HomeMy WebLinkAbout46094-Z �OS�fF�l�c y Town of Southold 6/6/2021
a P.O.Box 1179
o - 53095 Main Rd
4,j dao Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42054 Date: 6/6/2021
THIS CERTIFIES that the building DECK
Location of Property: 705 Highland Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-8-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/5/2018 pursuant to which Building Permit No. 46094 dated 4/16/2021
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 around existing in-ground swimming pool as applied for
The certificate is issued to Miller,John&Florence
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
uth riz S
gnature
�o�SUFFot oTOWN OF SOUTHOLD
a cGy BUILDING DEPARTMENT
y z- TOWN CLERK'S OFFICE
may.• 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#: 46094 Date: 4/16/2021
Permission is hereby granted to:
Miller, John
705 Highland Rd
Cutchogue, NY 11935
To: Construct accessory deck around existing swimming pool as applied for.
Replaced BP#42626
At premises located at:
705 Highland Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-8-1
Pursuant to application dated 4/16/2021 and approved by the Building Inspector.
To expire on 10/16/2022.
Fees:
PERMIT RENEWAL $228.60
Total: $228.60
Building Inspector
�SgFot4r' TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y
X1 TOWN CLERK'S OFFICE
'y.• ori SOUTHOLD, NY
?sol
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#: 42626 Date: 5/1/2018
Permission is hereby granted to:
Miller, John
705 Highland Rd
Cutchogue, NY 11935
To: construct accessorydeck around existing swimming pool as applied for.
At premises located at:
705 Highland Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-8-1
Pursuant to application dated 4/5/2018 and approved by the Building Inspector.
To expire on 10/31/2019.
Fees:
ACCESSORY $407.20
CO -ACCESSORY BUILDING $50.00
Total: $457.20
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 I%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
&C __ Date. I2 PI 4- 11 -7
New Construction: Old or Pre-existing Building: (check o )
Location of Property: e I ��
House No. Street Hamlet
Owner or Owners of Property: J G (�
Suffolk County Tax Map No 1000, Section a Z Block V t Lot
Subdivision f,, Filed Map. Lot:
Permit No. A V Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: check e)
Fee Submitted: $
Applicant Si nature
OF 50Ulyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm��`` 765-1802
INSPECTION
[ FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] 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:
fAo u &
✓NF1' �
DATE INSPECTOR
SOUTh°� _
# # TOWN_ OF SOUTHOLD BUILDING DEPT.
co 765-1802
'INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ YSULATIO LKIIN J
[ ] FRAMING /STRAPPING [ ] FINALcoCAU4 4
[ ] et,,�
-FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
4 T
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) H
---------------------------------- A✓ti v
FOUNDATION (2ND)
vS pk c
r
P
ROUGH FRAMING& H
PLUMBING y
INSULATION PER N.Y: H
STATE ENERGY CODE P
T
4 31
FINAL
ADDITION4 C MMENTS -
C�
b� o
z
0
-z
d
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN,I-AL'i, 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. 02 C� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
5 (� Flood Permit
Examined ,209 � .,I Single&Separate
DTruss Identification Form
APR - 5 2018 Storm-Water Assessment Form
Contact:
Approved I 20 I B -'�tC Mail to:
Disapproved a/c T® OF S®UTHOLD
Phone:
Expiration 20 3/ A3 o2
i
BukAdlaspector
APPLICATION FOR BUILDING PERMIT
Date ',2 D 1 , 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,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)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises Jo4tJ i LL
(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 o w 'ch proposed o w_ it b done:
719 5-- 441 14 c A --� - G(��fk6 ur
House Number Street Hamlet
County Tax Map No. 1000 Section 0 Block 0(9 Lot 01
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises intended use and occ ancy Proposed construction:
a. Existing use and occupancy �I of(t'Et: I--AA .
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 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 pecify nature and extent of each type of use.
7. Dimensions of exiringtsru-ctC, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
r �
9. Size of lot: Front J E-Reap Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated 940
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOIYI/
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES I�C NO
14.Names of Owner of pre es Address Phone No. 2 7 ,S-l
Name of Architect 2- Address Phone No 4,6 Z-
of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X—
IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE 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 NOX
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS•
COUNTY OFlqg
' being duly sworn, deposes and says that(s)he is the applicant
(Name of' dividual signing contra )above named,
(S)He is the
(C ntr ctor,Agent, orpora fficer, 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
-h day of 201 g J)A OA
TRACEY L.DWYER
NOTARY PUBLIC,STATE OF NEW YORK
Cj Notary Publ NO.—J-0—0E900
QUALIFIED IN SUFFOLK COUNTY e of Applicant
COMMISSION EXPIRES JUNE 30,2
Scott A.'Russell ,�a951111Q4-4 STORMWA'7C'EIK
SUPERVISOR MANAGEMENT
SOUfHOLD TOWN HALL-F.O.Box 1179
53098 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
-
: DOES TMS PROUECT I WOI.VIE ANY OF TIE FOLLONMQ
Yes No (CHECK ALL THAT APDL»
I E19
A. Clearing, grubbing, grading or-stripping of land which affects more
than 5,000 square feet of ground surface.
ME] B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
{ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area. f
❑ E. Site preparation within the one-hundred-year floodplain as depicted
- -
on-FIRM-Ma. of
• P ally watercourse:--- - - - -- - - -- - - - :--
E
OF. 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 You answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Pian
and a completed Check List Form to the Building Department with your Building Permit Application.
1000 DateM
T
C. . . :
APPLICANT: (Property Owner, ProfesYonal,Agent,Contractor,Other) S. tgmt.
NAME tOU '
Hq= i Z D 4' 7
Section Block Lot
-b ��—� FOR BUILUNG DEPARTIMENT USE ONLI�Y**x
Contact Informatmn
:rte rim„
'W�)
Reviewed By:
Date:
Property Address/Location of Construction Work: — — — — — — — — — — — — — — — — —
f'�G � /���� y�/lam►/� ❑ Approved for processing Building Permit.
y J (. Stormwater Management Control Plan Not Required.
Stormwater Management Control Plan>5 Required.
(Forward to Engineering Department for Review.)
FORM SMCP-TOS MAY 2014
APPLICANT, S.C.T.M. #: 1000 ao CFIAPTER 236
(Property Owner,Design Profosaional,Agent,Contractor,Other) —per.— g
Stormwater Management Control Plan CHECK LIST
NAME: Mh<r_-,QWA(L�� Section Block Lor 5 ! S M C P -Plan Requirements: Provide ONE cop of the Building Permit Application,
Nr�N,���, L � � � Y g t pp � n.
Date: 2- G 1 7sk The applicant must provide a Complete Explanation and/or Reason for not providing
� '� all Information that has been Required by the following Checklist!
1, A Site Plan drawn to scale Not Less that 60'to the inch MUST If You answered No or NA to any Item, Please Provide Justification Here!
show all of the following items: YES NO NA If you need additional room for explanations, Please Provide additional Papers
a, Location & Deserl tion of Property Boundaries
b. Total Site Acreage.
c. Existing- Natural & Man Made Features within 50 L.
of the Site Boundary as required by§z16-17(c)(2).
d. Test Mole Data Indicating Soil Characteristics&Depth to Ground Water, �
e, Limits of Clearing& Area of Proposed Land Disturbance,
f, Existing & Pro osed Contours of the Site (minimum Z Intervals) l
g. Location of all existing& proposed structures, roads,
driveways, sidewalks, drainage Improvements & utilities,
I), Spot Grades & •inish Floor Elevations for all existing&
proposed structures, DRAINAGE
INspFainhil,ARE
1. Location of proposed Swimming Pool and discharge ring, Contag
Location of proposed Soil Stockpile Area(s),
k. Location of proposed Construction Entrance/Staging Area(s),
I, Location of proposed concrete washout area(s). that the ,
M, Location of all proposed erosion&sediment control measures,
2, Stormwater Management Control Plan must Include Calculations showing DIMENT CONTROLS
that the stormwater Improvements are sized to capture,store,and infiltrate limited to:
on-site the run-off from all impervious surfaces generated by a two(21 Inch
rainfall/storm event. EntranCe.
3, Details&Sectional Drawings for stormwater practices are required for approval,
Items requiring details shall Include but not be limited to:
a. Erosion & Sediment Controls,
b. Construction Entrance&Site Access.
C. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.)
d, Leach Ing Structures (e. .Infiltration basins,swales,etc.)
„a,,' I�i')I•t I:�:NCaiN[�,l:ltl I7EPA 'I' SE C�NLY,�**�r . . .,... . ,,........... ... .i........,._.....•..:.:.;;..,....,_.:-- :,...,.....,,.,,.,;,,,.....,_; ,..•.. ..,.. .": ::-:: :�. -- . . ..
! Additional Information is Required.
Approved
Reviewed & � Stormwater Management Control Plan is Not Complete.
Approved By: - - - - - - - - - - - - - - - - p
V -V ! Stormwater Management Control Plan is Complete,
Datc; _ Z — ! ® SMCP has been approved by the Engineering Department.
g g p
i
FORM * SWCP Check List -TOS MAY 2014
- E
N 45°15'50" W 193
.41
l SII
I� Mfr
60
►I I I � "'
HAY BALE OIC SILT FENCING - - - - - - - - - - - - - - - - ,
, - - - - - - - - - - - - - - � \
LIMITS OF CLEARING To BE
NO MORE THAN 20'FROM j \
PROPOSED WORK AS ---♦ /// \
INDICATED ON SITE PLAN
,
PROPOSED \\
16'X30'POOL EX\WELL
8'dia, 4'deep \
BACKWASH 74.0' \ \
/// I/ \E - - IOF - - \\\♦ _
PROPOSED \�\\
00 EXISTING — PATIO 0
0 SHED POOL EQUIPMEMT
00 LOCATION TBD 69.6' 00
\ CONCRETE II N
_ EXISTING DECK I — I WASHOUT I I LU
N
[SIJHED
EXISTING O
TSIDE
SHOWER / SOIL
' LOCATION I I I
N i II o
u
EXISTING 1 STY. HOUSE 51.9'
EXISTING
62.6t
a o 0
PORT-A-LAV AND DUMPSTER
TO REMAIN ON SITE FOR
DURATION OF CONSTRUCTION
. nn
M
EXISTING
DRIVEWAY
(CONSTRI.)CTION ENT NCE
38.00' R= 702.204' S 48045'50" E 143.1 '
EROSION&SEDIMENT CONTROLS
Shall include but not be limited to:
DRAINAGE INSPECTIONS ARE REQUIRED A well maintained Construction Entrance,
CWire Backed Silt Fencing, stabilization&
Contact TOS Engineering at 765-156flbefore
Seeding of exposed and/or inactive soils.
Backfill, OR Provide Engineer's Certification
that the drainage has been installed to Code.
HIGHLAND R 0 A D
APPROVAL OF STORMWATER MANAGEMENT
236
SATE PLAN
CO TTRO P -Tw Code
Date: 2 SCALE: 1" = 20'-0'
Appro ed y:
REVISIONS:
SITE DATA: SCTM # 1000-102-8-1
DESCRIPTION: TOTAL: LOT COVERAGE: EXCAVATE: FILL:
PROPERTY: 40,008 SQ. FT. 0.92 ACRES
ESTIMATED AREA OF 8000 SQ.FT.
GROUND DISTURBANCE:
EXISTING HOUSE: 2274.3 SQ.FT. 5.7%
EXISTING PORCH: 174.1 SQ.FT. 0.4%
EXISTING SW DECK: 98.8 SQ. FT. 0.3%
EXISTING NW DECK: 641.0 SQ.FT. 1.6%
EX.OUTDOOR SHOWER: 65 SQ.FT. 0.2%
EXISTING SHEDS: 192 SQ. FT. 0.5%
PROPOSED POOL: 480.0 SQ. FT. 1.2% 150 CU.YD. 50 CU.YD.
PROPOSED POOL PATIO: 768.0 SQ.FT. 1.9% 10 CU,YD. 5 CU.YD.
PROPOSED DRYWELLS: 7 CU.YD. 3 CU.YD.
N 45015'50" V(J 193-411 ELECTRICAL
TOTAL: 4693.2 SQ. FT. 11.8% 167 CU.YD. 58 CU.INS PECTION REQUIRIll
MEETS&BOUNDS BY: YOUNG&YOUNG SURVEY DATE: 02/20/85
_ COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CCLI
MUM�� ' f I "' APPRQVED AS NOTED AS REQUIRED AND CONDITIONS
DATE: S B.P.#
HAY BALE OR SILT FENCING _ _ _ _ _ _ FEE:, T"
i — — — -- — —
LIMITS OF CLEARING TO BE ` NOTIFY BUILDING DEPAR AT
NO MORE THAN 20'FROM ___♦__.___.—♦_.__ /j/ \ 765-1802 8 AM TO 4 PM FOR THE S I Y�I. ,, ES
-
PROPOSED WORK AS i \ FOLLOWING INSPECTIONS: 0
INDICATED ON SITE PLAN �� \ 1. FOUNDATION TWO REQUIRED [--�
FOR POURED CONCRETE
2. ROUGH —FRAMING & PLUMBING OCC U PA I' 'CY OR Q
3. INSULATION I
\� 4. FINAL • CONSTRUCTION MUST USE IS UNLAWFUL
�
�� 16'x3o'Po L EX\WELL BE COMPLETE FOR C.O.
d , ALL CONSTRUCTION SHALL MEET THE WITHOUT CERTIFICATL
i� 8'dia, 4'deep REQUIREMENTS OF THE CODES OF NEW
BACKWASH 74.0' ` YORK STATE. NOT RESPONSIBLE FOR OF OCCUPANCY
DESIGN OR CONSTRUCTION ERRORS.
PROPOSED
00 I
O E SIHEDG POOL EQUIPMEMT 69.6' 1 • DRAINAGE INS17 CTIONS ARE REQI.j?F'E'0.
co LOCATION TBD � 00 �'h�1,LMi[:-El1�Z7 LY��: Contact TOS Engineering at 7�5-15^U�-1 c re
I 1 0 MICLOSE POOL TO CODE ` Cacicfill,O'Z Prcvi�'u Erp wer's Cer a+;z?, ,r
CONCRETE I 1 N UPON,COMPLETION that the drair.igi has been irstalFod to vu 'c 4�
EXISTING DECK i — I WASHOUT I I W BvFORE;WA%ER"
N EXISTING EXISTINGO O W
N SHED OUTSIDE
SHOWER 7 SOIL r�
W V
• 1 LOCATION' i t C7 O
N i I I 0 x x
II
Li U
EXISTING 1 STY. HOUSE 51.9'
EXISTING
DECK
62.6' o 0 0
FYISTIMr, PORCH
0
N v
i
PORT-A-LAV AND DUMPSTER °X u
TO REMAIN ON SITE FOR
DURATION OF CONSTRUCTION T Q
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@
uMi C � a E
EXISTING 0 \
DRIVEWAY m u
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�o 71 cn
CONSTR CTION ENT ANCE
38.00' R=702.204' S 48045150" E 143.1'
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SHEET NUMBER:
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SHEET NUMBER:
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