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®�SUfFat,f�OG Town of Southold 8/2/2017 g y P.O.Box 1179 0 °Y 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39098 Date: 8/2/2017 THIS CERTIFIES that the building DECK Location of Property: 1245 Gillette Dr., East Marion SCTM#: 473889 Sec/Block/Lot: 38.-3-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/24/2017 pursuant to which Building Permit No. 41575 dated 4/27/2017 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 Joyce,Timothy&Joan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED -QdAA 0 Oh d Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy SOUTHOLD, NY ?ipl � ,�•b� r 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#: 41575 Date: 4/27/2017 Permission is hereby granted to: Joyce, Timothy 83 Capital Ave Williston, NY 11001 To: construct additions and alterations to an existing single family dwelling as applied for. At premises located at: 1245 Gillette Dr., East Marion SCTM # 473889 Sec/Block/Lot# 38.-3-5 Pursuant to application dated 4/24/2017 and approved by the Building Inspector. To expire on 10/27/2018. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $308.40 CO -ADDITION TO DWELLING $50.00 Total: $358.40 4 Buil ing Inspector I 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. 49/,J�/1/ Z C . `L 617 New Construction: Old or Pre-existing Building: (check one) Location of Property: y,s I 2 fifiz Dat o-- House No. Street Hamlet Owner or Owners of Property: 04�'f l �f -4 O LIA/ / �7 c--e- Suffolk County Tax Map No 1000, Section 3 F Block Lot Z) Subdivision M A/Z 10,/i /yllweA, Filed Map. Lot: 5 3 Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signa ure 0 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) [ ] LECTRICAL (FINAL) REMARKS: frftl I K DIVI- 11 - j DATE INSPECTOR OE SOUIy co TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] ULATION [ ] FRAMING / STRAPPING [ FINAL D4+N [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRIC (FINAL) REMARKS: I� p DATE INSPECTOR FIELD FOM- 4tOIq 1ST) cx r. rrrrw rwr wwN.MwwwwlwwYwY AL P'OUND�Tx4N (2NIS) ` � V A ROUGH FR,�MIN'Cr& . • '-`'"'� PLUMMING H INSULATION'PER N.Y. �l STATE ENERGY Cp;SE ' FINAL Pj '-r r 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 sets of Building Plans TEL: (631) 765-1802 !PJanning Board approval FAX: (631) 765-9502 Suryey SoutholdTown.NorthFork.net PERMIT NO. -Check peptic Form N.Y.S.6.E.C. trustees C.O.Application —Flood Permit Examined ,20 D —dingle&Separate APR 2 4' 2017 ',JStorm-Water Assessment Form �i Contact: Approved ,2 B�D�G„ Mail to: Disapproved a/c T 0 �DEM g�/Tr I �(✓� L(J���/S/�.n1 Phone: -Sd 7 --?0� Expiration -,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date i , 20 / 7 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 apermit 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 Inspe r issues a Certif cate of Occupancy. 1 ` 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 Southpld,.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,'ordinanees,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. p (Signature o applic r Vme,if a corporation) O 3 C4,0(fa ( 602- bii(16 nli 6f'i (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder LAJ N e-(t. Name of owner of premises -q- j GAN In -u cj C-:1? (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 propose work will be do House Number Street Hamlet County Tax Map No. 1000 Section Block Lot s Subdivision /'O/QZI Ofd /�AAG 6A- Filed Map No. Lot 2. State existing use and occupancy of premjises and intended use and occupancy of proposed construction: a. Existing use.and occupancy ,5lx, ,a �/�r??��� /f.Q5,Gt'Q� ' b. Intended use and occupancy Si1/y1L 3. Nature of work(check which applicable):New Building Addit or} Alteration Repair ; RemovalDmColitio, F 1 ami' ,":+ Other ; ork ' 3',f'' °V '�. .3 :` �.a (Description) 4. Estimated Cost i Fee 9 6 p 4--�(T-o 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 { Oyu As 4 .' T.v -6. If business, commercial or mixed occupani +�cy;.spepcitf nature aifd'exte it of each type of use., 7. Dimensions of exist ing structures, if any: Front $ Rear Depth ;ZT Height 5ro a Y ' Number(of Stories [ Dimensions of same structure with altrerations.or'additions: Front Rear Depth Height ; Number of Stories 4 � , 8. Dimensions of entire new construction: Firont" Rear Depth Height Numbr<r of�Stories 9. Size of lot: Front Z!J a Rear l O ©3 Depth 7l 10. Date of Purchase Name of Former Owner ' All Get ; 1'.. Zone or use district In which premises are,situated ` o 1 . Does proposed construction violate any,z6nirig law, ordinance-orregulation?YES NO 13. Will lot be re=graded? YES NO , Will tkcess fill,be removed from premises?YES !' NO{_ 1 . Names of Owner ofapremises ress Phone Name of Architect 1+MeS c �'l1 :r Address Phone No- 6 a H r XCe?( Name of Contractor ` R c c 1 t Lu.�_In 2')z r Add'res's-,- f ; i Phone it lo,'. X 31 `/ Y 0l`P IF 1 a. Is this property within 100 feet of a tidalWetland•o'r'a;fresl%Waten wetland?'*YES,, NO•� IF YES, SOUTHOLD'.TOWN TRUSTEE�&?D.E.C. PERMITS MAY BE REQUIRED. b. Is this property witin 300 feet of a tidal w,et and? YES " :NO' IF YES, D.E.C. PERMITS MAY BE REQUIItD 16. Provide survey, to scale, with accurate foi'tndation plan and distances to property lines. I"'. 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 vi'ith respect to this property? * YES NO IF YES, PROVIDE A COPY. : S--ATE OF NEW YORK) COUNTY OF� � Y0 'Jo G-P_ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contrac above;named, (S)He is the (Contractor,Ageiit, Corporate Officer, etc.) i of said owner or owners,and is duly authorized toy perform or have performed the said work and to make and file;this application; th it all statements contained in this application arc;true,to the best of his knowledge and belief; and th4t the work;will be performed in the manner s'et forth in the application filed therewith. Sworn to before me this day of 20 /7 j "cATHEFUNgM.GUAD N NO' v m inuc, Notary ublic No.30-47�028� Signa e ofAp i n ' I 0Qualified in Nassau CO myt Commission Expires,une�30,20/J=Q, UFFQ Scott A. Russell ���-°� ,�� ST(0)]RIAWA.T)E)E, SUPERVISOR 01\\4ANAG1E1\\41ENT 1EI\�41ENT SOUTHOLD TOWN HALL-P_O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 o tea- Town of Southold CH"TER 236 - STORM WATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT) I)oF-S--THIS- -PROUECr--IIVo 1~ TOIEOWIN�-—--- _= --- ---- Yes No . (CHECK ALL THAT APPLY) ❑FA 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 withil i any parcel or any contiguous area. j ❑9j C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. : i ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. _ DidE. Site preparation within the one floodplain as depicted on-.FIRM Map of any watercourse- 1111 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_witlLyour Building Permit Application. APPL)CAN7: (Property Owner,Design ss nal,Agent,Contractor,Other) S. 1VI. = I��� Date. Prof� DAtrict C L' NAME V D c_e J W-0 Section Block Lot I'V. BL)ILDING DEPt�RTNli=N-r Contact Information, Reviewed By: — — — — — — — — — — — — Date= 'q-2q-1-7 Property Address / Location of Constiuct)on Work: — — — — — — — — — — — — — — — — (�� ! - ����� Approved for procea�ing Building Permit. Stormwater Management Control Plan Not Required Stormwater Manager„e,it Control P!an i�'cy^.;ir d Li (Forward to Engineering Department for Review) FORM ' SMCP - TOS MAY 201 Certifications indicated hereon signify that this plat of the properly depicted hereon was made in accordance with the existing Code of Practice for Land Surveyors adopted by the New York State Association of Professional Land Surveyors. This certification is only for the lands depicted hereon and is not certification of title,zoning or freedom of encumbrances. Said certifications shall run only to the persons and/or entities listed hereon and are not transferable to additional persons,entities or subsequent owners. EAST GILLETTE DRIVE FESTAKE 0 5S S 26036'30" E 100.03'0 6EW FOUND 0.6'W — — PIPE CHAIN LI FE 0.7'N FOUND HEDGE 0.6'W LAMP r'1 LAMP ' POST N # POST 23.8' • - W w INGROUND (rF. ����� w U POOL U¢ tL 0 W w ..•pa'• � Y a z W °o ZV a r �E WOOD U' t� U DECK I 8.3'- �t Z o 12.1' o 0 24.8' 0 21.8' N ::"I 4 �a.W 0 -0, 1 STORY w 0 W a r: DWELLING a m 3 O -I 2 FE " No. 1245 a N 0 0.5'N 1 IIE b 0 8'N 0 r- O 21.7' 351' O FE GATE 0.9' CO E GATE FE r t� 0.4'N PORCH ' V_ Q P Z ---- N 0 Q � a O `O to MANHOLE ¢ ! X (� O I o O /U) (f) � O o 0 Z a Z m Q � 375.0' PIPE m FOUND OZ TREE ROW ® STAKE FOUND N 25008'50" 'W ® 100.00' 1 GILLETTE DRIVE UA SURVEY VIEW. SURVEY The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not intended to guide in the erection of fences,retaining walls, pools,patios,planting areas,additions to buildings and any other construction. Subsurface and environmental conditions were not examined or considered as a part of this survey. Easements,Rights-of-Way of record,if any,are not shown.Property corner monuments were not placed as a part of this survey. © 2016 BBV PC VBa rrett Tax Map: DISTRICT 1000 SECTION 38 BLOCK 3 LOT 5 Bonacci & Unauthorized alteration or addition to Map of: MARION MANOR Van Weele PC W this survey is a violation of Section B17 1 7209 of New York State Education Law Civil Engineers 175A Commerce Drive Map Lot: 53- Map Block: --- Surveyors Hauppauge,NY 11788 y T 631 435 1111 Filed: 3/18/1953 No.: 2038 County: SUFFOLK Planners F 631 435.1022 www bbvpc com Situate: EAST MARION,TOWN OF SOUTHOLD Certified to- Title No.:3020-815564 Revision By Date Copies of this survey map not bear- TIMOTHY P.JOYCE&JOAN M.JOYCE Ing the land surveyor's embossed FIRST AMERICAN TITLE INSURANCE COMPANY seal and signature shall not be con- sidered to be a true and valid copy its successors and/or assigns RIDGEWOOD SAVINGS BANK - Surveyed by: R.B. Drafted b :�"7.F. Checked by. C.W. „_ Project No.: A160676 Scale- 1 30 Date: NOVEMBER 1 2016 K:\Da16\A160676\DWq\A160676.dwq,A160676,11/8/2016 11:45:39 AM,Barrett,Bonacd&Van Weele,P.C.,]F TA r! ALL SOO6Tu_h -. 'fo--G_ I.G rc. A13W1.L7— i -+ + 4-44 -! +• t R 1 v + ! 1 �— I I , i 3 1 fv nj I 51,E I— �T �T NOTs i 07_1202 4 4 INc cGTINS: �t1";-r ►t_� mb.� T J D 'r irl OR FOUF, _ G I F 4 FOR R J,RING FLU`4i?ilN i 3 Zalo. r.� I .� f►;tT3�sw - { 2. ,,,,JGH - E t r _ f ► I 3. INSULA:IO"a 4C I- a.1U ST 4. FINAL CONr.. �, r;r C0',"PLr T: FOR c.'I d . A'_L CONS T RUCTIO'J SH: L.L hd".rET THE y RECUIREPlEP1TS OF THE COD`S OF NE`r^s' , YORK STATE. NOT RE-SPONS':SLE FOR rrRFi - �cnc,� DESIGN OR CONSTRUCTION cRRORS. 7 �� S° its �'•: OF �14 - t� � Li-{ - _ t"�" {{ fn'� 'e �� "13 IZ TT` P�—.....—•_--•--•^^a^_--t"�1_...I`'I��1`1i-.r,U 9±9'�:^� ''�"7__7'.'....a--:[_" i � _•��-�y1"ipCQ3�Y(-0� Ag �+. . . - SCALE:rS -S APPROVED BY: DRAWN BY ALL Lu, p�rrt.-. 8 'CdI�C: DATE ics 't REVISED SSP 'file — -- ! DRAWING NUMBER f"°—