HomeMy WebLinkAbout37531-Z StlFfnt,fcO Town of Southold Annex 9/18/2013
�y, Gym P.O.Box 1179
54375 Main Road
vy Southold,New York 11971
dal � Sao
CERTIFICATE OF OCCUPANCY
No: 36507 Date: 9/18/2013
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 940 CLEARVIEW AVENUE SOUTHOLD,
SCTM#: 473889 Sec/Block/Lot: 70.-9-59
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/23/2009 pursuant to which Building Permit No. 37531 dated 9/21/2012
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 dwellingas s applied for.
The certificate is issued to EILEEN DUFFY&MARK FOSHION
(OWNER)
of the aforesaid building.
e
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth d S' ature
TOWN OF SOUTHOLD
yQSUFEot�-��
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
"oy opt 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#: 37531 Date: 9/21/2012
Permission is hereby granted to:
EILEEN DUFFY & MARK FOSHION
940 CLEARVIEW AVENUE
SOUTHOLD, NY 11971
To: ,AS BUILT" DECK ADDITION AS APPLIED FOR.REPLACES EXPIRED B.P. # 35097
At premises located at:
940 CLEARVIEW AVENUE SOUTHOLD
SCTM # 473889
Sec/Block/Lot# 70.-9-59
Pursuant to application dated 10/23/2009 and approved by the Building Inspector.
To expire on 3/21/2014.
Fees:
PERMIT RENEWAL $400.00
Total: $400.00
Building Inspector
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 3 75 Z Date DECEMBER 15, 2006
Nl-
Permission is hereby granted to:
EILEEN M DUFFY
940 CLEARVIEW AVE
SOUTHOLD,NY 11971
for
AS BUILT DECK ADDITION AS APPLIED FOR. ADDITIONAL CERTIFICATIONS
MAY BE REQUIRED.
at premises located at 940 CLEARVIEW AVE SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0009 Lot No. 059
pursuant to application dated DECEMBER 8, 2006 and approved by the
Building Inspector to expire on JUNE 15, 2008 .
Fee $ 300 . 00
Authori ed Sign
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35097 Z Date OCTOBER 23 , 2009
Permission is hereby granted to:
EILEEN M DUFFY
940 CLEARVIEW AVE
SOUTHOLD,NY 11971
for
"AS BUILT" DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES
BP 32575 .
at premises located at 940 CLEARVIEW AVE SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0009 Lot No. 059
pursuant to application dated OCTOBER 23, 2009 and approved by the
Building Inspector to expire on APRIL 23 , 2011 .
Fee $ 400 . 00
J
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-18O2
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 ofelecttical 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. SubmifPlanning Board Approval-of completed site plan requirements.
B. For existing buildings(prior io-'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
I. 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- $106.00
3. Copy of Certificate of Occupancy-$25
4. Updated Certificate of Occupancy- $50.00
.5. Temporary Certificate of.Occupancy-Residential $15.00,Commercial $15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: Q awn -�
House No. Street Hamlet
( riOwner or Owners of Property: 1
Suffolk County Tax Map No I000,'Section [ n Block Lot'
` Subdivision :.Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board-Approval: .
Request for: Temporary Certificate- Final Certificate: (check one)
Fee Submitted:$ -
Applicant Signature
����0� Uryolo
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cou tom
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ZFFINAL
ATION
] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY _ [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
0
REMARKS:
A�
e
4='0
DATE �7/,O� INSPECTOR
OF SO(/j�o�
3 7-S-3 l
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION ' . -
] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [,r FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL).
REMARKS:
DATE INSPECTOR
of SOUry�
G
coulm,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUG LEIG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REM RKS:
DATE INSPECTOR F
FIELD INSPECTION REPORT DATE COMMENTS
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
FOTI
■ Complete items 1,2,and 3.Also complete A. ignature
item 4 if Restricted Delivery is desired. ❑Agent
___________ ■ Print your name and address on the reverse ❑Addressee +'
so that we can return the card to you. Be Received by(Printe me) C. D of eli
■ Attach this card to the back of the mailpiece, �6�
or on the front if space permits. r�
FOL D. Is delivery address different from item 1? ElYes by
1. Article Addressed to: 3Gb-)-7 If YES,enter delivery addressG Ally ❑ No r
i� �f`Icu�kFas�,I cr-jr,
0
9-to MAY 2 %J*C
3. Service Type 3)
J ❑Certified Mail �pr Mail r y
❑Registered ❑R n or rchandise Q by
ROU ❑Insured Mail ❑C.O.D. M
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service labeq 007 0 a 1?q(P to O
U� 6 9 T
PS Form 3811,February 2004 ..'.Domestic Return Receipt 102595-02-M-1540
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INSULATION PER N.Y.
STATE ENERGY CODE
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FINAL �=
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ADDITION CO ENTS
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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 �Df —7 Planning Board approval
FAX: (631) 765-9502 „ Survey
www. northfork.net/Southold/ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
� Trustees
Examined ,20 Contact:
Approved /� ,20 Mail to:
Disapproved a/c
Phone:Q-C�
Expiration ,20
c Building inspector
APPLICATION FOR BUILDING PERMIT
Date 121 V I 0 t , 20
- _ INSTRUCTIONS
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.
i
,, i
�L
(Si nature'of applicant or name,if a corporat )
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(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 Q Hamlet
County Tax Map No. 1000 Section 70 Block ( Lot J-ci
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 4:-A►vt1L_y J)w a Lt-1 kC7
b. Intended use and occupanc M L
3.. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work DIEcKc
(Description)
4. Estimated Cost :C C1"�� Fee 3O O• C)
(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.
STATE OF NEW YORK)
SS:
COUN F 1
e''�`` being duly sworn, deposes and says that(s)he is the applicant
(Name of ind N"'cluall 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.
SwonA before me thi
day of 20
OAX obca_ oy iL6,41
Notary Public AS ature of Applicant
CHRISTINA VOLINSKI
NOTARY PUBLIC-STATE OF NEW YORK
No, 01-V06105050
Qualified In Suffolk County
commission Ex.olres February 28, 2008
_ 14 -- 19
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TOWN OF SOUTHOLD PROPERTY RECORb CARD
OWNER / D STREET VILLAGE DIST. SUB. LOT
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FORMER OWNERZ6 ,k,+ r N E AC..�
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AGE BUILDING CONDITION
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FARM Acre Value Per Value
Acre
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Meadowl,and DEPTH Zd
House Plot BULKHEAD
Total ..+ DOCK
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G • Q
Southold,New York 11971-0959
�yCOUNT`I I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
FIRST NOTICE
October 20th, 2009
Eileen M. Duffy
Mark Foshion
940 Clearview Avenue
Southold, N.Y. 11971
RE: 940 Clearview Ave. (As-Built Deck)
SCTM: # 1000-70.-9-59
To Whom It May Concern:
Please be advised that your Building Permit # 32575 issued December 15th, 2006 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit's, please submit a fee of $ 400.00: at that time we can
Schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
ZrZ=- Southold Town Building Department
�Q�SUFFat,��o��4 P.O.Box 1179
Permit#: 35097
54375 Main Road
W Southold,New York 11971 Permit Date: 10/23/2009
o4R o� 631 765-1802
�+o! � � Expiration Date: 4/23/2011
Parcel ID: 70.-9-59
BUILDING PERMIT RENEWAL LETTER
Dated: 3/14/2012
Applicant: EILEEN M. DUFFY
Location: 940 CLEARVIEW AVENUE SOUTHOLD
Work Description: AS BUILT DECK
"AS BUILT"DECK ADDITION AS APPLIED FOR.
A FEE OF $400.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: EILEEN M. DUFFY
Address: 940 CLEARVIEW AVENUE
SOUTHOLD,NY 11971
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
OfF04cpG P.O.Box 1179
o -
54375 Main Road Permit#: 35097
o • 1 Southold,New York 11971 Permit Date: 10/23/2009
(631) 765-1802
®1 'd Parcel ID: 70.-9-59 Expiration Date: 4/23/2011
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 5/17/2012
Applicant: EILEEN M. DUFFY & MARK FOSHION
Location: 940 CLEARVIEW AVENUE SOUTHOLD
Work Description: AS BUILT DECK
''AS BUILT'' DECK ADDITION AS APPLIED FOR.REPLACES EXPIRED B.P. # 35097
A FEE OF $400.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: EILEEN M.. DUFFY & MARK F05HION
Address: 940 CLEARVIEW AVENUE
SOUTHOLD, NY 11971
The permit listed above has expired. Please contact our office as soon as possible to begin
the renewal process. All work on the project must stop on the expiration date.
701❑ 0292 ❑0p�
8966 6p79
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
�4�SUFFot,�coGy P.O.Box 1179 Permit#: 35097
54375 Main Road
N
Southold,New York 11971 Permit Date: 10/23/2009
o ! � ,
(631)765-1802 Expiration Date: 4/23/2011
a Parcel ID: 70.-9-59
Dated: 9/7/2012
Applicant: EILEEN M. DUFFY&MARK FOSHION
Location: 940 CLEARVIEW AVENUE SOUTHOLD
Work Description: AS BUILT DECK
"AS BUILT"DECK ADDITION AS APPLIED FOR.REPLACES EXPIRED B.P. #35097
Owner: EILEEN DUFFY&MARK FOSHION
Address: 940 CLEARVIEW AVENUE
SOUTHOLD,NY 11971
Your BUILDING PERMIT#35097 has been referred to me because you have not responded to requests
to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shall have been issued by the Building
Inspector."
Therefore, you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of$400.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
01
7011 1570 aoal 8894 9364
Michael Verity: Chief B ilding Inspector
Southold Building Department
cc: Damon Rallis Zoning Inspector
APPROVES . `. ED
7
DATE: i
FEE'�_,_5_CG
7 A RTMENT AT r�
PM FOR THE
N G i`ISIiPAf k
N - ..,; D;�I!ON - TWO REQUIRED
P'OR POURED CONCRETE
ROUGH - FRAMING & PLUMBING
r;
INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE o
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERR DRS.
N 0 �
COMPLY WITH ALL CODESOF Q,
NEW YORK STA T E & TOWN CODES c
AS REQUIRED AND CONDITI NS OF(A'
l A u)
SOUTHGLD T CLvN ZBA a
2'-6" 32'-3" 2'-6" r �'We0 qWN PLAN `ING BOARDCu
`�
r 10 86;ITl�6f f� W r US EES w _ �;
OCCUPANCY OR MODZOM
O 2 x 10 Joists 1 N.Y.S.DEC �' Z N
COMPLY WITH.CHAPTER"46 O o a
USE IS UNLAWFUL FLOOD DAMAGE P-AtVENTION _ —2-2 x 10" Girders 0
WITHOUT CERTIFICATE OLD TOWN CODE. _
CIO / N 0 :+
OF OCCUPANCY 4,x 4" Posts on LO N M
.8 Conc. Piers & Footers sF
Grade `� � � C;
�.
Vol
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ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE. CIO `
aD
OF-_
EDWARD A HELL Sheet
Plan _Section 1 7-G4. Al
Scale: 1/4" = 1' 0" Scale: 1/2" = 1' 0" ARCHITECTUFtA,LDRAF=TIDESIGN
7 Jagger Lane,Westhampton,NY 11977 631 998 3121