HomeMy WebLinkAbout45114-Z Town of Southold 1/21/2021
P.O.Box 1179
0
• 53095 Main Rd
4,j o'� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41749 Date: 1/21/2021
THIS CERTIFIES that the building DECK
Location of Property: 1055 Old Farm Rd, Orient
SCTM#: 473889 Sec/Block/Lot: 26.4-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/10/2020 pursuant to which Building Permit No. 45114 dated 8/17/2020
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:
accessory deck surround for inground swimming pool as applied for.
The certificate is issued to Cedar Farm LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Signature
�o .'r,z--`11 TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o,, • ��11` 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#: 45114 Date: 8/17/2020
Permission is hereby granted to:
Cedar Farm LLC
63 N First St
Brooklyn, NY 11249
To: construct a deck addition as applied for.
At premises located at:
1055 Old Farm Rd, Orient
SCTM #473889
Sec/Block/Lot# 26.4-3
Pursuant to application dated 8/10/2020 and approved by the Building Inspector.
To expire on 2/16/2022.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $606.40
CO-ADDITION TO DWELLING $50.00
Total: $656.40
1
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
Date. 08/07/2020
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 1055 Old Farm Road Orient
House No. Street Hamlet
Owner or Owners of Property: Cedar Farms LLC; C/O Aosta LLC
Suffolk County Tax Map No 1000, Section 26 Block 04 Lot 03
Subdivision Bayview Farms Filed Map. 26-04-03 Lot: 12
Permit No. S� Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 50.00
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Applicant ignature
-
�a0 urHo
�# TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
- INSPECTION
[ ] FOUNDATION 1ST ROUGH PLBG.
[ ] FO ATION 2ND [ ] INSULATION/CAULKING
[ FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH] [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMAR S:
(o It If
1
DATE 3 70),Q INSPECTOR `
# # TOWN OF SOUTHOLD BUILDING DEPT.
`yco765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] SULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL
.64�eA
[ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
I �
DATE ® INSPECTOR
IF
FIELD INSPECTION REPORT DATE COMNIE,CNTS
FOUNDATION (1ST)
------------------------ ------
ry
FOUNDATION(2ND)
ROUGH FRAMING&
' PLUMBING
y
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
AD,DN G(1ti%IMENTS
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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 Planning Board approval
FAX: (631)765-9502 Survey
Southoldtownny.gov PERMIT NO. L 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
I `Contact:
Approved ,20 " Mail to:Murray Design&Build
Disapproved a/c 449 Main Street,Greenport NY 11944
Phone:631.477.0075
Expiration ,20 -
Building Inspec or
L�ATION FOR BUILDING PERMIT
AUG 1 0 2020 ; Date August 6th 20 20
` INSTRUCTIONS-
a. This appTiMPPANUempletely filled in by typewriter or in,ink and submitted to the Building Inspector'with 4
sets of plans,acT afe-ilbt p1anito g�afe]Tee 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.
(Signature of applicant or name,if a corporation)
449 Main Street,Greenport NY 11944
` (Mailing address of applicant)
State whether applicant is owner,lessee,agent, architect, engineer,general contractor, electrician,plumber or builder
Architect,Builder
Name of owner of premises Cedar Farms LLC;C/O Aosta LLC
,,(As on the,taxyoll or latest deed)
If applicant is a corporation, signature of duly authorized officer
David M. Murray;President of Murray Design&Build
(Name and title of corporate officer)
Builders License No.51443-H
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
1055 Old Farm Road Orient
House Number Street Hamlet
County Tax Map No.-1000 Section 26 Block 04 Lot 0,3
Subdivision Bayview Farms Filed Map No.26-04-03 Lot 12 '
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Single Family Home
b. Intended use and occupancy single Family Home
3. Nature of work(check which applicable):New Building Addition V Alteration
Repair Removal Demolition Other Work Deck Around Pool
(Description)
4. Estimated Cost $20,000.00 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: Front Rear
Depth Height Number of Stories
New Pool Deck i
8. Dimensions of entire new construction:•Front 34' Rear Y `Depth=5T' !
Height Number of Stories
9. Size of lot: Front 170' Rear 170' Depth 355' '�ii`
10. Date of Purchase Name of Former Owner f
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 V NO Will excess fill be removed from premises?YES V NO '
14.Names of Owner of premises Address Phone No.
Name of Architect Murray Design&Build Address 449 Main Street, Phone No 631.477.0075
Name of Contractor Murray Design&Build Address Greenport NY 11944 phone No. 631.477.0075
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 Su_
"Da v I r� wry being duly'sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Agent
(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 me this
b` day of S4- 0 2-0
Notary.Public Signature of Applicant
JEANMARIE ODDON
Notary pub0c,State4 New Yak
No.010D6251238
Qualified in Suffolk County
Commission Expikn November 14,20 25
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POOI.-DECK PERMIT
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APPROVED AS
DATE; lk B.P. _
T=EENS By _
.'a NOTIFY BUILDING JEPiRTMiiENT AT
765-1802 8 AM TO 4 PM FOR THE '
FOLL 01AJING-INSPECTIONS: /� "` j�
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FOR POURED CONCRETE
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