A,; tE & TOWN LODES FOLLOWING INSPECTIONS: AS REQUIRED ANDCONDITIONS OF I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ,8vTJ fT�1WM7RA 2. ROUGH - FRAMING & PLUMBING .al -I A / ' '', " rs BOARD 3. INSULATION s ._._ 4. FINAL - CONSTRUCTION MUST t,„2-_ ;SOUTHOLD TOWN TRUSTEES BE COMPLETE FOR C 0. N yi�� ALL CONSTRUCTION SHALL MEET THE ' REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 1; , DESIGN OR CONSTRUCTION ERRORS. „_,, .. i, 1 ,,., N., N . 1 i f N, I �' 1 ! f�Q tam: ;• i• sti ; ,,,,,__:_;--1-/•-.22"tnL� rI I . A� i} - Imo.