HomeMy WebLinkAbout40645-Z '., 404/11' —S� coG Town of Southold 6/21/2016
: y�� P.O.Box 1179
cf,to ae ' 53095 Main Rd
oy��l �p��y Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38354 Date: 6/21/2016
THIS CERTIFIES that the building SHED
Location'of Property: 215 Marina Ln., East Marion
SCTM#: 473889 Sec/Block/Lot: 35.-8-5.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/19/2016 pursuant to which Building Permit No. 40645 dated 4/26/2016
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:
"as built"accessory shed as applied for.
,
The certificate is issued to Divito, Steve
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
f
Author' Signatur
Suf � TOWN OF SOUTHOLD
, �a 460 BUILDING DEPARTMENT
# TOWN CLERK'S OFFICE
, SOUTHOLD, NY
7/al * �a =
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#: 40645 Date: 4/26/2016
Permission is hereby granted to:
Divito, Steve
73 S Park Dr
Old Bethpage, NY 118041630
To: "A5 BUO QT
construct an accessory shed as applied for.
At premises located at:
215 Marina Ln., East Marion
SCTM # 473889
Sec/Block/Lot# 35.-8-5.9
Pursuant to application dated 4/19/2016 and approved by the Building Inspector.
To expire on 10/26/2017.
Fees:
CO -ACCESSORY BUILDING $50.00
AS BUILT-ACCESSORY $353.60
Total: $403.60
�--� -Building Inspector V "
Foi m No 6
TOWN OF SOUrHOLD
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. / / 9 //
t
New Construction: Old or Pre-existing Building: (check one)
Location of Property: aq r //J/f iq R l `u 1- ' -i' mn '( G xlh i " //2?
House No. Street Hamlet
Owner or Owners of Property: �- -(2 V ( l 3
Suffolk County Tax Map No 1000, Section 3 ;- Block 0 5" Lot c: 5
Subdivision l Filed Map. Lot:
Permit No. L(O(Q L S Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: t/ (check one)
Fee Submitted: $ 50 1'
Applicant Signature
1/K '10 SOU
*�
14* 01', 0€ \
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION .
[
] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] F NDATION 2ND [ ] 1 ULATION
[ FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATIO [ ] CAULKING
REMARKS: 7 ' C, C.
DATE � INSPECTOR 31/6" -"e4
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying9
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plan§
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502i i N.Survey
SoutholdTown.NorthFork.net PERMIT NO. #0b 7D Check
Septic Form
EICEUVE D N.YSDEC
Trustees
C O.Application
Flood Permit
Examined 2i ,, Single&Separate
‘ir
4.1� ■ Am 1 9 2016 Storm-Water Assessment Form
Contact:
Approved f 20 BUILD N. I M� ' A�iI3o:.
b
Disapproved a/c TO' OF SOUTH 1. t "•Q�� 'Div -
Phone
Expiration ,20
But •ing Ins ctor
APPLICATION FOR BUILDING PE' ';
Date 20 i (...
INSTRUCTIONS
a This application MUST be completely filled m 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 mspections
* .- 1 140 t I/55r-
(Signature of applicant or name,if a corporation)
A ” S - P'41v< pit
(Mailing address of applicant)
01-P �j€ h p& /'
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,n,plumber or builder
At 6 Gu iv e v-
itName of owner of premises 51-4-0,e' - - S aJ Z.-#etf Ai 4) 6J if U t7 c'
(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:
2i s Mei- '& 1-b I/( . 19dua WI A/% /1935
House Number Street Hamlet
County Tax Map No. 1000 Section 3 S Block 0 ' Lot 57 Cf
Subdivision Filed Map No. / 73 S7Lot
2. State existing use and occupancy of premises and intended use anj occupancy of proposed construction:
a. Existing use and occupancy 57-1 LG� LL,]`! L/T 1/
b. Intended use and occupancy </I .ec( ( z� 7 t y )
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost c> r On) Fee / 00 . 0-0
(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 / 7— Rear / 'v Depth 16
%F
Height '.... (p �(!j. Number of Stories
Dimensions of same structure with alterations or additions: Front I t— Rear / v
Depth /6 Height /1 - 6 y/it, Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front /4 U o Y Rear /3 ' v 9 Depth ,2.1 S
lAf
46 10.Date of Purchase '/e lc _Name of Former Owner t/kt. W ez de L r `r11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO o�
13.Will lot be re-graded?YES NO V Will excess fill be removed from premises?YES NO °7
- t , ,d 7 i"P 0 �l 3 s- eti2` g-�)!2. D i-) v3 '-�Po i`f�`'��i
4' 14.Names of Owfiesr remises Address Phone No.576 39 to
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 V—
*
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE RE UIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO 'v
•*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 &MA ) �-
1\11 to being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the "`-1 Ku.*
(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 fileittiwillesiEipi4
that all statements contained m this application are true to the best of his knowledge and belief,and thrkidkftYlkftillildrState of New York
performed m the manner set forth in the application filed therewith No. 01 J06171935
Qualified in Queens County d.o
Sworn to before me this ` Commissio xpir s July 30,
day of � / 9 20 / to � ` ✓�®�
Not.71 $.'c Signature of Applicant
H01o-- 7)5--?,- , 9 TOWN OF'SOUTHOLD PROPERTY RECORD CARD
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OWNER STREET ---. ) 5 VILLAGE DIST. SUB LOT .._
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PROP. CLASS
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Patio Woodstove ((/ (01,.
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Suffolk County.Now York ,II
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3 1/2" I 2'-8" 11'-10 3/4" 3_1/2"
10 I/4" 4x4 PRESSURE TREATED 11-0 7V8" I'-3 3/4" 8 II/I6" 8 II/I6"
FOUNDATION SYSTEM mN
N
-DENOTES CRIPPLE >u
OPTIONAL 2' 8' DOOR 2' 4 5/8" I'-5 7116`
OR JACK STUD 3/4"T8 G PLYWOOD J GI J (62J 90028
® DENOTES FULL
FLOORING 1/GUSSEX T PLYWOOD
cc
HEIGHT STUD
GARUNGHOUSE r
it
FLOOR FRAMING PLAN SCALE: 3/5"=1'-0" FLOOR PLAN SCALE: 3/8"=I'-O" SECTION "C-C" SCALE: 3/8"=I'-O" TRUSS DETAILS NOT TO SCALE
12'—O" x 16'—O" GAMBREL SHED 12'—O" x 16'—O" GAMBREL SHED 12'—O" x I6'—O" GAMBREL, SHED 12'—O" x 16'-0" GAMBREL SHED Sheet No. 6 of 6
/