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Home My WebLink About44480-Z �q�S�yFFOI,��p� Town of Southold 12/9/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40905 Date: 12/9/2019 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 2565 Vanston Rd.,Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/22/2019 pursuant to which Building Permit No. 44480 dated 12/4/2019 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"outdoor shower as applied for. The certificate is issued to Benjamin,David&Erica of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o ' ed i ature o�gV;02- co TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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#: 44480 Date: 12/4/2019 Permission is hereby granted to: Benjamin, David 18 Adelphi Dr Greenlawn, NY 11740 To: legalize "as built" outdoor shower as applied for. At premises located at: 2565 Vanston Rd.,Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-6-7 Pursuant to application dated 11/22/2019 and approved by the Building Inspector. To expire on 6/4/2021. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00 CO -ADDITION TO DWELLING $50.00 Total: $250.00 Buil ector 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. //Yz/ New Construction: Old II or Pre-existing Building: k-""' - (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: ��///� Suffolk County Tax Map No 1000, Section ///11 Block Lot a Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant:D_ll tl 4 Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: // (check one) Fee Submitted: $ �)V Applicant Signature CONSENT TO INSPECTION the undersigned, do(es)hereby state: Owner(s)Name(s) That the undersigned(is) (are)the owner s) of these in the Town of Southold, located at.z5-�' �I dGz� , D ( ��✓�� which is shown and designated on the Suffolk County Tax Map as District 1000, Section /�� , Block ®�i , Lot ®O That the undersigned(has) (have) filed, or cause to be filed, an application 'n the Southold Town Building Inspector's Office for the following: AyyZrel- Chy'Wel-- That the undersigned do(es)hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: / (Signature) (Print Name) (Signature) (Print Name) FIELD INSPECTION REPORT I DATE COMMENTS b FOUNDATION(1ST) ® y ------------------------------------ c FOUNDATION (2ND) t�rJ O ROUGH FRAMING& 0 PLUMBING 1 1 r INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS �o z ®: m k � b �0 z x d t4 N 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 Southoldtownny.gov PERMIT NO. Y�P& Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 � if ; j ;{ i V r_ 1 ; ';, Single&Separate i S'M'` ; -=¢: Truss Identification Form NOV 22 2019 t Storm-Water Assessment Form Contact: 4\y r, �• p(/� y� Approved \ 20 07, Disapproved a/c " ' Phone: "--) 0(p Le(0 1 L05 Expiration 1 260 g pector APPLICATION FOR BUILDING PERMIIT ""'' Date OW1 0�U , 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 using code, regulations,and to admit authorized inspectors on premises and in building for necessary inspections. p /► /(Signature of a plicant r name,if a corporation) -e- .6CRe.-✓/c-u)Al,1v q (Mailing address of applicant) , I 7-Y State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 Ne-l Name of owner of premises A U i CL v� , M � � d CC c c ✓fi �Q � ri 1 s kA j a (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. Loca 'on of la d on w�ich p O d work vyill e don: AGb!� UMSn Wd . House Number -Jro Street fiC11 Hamlet County Tax Map No. 1000 Section j J Block Lot �} D �— Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupanc of proposed construction: a. Existing use and occupancy -S 41 l b. Intended use and occupancy //1l�� lram /Lj 2&e_1 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work oNyZ)r .!".40Ale'l- rv� adi4 g1Gloj'v�2 (Description) 4. Estimated Cost ,��'L, 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: Frontes Rear Depth 4'a It Height Zoff 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 NOX 13. Will lot be re-graded?YES NO_X_Will excess fill be removed from premises?YES NO� DAA//o f��i c"q- �3 i i�.� 0.9,65- V6V1j/r)1 �e 3-10 -1v69-6599 14.Names of Owner of premises Address Pone 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.5 u+"1 V-) D A cs ( L 9 e N"1 4 wt 4 AJ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the W ri t? (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. Sworn to before m this a 424/o f Dy Q Vkql/-K69A4.HENRY,,JR. Notary Public,State of New Ygct No.02HE50'30473 l—" Qualified i1i suff6lk County 6y Notary Public Commission Expires July 18,20�y Signa re of A plicant 12 4n 4a J 1 � /� �o 7z Arm -Lia WD�-, DEC 9 2019 "Ve y iN aA1 W L5 8¢'16'30" Li' '�i o''00-00 �-00t000 N1RE O.BN ��ALVARO JJAXrRWRMMY -Y6NCB � N ROAD,COYCdOGpg O 7.01 7.. CAN D2N T 'ofl+ 1.7E 1 0.4N u e\ O FENCE s� �\ p�C6 57'0CBADB FENCE f oas JENce 3 \ \ W iRREGU1dg ME FENCE 0.5N 09.32 op615CE 9 O 24.0 0° 6s ` O RZ 4 0.O5C1flE w C)�==Im 9O 0 h. � �s� 0 •i. %000 Cp � 123.5 J VJN11 FENCE 2 N S �y4 � A t20E a5 AN OUND C> 0 S04G.00L � S '�+ v� �,,c— '�\ 35.8 � ¢¢�/ > t!1 •a a 4a v 47.0 a 8.4N �-' TFNCE py C3 051 00H CE o 14.01 • ^� 9N 0.7N �'+ r+ 0 c � S 89°31'00" II IRRECUWR flIR6 FENCE �p 299.00 loco-uJ.o0-o0.00-aae.000 LAND N01 OR F0RIMY o JENMM&TRONAS EJAJDGE 0 2745 VANSTON ROAD.CUTCROGUE ra Ory" SANITARY AS—BUILT: (AS PER BURDER) -1,500 GALLON SEPTIC TANK. -(2) 8'0-DIAMETER X 12'0"DEEP LEACHING POOLS. CARRIN ,TON ROAD NOTES: •WATER I.1NE LOCATION AND UNDERGROUND B18CTRIC IIRE AS PBR DUIIDER. ti APPROVED AS NOTED DATE: B.P.# FEE: BY: NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNOFF FOLLOWING INSPECTIONS: PURSUANT TO CHAPTER 236 1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE. FOR POURED CONCRETE 2.-ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR G,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF ' U_ y SOHTHOM T0V'JN PANNING SOARD s0I ITHrn n TOWN TRUSTEES .. OCCUPANCY OR OR USE IS UNLAWFUL WITHOUT CERTIFICATC OF OCCUPANCY �' �" :a. s t :` �'', � 4 �� ►1 �►• � � . � 4 t r t�. .� i ...�- f . � - � ,4& x ng �"