The URL can be used to link to this page

Home My WebLink About38136-Z eco TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE 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#: 38136 Date: 6/26/2013 Permission is hereby granted to: ANN G. FFOLLIOTT - P.O. BOX 568 ORIENT, NY 11957 To: 12' X 31" OPEN REAR DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR.REPLACES EXPIRED B.P. # 35743 C) I.,jj�' �tp�li� cl At premises located at: V>7� J'� &/'/Od 390 OYSTER PONDS LA ORIENT l SCTM # 473889 Sec/Block/Lot# 24.-1-2 Pursuant to application dated 7/9/2010 and approved by the Building Inspector. To expire on 12/26/2014. Fees: PERMIT RENEWAL $100.00 CO -ADDITION TO DWELLING $50.00 Total: $150.00 Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35743 Z Date JULY 29, 2010 Permission is hereby granted to: ANN G FFOLLIOTT PO BOX 568 ORIENT,NY 11957 for . 12 ' X 31" OPEN REAR DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 390 OYSTER PONDS LA ORIENT County Tax Map No. 473889 Section 024 Block 0001 Lot No. 002 pursuant to application dated JULY 9, 2010 and approved by the Building Inspector to expire on JANUARY 29, 2012 _ Fee $ 200 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 FIELD INSPE QN REPORT DATE COMMENTS C i Z�lEll ►d FOUNDATION(1ST) ci VI FOUNDATION(2ND) ROUGH FRAMYNG& PLUMDING --� INSULATION PER N.Y. STATE ENERGY CODE' o �� e� a FINAL ADDITIONAL COMMENTS " CJ' O lam. i� \ ,C TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,bl I' re 11 ply, 9 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. S-5-7�(3 Check T Septic Form MY S.D E.C. _ � Trustees A Floqd Permit Examined 702 20/0 - ( ((�---(�— �(j (—�— - Storm-Water Assessment Form ' D 15 l�1 L� V L� e�Contact: C��-V� Approved ,20 Mail to: -&r % u Disapproved a/c ¢ Phone: Expiration / '� ,20,/a BLDG DEPT 3 TM� TOMI 'Of UTV LD Building Inspector APPLICATION FOR BUILDING PERMIT ,,11 Date ` /U , 20 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. Mob efoe-T P r15� � �G (�Cm&Ag2 S (Signature of applicant or name,if a corporation) (Mailing ad ess o ap/licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) I c t is "corporati , si ture of duly authori 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: House Number Street Hamlet County Tax Map No. 1000 Section . - Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premise_s and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 7b 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Worker (Description) 4. Estimated Cost I Fee 20(:J-, O0 �� (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 f f 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 excess fill be removed from premises? YES NO 14. Names of Owner of premises ® Address _ Phone No. Name of Architect Address �jL 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, SQUTHOLD 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) S: COUNTY OFS `-kPW ?= 6(J/J, ( k)Ajj being duly sworn, deposes and says that(s)he is the applicant (Name of individual si ning contract) above named, (S)He is the (Contr ,tor, 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 thi day of ' 2010 Notary Public Signature of Applicant J �o��OF SOUjyo<o 3-5 `7'� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLOD. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE,SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: I� �-�- v ,a t L2 0 Q 1 DATE -/(9 -7— /o INSPECTOR I Town of Southold j Cn Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 0 PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN 01 istnct s-` tion T3 oo —� CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORD - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 15- .� Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within r Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) ( (This item wili include all run-off created by site ❑ S.F/A s) b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) (#./Acres) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and y IZ( x �Z)Q 0 12 Slopes Controlling Surface Water Flow. 6/ 3 Does the Site Plan and/or Survey describe the erosion and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire "':u Lc� Construction Period. 4. Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? El tj WIII this Application Require Land Disturbing Activities BLDG DEPT Encompassing an Area in Excess of Five Thousand -_ UTHOLD (5,000 S.F.)Square Feet of Ground Surface? El _y 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one or more acres, Including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that well ultimately disturb one or more acres of land, which Exceed Fifteen(15)feet of Vertical Rise to including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? El the DEC has determined that a SPDES permit Is required for storm water discharges (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-040-001.) Surfaces be Sloped to Direct Storm-Water Run-Off y{�3 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any 1:1constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Areas(This Item will NOT Include the Installation of Ddveway Aprons) Identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice In a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE. A Check Mark(4)and/or Answer for each Question is Required for a Complete Application) STATE OF NEW YORK, COUNTY OF. .......... . ........................SS That I,...... '' �/�..,....igni........ ... ..... ing duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) Andthat he/she is the , ............ . ` ....... .............................................................. ...... . ................................ .. ... (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the 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 herewith. Sworn to before me this; �.................�'� �.............da of...... ......... ......................,201DNotary Public: .. - GAIL A.GN . ........... . i" tgr�P° ��S ................................................................ �� (Signature of Applicant) FORM - 06/10 ` �. i TOWN OF SOUTHOLD PROPERTY RECORD CARD WNER STREET' S VILLAGE DIST. SUB. LOT b�sC'' " E ACR. ORMER OWNER N r�L o,.-3201 S^ W-/ TYPE OF BUILDING, - ;S, S S. VL. FARM COMM. C$`. miss. mkt. Value LAND IMP. TOTAL DAT E REMARKS -Ple C, 0 7-& AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE MFAAcreValue Per Value Acre FRONTAGE ON WATER FRONTAGEOit ROAD 3,ush'and DEPTH douse Plat BULKHEAD DOCK rata) .VW COLOR ■■■tom■! ``�Y.,�xt`� tea. '� _ � - ■■■��■■■1��■��■�■■,■■!�■ TRIM r. ,.- ■■■■■■i■ 1f �i J IJ7Foundation ■ ■• th Dinette r K. ' Basement Floors sio EKtensiona LO r � F ■ Ext Walls • Extension 'FIR Place ■ t • Extension Fire • ReCTection Roo Roorns 2nd Floo FIN. 13.1 Porch DormerPorch Breezewy ' , ■ • •• P■ • . B. Total - Southold Town Building Department ��Ogl1FFQL P.O.Box 1179 Permit#: 35743 54375 Main Road coSouthold New York 11971 Permit Date: 7/29/2010 (631) 765-1802 Expiration Date: 1/29/2012 Parcel ID: 24.4-2 BUILDING PERMIT RENEWAL LETTER Dated: 11/26/2012 Applicant: ANN G. FFOLLIOTT Location: 390 OYSTER PONDS LA ORIENT Work Description: DECK , 12'X 31"OPEN REAR DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ANN G. FFOLLIOTT Address: P.O. BOX 568 ORIENT,NY 11957 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department g11FFa4c�Gy P.O.Box 1179 0 54375 Main Road Permit#: 35743 C* Southold New York 11971 Permit Date: 7/29/2010 X01 (631)765-1802 Parcel ID: 24.-1-2 Expiration Date: 1/29/2012 BUILDING PERMIT RENEWAL LETTER FINAL NOTICE bated: 3/22/2013 Applicant: ANN G. FFOLLIOTT Location: 390 OYSTER PONDS LA ORIENT Work Description: DECK 12' X 31" OPEN REAR DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ANN G. FFOLLIOTT Address: P.O. BOX 568 ORIENT, NY 11957 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department �q�4gtlEfOtK�oG.- P.O.Box 1179 Permit#: 35743 54375 Main Road � N Southold,New York 11971 ��rJ Permit Date: 7/29/2010 Q�pl (631)765-1802 IkO* Expiration Date: 1/29/2012 ralr� Parcel ID: 24.-1-2 Dated: 6/17/2013 Applicant: ANN G. FFOLLIOTT Location: 390 OYSTER PONDS LA ORIENT Work Description: DECK 12'X 31"OPEN REAR DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR Owner: ANN G. FFOLLIOTT Address: P.O. BOX 568 ORIENT,NY 11957 Your BUILDING PERMIT #35743 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector." Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of$150.00 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Michael Verity: Chief Building Inspector Southold Building Department SURVEY OF PROPERTY N 51TU�•T E: ORIENT E C E L TOM OF sOMOLD � 4. A SUFFOLK COUNTY, NY9 2010 jut 6� JA 5URVEYED 03-24-qa \� hea W O _ / = ry 0� SUFFOLK COUNTY TAX # 2� Z / BLDG 1000 - 24 - 1 - 2 , .DEPT. ��-•; ;� TOWN OF SOUTHDLD GERTIFIED TO: ANN G. FFOLLIOT 2 GOMMONWEALTH LAND TITLE 9 INSURANCE GOMPANY 390 F„Q �e e —c 9Qr`9e: Q/•E ov 0 _ �% ��ta�0• ,�0 OJ O •mss Q) o _ 0 y � 3 00 T 6S� NOTES: N W G.EHLF gyp^ unauthartted alteration or addition to aur-y MONUMENT FOUND learfnq a licrosea lana surveyor m s s al Is a .tatacfnn of secuon�zoq- sw-at+tstz of the J" Ner York state Education I.-- PIPE FOUND . �� S,� * ' ar.ed dapleanrrla the drfgthel ands ey— oarke5 kits a origeeal of the land+uMeydr s stamped eal halt tre nSiderea to be tfa true > i�.f 1, Q- + -certlftcattons tnatcatea hereon stgnsfy that"is HEDGE • •f •! / tt •Jast ingeCode ofrff'rracticenfar Laand Surreys aceoied OLO'2 by the Nek fork state Association of Professional AREA= 15,82G 5F OR 0.36 AGRES ! !�, � °. �`� talo to the Per,�"for`:n�"i�e`i_�ay"1='Pred.If dna on his behalf to the title c opany. 9o+er,T- ` tal agency and landfill institution listed hereon and - to I-ass t9—of the lending institut tan. Certifica— tions are not transferable to additional fnstltuttens N.Y.S. LIC. NO- 50202 GRP.PHIG SGALI✓ I = 20 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET i RIVERHEAD. N.Y. 11901 �f 369-8268 Fax 369-8287 REFERENCE # 99-145 -- i n 1 i f i 7 w�- -V-GI APPROVED AS NOTED DATE '� ��B P # 5 FEE BY NOTIFY BUILDINGUEPARTMtNT AT - 765-1802 8 AM TO 4 Pivl FOR THE FOLLOWING INSPECTIONS i I 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE I I _ 2 ROUGH-FRAMING,PLUMBING, CCUPA CY1 STRAPPING, ELECTRICAL&CAULKING i (�"O,G 3 INSULATION �-QSE IS UNLA� �t�°1A 4 FINAL-CONSTRUCTION&ELECTRICAL WITHOUT �g �l MUST BE COMPLETE FOR C.O. ��1 I Tf! � �_ �� a Ew-i � I FI ' T E ALL CONSTRUCTION SHALL MEET THE l � REQUIREMENTS OF THE CODES OF NEW _ CSF U ANCY YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM WATER RUNOFF - PURSUANT TO CHAPTER 236 OF THE TOWN CODE: u f � C-A5 siioc bec-1413"1 oo P 4!� t , !0 ��,�, - I --u-- _'_---_-.->........._---.._._��..._ t =_- - �.___.=...r___.--_-�-_..�-�__ - �.-___-- _` ____.._.. ,- -y -�_ ._- '__...r.` - ----.._....._:-mow...,. w_�.__•-.�...T_. •-�_�.._____-`— - �� \ - ��yn��7�__ �`?S�}�,y��/,��Qp7\\[��/.�yI �++� 1 _> _ -,-,.-... -�.---..� ! .....---... �az ->,...�.�..._ __ __..-._:.._._..� _ _, _.__-_ _- _ '- .--...». ��-------.��-. - .e.,-.. � _�..— - .- ., _�� Y� �i p].��✓ '� q\y c-...�.•.�`��,i\� t� 514,% MMOGAPY CAP P-A,4- 1 yy p� " 2 L"' L USTC 4/X4-�V>� II i( 3 -- ��-� -514Y-(o MA•t06ANY T-r5cl4lJG t )X ►O 2.5. GC-bAiP, �45C�4 m = - X2- GSA r 1 s V-J± Q.c "- r �" CDP. �^—'`- �=�=G---' � �=` ` �- �+ .�,._�i�. �,� _ �\•.�.-rte-=.J i^C __ice+.__._-C-_ r� lgtt ootl- - PIE m I ZO GA. s- � sr PIkk AT