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HomeMy WebLinkAbout37361-Z �SufFOt,f�� Town of Southold Annex 2/4/2014 �o Gy P.O.Box 1179 54375 Main Road o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36753 Date: 2/4/2014 THIS CERTIFIES that the building DECK Location of Property: 1020 Bridle Ln, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 102.-8-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/2/2012 pursuant to which Building Permit No. 37361 dated 7/13/2012 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: 12'x 32'DECK ADDITION TO A SINGLE FAMILY RESIDENCE AS APPLIED FOR The certificate is issued to Kramer&Mitchnick (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ed ature �gUFFO( � TOWN OF SOUTHOLD BUILDING DEPARTMENT y x ' 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#: 37361 Date: 7/13/2012 Permission is hereby granted to: Krazner & Mitchnick 1020 Bridle Ln Cutchogue, NY 11935 To: construct a 12'X 32' Deck Addition to an existing single familly dwelling as applied for At premises located at: 1020 Bridle Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-8-15 Pursuant to application dated 7/2/2012 and approved by the Building Inspector. To expire on 1/12/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $353.60 CO -ADDITION TO DWELLING $50.00 Total: $403.60 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: Ar For neiv buildip.g 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. *Sw.orn statement from plumber certifying that the solder used.in system contains less than 2110 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, I 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. Certiftcaie 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.OU: ' 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate o€.Occupancy-$_25 4. Updated Certificafe of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential$15.00,Commercial$15.00 Dat 7— � I Z New Construction: Old or Pre-existing Building: VI"' (check one) Location of 1ropertysJ�zfl �(LI�DLcNi� CUl7C/���1 House No. Street Hamlet Ownjr or Owners of Propeh. E12.1 C- .M ITC f0J 1Cle Suffolk County Tax Map No'l000, Section .107, Block Lot Subdivision Tl l(!�-O L O 'ES%07EE L Filed Map. 9 537 Lot: � g Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Re.quest for: Temporary Certificate Final Certificate: v check one 9 ( ) Fee Submitted: $ © r V U Applicant Signature oF sooryo`o coUNi`I, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 ANSPECTION [ FOUNDATION 1ST [ ] ROUGH PLOG. [ ] F NDATION 2ND [ ] INSULATION FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROU H) CTRICAL (FINAL) REMARKS: DAT BIWIV INSPECTOR OF SO(/j � � o 3�3 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION 1ST [ ] R.OU PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: C DATE INSPECTOR FIELD RiSPEC1' ON REPORT DATE COMMENTS W FOUNDATION(IST) FOUNDATION(2ND) � ROUGH FRANI NQ& y PLUI OING INSULATION PER N.Y. H STATE ENERGY CODE C 4 FINAL 50 - ADDITIONAL COMMENTS ' R O Z . rn 5 - 02 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 Survey SoutholdTown.No rthFo rk.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c 116o j�` 1&=I*7- Phone: t/:, 2/915 16176:5f Expiration ,20 Building Inspector PLICATION FOR BUILDING PERMIT 2 2012 Date �J �_ Z- 20 INSTRUCTIONS $�pG.DEPZ. D a. This appli%,�"tf M ' e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pla s, acc • of plan to scale. Fee according to schedule. b. 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 pen-nit 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) (Mailing address of applicant) ��9z 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 applica orpo r1, sign re of duly authorized officer (Name and title ,0 cotyora e officer) Builders License No. ` 7 �-]- 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 0 Z Block Lot / Subdivision +}I�} LgAJQ ­5 f7fl-7Q- Filed Map No. Lot / e 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy :2 es-10EC J T/aL b. Intended use and occupancy'PES1 p6t l T fC�L 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work CXT. /J6Z�r� 670�7 c� (Description) 4. Estimated Cost �( ,ofx�r Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor �.I ��— If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. �— 01 7. Dimensions of existing structures, if any: Front eo Rear Depth �Z Height 2a. Number of Stories TyJ<D Dimensions of same structure with alterations or additions: Front Rear Depth "72-/ Height '2-- Number of Stories ��✓y 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase (2 / /Z 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 o/ 13. Will lot be re-graded? YES ✓ NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Z r MI-tQ* Q 10-23D JE2Za6-t-�-J+ Phone No. 917 -?-?7 9178 Name of Architect Address Phone No Name of Contractor tA2 C+2WOC IW.- Address 14<;�p MA'eLO C—LANione No. 3) Z-1S q7 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 topograp ical data on survey. 18. Are there any covenants and restrictions with respect to this property? '1 YES NO—Z * 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, (S)He is the �IJ7-Y 7&r �2 O�CCK— (Cont etor, Agent, eorporate 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 day of P.-A I RICIA RICHERT Notary Public State of New York ,No:36-4741154. , Qualmifie assau/-Suffp, C,., '`y'- Notary Public Commission Expires o Signature o ppl cant 01 '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- ent-Consultant-Contractor or Other(Circle One) Property OWNER:(if Different than Applicant) i i"CJ'� �l�,�✓C/E7/�,��3' ,�i �3� �'T� 'cA�.eC i✓I/Zip//C� Address:/ /'// �LHN�• ,► �V�rL Address/0 2-9 Telephone Fax# Telep ne3-37 Fax# E-Mail: E-Mail: Property®�ssc_J ��� Ca'7c & Brief Description of Construction Activity,Proposed Structural BMPs,Soil T �� Stabalization BMPs,Project Scope and/or Sequence of Construction Activity 1000 / District Section Block Lot (Provide Additional Pages as Needed) Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: 3 f--) Address: --- /-D /�—<'-__!_ _ z ____ ���6 / � r6lee/J i� Telepho a Fax#: '--- ---" s`��--�v-- — �� E-Mail: Name of Persons Responsible for Installation&M�Intenance of Erosion Control Practice: ��t�v� _--r----- _----d--_-----_----- _ Address: Tei,. o e# Fax#: 5�,Z�® �� __ T__ /✓ _�Fr2C—!G� __!lam j 2.9 E-Mail: Total Area of All Total Area of Land Clearing J 9 M M M W'M —W — u— — — _______ Project Parcels: and/or Ground Disturbance: (S.F./Aces) (S.F./Ac ) Project Duration: Start // End _ _ _ _______ (Anticipated) 2 Gyl Date:�`�� /F3 Dater _—_ .—___-----..---------------..-_.._—__------- ; (Number of Calendar Days) -- Will this Project Disturbe five(5)or More Acres at Q �' "_.____ _m- MM- w m_- _--- �- "____ _. Any One Time During the Proposed Development? Yes No -------------------------------------------- If YES:Please Answer the Fol)owingl _----__--__."—.._--_--_—_----------------------- a. Does the Applicant have a Qualified Inspector On Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP Indicate How Frequently the Site O O List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No i c. Does the SWPPP Adequately Identify All Temporary Q Q ---------------------------------------------- and/or Permanent Soil Stabalization Measures? Yes No "- "-------__-.__-._.___---------------------------- il. Does the SWPPP Adequately Identify a Complete [� [� _....................._...._.....................__..._....._..................._..._........._....__...---...._._......__.._ { Project Phasing Plan? Yes NO Status of Impacted Waterbody:(eq.TMDL,303(d)Listed,Impaired...) e. Does the SWPPP Indicate Additional Site Specific Q 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 by the Town of Southold? Yes No ......._......................... STATF.OF NF.W YORK, Notary Public,State of New York COUNTY OF...........................................SS No.01 BU6185050 Qualified in Suffolk County DO)"'), I That I,. ....being dui sworn deposes �,,m ........................................... g Y 1� c erstt�T�11�@�A��c�Lfor Permit, (Name of individual signing Document) And that he/she is the ............ ®ON�J �— �-��/ (Owner ontrector,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 before me this; ...............................................day of. ... 20a NotaryPublic: ......�...4�1. . .^..�:�..... .. ... ..... .. . .................... ....... ............................................................ (Signature of Applica ) SWPPP Assessment FORM: 03-12 .. y. 9 A . - .. ..i 7 f tl 77 4 ..... .......... AT Tow yfsfkjq� �y 475 WE JIS OUT c I.t"t'4&ftm r MAN -,q*P MOAT f �� R �. �nin 1 ✓ + 'we. ir �qem- I -57 L APPROVED AS NOTED �.� +4"nerL� DATE' 1'YB.P.# 3,73 FEE:— 3_�C7 BY G Tye NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: Q� 1. FOUNDATION-TWO REQUIRED i FOR POURED CONCRETE �' '�� ( { � 2. ROUGH-FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING OCCUPANCY OR 3. INSULATION 4. FINAL-CONSTRUCTION&ELECTRICAL USE LS UNLAWFUL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE WITHOUT CERTIFICATE REQUIREMENTS-OF THE CODES OFNEW 0ES 0Lj oj1 7_0 50DL5 UC F OCCUPANCY 4 ,� r Jp R G j - Ikll- 0 2Z ��� ,��t S't fj.,1j-�1�` G�r�=�F.�(C�''.. �v Lc��'— J�IS?`�f �-•' -°- c� k� JoRS"�S 44c a Tom-- ii -7L-) �rs� �,-- -� Air 4?c,