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Home My WebLink About40770-Z �Q�g11FPOt,��OG� Town of Southold 9/27/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38538 Date: 9/27/2016 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 1295 Custer Ave, Southold SCTM#: 473889 Sec/Block/Lot: 70.-9-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/6/2016 pursuant to which Building Permit No. 40770 dated 6/10/2016 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"deck addition to an existing one family dwelling as applied for. The certificate is issued to Albertson,Stephen&Sheryl-Lee of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED b Authoriz Signature o�guVF I Xao TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • 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#: 40770 Date: 6/10/2016 Permission is hereby granted to: Albertson, Stephen 56125 Main Rd PO BOX 1208 Southold, NY 11971 To: legalize an "as built" deck addition as applied for. At premises located at: 1295 Custer Ave, Southold SCTM # 473889 Sec/Block/Lot# 70.-9-15 Pursuant to application dated 6/6/2016 and approved by the Building Inspector. To expire on 12/10/2017. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $760.00 - N TO DWELLING $50.00 Total: $810.00 i Building Inspector 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, dditions to dwellipL$50.00J 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. X11 CIA �!o t D-0( lP New Construction: V Old or Pre-existing Building: (check one) Location of Property: Win , C=ad,_- f- Ae . House No. Street Hamlet Owner or Owners of Property: 1-e AA Suffolk County Tax Map No 1000, Section `�('� Block Lot \ S Subdivision Filed Map. Lot: Permit No. w b Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ S� ffphUd Signature i Charles W. Southard Jr. Registered Architect LS 111=>Lsi U V LG D435 Bay Home Road Southold,New York 11971 SEP 2 3 2016 Phone# (631) 471-5228 cwsarchitect@optonline.net BUILDING DEPT. September 15, 2016 TOWN OF SOUTHOLD Town of Southold Building Department Town Hall Annex 54375 Main Road Southold,New York 11971-0959 RE: New Rear Deck for Albertson Residence, 1295 Custer Ave, Southold Permit# 40770 Dear Building Official I have examined the installed deck and find that all of the elements for compliance with the approved building plans and the New York State Residential Building Code, have been installed correctly. �P�o ARcy/� If you require additional information, please contact me. �� .sours F� Thank you, cc Charles W. Southard Jr. sT 14 Registered Architect of 40-1 q soojyo`o COUNi`I,�^c� TOWN OF SOUTHOLD-BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR %`" s �;r� ,%��_��•cwt!-�r`��f�7�"�h_r�y'�.��_ _� w 1 • I • 1: 1 - r IN$.ULATION PEA N.Y. STATE • • / SGA � WFIM ' - ��'&A . • 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) 765-9502Survey SoutholdTown.NorthFork.net PERMIT NO.'/_/0 Check Septic Form N.Y:S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single& Separate —bier Storm-Water Assessment Form r Contact: Approved 120 Mail to: Disapproved a/c Phone: Expiration '20 Building Insped or D GC [ O�IC D PLICATION FOR BUILDING PERMIT JW �" Date rj I� , 20 I(o INSTRUCTIONS , BUILDING DE. a. T�iGVSCWMMompletely 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. a pp ican or name,if a corporation) u� ra08S Scut-c oc6k amu, 1\4�1 (Mailing address f applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ()UA__-�2r Name of owner of premises 5 � Y`�1 aon ,� �� `� A �►'`� (As on the t x 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: )a3S L'us-4ir House Number Street Hamlet County Tax Map No. 1000 Section -70 Block Lot j 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 ��P_S p5c)C_2� 4 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition ✓ Alteration 4— 0 Repair Removal Demolition Other Work (Description) 4. Estimated Cost ,-n t)n , — Fee — i (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 ' 1 L4 Rear 70 ) 4 Depth ?4 5 !� Height Ts I Number of Stories, ;L Dimensions of same structure with alterations or additions: Front '7_71 4 Rear Depth 5 s Height 31 Number of ij- l�dw ,. J�ti ( ,tI 8. Dimensions of entire new construction: Front Dth Height Number of Stories -- as q 9. Size of lot: Front Rear $ Depth ( '79 PDTVS. 'n"T a 10. Date of Purchase Q r-1` Name of Former Owner A p V-112" i ,"a�`YAGykyi'y;y� 11. Zone or use district in which premises are situated 0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V'13. Will lot be re-graded? YES NO ✓Will excess fill be removed from premises? YES NO l✓ VaZQ5 Cv 1A�2 14. Names of Owner of premises , Address'Jc46' va`� \�' Phone No. `7&b-L4(o 41 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;�kka�L ) being duly sworn, deposes and says that(s)he is the applicant (Name o individual signing contract)above named, (S)He is the Le_nl2� (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 ki"Noto SJ.McCARTHY c,State of New v-11 ilylll' 1111Z'11� of r u No.5004790-Suffolk County igna r ofA icant Commission Expires Nov.23..49-- 9617 � ) C�C0 ,. W /a �O- - IA— OWNER TOWN OF SOUT1HOLD PROPERTY RECORD CARD r STREET zq, VJLLAGE DIST. SUB. LOT �Row ER � �- C.� t°�• �'j N E ACR. � /��.?/e,... I�./f.�2�'-- !:{amu ;•r �'`-•• ; w - TYPE OF BUJLQING RES, .- SFAS. VL. FARM comm. CB. f`�AfGS. ,f Mkt. Value cn - 0 LAND IMP. TOTAL DATE REMARKS' w ., U) r. a a 0 t D D Z �i Q- ' % il ~ �' ' r on _ ; a&s10 o<0 - - � Lo Lo m AGE BUILDING CONDITION -- te NEW NORMAL BELOW ABOVE a--I - Lm FARM Acre Value Per Value _ Acre N rilEabfe FRONTAGE ON WATER w Voodfand FRONTAGE ON ROAD m Aeodowland DEPTH ' N .� o louse Plot BULKHEAD m 'otal �, DOCK t rr L ' '` ■■�a!!a■■■■■■ata■ .. . . . j -}" � ■�i�a■■ate■■■■1!■ �■�■�■i■! ' F, c. I t_}' .,� a■a�■aa�aa��a :, t■A■I!al7iL:i,i■tea■■ a!J■■tea!■a■ �■ NNW s�ii■�MON MEMO ■a■■� ■iii■moi : .. ■■■■■tea■■■■■■■i■a■■■a■■aaa�a • ��■�s■ar■�r■a ice■■r■fa■■■■■■■■■■a■■■Eaff■a .�:� . � ■�a�sa�a■ss�■■a■■ia■moi■M erlor Finish r• �� Rooms 2nd Flo)r w 1 r: O ♦,+�'°,* .. an, tV G°�4�na ' pyo Y�� 1�:1 �L,r r 'S�«_ AM AMON I b I ! h I $ I A II S'',` 1,��1 1 �a �1r,4a�+y 1 ��' ,,��1� 5/219 201,6 O1& 10' A"5� � SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD /F SUFFOLK COUNTY, NEW YORK ASF S.C. TAX No. 1000-70-09-15 THOM PASSA ALYCE Af. CIORGI PSS $ 84. ASSANANT SCALE 1"=30' so 47 pQ E APRIL 23. 1999 FDICE INPLAN VATH B.O.H.i 34.7$' DES SEPTEMBER 20. 2000-22, 1999DUNDERDCONsrRuc-noN sMvE'DATA PAEt Fp�CE ER 14, 2004 FINAL SURVEY o,3'E 1•s'N,�� DECEMBER = 22.017.38 sq. ft. - SHED - 0.505 ac" .- BLDG CESSPOOL—,,.—\ 0.2'W 1 FENCE OXW CV CERTIFIED T0: .- FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK SEFM"' (� STEPHEN M. ALBERTSON �n TANK 7► _ SHERYL—LEE ALBERTSON RAILROAD 11E CURB n � - rij � e '�g v�G a n orn s ; r N SUFFOLK COUNTY DvA`Rrd IVY'OF HEALTH SERVICES • . +a.s' N 7Crrn o W ; DRAW \N APPROVAL OF CONSTRUCTED WOPAS FOR to r-`!' W 'T Id z'S J p� { GLE FAMILY RESSIDENCE N 2 STORY FRAME Ref. o. a O� OQ32. ter'' 1, ,� • : HOUSE & GARAGE q 1 Date DEC 2 � 0�4 H.S.R N ..R_� zLV- 30.2' o 46 The BOM9e dtspoSal arld miter supply facflitles at Oft looattnn have been Cum AD +0.4 zo.o' (nsp Xted aWor earfi ied by thts Deparb=t other agencies and found to - Qn METER W C U K FENCE be sa5sfadmy FOR A MAXI. OF BEDROOMS. • Li waiter C) w�tEa w�I I 3 Office Wastewater Management .. 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NOT SHOWN ARE NOT CHAR MTEED. 322 Roanoke Avenue P.O. gnu 1931 RNwtmocL New York 11901 Riwimod, No. York IISM10065 I M I r,j — 2- y boava 0-A �)OOsc- - L� er bo(-fed --4z) 1 j 1(r`9-0 j � jO bDL: J j Qr. Loa-9-P C�nc.�nc� fie✓; V ED API ED S i a�l� �-1–� t�+ �-� U i h VI DATE'' l® B.P. �. �I ,f_ (p CO-)ooCtc��{' I B a FE NOT Y BUILDING DEPAR NlENT AT --- -- -- - - q PM FOP, THE ._ 765__1802 8 ASA _-_ - - —i COV PI `� I,H fLL CODES OF /r , ! I i ! FOLL0W�NG t NEW YORK STATE � TOWN COD i � I i � I j � 1. FOUNDATION � TWO REdUIRED I ; AS REQUIRED � � COOP SNC 8 O' � FOR POURED iCONCI�ETE PnBINGI I I � Dv I �} t 2. ROUGH'- FRA�iiNG � FLU,w,. S 4 i (, ! 3. INSULATION SE IS NLAW U 4. F�NAL -;CQNS�� RUC I ION MIUST S ' i 1N, ARD SIT O U C'ER IFI AT BE COMPLETEf FOR C:O. I 5�;, IUr`i� -E S ALL!CONSTRUCKION $HALL ,It/iEET THE rn CC PANG ! 1 1 REQUIREMENTS OF THjE CODS OF EW YORK STATE. OT RFSPONMLE FOR C j i 1 i i DE gIICTIONi ERR RS. SIGN OR _CO_ -- _-