HomeMy WebLinkAbout42511-Z e Town of Southold 11/13/2018
P.O.Box 1179
53095 Main Rd
# OT Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40040 Date: 11/13/2018
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 1305 Third St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-7-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/18/2017 pursuant to which Building Permit No. 42511 dated 3/30/2018
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:
outdoor shower addition as applied for.
The certificate is issued to Eisenstat,Robert&Brautigan,Doris
~ of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut oriz S ature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 42511 Date: 3/30/2018
Permission is hereby granted to:
Eisenstat, Robert
152 Underhill Ave
Brooklyn, NY 11238
To: construct outdoor shower as applied for.
At premises located at:
1305 Third St
SCTM # 473889
Sec/Block/Lot# 117.-7-11
Pursuant to application dated 12/18/2017 and approved by the Building Inspector.
To expire on 9/29/2019.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ADDITION TO DWELLING $50.00
Total: $250.00
Buildi ctor
Town Hall Amex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF 80IMHOLD
CERTIFICATION
Date:
Building Permit No.
Owner: RQ,
"(P"w pdnt)
Pimnber-T1 , 0�wAC; MrAJq00----.
Arwase lam) ,
I certify that the solder used in the water uffly system contains less than 2110 of 1%
lead.
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v (Plumbers Signature)
SWOM to before me this
day of 20
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# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ rILATION
FRAMING /STRAPPING [ L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE 9 114MAS INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) y
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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 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 I l Survey
SoutholdTown.NorthFork.net PERMIT NO._ l L Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
j Flood Permit
Examined ✓ I 20� Single&Separate
Stonn-Water Assessment Form
ly / Contact:
Approved 20 [ Mail to:—Wwa f1SWS0-T
Disapproved alc Q /
Phone: 11-1 ,
Expiration 20 �`�V�II. ' �—I05-%T @ AO".C OK
!r'' ' , Building Inspector
D [ �F ►
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APPLICATION FOR BUILDING PERMIT f�
DEC 1 8 '
Date Ne«M` I ,20 17
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plan lot plan to scale.Fee according to schedule.
TOWN N OF SO' wing 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 c and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
152 Undrrh'U T-. . B(aokign, W llzv
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
OVINE '
Name of owner of premises �05F-� to�`N VAT MD Pbf,ls jW-AuTI
(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. Locationr7 land on which proposed workTMF1 will one: 1 r� 3 J��t I
'[�H 1V +-
House Number Street Han-det I
County Tax Map No. 1000 Section 11-7
`-7 Block 7—Lot `
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occu ancy of roposed construction:
a. Existing use and occupancy
b. Intended use and occupancy SAN 6Lf— fAM ILf W31M7 Le
3. Nature of work(check which appl'Cable):New Building Addition4_Al a tion
Repair Removal _Demolition Other Work my
(Description)
4. Estimated Cost, �d ,UO 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.
t 1t l h I II
7. Dimensions of existing structures,if any:Front 3o•4 Ream ' Depth '5(0-
Height��t-i'oµ /�l(„�j� Number of Stories i
Dimensions of same structure with alterations or additions: Front 3D 1 N Rear 2 !�O ll' ��I.40
Depth (¢L-S /VI Height Number of Stories 1
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front 52.5 Rear 52 a5 1—Depth
t -�
10.Date of Purchase I�I�O Name of Former Owner ROMInJ • ��T t (/�Y fCVO f Q
11.Zone or use district in which premises are situated r' 4 b
12.Does proposed construction violate any zoning law,ordinance or regulation?YES V NO
13.Will lot be re-graded?YES V NO Will excess fill be removed from premises?YES V NO
T I';2 UNI, 211 • 846•foil*
14.Names of Owner of remises O��� Address�Kl. � 11V?3SPhone No.
Name of Architect T 115NA Address N Phone No
Name of Contractor EP IAddress Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO V
*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 V
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SIO K-
Kobe.(+ �). 1 I!rQnbeing duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the o v}vim
(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 CHRISTINA MIRA SHON
day of bp(P_MWk - 201
Notary Public-State of New York
NO.OISM6246493
Qualified in Queens County
Nat Public WSignaturelofpplic n Expires Aug 8,2019
d vs`� 1�� S'7C O MW.A�TIER
Scott A. Russell s � �-=� ��
SUPERVISOR MAMA
S0UM0WT0WNHA,LL-P.0.Banc 1179 D_ % �Z T 0 tl
590%Matic Rand-SOUTH0 ➢VEW YORK ]1971 Off ` D
MAR 1 r,, 2018
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
(To BE COMPLETED BY THE APPLICANT) , ) ,
TUOF 50LTTHOLD
DOES TM PRojEur I)WOLVE ANY OF TM FOL LOVVR4 c
Yes No "ax � THAT Mur
FLlA_ Clearing, g- bbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface-
Ell
urface_
❑IV B. 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
s 100 feet of horizontal distance.
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
[ ( E_ Site preparation within the one
floodplain as depicted
on FIRM Map of any watercourse_
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.
U you answered NO to all of the questions above,STOP! Complete the Applicant section below wish your Name,
Signature,Contact Information, Date a County Tax Map Number! O=pter 236 does not apply to your project
if yon answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan
and a completed Check Inst Form to the Building Department with your Building Permit Application.
APPi.Ic'rPt f QPtoperxq O.ice,alezo a Pr�(eswwFa4 Agrra-C�rer�cvoo.Cclrrk S.C.T.M_ s, 1 000ba
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}.t crew is 4->hio, ,+' + •i "t ,7 .$Y t't,+.FFt'a.;
S.C.T.M. NO. DISTRICT: 1000 SECTION:117 BLOCK: 7 LOT(S):II
ORCHARD STREET
0
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LAND N/F OF LAURENE KINNIN
MON. S89.20'04"E WOOD RAIL FENCE 0.3'N 101.01 MON.
mH 2.3'E
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to .10.5
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O W o a omq.�%'Y DWELLING d O; a
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WOOD N40
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CONC. OR1V£WAY
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STK. 6'ST KADE FENCE O/L WOOD RAIL NCE L
1.4'w NSV 15'O6"W 101.26' UP E-
LAND
-
LAND N/F OF RICHARD R. FREYHERR
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA.5,332 S.F. OR 0.12 ACRES ELEVATION DATUM: -----------------_______
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA17ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF- DESCRIBED PROPERTY CERTIFIED TO: ROBERT EISENSTAT;
MAP OF DORIS BRAUTIGAN;
FILED: FIDELITY NATIONAL TITLE INSURANCE
SERVICES, LLC;
SITUATED AT: NEW SUFFOLK WELLS FARGO BANK N.A.,
TOWN OF- SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK l Professional Land Surveying and Design
�-•�/ lyt � P.O. Box 153 Aquebogue, New York 11931
FILE d 16-207 SCALE. 1"=20' DATE.DEC. 5, 2016 PHONL(631)296-1556 FAX (631)298-lode
N.Y.S. LISC. NO. 050882 manlalnin•tA.r...ra..f Reb.rt J.x.nn...y A x.n..en M.w.y.n.t
pF SOUryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q
Southold,NY 11971-0959 �Q
�yCOUNT`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 18, 2018
Robert Eisenstat
152 Underhill Ave
Brooklyn, NY 11238
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Electrical Underwriters Certificate
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#795-1892)
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 — 42511 — Outdoor Shower
3 �D As NoT�D�/l
DATE.
NOTIFY BUILDING DEPARTMENT ATRETAIN STORM WATER RUNOFF
765-1802 SAM TO 4 PM FOR THE PURSUANT TO CHAPTER 236
FOLLOWING INSPECTIONS: OF THE TOWN CODE.
1. FOUNDATION - TWC REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCT ION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD TOWN ZBA
SO'UTHOLD TOWN PLANNING BOARD
_ SOUTHOLD T OWN TRUSTEES
N.Y.S.DEC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA
OF OCCUPANCY
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