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Home My WebLink About41992-Z Town of Southold 9/29/2017 P.O.Box 1179 co c' Eft 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39252 Date: 9/29/2017 THIS CERTIFIES that the building DECK Location of Property: 310 The Greenway, East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-49 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/26/2017 pursuant to which Building Permit No. 41992 dated 9/26/2017 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 Vedder DJ Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut ed Signature r ��O�gtlFFol,�COG TOWN OF SOUTHOLD BUILDING DEPARTMENT y ;� TOWN CLERK'S OFFICE 1P . 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#: 41992 Date: 9/26/2017 Permission is hereby granted to: Vedder DJ Irry Trust 310 The Greenway East Marion, NY 11939 To: Construct a 14 x 20 Deck on the existing single family dwelling as applied for. Replaces BP# 10612 At premises located at: 310 The Greenway, East Marion SCTM # 473889 Sec/Block/Lot# 30.-2-49 Pursuant to application dated 9/26/2017 and approved by the Building Inspector. To expire on 3/28/2019. Fees: -PERMIT RENEWAL $57.50 Total: $57.50 ing Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ® ®� 2 Z Date af'�,ovzd:�.........r......................... 19. . Permission is hereby granted to: .....ter a�.� .. ......4 k:,956rXC .................. to1 �C.d.......14 �. ,�r......D.FC .....� .. L .... ...... l ./../.��r .......................................... ..... ... ... .....1 44%W-46JX at premises located a ... ./. ....�.,�:.... ............ " _ ................................................................................ ................................................................................ , �. ..... °�1....? ................ �� ' pursuant to application dated ... . :./<d ...../.......................... 19.0G., and approved by the Building Inspector. Fee $. .� . ........ ....... .. . . ...... .. . . .... .... ... .. uil` ng Inspector Form No.6 D [ECIEVE TOWN OF SOUTHOLD D BUILDING DEPARTMENT TOWN HALL SEP 2 2 2017 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY $$J>tI,DING DEPT. TOWN OF SOUTHOLD 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 I%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 $15.0/0 Date. ,7 New Construction: Oldor P e-existing Building: (check one)) Location of Property: �` 1 (fc-Ipo V 1.PVL,- House No. St eet Hamlet �Owner or Owners of Property: Yu&f C �d�/� Suffolk County Tax Map No 1000, Section Block Lot 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: $ A134W X' pplicant Signatur L ` Of SOUTyo o�'�OOUNf'1,N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [V FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: b&A& P&v Q d%v 1 — c 4- 4) DATE INSPECTOR DATE li Vitr 1E:�:1�� E FIELD INSPOECTI(N I r FOUNDATION (1st) O - r rn FOUNDATION (2nd) 2. o ROUGH FRAME & PLUMBING f 3. INSULATION PER 7N.Y., STATE ENERGY NQ CODE IMA FINAL al ADDITIONAL COMMENTS: ` �1 ,� CD ci- � r d ' m FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examine ./�.! . . . . . . . . 19 Application No./.�.�. . . . . . . . . . Approve J ��. . . r. . . ., 190Permit No. ,. Disapproved a/c . . . -. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector,with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections 9 1/�aJA"t-) (T. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .n. . . . (Signature of applicant, or name, if a corporation) p, . 7s' . . �-./y .,. �!� �! :. 1939 . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. / -� . . . . . . . . . . . . . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . ..,.,� . .�J.. . ��c-C� (�/�' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No AI. Sj^ Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . 31c.�rJr .` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �'D. . .�. .!J y. . �� 3 . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . ��. . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . . . . . ... . . . . . . . . . . Subdivision 6.4C &:a . . . . . . . . . . Filed Map No. . . . . . . . Lot . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 7� . ,� �o a. Existing use and occupancy . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . f�Q . . �'f��J/l ® Ct . . : . . . . . . . . . . . . . . . . . l� 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . Other Work . . . . . . . . . . . . . . . J J (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 ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . .A)<. . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 4 �alp � 4 1 CN. N STATE OF NEW YORK, S.S COUNTY OF . Y:-)� pk-E . . . being duly sworn, deposes,and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 before me this d� !. . . . . . . .day of. . . . . . . . . . . ., 19 N a Public. . . . . . . . . . . . . . . . . . . . . . . County LINDA F. KOWALSKf NOTARY PJCLiG, E1cte of New York ° No.52-4524771 (Signature of applicant) Qualified in Suffolk County Gomm--sssion Expires March 30, 1984c-,C h � ! kkk e IAC -!co ( 1 l i I I L I I 3 I i I ? II 1 10/011 ! ' h z e--2 ( I i l`� YQ l r � i � � I,'IN -to, i { I � I III I ► I l � I II