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HomeMy WebLinkAbout43235-Z �Q�gUFFOt, C�Gy Town of Southold 5/26/2020 P.O.Box 1179 o o • 53095 Main Rd 4,� ,p� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41160 Date: 5/26/2020 THIS CERTIFIES that the building SHED Location of Property: 960 Evergreen Dr, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.4-4.13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/14/2018 pursuant to which Building Permit No. 43235 dated 11/20/2018 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: ACCESSORY SHED AS APPLIED FOR The certificate is issued to Fox,Robert&Francine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED RoSignature g��Fot� TOWN OF SOUTHOLD �y4� �OGy BUILDING DEPARTMENT cn; = 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#: 43235 Date: 11/20/2018 Permission is hereby granted to: Fox, Robert 960 Evergreen Dr Cutchogue, NY 11935 To: construct accessory shed as applied for. At premises located at: 960 Evergreen Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-1-4.13 Pursuant to application dated 11/14/2018 and approved by the Building Inspector. To expire on 5/21/2020. Fees: ACCESSORY $186.40 CO -ACCESSORY BUILDING $50.00 Total: $236.40 Building nspector 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$15.800 Date. b check one -- New Construction: Old or Pre-existing Building: -- ( ) Location of Property: House No. STxeet Hamlet — Owner or Owners of Property: _R Suffolk County Tax Map No 1000, Section Block Q Lot tet. -- Subdivision � Vv'b�� -�"������-- Filed Map. 87-717 Lot: V75 Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificat . (check one) Fee Submitted: $ X z Applicant Signature pF SOUL # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ 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) [ ] CODE VIOLATION [ ] CAULKING REMARKS: .� hNZ40A wo/ DATE L INSPECTOR �O��OF SOUIyo� #q $7,--O�r TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: r r DATE 8 B INSPECTOR v3 s� pE SOUIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] OUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: V��r%Y11 1o v- 1pv DATE 8 � INSPECTOR Vt" OE SOUjyo6 TOWN OF SOUTHOL'D BUILDING DEPT. `�courm '' 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG-. [ ] FOUNDATION 2ND [ .] "SULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINAL s� [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [. ] ELECTRICAL (ROUGH) [ ]° ELECTRICAL (FINAL) [ ] CODE VIOLATION( [ ] PRE C/O REMARKS: n� (Cvh& f� DATE ?✓' INSPECTOR JX4,1 0 ,\ FIELD INSPECTION REPORT DATE COMMS •S 0 FOUNDATION(1ST) 1 1 1 S weloo, Ul— ................................ H 'FOUNDATION (2ND) sib ROUGH FRAMING& y PLUMBING p uj INSULATION PER N.Y-. y STATE ENERGY CODE FINALlo?K CIA AD IONA.L COMMENTS ( U 2qd �• z rn ' oz d b H 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. Check Septic Form N.Y.S:D.E.C..• Trustees . C.O.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form itact:- kpproved 20 l N0twOC.. . mob Disapproved a/c qW FV lV� Expiration ,20_;?6 ' (q3g ® D V B nspector D - NOV 1 4 2018 PLICATION FORWILDING PERMIT ?QUI,D1N(7 13 ",—1:T.. Date , 20 INSTRUCTIONS TOWN OF SOUTHOLD 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 shal l be kept on the premises available for inspection throughoufi the wo'rk. 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 rcquircd.. APPLICATION IS HEREBY MADE to the,Building�Drepartment.for tho 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. (Signatdre of applicant or name,if a corporation) (Mailing address of applicant) ' State whether applicant's owner,.lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 3uI Name of owner of premisesg=CT PX— (As o (As-on the tax roll or latest deed) If applicant is a corporation, signature of,duly'autliorized;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: CV40- �,1CAK0 U(2. House Number Street Hamlet County Tax MapNo. 1000 Section 02- Block d f Lot Y 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy e— A rA t Lv 7 1 W& b. Intended use and occupancy C 3. Nature of work (check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work -5l-It!Fjp di (Description) Estimated Cost 67wo 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 W firreRear P r Depth ��'� t rre&- Height 32—' 9" Number of Stories Z Dimensions of same structure with alterations or additions: Front A Rear Depth Height Number of Stories--,;­� rm r a �- 8. Dimensions of entire new construction: Front Rear E Depth Vl r n #^ J � I Height 6' -°� Number of Stories 2 f o�-� 1z. u 9. Size of lot: Front �. � Rear Depth 'F 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 ' ill excess fill be.removed.from premises? YES NO 14. Names of Owner of premisesex Address � _ _ _ ��1'hone No. �� -' �Qf�lfl. Name of-Architect T*nis-6ee!jw K1Address; Phone No Name of Contractor Rats Ga� 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�EQUIRBD. 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, CONNIE D.'BUNCH , State of (S)He is the Notary ® �No,01 Public, U6185050w York (Contractor,Agent, Corporate @Mf, . uffoik county commission res April 14,20 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 thL l�•-N'1 day o€milbyt 20 Notary Public Signature of Applicant Scott A. Russell °Su m STO)EZI��I[WA\T)E R, SUPERVISOR = Irv]A1\A(G IENHENT SOUTHOLD TOWN HALL-P.O.Box 1179 a 53095 Main Road-SOUTHOLD,NEW YORK 11971 'tlf�O Town of So u th o rd CHAPTER 236 - STORMWATER MANAGEMENT 'WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) 1 Yes No ❑[0 A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑ B. Excavation or filling involving more than 200-cubic yards of material within any parcel or any contiguous area. r ❑( C. Site preparation on slopes which exceed 10 feet vertical_rise to } 100 feet of horizontal distance. - -- j ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal i erosion hazard area. - - ❑ E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. ' ❑[ F: Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a-Stormwater Management ► Control Plan was received by the Town and the proposal includes ( in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If to one or more of the above, please submi wo copies of a Sto mwater Management Control Plan and a completed Checthe Building Department with your g ermit Application. APPLICANT: (Property Ow er, Dstricl Design Professional,Agent,Conir r, her) - S-C.T.M. #: 1000 Date NAME: C- FOX Section Block Lot A P � � �� 1=0R BUILDING DEPARTI•IEtVT USE ONLY n f v 3� Contact Information: .Td,pho Xu,nb 8 Reviewed By: \ - - — — — — — — — — — — — — — - - - - - - - Date- - - - - - - - Property Address/Location of Construction Work: Approved for processing Building Permit. ((�� C..� Stormwater Management Control Plan Not Required. f��' (�4'1®&U 1.0-3 ❑ Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FO CP-TOS MAY 2014 0 SURVEY OF LOT 13 � SUBDIVISION MAP OF THE WOODS AT CUTCHOGUE FILE No. 8717 FILED MARCH 23, 1989 b°� e SITUATED AT �R CUTCHOGUE TOWN OF SOUTHOL-D ' SUFFOLK COUNTY, NEW YORK �ry�• �� - •- S.C. TAX No. 1000-102-01-4.13 }� SCALE 1"=50' JULY 10, 2006 AREA 48,542.91 sq. ft. ode r- 'I 1.114 ac. j_ M 0� c O )VOTES V� y 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM \x °a EXISTING ELEVATIONS ARE SHOWN THUS: 5Q 0 4>"' A � at, �G� f 2. REFER TO FILED MAP FOR TEST HOLE DATA. y 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 1 TANK; 8' LONG. 4'-3" WIDE, 6'-7" DEEP 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 1 POOL; 12' DEEP, 8' d10. YYY d , 4sr PROPOSED EXPANSION POOL ~j PROPOSED LEACHING POOL PROPOSED SEPTIC TANK j a1 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD ti �oG•$if OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. W. h R1 ACCORDANCE SUR EYS THE IT BUSH ED FOR MILEAND APPROVED SURVEYS ASD ADOPTED 5 J`�., ®� 11 USE'6Y THE SL4�LAh D Loa QtDe poi d,�o� � �'��h�` a Ja�'� 0� OCG f l •-r,� -' � -//111 y �V �� N.Y.S. Lic- No- 49568 UNAUTHORIZED ALTERATION OR ADDITION O O - TO THIS SURVEY IS A VIOLATION OF /R® COPIES 7209 OF THE NEW YORK STATE ,ZaN� COPIES O TAW. A. Ingegn® E' .n (: ffE OF THIS SURVEY MAP NOT BEARING 9y"A �� :' THE LARD SURVEYOR'S 94KED SEAL OR r ,>sU and Surveyor ti Off' pp CER1IFICATKIN5 INDICATED r.EREON SHALL RUN .V� ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdlwsions - Site Plane - Construction Layout fTLENDING INSTITUTION USILu HEREON,AND S TO THE ASSIGNEE OF 7HE LENDING INSTI- TunON. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 0,, g�F`�o �I THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCA7ED AT MAILING ADDRESS �y AND/OR EASEMENTS OF RECORD. IF -L ANY, NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P 0 Box 1931 RNERHEAD, New York 11901 Riverhead, New York 11901-0965 w N o N O C O •J N Q 1 (Acvfr� oN N r n z v v c� T 71 to fJ f 3 0 x v 0 v cv ou co N lb C r a a ul O :S w O N Z fU O rQ N). 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INSPECTION REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. TRUSS PLACARDING REQUIRED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF l6ffH99 T WN 73L� *PJXMkGZ0ARC L I IRtEEs — rwi'd p(ywaad -hiyr ncr qqq OCCUPANCY OR All exterior lighting Installed,replaced or USE IS UNLAWFUL repaired shall conforn, WITHOUT CERTIF!C;; T" to Chapter 172 ---OF OCCUPANCY _ ofthe Town code PrD6-- TkaAM(2 )12—t Aliz- tv T X ,, ✓ Irl �� - I � •.. 141 jj rA FLOtJ�1 I N ales jj / .,_ .i,_ ,. � �..,....a..=,.,.....,.,.,,....-.�.,�,,,-o.,.,�r.....�.':....�a:;w�;.:.w•aivracws»•�';Y°ro'I'�...,. 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