HomeMy WebLinkAbout47938-Z �o�guFFOloy Town of Southold 6/28/2022
o P.O.Box 1179
v _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43195 Date: 6/28/2022
THIS CERTIFIES that the building ACCESSORY
Location of Property: 80 Ryder Farm Ln.,Orient
SCTM#: 473889 Sec/Block/Lot: 15.-5-24.31
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/5/2022 pursuant to which Building Permit No. 47938 dated 6/9/2022
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:
"as built"accessory outdoor shower as applied for.
The certificate is issued to Esteves Holding Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 3/30/2022 NntbFNCuoCco
Aut ore i nature
SOFF i� TOWN OF SOUTHOLD
ekn : BUILDING DEPARTMENT
CR TOWN CLERK'S OFFICE
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#: 47938 Date: 6/9/2022
Permission is hereby granted to:
Esteves Holding Corp
80 Sunset Ave
Selden, NY 11784
To: legalize "as built" accessory outdoor shower as applied for.
At premises located at:
80 Ryder Farm Ln., Orient
SCTM # 473889
Sec/Block/Lot# 15.-5-24.31
Pursuant to application dated 5/13/2022 and approved by the Building Inspector.
To expire on 12/9/2023.
Fees:
AS BUILT-ACCESSORY $200.00
CO-ACCESSORY BUILDING $50.00
Total: $250.00
Building In or
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Building Permit No.
Owner
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(Please print)
Plumber:. �I
(Pleas. �print)
lead, certify that the solder used in the water
supply system contains 103S than 2/10 of i Y,
Sworn to before in,this (Plumbers Signature)
day of
COLLEEN A.MONTRONY
Notary Public State of New York
No.01 M 06132243
Qualified in Suffolk County
..-40��,!�-..County Commission Expires August 22, —2614
Notary public,
FIELD INSPECTION REPORT DATE COMMENTS r
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���yJfFal��oGy�� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y i Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o aag Telephone (631) 765-1802 ,Fax (631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only D V I II IU'
I
PERMIT NO. Building Inspector: MAY o 5 2022
Applications and forms must be filled out in their entirety.Incomplete BUILTOWN DING DEPT
OLD
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:May 5, 2022
OWNER(S)OF PROPERTY:
Name:Esteves Holding Corp I SCTM# l000-15-5-24.31
Project Address:80 Ryder Farm Lane, Orient NY 11957
Phone#: I T—Mail:
Mailing Address:
CONTACT PERSON:
Name:Jerry Cibulski
Mailing Address:PO Box 598, Southold NY 11971
Phone#:631-404-2507 Email:JerryCibulski@gmail.com
DESIGN PROFESSIONAL INFORMATION:
i
Name: i
Mailing Address: i
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Otherg QULLj axYa-'2 5 " $
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property:Residential Intended use of property:Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes ®No IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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 rbuildings,
additions,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(s)for necessary inspections.False statements made herein are
punishable as,a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By int name):65QA-Y{L1t' 13(}LSY-1 BAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF 5
��yy I/)
J-erru l (IOU ISk) being duly sworn,deposes and says that(s)he is the applicant
(Name ofindividual signing contract) above named,
(S)he is the
(Contrac r,Agent, orporate Officer, etc.)
of said owner or owners, and is duly authorized to 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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
qday of M Q9 ,20 22
Notary Public
TRACEY L. DWYER
PROPERTY OWNER AUTHORIZATION
NOTARY PUBLIC,
I01Dw6306900 NEW YORK
(Where the applicant is not the owner) QUALIFIED IN SUFFOLK COUNTYv
COMMISSION EXPIRES JUNE 30,
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
S.C.T.M. NO. DISTRICT: 1000 SECTION: 15 BLOCK:5 LOT(S):24.31
(/R-20-1351
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METER
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71 >o DWELLING `2� 94.4' �-
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\\ U.P.P. \.3 Y DRAT AGE CALCULATIONS:
\
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\ � �s A)DWELLING W/COVERED PORCHES=4146 SOFT.
\ 4146 x 0.166= 688c7
t (2)8'OIA x 8'DEEP ORYWELL= 706c1 PROVIDED
B)DRIVEWAY-2037 X1SQ.F
11 r1 2037 x 0.166=38cf REQUIRED
(1)NOTA x e'DEEP DRYWELL=354c(PROVIDED
FINAL SURVEY 01-10-22 THE WATER SUPPLY, WELLS, DRYINELLS AND CESSPOOL
LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS
FND. LOC. 05-1 1-21 AND OR DATA OBTAINED FROM OTHERS.
AREA:40,953.35 SQ.FT. or 0.94 ACRES ELEVA77ON DATUM. NAVD88-----_------
UNAUTHORIZED ALTERAPON OR ADDIT70N TO THIS SURVEY IS A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF:LOT 175 OF NEW CERTIFIED TO: ESTEVES HOLDING;
MAP OF: ORIENT BY THE SEA SECTION THREEAP� "H M. yo}rod
FILED:OCTOBER 16, 1974 No.6160
SITUATED AT:ORIENT " x
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TOWN OF: SOUTHOLD F a� KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK y0F 050882 JQ Professional Land Surveying and Design
N s P.O. Box 153 Aquebogue, New York 11931
FILE SCALE: DATE:AUG 10, 2020 PHONE (831)298-1588 FAX (631) 298-1588
22D-116 1��=3DB N.Y.S. LISC. NO. 050882 maintining the records of Robert J.Hennessy k Kenneth M.Hmychuk
S.C.T.M. NO. DISTRICT: 1000 SECTION:15 BLOC;C: 5 LOT(S):24.31
JR-20-1351
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DRY WELL q 2 STY FRAME
2 y e DWELLING y 94'4
a' FFL 13.5 =GRESS
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Of PI`NEMO
\ U.P.
DRAT AGE CALCULATIONS:
\ .(� A)DWELLING W/COVERED PORCHES=4146 SOFT.
\ '0 4146 r 0.166=688cf
1� Y_� (2)B'DIA x 8'DEEP ORYWELL— 708cf PROVIDED
If 1`t B) 2037 AY=2037 SOFT.
�1 2037 0.166=33B.F REQUIRED
(1)B'DIA x 8'DEEP DRYWELL-354c1 PROVIDED
FINAL SURVEY 01-10-22 THE WATER SUPPLY, WELLS DRYWELLS AND CESSPOOL
LOCA 77ONS SHOWN ARE FROM FIELD OBSERVATIONS
FND. LOC. 05—11-21 AND OR DATA OBTAINED FROM OTHERS.
AREA:40,953.35 SQ.FT, or 0.94 ACRES ELEVA77ON DATUM: NAVD88_________________
UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONU14ENT THE PROPERTY LINES OR TO GUIDE THE EREC7701V OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUffURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:LOT 175 of NFw CERTIFIED TO: ESTEVES HOLDING;
MAP OF: ORIENT BY THE SEA SECTION THREE A. M. BpYyOP
FILED:OCTOBER 16, 1974 No.6 j 60 5
SITUATED AT:ORIENT Y F o
TOWN OF: SOUTHOLD 0 u KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK 41p 050882 SJQ Professional Land Surveying and Design
N P.O. Box 153 Aquebogue, New York 11931
FILE SCALE:j =30DATE:AUG 1G, 2020 PHONE (631)298-1566 FAX (631) 298-1568
1Y 220-116 N.YS, LISC. NO. 050882 1 maintoinine the records of Robert 1.Hennessy k Kenneth M.Woychuk
APP 714VED AS NOTEDE: :P:# J U
FEE: BY:
NOTIFY';BUILDING.. DEPARTMENT AT
765=1802: .8 AM' TO 4 PM- FOR THE
FOLLOWING-.INSPECTIONS: . -
1. FOUNDATION. =:TWO REQUIRED
FOR POURED CONCRETE.
2. ROUGH'..1,'FRAMING & PLUMBING
8. INSULATION;
4. FINAL-. CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL•CONSTRUCTION SHALL MEET THE
REQUIREMENTS 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
` �muni n 7n nib 7RA
SO X-DTOWlWU=G BOARD
SOUTFOULD—T-0-WN TRUSTEES
N
OCCUPANCY OR
US,E IS UNLAWFUL
WITHOUT CERTIFICAT
-7F OCC.UPANCY
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