HomeMy WebLinkAbout41034-Z �4�g11FFOt�.Cpp� Town of Southold 8/23/2017
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P.O.Box 1179
w 02 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39161 Date: 8/23/2017
TRIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 2595 Village Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 26.4-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/28/2016 pursuant to which Building Permit No. 41034 dated 9/28/2016
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:
ROOF REPAIR AND SECOND STORY DECK REPLACEMENT TO AN EXISTING MULTIPLE RESIDENCE(3
APARTMENTS)AS APPLIED FOR
The certificate is issued to Brogan,Kevin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
U4'
0 atho ed Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'may • SOUTHOLD, NY
0
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#: 41034 Date: 9/28/2016
Permission is hereby granted to:
Brogan, Kevin
63 Risa Ct
Flanders, NY 11901
To: Alterations to a Single Family Dwelling;
Roor Repair& Rear 2nd Story Deck Replacement in Kind, as applied for.
Replaces BP# 36771
At premises located at:
2595 Village Ln., Orient
SCTM # 473889
Sec/Block/Lot# 26.-1-21
Pursuant to application dated 9/28/2016 and approved by the Building Inspector.
To expire on 3/30/2018.
Fees:
PERMIT RENEWAL $136.00
Total: $136.00
4�1l ing Ins p or
TOWN OF SOUTHOLD
moo ��y BUILDING DEPARTMENT
2 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#: 36771 Date: 10/21/2011
Permission is hereby granted to:
Brogan, Kevin & Patricia
63 Risa Court
Flanders, NY 11901
To: � "
Alterations to a ale Family Dwelling;
Roor Repair& Rear 2nd Story Deck Replacement in Kind, as applied for.
At premises located at:
2595 Village Lane, Orient
SCTM # 473889
Sec/Block/Lot# 26.-1-21
Pursuant to application dated 10/13/2011 and approved by the Building Inspector.
To expire on 4/21/2013.
Fees:
CO -ALTERATION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $272.00
Total: $322.00
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. Sw.om statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead.
5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliatice-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 Property: `� -
House No. ��reet'
Hamlet
Owner or Owners of Property: CJ /-\
Suffolk County Tax Map No 1009,Section L/, Block Lot
Subdivision L41 0-J.)
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)
f -
Fee Submitted: $ ® •
Applicant Signature
�o��OE SO(/Tyolo
N o
�'Y�OUNT1,�c�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ]
FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
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t<vl
DATE INSPECTOR
FDMD R SPECON REP RT DATE COMMENTS
FOUNDATION MT)
FOUNDATION(2ND)
ROUGII FRA11 MO& i
PLUMBING ''•�
• � 1
0
INSULATION PER N.Y. `
H
STATE ENERGY CODE
' Y
FINAL - ,
ADDITIONAL COMMENTS
CJ D c-, -� Q
re c^#M e J9,427o 3b,-71-7•1 o
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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 1� 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
Stonn-Water Assessment Form
Contact: '
Approved 120 Mail to:
B isap ffmt4fh/c
Phone:43/STx -�-
Expiration 20
C E E Building Inspector
D
OCT 12 2011 ICATION FOR BUILDING PERMIT
Date , 20
BLDG,DEPT. INSTRUCTIONS
TOWN OF SOUTHOLD
a. a 1011 ST 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 Pen-nit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a pen-nit
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)
6 3 k 1s A
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises 1�E�F 1J 4f ®rte &7�ele_/A ZXpe511AJ
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title 4c6_-6rate•officer)
Builders License No:"
r
Plumbers License'No. "
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
;TIT e—C_A a C- -teaF_k �
House Number Street Hamlet
County Tax Map No. 1000 Section C Block Lot
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 l�a®r- Oijh r g C do C-1-Au u h eoa rn/1
b. Intended use and occupancy Cj R M e
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
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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height_ 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 OCr 111S' Name of Former Owner/I!L P-46 6,4,-- P P./,q r-J
11. Zone or use district in which premises are situated
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 V'
14. Names of Owner of premises E V ;LbleocAA)Address A Aj �( Phone No.631- 711-904X
Naive of Architect ,Address Phone No
Name of Contractor rte<,��er 6j{z° !sZ��/ s-AWdress Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO r/
* 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 is
* 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 )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, ®NNIS D.BUNCH
Notary Public,State of New York
(S)He is the No.01BU6185050
(Contractor, t Corporate orate Officer, etc. Qualified in Suffolkoun
a' r P )
Commission Expires April 14,2�I
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 thi
D- day of 20�
Notary Public Signature of plicant
Southold Town Building Department
�o�g11FFOlKCpG P.O.Box 1179
Permit#: 36771
54375 Main Road
m Southold,New York 11971 Permit Date: 10/21/2011
d �a®� (631) 765-1802 Expiration Date: 4/21/2013
Parcel M: 26.-1-21
BUILDING PERMIT RENEWAL LETTER
Dated: 6/9/2014
Applicant: Brogan, Kevin&Brogan, Patricia
Location: 2595 Village Lane, Orient
Work Description: SINGLE FAMILY DWELLING
Alterations to a Single Family Dwelling;
Roor Repair&Rear 2nd Story Deck Replacement in Kind, as applied for.
A FEE OF $136.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Brogan,Kevin&Patricia
Address: 63 Risa Court
Flanders,NY 11901
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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T T CHECKLIST
UILDING DEPARTMENTyou
$ have or need owing,before
Doed the following,
TOWN HALL Board of Health
SOUTHOLD, NY 11971 - 4 sets of Plans
TEL: (631) 765-1802 Planning Board approval
�'', =��'`fi�,�,�I;'�i1'1u'.,nd}���=rf��-.-��'�u;,��,',t�.�`�'��i�,��- .•.�l�k ��_.".��. �:�<:�'-`�
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FAX: 631l 502 765-9Surve
SoutholdTown-NorthFork.net PERMIT NO. 367 Check
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Septic Form �fi +,. ��+ ��.-� , ;k��'}; 4�4•��4�� �.,,
N.Y.S.D.E.C. ON
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Trustees t; 3. ti ? C. A'
C.O. Application _�4 t
0— Flood Permit £
Examined 0 2-020 Single&Separate
Storm-Water Assessment Form
Contact:
Approved 120 Mail to: `-
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Phone:49 .�'J'S/- rP2-2-2-
Expiration ,20 I "
Building Inspector - `^
/e!S R cr P—-r - -r4 h� e
(Mailing address of applicant) '"'
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
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Name of owner of premises K6V(Aj 4f,-Af-C2& st
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
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(Name and title,of corpgrate,officer) S2 w
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Plumbers License No. C)fLU LLJ -j
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Other Trade's License No. srn a } w v o Z W o o Q w o o AS I�EQ�91EtED
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