HomeMy WebLinkAbout45173-Z U
Hp"
o��uFFUt Town of Southold 5/1/2021
a y� P.O.Box 1179
0
of - 53095 Main Rd
Woh Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42004 Date: 5/1/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 10 Millstone Ln Unit 5,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.1-1-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/20/2020 pursuant to which Building Permit No. 45173 dated 9/8/2020
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:
existing rear covered patio altered to screened porch as applied for.
The certificate is issued to Schultheis,Gerard&Carolyn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au ori ed i nature
TOWN OF SOUTHOLD
�as�FFOa,�c� BUILDING DEPARTMENT
y
TOWN CLERK'S OFFICE
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#: 45173 Date: 9/8/2020
Permission is hereby granted to:
Schultheis, Gerard
10 Millstone Ln
Cutchogue, NY 11935
To: construct alterations to existing rear covered patio as applied for.
At premises located at:
10 Millstone Ln Unit 5, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.1-1-5
Pursuant to application dated 8/20/2020 and approved by the Building Inspector.
To expire on 3/10/2022.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
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 lilies,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$15.00
Date. TCA 12- ZOZO
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: !V�n�111 S 0 A e t_a 0ek OQ U-e MY- 117:3
House No.
0 S eet I Hamlet
Owner or Owners of Property: 1�2V'Gr�it CC r-0 j y4 M, S C k U I+h els
ls
Suffolk County Tax Map No 1000,Section _ O2,/ Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant: GeV-ard N. S i�J (U:et
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: t (check one)
Fee Submitted:$ 5-0.06
Applicant Signature
u /` ��OfSOUIyO v•1 ft3"
# # TOWN OF.SOUTHOLD BUILDING DEPT. '
765-1802
- INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION,2ND [ ] I L'ATIOWCAULKING
[ ] FRAMING/STRAPPING [ - FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE_SAFETY INSPECTION _
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
OVA U
i
DATE Z INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) y
-------------------------------
FOUNDATION(2ND) t1i
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ROUGH FRAMING& t4
PLUMBING
•
INStiLATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDItlO-NALCO ENTS
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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 Boar 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
Contact:
Approved 20- Mail to:&ey'a rd
Disapproved a/c /0 M11119T00-e C—Q, Cg /'J>Y•
Phone: 6-31—7.3 4 -�7 2 6V,6-
Expiration
SExpiration 5_120
Bui m ctor
LICATION FOR BUILDING PERMIT
AUG 20 2020 _ _ __ _ . - t
Date Tv Z.2 ,20 2 0
UUMDl[taiG DEQ.
INSTRUCTIONS
`, a C x.11�7 OLD
a.This�a�plicarion K�I[J T be completely filled in by typewriter or in ink and submitted to the Building Irispector'with 4
sets of plans,accurate plot plan to scale.Fee according to schedule.
_ b.Plot plan showing location of lot and of building's 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 orname,if a corporation)
i
(Mailing address of applic t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises Genk rd 1+ � C G ro l�n M. 5 Gh IJ I Tk 2 i S
, (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. Location of land on w ch proposed work will be done:
10 M III S+V o evi e C��Jv N. l 1 m35-
House Number Street Hamlet
/^ 7w- _r,el:.,,�u...:1A.i::Lo._ ro-hi`,Wr":,'v.�«rfs,..:e:.,..•....,yp
County Tax Map No. 1000, -Section Block� O 4 'M •NAL!:7 _nt - 'q`'
A� .•fir;"1:,'�`t'it7f{ ,,,{ i �r-, Ft
' 3
Y
J
Subdivision 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 R 2S ,d e N C-'-
b.
,Qb. Intended use and occupancy Iq-e.S 1 d ever-e'.
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work /4Jd Sc,reeo5 -�o eXl,5 , a0�t4
(Description)
4. Estimated Cost �, poo Fee
(To be paid on filing this ap lication)
5. If dwelling,number of dwelling units IVo c��� e -Number of dwelling units on each floor lll� M4 h qP
If garage, number of cars / o c Ak V)a P .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
r it �l
7. Dimensions of existing structures, if any: Front 3 G Rear 36 "- `� �' Depth 71/—(5
Height Number of Stories /
Dimensions of same structure with alterations or additions: Front Rear 36 -�
Depth /'-G r` Height 2G 3 " Number of Stories
r /,
8. Dimensions of entire new construction: Front 3 0 -�, Rear 3 8, Depth 7
rr
Height Z6'-3 Number of Stories
9. Size of lot: Front 3 6 Rear 3 c`� 4 /1 Depth 7/'-0
10. Date of Purchase 20 Name of Former Owner R mor 0e of w►e✓-f L LC
11. Zone or use district in which premises are situated H
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NOV
13. Will lot be re-graded?YES NOVWill excess fill be removed from premises?YES NO
5��,,,►� hQ�s ccxr-n(,�„ Sckt)1.t-lieu
14.Names of Owner of premises G eroj 4. Address 10 M•7/���e Lc yr Phone No.6.3I—73 4-7ZK5
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 X
* IF YES,D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale,with accurate foundation plan and distances to prop e�rty Tines.
GorcJo -' a>1d fs k ou.s-e �v�-1-�r^�A S✓rvc�. Sob,),14 -d
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)
COUNTY OFSUFTe SS:
C?2✓'u rG� '�-, 5 C L 14 6.3 being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the O%'Vyi-e�
(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
day of Tu1. 20 �-
Notar latAipy FQAid New York Signature of Applicant '
NO.01BR6318051
Qualified in Suffolk County
My Commission Expires Jan 20,2023
/ NOTES.
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pfj• TOFFS6(OR DPAENSIOSHEREON
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PROFEPROFESSIONAL
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PERSON.UNLESS HE IS ACTING OFALICENSED
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AN nEM BEARNG7HE SEAL OFAN EN61NEEROR LAND9URVEYORF9ALTER®.THD
AY ALTFRINGENCN6ER
OR LAND
SURVEYORSHILLLAFFIX70 THE ITEM HISSFALAND
THENOTATION'ALTERED SY FOLLOWED SY MS SIGNATUREANO THEDATE OF SUCH
ALTERATION,AND A SPECIFIC DESCRBRIONOFTMALTERA71ON
COPIES OFTHM SURVEY MAP NOT BEARING THE LAND SURVEYOR'S SLUE NHED
SEAL OR EMBOSSED SEAL SHALL NOTSEGONSIDERED TOSEAVAUDTRUECOPY
• y� Na PHYSICAL EASEMENTS ON PROPERTY UNLESS NOTED RECORDED EASEMENTS
OR RIGHT OF WAYS,IF ANY NOT SHOWN ARE NOTDERTIFlEO
V UNDERGROUND,OVERHEAD AND GROUND LEMUT'ILITIES ARE NOTGUARAN"'
�� , ASTO ACOURACY.EASTENCZ MCACTLOCATICM TYPE OR USEAGTNEOR NACTNE
y1 1y , ELECTRICANDGAS UTILITY LOCATICNPROVIDEDFROMPSEGbk%MSLMONDBSIGN
PLAMDA�g \C/ �qp� / MATEAND LOCATED
11TICALLY�N7121110 LOCATION OF GAS AND THE SAMETRENCH ACCURACY OOF�UTiiLRY 16 NOT NOOT GGUAPNTEEO NORIS
Yt1- CCONs TWIITITNE MPNEE0.0�PpW EU�7IL COSTING MP PR Oam�DNIGGGINGOR
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OTHERTHANVISIBLEPERMANENrSIRUGOHEB
\ COPYRIGHTIONELBON&POPS ENGNEERSANOSURVEYORS ALLRIGHTS
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�-•' \( �L�y RESERVED.NO PARTOFTH190RAWNCO
G MAYBE REPRODUCED BYPHOTOPIING,
} .� tit I r"t RECORDNGGRBYANYOTHERMFAN6.ORSMRED,PROCESSE00R7RMISMR(EO
IN OR BYANY COMPUTER OR OTHER BYSiEM WRHOUTTHEPRIOR WARTEN
PERMSSiON OPTHESURVEYOR
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I tid eQ�CLy ADDITIONAL IMPROVEMENTeANOOR POS6E8SI0N.IFANY,NOTLOCdIED,NOT
OWNOCT 1 7 20fo
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, 1' ALL LLSA 9ANITARYPIPNG4•SDRJS,TVPICIQ.
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�,� SANITARY SYSTEM AS-BUILT TABLE -
STRUCTURE NAME TIE A TIE B
\`20 Q UNITS#5-6
ST-1 30.1' 66.7'
ST-2 49.8' 78.4'
S �6 s LP 49.4' 78.5' .
SUFFOLK COUNTY DEPARTMENT OFWEALTH SERVICM � o P A�� �' �of NE�'r
® 13 APPROVAL OF CONSTRUCTED WORMS FOR �cG�r ��@� �, �Q'� r pAV1D pch O•A�
A SINGLE FAMILY RESIDENCE
Dale'�9 1 2 2819 H.S.Ref.No.-910/'I O O I
® � ThB sewage disposal and water supply fad!IUes at this locetion have been - �
W Inspected andfor certitled by tt?s Departme t r olber agencies and fourld to
V be saftClory FOR A MMMUk FN BEDROOMS. o.05Q-
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04-2e-2019 FouNDLSURVEYAnoN SANITARY AS-CONSTR FOR
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02.19.2019 FINAL SURVEY
Craig Knepper,P.E.,Chief 02-19-2019 snNrrARVA9•awlr
UNITS 5-6 UNIT DESGNATION MAP OF
a ernent ' I 03.26.2019 REVISED SMHARVEST POINTE CONDOMINIUM 1
I FILE NO.;471 FILED January 09,201 B
1 05.30.2018 AS PE SCHID STn1ATEDAT SANITARY
AS PER SCHD CUTCHOGUE
- I TOWN OF SOUTHOLD,SUFFOLK COUNTY,NEW YORK
HEALTH DEPARTMENT REF REN CE NUMBERS&AREA'S I S O T.M DISTRICT 1000.6ECnON 10201.BLOOK 0100.LOTS 6 B.e
UNITNo. HID RREFNo. 1HABITABLE AREA GARAGEAREA TOTAL GROSS,FLOOR AREA NELSON & POPE
5 1110-17-0059 1,599S.F. 363S.F. 19625.F. -1 ENGINEERS & SURVEYORS
6 RIO-17-0060 1,599 S.f. 363 S.F. 1962¢.F. — 572 WALTWHITMAN ROAD,MELVILLE,N.Y.11747 PHONE(631)427-5665 FAX(631)427-5620
W W W.NELSONPOPE.COM
DRAWN BY: LT ICA.0 Na:INDIVIDUALSU00028RVEY1 SCALE:
( CHECKED BY: PE PILE NCL. SHEET N0.:'I OF 1
�1 DATE: 02.21$019 PRCJECTNO.: ®0026 1"=30'
I
r6ai
SCOPE OF WORK - ADD SCREENING TO EXISTING PORCH
1) FRAME SUPPORTS FOR SCREENS WITH PT 2X6 `S
2) ENCLOSE FRAME MEMBERS WITH 1 X 8 RESTORATION TRIM
BOARD CUT TO FIT WHERE NECESSARY
3) ADD WOOD FRAME TO SUPPORT SCREENS
j 4) ATTACH SCREENS TO WOOD FRAME
PERMIT CONTENTS
1) BUILDING PERMIT APPLICATION WITH PAYMENT
2) CO APPLICATION
3) SURVEY: DOES NOT INCLUDE AS CONSTRUCTED PORCH
4) COLUMN LAYOUT FOR SCREEN SUPPORTS
5) FRAMING FOR SCREEN SUPPORTS
6) SCREEN LAYOUT
7) PHOTO OF PORCH AS CONSTRUCTED
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
APPVED AS NOTED AS REQUIRED AND CONDITIONS OF
/ ??
so
DATE: B.P.
S N PLA 0ARD
FEE:, BY:
NOTIFY BUILDING DEPARTMENT AT EES
*-1802- 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. F6UNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3: INSULATION OCCUPANCY OR
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. USE IS.UNLAV RJR
CONSTRUCTIONALL SHALL
REQUIREMENTS OF THE CODES OF NEW WITHOUT CERT I(r
AT
YORK STATE. NOT RESPONSIBLE FOR
�
DESIGN OR CONSTRUCTION ERRORS. OF OCCUPANCY
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