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HomeMy WebLinkAbout38081-Z � Town of Southold Annex 8/5/2013 ®�gtlFfDt,�Q� P.O.Box 1179 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36430 Date: 8/5/2013 THIS CERTIFIES that the building RESIDENTIAL REPAIRS Location of Property: 2395 Bay Ave, East Marion, SCTM#: 473889 Sec/Block/Lot: 31.48-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/29/2013 pursuant to which Building Permit No. 38081 dated 6/7/2013 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: entry reconstruction as applied for. The certificate is issued to Liegey, John&Liegey,Elizabeth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth ' ed gnat re TOWN OF SOUTHOLD �g�FFo�,r�v BUILDING DEPARTMENT �O Gyp y 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#: 38081 Date: 6/7/2013 Permission is hereby granted to: Liegey, John & Liegey, Elizabeth 110 Bayview Ave Port Washington, NY 11050 To: Entry reconstruction as applied for. At premises located at: 2395 Bay Ave, East Marion SCTM # 473889 Sec/Block/Lot# 31.-18-1 Pursuant to application dated 5/29/2013 and approved by the Building Inspector. To expire on 12/7/2014. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 CA uilding I sp ____ 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. S' 14 New Construction: Old or Pre-existing Building: (check one) Location of Property: AL l� House Mo. Street Hamlet Owner or Owners of Property: G Suffolk County Tax Map No 1000, Section Block (� Lot Q Subdivision J Filed Map. Lot: Permit No. tj��(�� Date of Permit. 1 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: check one) Fee Submitted: $ r A lica t Signatur FIELD IrTSPE qN REPORT DATE ...'COMMENTS FOUNDATION(1ST) - ----------- =-----------= FOUNDATION(ZND) ROUGH FREINIING& y PLUMBING Pal ' C IMUL•ATION PER N.Y. H STATE ENERGY CODE • J/ LIZ FINAL ADDITIONAL COMMENTS O • m M. 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 Q- Survey SoutholdTown.NorthFork.net PERMIT NO. f �® (C�J I Check Septic Fo in N.Y.S.D.E.0 , s C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact : Approved ,20_ I Mail to: Aim Disapproved a/c (��� pP P /_i.,Cl gA(!ZtZC_0 Phone: m e 40 Expiration ,20 (� �J s c or v D APPLICATION FOR BUILDING PERMIT Date pS N , , 20 al oG.DEFT. INSTRUCTIONS TOWN OF SOUTH01-� its 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. r (Si fi ure o a r name, if a corporation) e C� (*ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder DwAtt Naive of owner of premises JJk -A s on the tax ro or Idtest deed) If applicant is a corporation, signature of duly authorized officer r (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 b�do> e: ,� House Number Str et Ramiet County Tax Map No. 1000 Section Block Lot 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 Ra .� it&J b. Intended use and occupancy o 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 StoriesF 8. Dimensions of entire new construction: Front Rear Depthft P _ 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 f/ 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, C®IyNlE D.BUPICI-1 Public,State of Nevv York (S)He is the NotaryUf� 0��5 50 (Contractor,Agent, Corporate Officer, etc.) Qualified in SuifOlk Coon l� Commission Expires April t4, 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 day of_ — 20 j C � t &(\I /j,I I A i Notary Public r pp icant .rr TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 2 -!S VILLAGE DIST. SUB. LOT John , < < :be4- &Z"C-/ ` ORMERr �. W� N E f ACR. I�` :(p�f �d e►m��r)rl ,*,l S-- W . .. ,' TYPE OF BUILDING_ RES.�T SEAS. ` (,d VL: FAR COMM. �B. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ze- Xj cr v G / 2.2 a a OPT ; o I o - +o e.,-isA -ee—k -rwo sfn�ay� GE �� pA UILDIt�G I ION L _ f' ,,�c�sD�� _ D n NEW �oo� / ORMAL��. E W o OV (1 S1fcf- 3k) a4c?3 ICE .c%��� QLieua nh� �cJ;.�J�n�s FARM Acr ��,� Value Per alue _ o � e z� D 1 -�1P�CG - r a 0 c� Tillable © 2" ;a foc90 3g©© ►� 3 Z� ` i Tillable 2 __ l 6:�oo Tillable 3 t.. ` 2�� t � �3n1. 10,/43 Woodland ° Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH -� BULKHEAD Total DOCK ■■■■■■■ ■■ 00 ���■■■■■r:■011 NiiiiisNii■ ti,�, f MEN M No No ■■■■■■■ ■in■�1�■■■■■■■■■mom ■■ i, �Gs ;w MEMMOMM MOMEN i��ii� MENEM mom _� � , �,, M■■■■■ ■■■■■■■■■ i.._t -- —- "'PIS/i ■■■■■■iv` ■■■1�■MM■■■■■■■■■■■ ■■■■■■■■°■■■NINON■■■■■■■■■■■■� M■M■■EM ■ . � . ■■■■■■■■■■MEMO E ®!' ■■■■■■■ 1A■■ lM■■■■■■■■■■■■■■ ■■■■■■■ No ■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■ ■ E■■O■E■MEMO■■NEON E� Basement • �® Walls � `: .,fir., Interior Fire Place e: MRS Dormer •• r Colvip Y rJT}-6 b�LL CODES OF NEW Yof-K STATE &TOWN CODES AS REQUIRED sa AP R VEID AS NOTED sour,la �+ B.P. ,( —�/� vurl^Ll ,Gi T itE$ DATE: v _ SOl -- - FE NOTIF BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE f - 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW aP, YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. {j i ' 3 a f�• t in A •-.R '12395 BRAVE PLANS 1 S BEACH STAIRS oM 17 inch high RR tie wall (3 6 X 6's) / ��o 0 16 YARDS SAND FILL N�If oivts � w_ c3r o z UJ� 18 foot length / LC ,�., o (6ft high fence) o SEASO(VAL 0j o 8 9F9—g� .o �i 1S oNydG SE ¢NS ROLLOUT IPE DECK f , NOfSO N N'� soy C�• r , . c0 3Nn (3 lblSHppOlONd dbW 3ti<b SC Q. L oz` ..o ' a21DZyH fv01S N3 ly Sy�S Sb0?I1yzyH hl�� 42 foot length �� w 00 (6ft high fence) 1K. 4.> Z' i r 4€X6 platform 3,21 w/steps LL •/ t uc /p�'jnC/j-y6�� Z—i a �-- o �_ . z =o 30 X 20 DyRaIVEWAY z ,r Z 6r.Q 1/2 Beach Stone Syards Na � ��� , -c�r1� • m W }.�78tr Lv ! � U v ° r N V rrl '72 � 3003H.. +i NdW 7 v v o ? Z -3 OVOti 31YN21d NOIS c JUG // 9 q �