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Home My WebLink About37213-Z FFOI,fe Town of Southold Annex 8/14/2012 4� !la' P.O.Box 1179 � 54375 Main Road Id Southold,New York 11971 01'- CERTIFICATE OF OCCUPANCY No: 35875 Date: 8/14/2012 THIS CERTIFIES that the building DECK Location of Property: 390 Custer Ave, Southold, SCTM#: 473889 Sec/Block/Lot: 70.-8-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/10/2012 pursuant to which Building Permit No. 37213 dated 7/26/2012 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: "as built"deck addition to an existing one family dwelling as applied for. The certificate is issued to Martocchia,Debra (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut / ed S nat# TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 #: 37213 Date: 7/26/2012 Permission is hereby granted to: Martocchia, Debra 390 Custer Ave ,- PO BOX 1848 Southold, NY 11971 To: construct an "as built" deck addition to an existing one family dwelling as applied'for. At premises located at: 390 Custer Ave, Southold _ SCTM # 473889 Sec/Block/Lot# 70.-8-32 _ Pursuant to application dated 5/10/2012 and approved by the Building Inspector. To expire on 1/26/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $476.80 CO -ADDITION TO DWELLING $50.00 Total: $526.80. 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: l. 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 fi-om 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 buitdings (prior to April 9, 1957) non-eorforrning 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 file 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 I 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. Md-44 1'2-_ _ New Construction: Old or Pre-existing Building: f (check one) Locat ion ofProperty: 390 House No. ( Street I Ham let Owner or Owners of Property y e b f!� I"l r�U CC 4t j C`, Suffolk County Tax Map No 1000, Section)MM -- 9 b Block Lot 3 "� 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: $ 5 0 ' Ali Applicant Signature A 49-/ G — o � G� • co uhm,��' TOWN.OF SOUTHOLD BUILDING DEPT. "_r__�_ 765-1802 A� I N S P E C T 10 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 44��/, DATE = � Cv INSPECTOR 372, /.3 �o��oFso�lyo� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH-P [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING/STRAPPING [ FINAL` [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICP (ROUGH) [ ] ELECTRICAL (FINAL) r _ REMARKS: c I � t 3 LS 6�) 4oy ............../ - --------------- DATE 1/ INSPECTOR 72, � OF SOpT�O courm,��' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION 1ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR FIELD 1NSPECTX07 REPORT DATE COMMENTS FOUNDATION(1ST) W - - ------- ------------------- C4 FOUNDATION(2ND) 7C ROUGH FR.AAMQ& PLUMBING P^nI G INSULATION PER N.Y. H STATE ENERGY CODE • Q X pi FINAL �a C lz �Z ADDITIONAL COMMENTS Pei rn TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDIP,TG DrEPARTMENT Do you have or need the following,before applying? TOWN IALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 7d-f.3 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined Single&Separate Storm-Water Assessment Form Contact: Approved / 20 /y Mail to: -)to AT, S/rJAI AV, Disapproved a/c MT. S)NA-, , Al�� l 1 7 b� Phone: &31 - 72e -5-S0'7 Expiration , ,20,� Building Inspector APPLICATION FOR BUILDING PERMIT I Date 20 Z.MAY l0 2012 �� INSTRUCTIONS a. app mfi6fl•MpUST be co npletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets f plans, aci iPabi H ca e. Fee according to schedule. of 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. (Signature of applicant or name, if a corporation) Roo MT, SNA-i' ks. -Mc.si►�ki;..,yy (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enginee general contractor electrician, plumber or builder CD n Name of owner of premises b�,_b re", Ma-r o C C 1 i 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) 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: House Number Street Hamlet County Tax Map No. 1000 Section - 7 y Block Lot 3 2 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 b. Intended use and occupancy t k 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 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 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, ICONNIE D. Notary Nuo 01�EU6185d5001 w York (S)He is the Qualified in Suffolk county M, (Contractor,Agent, Corporate Officer, etc.) Commission Expires April 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 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.tQ before me this [CA_day of 20_1,);- Aa-OA Notary Public Signature o Applicant Town of Southold - Chapter 236 - Stormwater Management SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APPLICANT NAME: Owner-Agent-Consyltan -Contracto r Other (Circle One) Property OWNER:(If Different than Applicant) -2�tC_k�A\- t ) e�,ra a r-+ t7 c Address I S 1 �I In r/N t Address: _ I 39 O C"fei- A\J,,e , Teleph ne#: v Fax#�31 _ ^.;L,�/r&O Telephone#: Fax#: E-Mail: l�n A e E-Mail: Property Address: TO YL 1_ 1 Brief Description of Construction Activity,Proposed Structntal BMPs,Soil S.C.T.M.#: L1R V2_ Stabalization BMPs,Project Scope and/or Sequence of Construction Activity (Provide Additional Pages as Needed) Dlstrict Section Block Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: -------------------------------------------- Address: 60 -------------------------------------------- Telephone ( I \�SSo7 ?/� Qa�ne v E-Mail• c�C�S�vI�j�OrneS (71 (�(1Xr7 Q --____..___________..__________________________ + Name of Persons Responsible for Installation BMaintenance df Erosion Control Practice: -------------------------------------------- Address: -------------------------------------------- Telephone Fax#: E-Mail: Total Area of All TotalAr ea of Land Clearing _____µ________ __•w_. __.___..___________.,..____ Project Parcels: and/or Ground Disturbance: ____________. _.._______________..____________— (s.F.I Ayes) (S.F.I Aces) Project Duration: Start End ----»---•----_-----.-.-.------.——..—..«._____....»________ (Anticipated) Date: Date: (Number of Calendar Days) - _______ _____ _ _ _ _______ Will this Project Disturbe five(5)or More Acres at Q Q Any One Time During the Proposed Development? Yes No ----~-~-~--~-----------------------------•----- If YES:Please Answer the Foliowingl ----.---.-.-..----------..-......_____. _____«____. ___..-___ a. Does the Applicant have a Qualified Inspector On Q Q Staff To Conduct the Required Inspections? Yes No 1 b. Does the SWPPP Indicate How Frequently the Site O O List the NAMES or description of all Potentially Impacted Waterbadies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No I c. Does the SWPPP Adequately Identify All Temporary and/or Permanent Sol]Stabalization Measures? Yes No y_ W` ""`"'""_"""""""----`-------- --- d. Does the SWPPP Adequately Identify a Complete Project Phasing Plan? Yes NO Status of Impacted Waterbody:(eg.TMDL,303(d)Listed,Impaired...) e. Does the SWPPP Indicate Additional Site Specific Q Q j Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice Type of Impacted Waterbody:(eg.Lake,Creek,Bay,Pond,Sound,Freshwater Wetland...) Of Intent and SWPPP Acceptance Form for Review Q Q by the Town of Southold? Yes No _ 1 STATF.OF NF,W YORK, CONNIE D.BUNCH COUNTY OF...........................................SS Notary Public,State of New York No.01 6U6185050 That I being duly swom,deposes and sa)Q"flvdsJwSuff0JkQ tlfl1t f r$ernut, ...............................v--iW.......i.6-1............ i. (Name of individual signing Document) COMMie®ion Expires April And that he/she is the (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the 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 herewith. ! Sworn to befo;e me this; T' .................0.......+.................,...day o ........... ,201t3- Notary Public: �J ��.Y1..f��I..... ...................... :.............. .............. ' 1 I (Signature of Applicant) ' SWPPP Assessment FORM: 03-12 Jv PSI IF-V*l NO Jar IV l� `�4 M��l? .�iyr}•. �7 ," aft ii?f�f,'i,Q �1�' :Ji ?� `1'ikszz •jr r'��'1/1: ;�%f'`�: '.:ram' + •`=�•:� 'l' =�'7• ' �' =�,�`'.►aE-/r''t'7�r�a, r �jy��;�Z.a:._-.;+ f ter. ^— i • � , . „r� ,�,. . ��:, ;�" �/.'ram:-i.l rI',v, y�; /'.: z=ks�;._;..:•�• -LA- '-�......_�... .�r Y 11x17 OCCUPANCY OR 5%2" LAG BOLTS EVERY 1 6" USE iS UNLAWFUL WITHOUT CERTlr �, - 1 6'-0" - %2"x5%2" LAG BOLTS OF � PANG"Y APPROVED D a��,t� DA E7B.P.# FE BY NOTIFY BUILDING DEPARTMENT AT 765 1802 8 AM TO 4 PM FOR THE F.0 LOWING INSPECTIONS: 1I I OUNDATION-TWO REQUIRED OR POURED CONCRETE 2Z OUGH•FRAMING,PLUMBING, I , o TRAPPING, ELECTRICAL 8 CAULKING i11 113. I IISULATION 4. 1 INAL-CONSTRUCTION&ELECTRICAL 5/4 X 6 PLANKING I IUST BE COMPLETE FOR C.O. ALL ONSTRUCTION SHALL MEET THE RE UIREMENTS OF THE CODES OF NEW YO K STATE, NOT RESPONSIBLE FOR DE IGN OR CONSTRUCTION ERRORS, 8"X36" FOOTING1 4X4 T-CO 2X6 V;'/JOIST HANGER REV NO: DATE: DESCRIPTION: JOB TITLE: DEBRA MAR.00CRIA ADDRESS: 390 CUSTER AVE SOUTHOLD, NY 11971 ' DRAWING TITLE: QED A/�C is ti'� JUL 2 5 2012 z M�Gy�°� DECK PLAN lid BLDG. DEPT. TOWN OF SOUTHOLD yT No.021190 ��Q HK. TK SCALE: ,2=r-0 '.1 DRAWN BY: CHECKED,BY: DATE: 0412912012 0F N 1 JOB NO: DRAWING NO: 001 1 f 11x17 2X4 TOP RAIL (TYP.) o CV 0 0 2X4 0 2X6 FINISHED �� — �a� .; ..► z GRADE A L -zi L -I:-] POST BAS E REV NO: DATE: DESCRIPTION: CONNECTOR �DEBRXMARTOCCC�IA ADDRESS: 390 CUSTER AVE SOUTHOLD, NY 11971 i BRED ARC DRAWING TITLE: ILLIq G �f DECK ELEVATION N� No.021190 HK TK SCALE: NTS OF IN DRAWN BY: CHECKED BY: DATE: 04292012 JOB NO: DRAWING NO: 002