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HomeMy WebLinkAbout45220-Z p�guFf�t, COG Town of Southold 11/10/2020 y� P.O.Box 1179 0 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41591 Date: 11/10/2020 THIS CERTIFIES that the building OTHER Location of Property: 4725 Orchard St., Orient SCTM#: 473889 Sec/Block/Lot: 27.-2-2.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/4/2020 pursuant to which Building Permit No. 45220 dated 9/17/2020 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: pool fence as applied for. The certificate is issued to Haag Jr,James of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 0 Auth ' ed ign ur =' } TOWN OF SOUTHOLD c� SAfEat " ooy BUILDING DEPARTMENT TOWN CLERK'S OFFICE oi, 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#: 45220 Date: 9/17/2020 Permission is hereby granted to: Haag Jr, James PO BOX 28 Orient, NY 11957 To: replace pool fence as applied for. At premises located at: 4725 Orchard St., Orient SCTM #473889 Sec/Block/Lot# 27.-2-2.6 Pursuant to application dated 9/8/2020 and approved by the Building Inspector. To expire on 3/19/2022. Fees: ACCESSORY $100.00 CO-ACCESSORY BUILDING $50.00 Total: $150.00 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: 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 Po a/ Date. �s/o�RkV New Construction: Old or Pre-existingrrg: (check one) Location of Property: Zf 0,<C H�fgb S' kaf Qw/t4r /Uy//9-S House No. Street Hamlet Owner or Owners of Property: S2 �M /-A� ( -- Suffolk County Tax Map No 1000,Section 9 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: $ O&icant Signature a0F 50UTy '--- -- -- - - -- TOWN OF SOUTHOLD BUILDING DEPT.- 765-1802 EPT.765-1802 INSPE CTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/] SAULATIOWCAULKINGn FRAMING/STRAPPING [ NL P� &rrr1 P4 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE jI ;�o INSPECTOR FIELD INSPECTION REPORT -DATE COMMENTS b FOUNDATION (1ST) H FOUNDATION (2ND) z ® 4 ROUGH FRAMING,& PLUMBING H � r INSULATION PER N.Y. H STATE ENERGY CODE /o Is FINAL ADDITIONAL COMMENTS A l- -� w e DO eft q16 g ?q;3 * Z m e o z x ty r TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BU LIDING IDEPAETMY,N'I' Do you have or need the following,before applying`! TOWN MALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TELL: (631)765-1502 Planning Board approval FAX: (631) 765-9502 `�� Survey Southoltltownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C:.. Trustees C.O.Application Flood Permit Examined *2(L-- Single&Separate Truss Identification Form_ Stomi-Water Assessment Form Contact: <- iEL� � - Approved ,20 Mail to: �ll��q Disapproved ale l%IQI�,t ' /t�99/- Phone: Expiration ,20 ()—BW 2P- 11dingIatspect®g D ArrI.ICATION FQDII 13TJIlLI)IIRG PERMIT SEP 4 2020 Date S�a ,20,=,� BUI=LDWG DEPT. INSTRUCTIONS T-T ' r ° f"a °app"1ic�ation 1 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 locution 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%rill issue a Building Permit to the applicant.Such a permit shall be kept on the premises available for inspection throughout the work. c.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. of applicant or name if cor(oration) (Mailing address of applicant) Subdivision ZI -21'3�gq a7 q, a A,( 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 - , -Lrr.��•na� c� /�— C�J��. Sii� a� P�a� ca-oeA b. Intended use and occupancy zt/ � �� �1J�( - DOL— /rlDz/�itl T® e-r,,,eE_ 4J7D.2,?, Sf 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work, A rno-V�' (Description) 4. Estimated Cost d -"D P,,zFee (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. I/re l /)ti6/11 S D '/GQ e 7 GV6 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 SF,,7- �416' eD //--7- /,olu (3 8. Dimensions of entire new construction: Front ear Depth 110 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 c_ 13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises '�s � Address y ©R Adkll SW_ Phone No. 3 / 202-6 4/� 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 * 117 YES,SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAYBE QUIRED. 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 ) 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear® �l�i�Depth 00 � Yew �,�� 10.Date of Purchase_-_ __/9-9—1/ Nlame of Former Owner 2V)-A) 11.Zone or use district in which premises are situated eL20,S 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!�LA-0�- LAI 6- Address 5�- Phone No. (2:)3 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 NTO "� 1[F YES,SOUTHOI.D TOWN TRUSTEES &D.E.G.PERMITS1VIAY B QUIREI3. b.Is this property within 300 feet of a.tidal wetland? *YES INTO * EF YES,D.E.C.PEILNU TS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property Hines. 17.If elevation at any point on property is at 10 feet or be ow,must provide topographical dat on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO r/ * IF YES,PROVIDE A COPY. STATE OF NEW YORK) S: COUNTY OF_a f Zbeing duly sworn,deposes and says that(s)hc is the applicant (Name of individual signing contract)above named, (S)He is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perforin 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 thi day of e 20-ab Notary I'ablic Signature of li TRACEY L.DWY , NOTARY PUBLIC,STATE OF ORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,22a—L?- September 3,2020 D� UVCa D S E F 4 2020 To: Friends at Southold Building Department 13UILDTNTG DUT, FM:James Haag TOt''9T 4; 4f"ITHOLD RE:Application for Building Certificate and Certificate of Occupancy for replacing house-facing cedar pool fence and moving it approximately 31 feet toward house Dear Town Associates: Enclosed please find application for Building Permit and Certificate of Occupancy for replacing our house facing pool fence and moving it approximately 31 feet closer to the house.We have an existing CO for the pool and current fence. Please note: • Fence will be closer to house but still behind it and over 200 feet from Orchard Street(not visible from street) • Our building envelope elevation is between 10.7 feet and 11.2 feet Enclosed find: • The two applications • The plan for the fence relocation drawn to scale 0,1 04D��JJ • A property photo showing the existing fence being replaced and where it is/where its moving to • A cross section drawing of the fence so you know what it will exactly look like (thank you John) • My tax bill in case I wrote a wrong tax district location number • A property survey from the mod 1990's when we were building the house. Not that the garage and pool were not built until 2001/2004 respectively but I've circled the area where the pool and fence are located. • A check for$150 covering the application cost for both the Building permit and CO. I hope this is good for you. Please call with questions.Thank you! James F.Haag,Jr.,4725 Orchard Street Box 28,Or' nt,NY 1957 Lk t A 4 -..y �•.. "� ., by t` ' t. 1;,� ' ,1_ 2 -rye, r .. ,,. Vic. �. ,. ,.x�. � ,.• .�. ;. ..; . .r fell 7;7711.: .... ..... .... .... .. — r '`'�' tLLMl��lfltililili'tl`�111111f1111t'1111111II'llll�ll'1111111111A1'11t11111L'�A11t1'RI'M " ' .� i F��IiE<<,,; . I r hip�p����►����������«����������� nntlf' ` IIIIII I tu!,��i���!!iill (llli ` IIIIIIIIII Illiiilliiiiiiiiuu������1, _ �: .I!{{II!l�iii{{f�..,1,����i Pll�ihiilllll�•E"IE. _ .. ..... ML 5 •�! f ,�.. ,.w` r/�. x.1,1 \ �� F�' I , Ilkc -r- 15;,9 Tom--- i � „ ` . �� �•� ����, � 3• - - � - '� mcg•S T s �-.�. , '-t—s,� • -`_ - '. : ' �� Or C- All f) - 1�a�fie� T: S 7— i ✓�+D Com- �r� �—r7• TC/> f TD /7WPIF—, i C(:`%'RLY WITH ALL CODES OF NSW YORK STATE & TOWN CODES AS REQUIRED A OF SOUTHOLD TOWN ZB aszz PLANNING BOARD SOOT TOWN TRUSTEES IN,I' .DEC j 01.0 I L CCUPANCY a. ISE IS UNLA° p Ms PUPANG all ozz 0.51 • a • i ■ ■ ,.� ■��I{` DIATE pE �NCLOSE POOL TO 7 UPON COMPLET ON nrFnF'tE VAT R" FEE' NOTAk- �:" ■ 765-1802 Bps ■ FQLLONIING INSpr�� ti'�r1SYOUIRED 5; ■ � 1. FOUr1D1i,10,J _„ :. ® ■ FOR POURED ,.,..,1 z FL,�p,��,fvG 2 ROUGH Tar FRt{.Pu',',i�'.� - ■ 3 INSULATION ,�I�cT ■ 4. FINAL ' GC�`�., �;s. C;u. ,,-EY THE. ■ � � GOi�STR�" E CC) N� ■ OF ALL CENTS � F,FsrpNSIgLE FOR ■ OF T REGUIR M _ 140, TION RORs ■ ST AT ER YORK DONSIRUC D ■ DESIGN OR ■ ■ aasp saa WaO tS Imo v u SCDH-- F T., 3-0020 of I 'C"- G1 r and or from d7!.'7 '0 �0 TES T BORING &1 /0-6, 151 Li BROWN LOAMY SURVEY OF SIL T 6- BROWN FINE LOT 6 TO SAND SETTLERS TTLERS AT OYSTERPONDS FILED MAY 4,1984 FILE NO. 7729 AT ORIENT \10 0/ 3�0 7.6 --===-= o" el TOWN OF SOUTHOLD 110 WATER IN �0' BROWN FINE 0 Z SUFFOLK COUNTY N Y `cam IT TO VER Y �0 A' COARSE SAND 1000 - 27 - 02 - 2.6 01 "00. 14' -'�:60` Scale: 1 \1 C May 25, 1995 (7!vA\0 FEB. 14y 1996 -(SCDHS. INFO) APRIL 19, 1996 (SCDHS RE-VISIONS) P Ile cc Aug. 27, 1996 (foundallon) Aug. 15, 1997(fin all # A oy 07 97 Ire V/'ion NO NOV. 29, 2000 f Topo. Fc e � N A/ 0�� D113 tit 0 (P e\ A 00 4eo *00. c74 c C, ft-00 ZONE 0 I am familiar with The STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL S YS TEMS FOR SINGLE FA MIL Y RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. 4011 I'lel e 14s3 c.z.c 7el 0 11r, e 12,5 -90, 00 ........... 6P' 0 Tank /0-7 St \A 10.53 qr wa-fer ry) CERTIFIED TOr 4,1 C, JAMES F. HA A G, JR. MERRILL L YNCH CREDIT CORP. KE SANITARY SECTION CONGRESSIONAL ABSTRACT CO. ML' ' e e# n'7:09- 4 kill ANY A L TERA TION OR ADDITION TO THIS SURVEY IS A VIOL A TION OF SECTION 7209 OF THE NEW YORK S TA TE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF S. LIC. NO. 49618 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 0 WHOSE SIGNATURE APPEARS HEREON. PROPOSED CONTOUR PEC I D RS, P.C. ADDITIONALLY To COMPLY WITH SAID L A W THE TERM "A L TERED BY' ELEVATIONS AND CONTOUR LINES (6 tO FAX (631) 765 - 1797 MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY ARE REFERENCED TO N.G.V.D. P. 0. BOX 909 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'INSPECTED'AND 1230 TRA VEL ER S TREE T 'BROUGHT-TO-DA TE'ARE NOT IN COMPLIANCE WITH THE LAW. FLOOD ZONES FROM FIRM 360813 0048E AREA 9. 1049 Acres SOUTHOLD, N.Y. 11971 I 95-179