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Home My WebLink About46098-Z -21 �0�05�FF�t� p. Town of Southold 6/6/2021 a P.O.Box 1179 0 o • Y� 53095 Main Rd Southold,New York 11971 06 CERTIFICATE OF OCCUPANCY No: 42055 Date: 6/6/2021 THIS CERTIFIES that the building OTHER 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 8/24/2017 pursuant to which Building Permit No. 46098 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 outdoor shower 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 Aut riz d i ature o�soffol/ TOWN OF SOUTHOLD �a ay BUILDING DEPARTMENT h z TOWN CLERK'S OFFICE ��r • oma ' 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#: 46098 Date: 4/16/2021 Permission is hereby granted to: Miller, John 705 Highland Rd Cutchogue, NY 11935 To: Construct an accessory outdoor shower as applied for. Replaces BP#41936 At premises located at: 705 Highland Rd., Cutchogue SCTM # 473889 f 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 $75.00 Total: $75.00 Bub n pector gUFED(,� TOWN OF SOUTHOLD �� spay BUILDING DEPARTMENT TOWN CLERK'S OFFICE co 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#: 41936 Date: 8/30/2017 Permission is hereby granted to: Miller, John 705 Highland Rd Cutchogue, NY 11935 To: construct an accessory outdoor shower as applied for. At premises located at: 705 Highland Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-8-1 Pursuant to application dated 8/24/2017 and approved by the Building Inspector. To expire on 3/1/2019. Fees: ACCESSORY $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 Building Spector 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 S. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. New Construction: Old or Pre-existing Building: 4// (check one) Location of Property: 7 1>." //t`CI/IQ-"'�_ CQ_nk IL oro e-- House —House No. Street Hamlet Owner or Owners of Property: Jam ?!VziVr_ ,�- �L Suffolk County Tax Map No 1000, Section /02 Block Lot 61 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: $ �,?I /Ppftant Signature quoqg �aOF SOUIyO # TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ` ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] ' FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL- (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATEW INSPECTOR FIELD lI`YS 'E4� E '0T AAT COtvT,iv �,73' . rw r......r�. ............... �'OUNDA,Tx4N�(2N75) ��s z ROUGH FR?,.NnVC & �" IN�,ULATZON PEA N.Y. STATE ENERGY CCQB a •. IL FINAL z 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 Southold town ny.gov PERMIT NO. �i Check Septic Form D.E.C. -D LOCO Trustees V� Trustees D C.O.Application Flood Permit Examined 3b ,20 �UG 2 4 20�� Single&Separate Truss Identification Form BUILDING DET. Storm-Water Assessment Form TOWN OF SOUTHOLD Contact: 1 Approved v ,20 Mail to:,, b Y 11/1 M I l ( � Disapproved a/c (e�j l 730 —a-7 6 1 Phone: Expiration ,20 Build Inspe or APPLICATION FOR BUILDING PERMIT D Date d a y , 207 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 shal I 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. (Si ature of applicant or name,if a corporation) 70-3-///i I (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �HjS/AP 1-AA66,FNeO #1 1,52� (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 which proposed work will be done: 7D5 #/I JJIJ#4) T,�> G'vfDfiD�d� House Number Street p Hamlet County Tax Map No. 1000 Section Blook rI' Lot. �� Subdivision Filed Map No. G_5'37 Lot 41 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Al>r!1'.)%e /C,� b. Intended use and occupancy ;PhS/DoNCzpz' 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal De olitipn ,, . , -Other,Work 0 DOS W ' sem; `�"k� e•; >F+c ,�T � (Description) 4. Estimated Cost 17 e e" 00 pD Fee ;rt (TLWg,;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, speq�ify nature,and,;ex tenttigtmach 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 8. Dimensions of entire new construction: Front Rear Depth 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 1/ 13. Will lot be re-graded? YES NO ✓ Will excess fill be removed from premises? YES NO 14.Names of Owner of premises-,70H?A/fg Address 7D3 /GfI.1f1XbAPhone No. w/ P3D -,27.x/ Name of Architect Address U�hone 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 * 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_� -141y iIt All IIAT being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the UWAr-7 (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 wiI I be performed in the manner set forth in the application filed therewith. Sworn to fore me th 1 'day L/Irl_/� of20_1--) Or4owski Notary Pub9cNOTARY . Notary Public,State of New York G ignature of Applicant No.01OR62&0342 - pusuc - Qualifled in Suffolk County �v voe Commission Expires 05/13/20 j r { I'd • tips � �• � 111 v S � y S 2Z1 gZ - s 6 1 � o �� Aape�1 gOAO {yS MSN SURVEY FOR AIMM, 1906 puv�olR tfQtl�t`H EttsUn DWADaY'MII GAR`(M.LANG a LtNOA M.LONG„ MAY 29 ,lass LOT 4 `'�iiGHLAttiQ ESTATES DATE FEL 20,1995 SCALE' 1"=30' tt se�aB• dieoo®al w vseor M9367 TOWN OF SOUfHOLO NO .154 taoi]itlea far this l,jeation bawO beoa SUFFOLK COUNTY, NEW YORK % mo -UMeotod b7 this dtXWttaeat and 10=6 *abduTroorm tLTSIrAT10E7"lliv al ra Tln> 'MCR T p SuavET Is a Af16LaTtOR OP sEcnax-nas o$TaE Hca s atl to bQ aat3sfabt:or7. Q � �,, neer ro€tc suit: gogVE:>recaV. sauTr+oe s+w rte w sGilIngo f THIS SUAVEtF1407 eEtAt2tG TICE stab *&of ad' Aara I!S>�iaeatrlTa� taa°'S Insfo-StAL OR cusassi0 Stas.SHALL OART!4 raoT c[eOXSMaED-TOOL>t VALID MTCO.acxYTo 6E 90s�l001f rfluaRtltr s TAC avFVCr43 atD. taENTtI xOt�tcTAxilLSaoAlio rNs�T'=Mk USTEO �•@ 4�&D''1 ML tLRZ10A_ TITCQ LRta HEALTH OEPARTMEN7-DATR FOR APPR014sL TO CONSTRUCT ME TA Lure To TrND tALF Z l6 oo OF TtA£�cr[ti0 wG' a wLAREDT VNITte MAIN Nr.2 sw�sl or GLOC t<��p�vaTe�rusuc_ IsstlTuria�t.oso EAllTt€s,aa€uaT rlsa0s>Evto�c *jUR.00.T1A%b1W 615rt o�ITrrlrr rOB Fgcr OF141>jLPA TO 410ATf041tL Iftly tiT1011S 00 ii4f8lQ YY 1 ,#�S� *V"Cpg Alt€ria OWEL OgtREAS OTNfa TOM TPOSe f"OWN PERSON• i ii D15TA11098 91 OWN REREQR r'><oss P9tC9ERIY LINES r}YHt MATER}1upr-T AND scooE WOF T" 6Tf Ti01 FpRTM13 aga10CNGL tAURi:OSF!�6at:ROT TO a O LEQZO C!T►lLa6N WILL rARt ii TO THS fTJtMOARDf oFTNE WPrOI.K WyNTY 06Ft1tTi1Qa4 pRll"5L 1LUrtC30aT�OR THE ERCT Oa OP pEAICEf. !.-[ OF NSt�TR�ERV10E8. IIPPLi61ANT' POOR60� YOUNG. 8t Ya� G RivEPPHEA400 �,NEW AVENUE 7L4� AND LAND SURVEYORKyL 3aCE1t8E t$at2848 w APPROVED AS NOTEDq jq 3 DATE: B.P.# `� FEE: b BY: NOTIFY BUILDING DEPARTMM AT RETAIN STORM WATER RUNOFF 765-1802 8 AM TO 4 PM FOR THE PURSUANT TO CHAPTER 236 FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE. FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - +"'"" -,ON MUST BE COMPL C.O. ALL CONST °± SHALL MEET THE REQUIREMEN,o OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SG ?f1WN 7RA SOI�#A T '. i�NRICD SOFNG TEES NAC-G OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE Of OCCUPANCY ur- �r IN A Q ' wCe•��w�' � s i � L I I ( � - I I � i � - � - I��° if I I I /V X 93.E - ON/�