HomeMy WebLinkAbout40270-Z � lee, Town of Southold 9/8/2016
a ; P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38503 Date: 9/8/2016
THIS CERTIFIES that the building ALTERATION
Location of Property: 305 Linnet St, Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-2-36.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/9/2015 pursuant to which Building Permit No. 40270 dated 11/16/2015
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"ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to 3'05 Linnet St LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
AuthorLred Signat e
4��vec TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 40270 -Date: 11/16/2015
Permission is hereby granted to:
305 Linnet St LLC
PO BOX 1802
Southold, NY 11971
To: "As-built" alterations to existing single-family dwelling as applied for. Additional
certification may be required.
At premises located at:
305 Linnet St, Greenport
SCTM #_473889
Sec/Block/Lot# 48.-2-36.1
Pursuant to application dated 11/9/2015 and approved by the Building Inspector.
To expire on 5/17/2017.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $623.20
CO -ALTERATION TO DWELLING $50.00
Total: $673.20
Bui ing In a for
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.
New Construction: Old or Pre-existing Building: (check one)
Location of f Property: �1 r? N&f 0 ��✓"Q�� /�y��
House No. / Street Hamlet
Owner or Owners of Property: ®" lit 11 WA i'i{�
Suffolk County Tax Map No 1000, Section �� Block Lot
Subdivision //�� Filed Map. Lot:
Permit No. V Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporgy Certificate Final Certificate: (check one)
Fee Submitted: $ +
Applicant SignatWe
1 O laE SOUTy�!
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ZFINAL
LATION
FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
Q
REMARKS: 01c Pte` e •
DATE INSPECTOR2?�
FIELD V6S M 4 N r�ED:zkORT AAT
COIvEN�CS ,
' FUUN7�,A��OTI•(1ST) ���
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FOUNDATION(2ND)
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INSULATION PEA N.Y. � H
STATE ENERGX GONE
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FINAL
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TOWN]OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUUILDING 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. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
_ Flood Permit
Examined 20 ---- Single&Separate
Storm-Water Assessment Form
NOV m 9 2015 '' II
Approved 20ontact:
Mail to: NAVI(/1/I ��U�-(
J
Disapproved a/c t BLDG DEPT r i
MAIN OF SOIUTHQJ Phone:
Expirationd[�204'
BuildiAg In or
APPLICATION FOR BUILDING PERMIT
Date 1 r , 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician,plumber or builder
��✓5/QI?P.t'
Name of owner of premises U'a r i
(As on the tAk 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 ItLh
proposedyvork will be done:
tif3r 4'e�tpvr+
House Number Street Hamlet
County Tax Map No. 1000 Section Block a Lot /
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises d intendqd use and occupancy of proposed construction:
a. Existing use and occupancy ra s)J&f'-�
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair 0N-4k--, Removal Demolition Other Work
(Description)
4. Estimated Cost 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 3 / Rear Depth h
Height /!o ' C " 4/- Number of Stories
Dimensions of same structure with alterations or additions: Front / Rear
Depth � -a Height /W- 9" 4-1- 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 I
11. Zone or use district in which premises are situated a-
12.
-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 R&"wO,(tL, Address Phone No.
Name of Architect 5� wu.- Address Phone No
Name of Contractor 0i K C!&# Address Phone No.
11 1
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOS
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAYBEREQUIRED.
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 SoR1K )
C m o, being duly sworn,deposes and says that(s)he is the applicant
(Name of individual sig6ing contrf acct)above named,
(S)He is the
(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 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 this,,rr
_day of IVOVfrnbCr- 20 TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01OW6306900 )9/7
o Public QUALIFIED INS Si a e o licant
y COMMISSION EXPIRES JUNE 30,201 , pp
Scott A. Russell ,��®§u ��� STORMWA\T]E]k
SUPERVISOR �
MAINA\�Gl]El� LENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971
® Town of,Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES 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.
❑[U C. Site preparation on slopes which exceed 10 feet vertical rise to
// 100 feet of horizontal distance.
❑YD. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑[L E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
El F. Installation of new or resurfaced impervious surfaces of 1,000 square
LtL 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 Tag 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-
District
ateDistrict // / (�
NAME- u)J '34 ./ 11' 1S-
0 SMI Block Lot
****FOR BUILDING DEPARTMENT USE ONLY****
Contact Information
N0,5,
(Tdephurc Numbed
Reviewed By:
Property Address/Location of Construction Work:
- - - - - - -Date. - - -
.� Approved for processing Building Permit.
d� C1i" V Stormwater Management Control Plan Not Required.
ElStormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM # SMCP-TOS MAY 2014
SCTM #;j, _ —.-..
It)00 -- -2-- (d I TOWN OF SOUTHOLD PROPERTY RECORD CARD
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ACR. REM RK
TYPE OF BLD.
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LAND IMP, TOTAL DATE
s6 - - �
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TOTAL
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OWNER STREET VILLAGE DIST. SUB. LOT ,,
Z/H/VL
FORMER OWNER N 4E ACR'
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RES�.' SEAS. f L11FARM comm. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS J'-a'& 71V- 7,?,
.2
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79
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
DEPTH
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Total j DOC`K����
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NOTIFY BUILDIPeG DEPART , I T + rl .. .. ..
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:INSPECTIONS: ztu
�. 1. FOUNDATION - TWO REQUIRED Q
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FOR POURED CONCRETE OCCUPANC
2. ROUGH - FRAMING & PLUMBING 5 UNLAWFUL
3. INSULATION
4. FINAL - CONSTRUCTION MUS WITHOUT CERTIFICATE
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET TH OF OCCUPANCY
REQUIREMENTS OF THE CODES OF NE'
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DESIGN OR CONSTRUCTION ERRORS. i z m
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NEW GxG POSTS, WRAPPED EXISTING DROPPED HEADER
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DECK t PORCH NOTES: z o ;
1). Unless otherwise noted,all framing material to be#I ACID pressure treated lumber. — C
All fasteners, hangers and anchors to be galvinizeI or stainless steel Q L
WIND LOAD PATH CONNECTION
CONSTRUCTION DETAILS CLIMATIC t GEOGRAPHIC DESIGN CRITERIA 9 (-) Q
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SNOW SPEED DESIGN WcATHERINC LINE TERMITE DECAY DESIGN UNDERLAYMENT HAZARDS
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