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Home My WebLink About42446-Z ®�pgUFFO(,��oGy Town of Southold 4/10/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39588 Date: 4/10/2018 THIS CERTIFIES that the building RAMP Location of Property: 2555 Youngs Ave Unit 12C, Southold SCTM#: 473889 Sec/Block/Lot: 63.2-1-35 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/5/2018 pursuant to which Building Permit No. 42446 dated 3/9/2018 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 CONDO (UNIT 12C)AS APPLIED FOR The certificate is issued to Goldsmith,Alfred&Kay of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t o ' d ignature �gUFFat TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE coy • 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#: 42446 Date: 3/9/2018 Permission is hereby granted to: Goldsmith, Alfred 2555 Youngs Ave 12C Southold, NY 11971 To: install a handicap ramp as applied for. At premises located at: 2555 Youngs Ave Unit 12C, Southold SCTM # 473889 Sec/Block/Lot# 63.2-1-35 Pursuant to application dated 3/5/2018 and approved by the Building Inspector. To expire on 3/9/2019. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ADDITION TO DWELLING $50.00 Total: $250.00 i ' nspector 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.— ,,," 5 I New Construction: Old or Pre-existing Building:X (check one) Location of Property: [ C T V IIY71 House No. Street Hamlet Owner or Owners of Property: [Q, �Q � Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. i*((O: Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 50 ' App is Signature �pE OUT �y00UNf`I�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ( ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I ULATI N [ ] FRAMING / STRAPPING [ FINAL /1m [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Ls DATE INSPECTOR t , FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) O ROUGH FRAMING& M PLUMBING y INSULATION PER N.Y-. �7 STATE ENERGY CODE . N rl r C �f FINAL �v ADDITIONAL COMMENTS 0° O T Z m �b °z � d r� 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) 765-9502 J Survey Southoldtownny.gov PERMIT NO. (Q Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application 3 D /� `l Flood Permip Examined 20 `�,t `� D Single&Separate Truss Identification Form MAR _ 5 2018 Storm-Water Assessment Form Contact: Approved 3 ,20 DET. Mail to: Disapproved a/c TOWN OF SO OLD ✓�`� � 195=LK Phone:G3 1, — 2-1/7 Expiration 20:TfA/7U0 B pector APPLICATION FOR BUILDING PERMIT 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 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 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. � e a� umlc . (Signature of applicant or name,if a corporation) "Po luxG� qc (Mailing address of applicant) Stt whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ��Q Name of owner-of premises oil (As on the tax roll or latest deed) If a plicant is a co oration, signature of d authorized officer (Name and title of corporate officer) Builders License No. cj 1-/ ci Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section l�o o�, Block Lot 35 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work T c,v„U, RaAl-t e S �� 0 _ - (Description) 4. Estimated Cost 't 4,5 t , 'Fee i - , r t -(To be paid on filing this application) 5. If dwelling, number of dwelling units 'Number of dwelling units ion each floor If garage, number of cars ; 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ct . ._” .. 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 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? YES NO 13. Will lot be re-graded? YES NO_)�_Will excess fill be removed from premises? YES NO X 14. Names of Owner of premise�T� c�.ahM,�l�►Address�tiY. ►��? 1 Phone No. Name of Architect Address Phone No Name of Contracto�D,o,jpc1,e Ac _Address2a5T Phone No.63/-?3 y- a-(, 1 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 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 S� 71L ti,6 G P 6D-e being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the �v-T, (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. Swto before me this or 011- day of M6U 2016 AaXim tj6:�)- t0A J_A Notary Public Signat re of App icant - \ s, .71 \ 10 •k� ` ill / �} r r o yr Pb IN o" APPROVED AS NOTED DATE: B.P.# 46-Z- O CUPANOCY C' FEE: gobC d BY: Lu USE -I LA t��F I_.l.'. NOTIFY BUILDING DEPARTMENT AT �� . 765-1802 8 AM TO 4 PM FOR THEWITHOUT C E RT llI F e'l:.„, ;.;e_ FOLLOWING INSPECTIONS: 1. FOUNDATION - TWC REQUIRED F OCCUPANCY FOR POURED CONCRETE 2. ROUGH.- FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST RETAIN STORM WATER RUNOFF BE COMPLETE FOR C.O. PURSUANT TO CHAPTER 236 ALL CONSTRUCTION SHALL MEET THE OF THE TOWN CODE. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR g�_ DESIGN OR CONSTRUCTION ERRORS. ramp S�o_d� Ityyz_ � �1'��I IS SI"1 G�-�I 0, ��6 � � �� bl'V1�� COIViFLY V�IITH ALL,CODES i?r NEW YORK STA i E: s "AWN CODE: TKC ► f�311 QI t AS REQUIRED AND CUI aDl' ,`NS �Io W/A 65�� -Co �b