HomeMy WebLinkAbout37106-Z gUFFo(�-c Town of Southold Annex 4/9/2012
,�o�A �Gy P.O.Box 1179
54375 Main Road
oy Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35529 Date: 4/9/2012
THIS CERTIFIES that the building .ALTERATION
Location of Property: 15437 Route 25, East Marion,
SCTM#: 473889 Sec/Block/Lot: 23.4-6.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/23/2012 pursuant to which Building Permit No. 37106 dated 4/2/2012
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:
alter an existing porch to habitable space"as built"as applied for.
The certificate is issued to de la Vega,Frederick&Higgins,Lawrence
(OWNER)
of the aforesaid building..
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A,?l6opKed S' atur
=r2--zk TOWN OF SOUTHOLD
�SOFFo�,r�o�
��o y BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o • 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#: 37106 Date: 4/2/2012
Permission is hereby granted to:
de la Vega, Frederick & Higgins, Lawrence
344 W 23rd St
New York, NY 10011
To: alter an existing porch to habitable space "as built" as applied for
At premises located at:
15437 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot# 23.-1-6.1
Pursuant to application dated 3/23/2012 and approved by the Building Inspector.
To expire on 10/2/2013.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $477.60
CO -ALTERATION TO DWELLING $50.00
Total: $527.60
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. 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. C-rtificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00,
Swimming pool$25.00,Accessory building$25.00,Additions to accessory building$25.00,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. /-1 6'L— , 2 y 12
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property: ���3 7 ` 6 U'E"e o- 5 Ql Ar1 Oh)
House No. Street Hamlet
Owner or Owners of Property: R-CAeX i d< de bJegcL ova La u.�,(-e Me 4-9!3 j nS
Suffolk County Tax Map No 1000, Section D0)?j r Block Lot �p• f
Subdivision Filed Map. Lot:
Permit No. Date of Permit. 2 1 Z Applicant: ddxN[Pg0. N i Q Q.i Y)S
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: Y (check one)
Fee Submitted: $ -V
J. f r ///
VAeplic-ant gignaure
3 7Z 6,
q so
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o�yeo ,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING/STRAPPING IV FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE J TOR
INSPEC
MR MOM 4N3tEP�7C D:A.Tri Ci�MI1�NTS.
FOUNPAtioN(1ST).. O
FOUNDATION(2ND)
ROUGH FRAIVITNCF& y
PLUMMIXG
]MUL•AMON PIM N.Y. "y
STATE EItiERW- CODE.
•FINAL
ADDITIONAL.CO11?MENTS
4411
o
n C C � �
TOWN OF SOUTHOLD �J ERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT o u have or need the following,before applying?
TOWN HALL MA:10 2012 Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: 631 765-9502 N OF SOUTDEPT.HOLD
Survey
. ( ) TOWN OF SOUTHOLD y
www. northfork.net/Southold/ PERMIT NOS Check
Septic Form
N.Y.S.D.E.C.
Trustees ('edrn,-h O 77/5 ,U/3 a�
Examined ,20 Contact:
Approved ,20 Mail to:
Disapproved a/c G�y
Phone:
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date -j-Zd , 20_X2-
INSTRUCTIONS
5 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.
61�d i n q �n-S6A&oil Cor'�
(Signature of applicant or name,if a corporation)
pDelpxl45
ter, R+� i� ACX I tip' 145 9-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises V`{e, 0. cx L-a r) e. -�tqO, 11°�S
(As on'the tax roll or latest ,w �}, C , fff
If applicant is a corporation, signature of duly authorized officer
�( n ffs B.P. # 37----
(Name and title of corporate o F915'- �7�BY
9 NOrlrY BU)LDING DEPARTMENT AT
Builders License No, ( $(� US� IS UNLAWFUL X6-1802 8 AM TO 4 PM FOR THE
Plumbers License No. VVI I HOUT URI I IFICAT�ULLOWING FOUNDATION TWO REQUIRED
Electricians License No. 0 0G;° l i PrA� \/ FOR POURED CONCRETE
Other Trades License No. 2. ROUGH-FRAMING,PLUMBING,
STRAPPING, ELECTRICAL&CAULKING
1. Location of land on which proposed work will be done: 3• INSULATION
ONSTRUCTION&ELECTRICAL
I Sy 37 �f`c1�P,-,tJ gDD8 - 'M r0tfiPL€T€Fap
House Number Street AHaTRUCTION SHALL MEET THE
REQUIREMENTS OF THE COPES OF NEW
County Tax Map No. 1000 Section 3 Block (YORK STATE. NOLRSPON I tE f OR'
DESIGN'0R-e0NV?N ERRORS.
Subdivision Filed Map Not. TRU
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy tS t,e4 cr1- It
b. Intended use and occupancy , �:CS_i GCl�io.�
3. Nature of work(check which applicable):New Building -` Addition Alteration
Repair Removal Demolition Other Work 115 45..&1 1�
(Description)
4. Estimated Cost " �OD y , O o Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units tJ 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. N I o-
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
3 L444 w,t 341 S*. PA
14. Names of Owner of premisJs cAe egA Address ioo 11 Phone No.
Name of Architect5L1+w� 1ti A(Cani s Address �aw Yon.,oy,on r Phone No
Name of Contractor'&"&t-ICrn gN eo a sW-&L 'c*) Addresslo Box\y 53 Phone No.&31- Z f W- y 3 19
M 0 hi+%hAc1e- W I SS L
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ri 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 NOS
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF );
being duly sworn, deposes and says th�t s 1 Eiss thUD. f�CHicant
(Name of individual signing contract) above named, Notary Public,State of New York
No.01 BU6185050
(S)He is the Qualified in Suffolk County
eonnnission(Contractor,Agent, Corporate.Officer, etc.) xPires pnl 14,2_
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 iri tliis application are true to the best of his knowledge and belief; and that the work will be
performed in the m4nne',kt'f6Ah! iri the'application filed therewith.
�r ;
Sworn w before me this
day of-. MC C- ) r,,T,>,20J�
Notary Public - -' — Signature of Applicant
2 x:r 1
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees have found the application to be Consistent
with the Local Waterfront Revitalization Program, and,
RESOLVED, that the Board of Trustees approve the application of FREDERICK
DELAVEGA & LAWRENCE HIGGINS to construct an 18'x36' in-ground swimming pool
(including 8'x8' spa); on-grade masonry pool patio, pool enclosure fence, 65 linear feet
of 2' high retaining wall (with existing boulders added to each end to avoid need for
additional retaining wall), and steps; construct masonry stoop and steps from house to
pool patio; remove existing bluestone patio in back of house and construct new
masonry on-grade patio; place stepping stones from proposed patio to proposed pool;
enclose existing outdoor shower with wood panels; replace existing driveway with new
pervious gravel driveway; plant native red maples, acer rubrum, along property line;
`legalize previously completed relocation of sliding glass doors to outer wall-of previously
existing porch to completely enclose porch-space; and establish approximately t 5,600
square feet of permanent non-turf buffer adjacent to and landward of the wetland
boundary; and as depicted on the site plan prepared by Marshall Paetzel Landscape
Architecture, P.C., last dated February 7, 2012, and stamped approved on March 2,
2012.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of$50.00 per inspection. (See attached schedule.)
Fees: $100.00
Very truly yours,
A.� 0 '
ames F. King
President, Board of Trustees
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zC04r ��c._�2-b .� HOME FOR ED AND JOANNE BAF
25 DZST. 1000 SPAT. 073 111 7= 1 BCL 6.2
'EAST MAlUOR NEW YOAIC
FRAMING AND ROOF PLANS
TWER MCKAY ASSOCIATES GROUP CINC. P. E. 201 874-4441
V 07NOS 7MM03 CUST0M HOME BVILbER 516-121-2526