HomeMy WebLinkAbout40898-Z Town of Southold 10/13/2016
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P.O.Box 1179
a
v' ? 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38581 Date: 10/13/2016
THIS CERTIFIES that the building DECK
Location of Property: 1455 Longview Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 88.-5-49
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/4/2016 pursuant to which Building Permit No. 40898 dated 8/10/2016
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:
DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Digregorio,Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut ed Signature
gu�ot� 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#: 40898 Date: 8/10/2016
Permission.is hereby granted to:
Digregorio, Patricia
1455 Longview Ln
Southold, NY 11971
To: construct deck addition to existing single-family dwelling as applied for.
At premises located at:
1455 Longview Ln, Southold
SCTM,# 473889
Sec/Block/Lot# 88.-5-49
Pursuant to application dated 8/4/2016 and approved by the Building Inspector.
To expire on 2/9/2018.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $399.20
CO -ADDITION TO DWELLING $50.00
Total: $449.20
uildin spector
Form No_6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERT IFICA T E 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. 7A& (�
New Construction: Old or Pre-existing Building: (check one)
�J �y
Location of Property: 1,q5�5_
House No. St r et f Hamlet
Owner or Owners of Property:`
Suffolk County Tax Map No 1000, Section d 0 Block Lot 1<09
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $
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Applicant Signature
00V rjf s a
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -
FOUNDATION IST ROUGH PLUMBING
FOUNDATION 2ND INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOL CAULKING
REMARKS:
DATE - INSPECTOR
qo Olt) OF SOUIyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ INS LATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE a� �� �� INSPECTOR
�aOF 30//lyo
coumN
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING /STRAPPING [ FINAL �i,�F�rV/a'✓
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL)
REMARKS: S /h
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FIELD-INSPECTION REPORT DATE COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT I Do you have or need the following,before applying?
TOWN HALL . Board of Health
SOUTHOLD, NY 11971 (4�ets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 1 �)rvey
South oldTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
stees
C. .Application
ood Permit
Examined qjp 20 Single&Separate
Storm-Water Assessment Form
�( Contact:
Approved U ,20 Mail to:
Disapproved a/c
14 Phone:4/b'r _7®oZ — IAa.
Expiration ,20
D �� B spector
AJD
JUL 2016 APPLICATION FOR BUILDING PERMIT
Date �/��Ir� , 20
BUILDING D INSTRUCTIONS
TOWN OF So LI!
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 prernises available for inspection throughout the work.
e No building shall be occupied or used in whole or in part for anypurpose 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 rem or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, o ing code, and regulations, and to admit
author' e ins ectors on remises and in building for necessary inspections.
D (Signature of applicant or nly,if a corporation)
QUG - 4 2016
BUILDING DEM (Mailing address of applicant)
State wheT1?er a 10nrFC#9V7W, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises
(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. �W& _ -
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whi h proposed work will be don
r . 1q71
House Numb& Street
Hamlef
County Tax Map No. 1000 Section b t� Block 06. 00 Lot ®��
1
Subdivision Filed Map No. '- Lot
2. State existing use and occupancy of premi s and intendq use and occupancy of proposed construction:
a. Existing use and occupancy /moi
b. Intended use and occupancy &/7a/C 441f/1Ur Ahs P&5_ We L-
3. Nature of work(check which applicable): New Building Addition ✓ Alteration ✓
Repair 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 l
If garage, number of cars 2
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
— /7 A
7. Dimensions of existing structures, if any: Frontcg Rear �5 (o Depth
Height I,s Number of Stories /
Dimensions Q same structure with alterations o��CC''additions: Front
Depth Height ,/�"�'� Number ofto�i! „,x f
8. Dimensions of entire new construction: Front Rear — -w� �Dtepth-,
Height Number of Stories
9. Size of lot: Front 43 Rear / Depth �p(jt {nJgr4141
4l
"16£'u[t G,4'la-�'i i..�n..w✓i r,y/. f �'yii
10. Date of Purchase 1.3 Name of Former Owner LA 6t-ej 0
11. Zone or use district in which premises are situated �R qh
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 premises4/J7 r YL° rddress/ 14 60 k Phone No. 601-7(a s'/1C1
Name of Architect Address Phone No
Name of Contractoc1q& Address 5f/r9 ( �� Phone No.
AiV/17®
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 grope"y Ti �'
17. If elevation at any point on property is at 10 feet or below, must provide topogr cal,data on-survey,. -'
18. Are there any covenants and restrictions with respect to this property? * YES NO
IF YES, PROVIDE A COPY. �g
VT4L�.'3.: ) 4W5
STATE OF NEW YORK)
COUNTY OF
P614-�'IaA_ld being duly sworn, deposes and says that(s)fie is the applicant
(Name of individual signing contract) above named,
oy
(S)He is the /7 t,-9�<
(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 kno}�' ed e and belief; and that the work will be
performed in the manner set forth in the application filed therewith.' j
Sworn to before me this
6 day of 20 l�ra
RICHARD W.VANDENBURG 4 L i
Notary public,state of New York
Notary Publi No.2 9-Suffolk conn Signature of Appl ant
commission Expires May 16,
Scott A. Russella`
SUPERVISOR .
SOUTHOLD TOWN HALL-P.O-Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 /�y� �—/ ,cam` Town of Southold
CHAPTER 236 STORMVVATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
--- - - -- - - -- - - -
DOES HIS PROJECT INVOLVE ANY OB~ THE FOLLOWING:`
(CHECK ALL THAT APPLY)
YesNo
® A_ Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
(Z' B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑�. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance-
F1[�- Site
t 100 feet of wetlands, beach, bluff or coastal
i preparation Paration within '
erosion hazard area.
El[J`E. Site preparation within the one
floodplain as depicted
- -__Zen:,_Zen==FIRA-4-Map-=of-any—w--ate—
❑[/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.
S.C.T.M. �`: 1000 Date
APPLICANT: Property Owner,Design Professional.Agent.Contractor.Other) D,;trict
NAME Section Block Lot
�7 FOR BUILDIINIG DEPARTNIENT USE OCL."'
Contact Informatiorc 101P
Reviewed By:
— — — — — — — — — — — — — — — — — — Date:
Property Address / Location of Construction Work: — - - — — — — — — — — — — —
! — — Approved for processing Building Permit. — — —
/- .` (� Stormwater Management Control Plan Not Required.
Llj elni It Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM , SMCP -TOS MAY 2014
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VETERANS 114EMORLA_L MGHWAY HAUPPAUGE, NEW YORK 1178 8
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DATE ISSUED: 4/21/2008
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SUF1POLK COUNTY
Home
Improvement Contractor L
This is to certifv that
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GARYRAIARZANo El
doing business as
MARCOR CONSTR
having furnished the requAremenis set forth in accordance with and subject to tile provisioas ofap rales
�Qwltg and regulations of the County of Suff'olk, State of Ncw -j.,-ork is he plicable ja-vxrs.
rebv jjcellseo� It
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141 MPROVEMENT C0NTRA(70PZ_ jjj
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11C)OWS and Siding
DEPARTMENTAL SEAL
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AND A CURRENT MARCOR CONSTRUcTioN iNc(i
CONSUMER AFFAIRS SUPP)
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AP ROVED AS NOTED
DATE: 6.P.#
FEE: o BY: COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPARTURT AT NEW YORK STATE & TOWN CODESRUNOFF
765-1802 8 AM TO 4 PM FOR THE AS REQUIRED AND CONDITIONS OF PURSUANT TO CHAPTER 23
FOLLOWING INSPECTIONS: 6
1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE..
FOR POURED CONCRETE !, w a----,
2. ROUGH - FRAMING & PLUMBING MaaDTOb4 •gOARC
3. INSULATION SeI #Rd3ES
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
OCCUPANCY OR
USE IS UNLAWFUL
11 WITHOUT CERTIFIC,
OF OCCUPANCY -
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