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Home My WebLink About41191-Z �o �UFFOLIr, � Town of Southold 1/4/2017 a P.O.Box 1179 53095 Main Rd o4,� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38758 Date: 1/4/2017 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 305 Main Bayview Rd., Southold SCTM#: 473889 Sec/Block/Lot: 70.-5-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/18/2016 pursuant to which Building Permit No. 41191 dated 11/28/2016 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: HANDICAP RAMP TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Verity,Wilbur of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED fi Yh ed Signature L o�gUFFns,ycoL 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#: 41191 Date: 11/28/2016 Permission is hereby granted to: Verity, Wilbur 305 Main Bayview Rd PO BOX 1831 Southold, NY 11971 To: construct a handicap ramp as applied for. At premises located at: 305 Main Bayview Rd., Southold SCTM # 473889 Sec/Block/Lot# 70.-5-27 Pursuant to application dated 11/18/2016 and approved by the Building Inspector. To expire on 11/28/2018. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ADDITION TO DWELLING $50.00 Total: $250.00 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,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.wQy , , Au (P New Construction: Old or Pre-existing Building: 1/ (check one) Location of Property: 3105 Main �& vl Sot AM House No. Utreet Hamlet Lsuffolk Owner or Owners of Property: a z r County Tax Map No 1000, Section ]® Block Lot Subdivision Filed Map. Lot: Permit No. '"I 4 ( q I Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ J pplicant Signature � o cOUM`10 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 D1114 INSPECTOR l l Ir I �aOF 50!/ly� �y00UM'I,N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ' i fv I q 1/ REMARKS: DATE -1 INSPECTOR r - - FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y ------------------------------------ C rA FOUNDATION(2ND) Z O H ROUGH FRAMING& PLUMBING INSULATION PER N.Y. STATE ENERGY CODE pml kq 0 S Irl1 0 (�o Q" Wr4 Af- QUeA FINAL ADDITIONAL COMMENTS O m ro O z H rC b H 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) 765-9502Z ��, Survey Sou tholdTown.NorthFork.net PERMIT NO. C� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application D Flood,Permit Examined 0 Single&Separate NOV 18 2016 Storm-Water Assessment Form ZS Contact: �.r,;i1 Approved 20 + ALY e�) Disapproved a/c 'NOWT OF LDi f Phone: Expiration ,20 [ But mg,n e for APPLICATION FOR BUILDING PE Date , 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 applicatiori 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 Name of owner of premises _ _ ( on'the tax roll or latest'deed) If applicant is a corporation, signature of duly authorized officer (Name and title of cor orate officer) Builders License No.Plumbers License No. Electricians License No. , Other Trade's License No. 1. Location of land on whichgrwo � e� oposed work will be done: 0S a\ House Number StreetJ Hamlet County Tax Map No. 1000 Section 70 - Block r � Lot Subdivision Filed Map No. Lot 12. State existing use and occupancy of premises and i tended use and occupancy of proposed construction: a. Existing use and occupancy uck C7 M i b. Intended use and occupancy V1csnA i Cc, c o m(� i 13. Nature of work(check which applicable): New Building Alteration Repair Removal DemolitionOther Work 1 py,T ,{ (Description) 4. Estimated Cost 0 gam' }g j,R 1 '- `" `4 e (`T0 be paid on filing;this application) 15. If dwelling, number of dwelling units �`I�umber of dwelling units`oriach floor If garage, number of cars i 16. If bus' ess, commercial or mixed occupancy, specify n� urn �extext� each type of use. 17. Dimensions <7isting structures, if any: Front Rear _Depth Height Number of Sto ' s 1 Dimensions of same s ucture with alt tions or additions: Front Rear Depth Heigh Number of Stories 18. Dimensions of entire new constru 'on:-Fron-t Rear Depth i Height NO ber of Stories i9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Fo er Owner 111. Zone or use district 'n which premises are situated i 12. Does propose construction violate any.zoning,law, ordinance or�Iation? YES NO i 113. Will lot be re-graded? YES NO X Will,excess fill be removed from premises? YES i NO 14. Names of Owner of premises ('t Sed` Vi in lAddress rnvtirii".j OY . Phone N6(P3l Name of Architect Address - Phone No Name of Contractor -74- Address -II ' �hone Nol. _'-i 1(c 4c,,(.oa- I a (PaG®rad 1is �, 1 ►�h��. I 15 a. Is this property within 100 feet of a tidal wetland'or a freshwater wetland?'*YIs'-' N Q * 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. ' 116. Provide survey, to scale, with accurate foundation plan and distances to property lines. 117. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 118. 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`J1k I ` � 9r ( being duly sworn, deposes and says that(s)he is'the applicant j (Name of individual signink contract)above named, G j(S)He is the ®�►y (Contractor,Agent, Corporate Officer, etc.) sof 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. i I iSworn to before me this �001� day of r1f0 DJU&A 201(, 6 PPIJ 1-1 �)iini_p A I rotary Public TRACEY L. DWYER Signature of Appy ant: NOTARY PUBLIC,STATE OF NEW YORK 1 NO.01 OW6306900 1 OLIALIFIED IN SUFFOLK COUNTY O®MMISSION EXPIRES JUNE 30,21DO %'° �e 9✓' �i�, c.So.��l�/�� 'moi //97j .�� ' � � JUL 24 198P, N /0/ F GEORGE H. SMITH SC DC°T OF i a CHARLOTTE M. SMITH HEALTH %RVICE• < ( dwelling ) � �r 1,,,�tl -1-o b� r�(d m�on.l S. 86 027 00"E. � eS5eA- by ed.5eMwd Y 29 25 200, 08' /,V U man W 31 0 N W Prop 29' (Odr�lrN Q �O c/r/VEWo�r 7 N r�0�✓ O W Q,c�, ,s mO 37 V. � a v / 74 'OO LL 0 d. � 2� O� O TEST H O • c a pts ® el 310 0) � � 29 r o 'O z q z {„d Pie O e 3000 t`s1 N. 660o w J 301 26 X40 "W. 199 61 ' 30 5 N / 0/ F ROSE O MAILES z r m ( oPmrLtEAAc E NOTE gg dwelling)n L4 r It � QAg TEST HOLE Ve:�,o)OM�31bIlItto el 310 distance brown a,, , .,v 4tnLsewage oadlspo 0 fac, 3 pale RINE NECK ROA ® brown The water supply &sewage disposal sys- coarse tams for this residence will conform to Iho ,S'017Ct standards of the Suffolk County Dapart- AREA a 14 t 950 S Q. F T ment of�He�alth$917ices CERTIFIED TO COMMONWEALTH LAND SURVEY FOR TITLE INSURANCE COMPANY TITLE NO G 624 - 948 - S WILRUR VERITY WILBUR VERITY CARLECE VERITY CARLECE VERITY IFF LK COUNTY DEPARTMENT OF HEALTH SERVICES AT ®UH®L FOR AARAl. OF CONSTRUCTiCN CNLY ®�/�9 OF SOUTI'IOL.® TE � S REF. NO% t�3 i SUFFOLK COUNTY , N.Y. 1000 - 70 - 05 - 27 PR VED — I SCALE I° = 40' JUNE 18 , 1986 1"y JULY 22 , 1986 LAND& Frb jWCQ.j y(:: 01V a A.I {DA7 01- �'� Prepared in accordance with the minimum ® qq Jq APFjOVepp,ards for title surveys as established by �� t o L.I.A.L.S. and approved and adopted t ,y N.1 I C. NO. 49668 for such use by The Now York State Land N Title Association. �7` �0'49888 oQ` PEC OP ORS a ENGINNERS , P. 0 ( 516) 76 20 P. O. BOX 909 ELEVATIONS ARE REFERENCED MAIN ROAD TO AN ASSUMED DATUM SOUTHOLD, N.Y. 11971 ` 86 - 327 k J ! c f , ! X CEJ ti 11 , w' a r NEW �('Oi,K ��SL� Ir & TOWN CODES DAT AS NO B.P.# Alo, AS r�EWREs s AND CONDITIONS OF BY' SOUTHOL D TOINN ZGA NOTI BUILDI DEPARTMENT AT SOUTNOL1ITO'�1N PLANNING BOARD 765-180 SAM TO 4 PNI FOR THE L FOLLOWING INSPECTIONS: �ti� SGtT;,HC);D Tt"1AINTRUSTEES -1. FOUNDATION - TWO REQUIRED Fh�.Y� G'EC OR POURED CONCRETE - �� . RETAIN SWIM WATER RUNOFF 2. ROUGH - FRAMING PLUIv?BINE PURSUANT TO CHAPTER 236 3. INSULATION OF THE TOWN CODE. 4. FINAL -_ CONSTRUCTION MUST �UPANCY OR BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW USE IS NLA FUL ' YORK STATE. NOT RESPONSIBLE FOR g ' CONSTRUCTION ERRORS. WITHOUT CE RTfF1CAT DESIGN OR OF OCCUPANCY M 1 O O O M O O O 14 cc a o - U I w -- M N CD 0 N