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Home My WebLink About43152-Z o�g�fFfltcOG Town of Southold 11/2/2018 0 P.O.Box 1179 o _ 53095 Main Rd y��ldti Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40026 Date: 11/2/2018 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 1040 Nokomis Rd., Southold SCTM#: 473889 Sec/Block/Lot: 78.-3-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/19/2018 pursuant to which Building Permit No. 43152 dated 10/19/2018 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: ROOF OVER FRONT ENTRY TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Constant,Robert&Lisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au rite Signature o�S�FFn��coTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE �y.,• 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#: 43152 Date: 10/19/2018 Permission is hereby granted to: Constant, Robert 1590 Church Rd Wantagh, NY 11793 To: Alteration to an existing single family dwelling as applied for. Replaces BP# 38950 At premises located at: 1040 Nokomis Rd., Southold SCTM # 473889 Sec/Block/Lot# 78.-3-16 Pursuant to application dated 10/19/2018 and approved by the Building Inspector. To expire on 4/19/2020. Fees: PERMIT RENEWAL $100.00 Total: $100.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy . 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#: 38950 Date: 6/10/2014 Permission is hereby granted to: Constant, Robert & Constant, Lisa 1590 Church Rd Wantagh, NY 11793 To: Alteration to an existing single family dwelling as applied for. At premises located at: 1040 Nokomis Rd, Southold SCTM # 473889 Sec/Block/Lot# 78.-3-16 Pursuant to application dated 5/29/2014 and approved by the Building Inspector. To expire on 12/10/2015. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 Building Inspector 442 ��OF SOUI,yo f * TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULAT ON [ ] FRAMING /STRAPPING [ FINAL 0 ✓A 4, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: h� m kA w f wl Coe 6 DATE O 3 B INSPECTOR 1. 1 1 0 • � r 1 1. ROUGH FPAAVNQ PLUAMING INSUL ATION PER N.Y. STATE ENERGY • 1 FW LO pl, M4 om M. V O i 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 11971I 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval _ FAX: (631) 765-9502 Survey Sou tholdTown.NorthFork.net PERMIT NO. t Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Storm-Water Assessment Form Contact: Approved '20A Mail to: Disapproved a/c Phone: f� Expiration ,20 [1 }� uildi ector APPLICATION FOR BUILDING PERMIT MAY 2 9 2014 D Date 1M '� 2 , 20 14 BLDG DEPT. INSTRUCTIONS TOWN OF SOLITHOLD a`-1his ap# e 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. dl (Signature of applicant or name,if a corporation) �9 o cH%) P—cH (-*-%- ( (Mailing address of applicant) w -FAC, F fit( II7g3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises R D &alca l R , e t9 �J (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer - I (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 proposed work will be done: 0+0 N o KD yl,\ S ( S,0 u 1(1� 0 L House Number Street Hamlet County Tax Map No. 1000 Section Block 3 Lot Subdivision Filed Map No. -L ot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy t 0 &C E r\Z�Y P.1c3 I �!C Cc- 1 b. Intended use and occupancy 5 jr% Q- 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 Deprh�" 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 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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 ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is 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. 2 Swor to before me th' r r day of 20�-� \(vi' Gt A, 14 Notary Public VICKI TOTH Signature of Applicant Notary Public, t of New York No.01T 1 0696 Qualified in Suffolk Countyj„ Commission Exoires July 28,20L Scott A. Russell °sk' Ir01STO]KAMMATEIK SUPERVISOR MA,NA\(G I E M I E N F SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 `oma Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑� A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑dB. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[►�'C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑[�D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. _- ❑E E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ❑ 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 with your Building Permit Application. APPLICANT (Property Owner,Design Professional,Agent Contractor,Other) - S C.T.M. #: 1000 Date p � District J (^ NAME. Ro 17v"—� C100 S Ti-N�" __1D aro Section Block Lot / oq0xo1,�t5 R� _ /(S.guw'd r ukF FOR BUILDING DEPARTMENT t'SE ON],'t Contact Information 16/ /S-06-4 6-4 n^D lRkphone Numtxd t/�1 '1 Reviewed By- Date. 1JJJ - - - - - - - - - - - - - - - - - - Date. � a'D Lf Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — Approved for processing Building Permit. Stormwater Management Control Plan Not Required — — — — — — — — — — — — — — — — — ❑ Stormwater Management Control Plan is Required (Forward to Engineering Department for Review) FORM # SMCP-TOS MAY 2014 �pF SOUTyQIo Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G • Q Southold,NY 11971-0959 'Q BUILDING DEPARTMENT TOWN OF SOUTHOLD October 31, 2018 Robert Constant 1590 Church Rd Wantagh, NY 11793 RE: 1040 Nokomis Rd, Southold TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: NotdMri' pect r ha a ked`fof'a�letter-stating�nolnew-electric-,has!leen added f6 the poftico�p'er finalm finspectiZrFeted 1U/23/2018}1z Electrical Underwriters Certificate A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (AII permits involving plumbing after 4/1184) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 43152 - Alteration Jarski, John From: Bob Constant <bobbycraze13@optonline.net> Sent: Friday, November 2, 2018 1:28 PM To: Jarski,John Subject: bldg permit#43152 attn.John Jarski. My name is Robert Constant. Im home owner at 1040 Nokomis Rd. southold. I constructed a portico to entry of my home. During this project there no new electrical circuits added to portico i W roaur��A� Z4, loam ��=ate "`� ZA CH LEO JACQuELIN Lr, 41 .ZO.13" rbsa ��•x 'lgv+rr 9 - +�• of rtar••Nrnre6f �a�rr.sr a� �re:trrSa'a. '�' •� .'tdrs g,cr GGc eud'--r ►tlffhr;r }' �i 44Q k Jti'a pr�$Jf§ .a.-4dols'pvrsfs wii.Arrr 309`• 24 a F`.q scale. d' I � � 5.-•-_•,��Z s• .... '" �• `'� � h.J•`,�t,.�,.��.c� (:j � �tsrrVr+fi�`trf f m �r Pk- 'A �,`7-a" � !�l 5 rr 4-10. v K l N + �°r•pt�f,��jL��ru ., -•�'�.�......... L�c�er,a�c� L�rr�d S-.'v�.6"Y��Qr+�t �' APPROVED AS NOTE® DATE: FEE: BY: - c'C�`1� i p s, SaFF�i NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: k 1. FOUNDATION - TWO REQUIRED j FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING COMPLY WITH ALL CODES OF 3. INSULATION NEW YORK STATE & TOWN CODES 4. FINAL - CONSTRUCTION MUST AS REQUIRED _ BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE —fie REQUIREMENTS OF THE CODES OF NEW i SOU K011?I0�(�LP�A_ NNIN�ARD YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. S TEES 1djsgEG- OCCUPANCY OR USE IS UNLAWFUL RE�AIN STORM WATER RUNOFF WITHOUT CERT PU�SUANT TO CHAPTER 236 CERTIFICATE OF THE TOWN CO OF OCCUPANCY I 00 ; i a I 2 _ �� pct( ' g N L w Nq_ 1 I C - I �r i