HomeMy WebLinkAbout47329-Z 45�oifFQtk G Town of Southold 8/22/2022
a P.O.Box 1179
o -
N � 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43347 Date: 8/22/2022
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 295 Mockingbird Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-6-15.59
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/16/2021 pursuant to which Building Permit No. 47329 dated 1/12/2022
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"deck addtion to existing single family dwelling as applied for.
The certificate is issued to Imennov, Sergey&Alla
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
on
PLUMBERS CERTIFICATION DATED
A zed pqnature
ao�suEFo TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
"� • ? SOUTHOLD' NY
y�o aQ�'s
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#: 47329 Date: 1/12/2022
Permission is hereby granted to:
Imennov, Sergey
295 Mockingbird Ln
Southold, NY 11971
To: Legalize as-built deck addtion to existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
295 Mockingbird Ln, Southold
SCTM #473889
Sec/Block/Lot# 55.-6-15.59
Pursuant to application dated 12/16/2021 and approved by the Building Inspector.
To expire on 7/14/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $708.00
CO-ADDITION TO DWELLING $50.00
Total: $758.00
Building Inspector
BOE SO(/l,�o#
TOWN OF SOUTH LD BUILDING DEPT. '
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] NSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ FINAL W)d NO-"
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
1�1 /M L to
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DATE Yy INSPECTOR
OF SOUTyO6
TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL�QcA.-)
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR
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o �uFfnt��� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
cy� $ Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtowoy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT N0. _ -- _ ,---.uilding Inspector:
;Applications and forms must be,filled out.instheir°entirety.Incdmplete
applications will not be accepted Where'the Aplilicant is not the'owner,an
Ownees-Authorization.form(Page 2)shall be coanpleted
Date:
.OWNER(S)OF PROPERTY:
Name: SERGEY IMENNOVSCTM#1000- 05500-0600-015059
Project Address: 295 MOCKING BIRD LANE,SOUTHOLD,NY 11971
Phone#: 631,765.9212 Email: AIMENNOVA@GMAIL.COM
Mailing Address: 295 MOCKING BIRD LANE,SOUTHOLD,NY 11971
'CONTACT,PERSON: -
Name: KATE RUMMEL,AGENT,COLE ENVIRONMENTAL SERVICES
Mailing Address:425 MONTAUK HIGHWAY,EAST QUOGUE,NY 11942
Phone#: 631.369.9445 Email: KATE@COLEENVIRONMENTALSERVICES.COM
DESIGN PROFESSIONAL JN FORMATION:-
Name:
ORMATION:Name: N/A
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION::
Name: N/A WORK HAS ALREADY BEEN COMPLETED
Mailing Address:
Phone#: Email:
DESCRIPTION..FPROPOSED,CONSTRUCTION
[I New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
®0ther EXISTING DECK $
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? []Yes ®No
" 1
"PROPERTY INFORMATI
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
AHD this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
•. ,'Check"Box° sign professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the town Code.,APkli:AilclkIS HEREBY MADE to the.Building Department for the issuance of a Building Permit pursuant to theBuilding Zone
ordinance of}he ToWp elf Sdath'o'ld;Suffolk;county,N•ew York acid othe'rappiicable.laws,-Ordinances.or Regulations,for the construction of buildings,
,additions;,alte'ration'sor#aF removal;or demoiition as herein•described.The applicant agrees to comply with all:bpplicable laws,ordinances,building code,
housing code and regulatlons'and to.admit authorized Inspectors:nn premises and in buiirlmg(s}for necessary inspections.False statements made herein are
punishableas;a,Class Amisdemeanor pursuant to`Section 21Q 4S of the New York State Pena Law.-,,
Application Submitted By(print name)KATE RUMMEL,COLE ENVIRONMENTAL SERVICES®Authorized Agent ❑Owner
_._ ..w..._...___..........._....._..,....._.__. ._...__..._ _...r.._..,....._.:_..._.._.....__..._._.._.._W.._...__.... ..._......._.......
.._._..... ........__m_._..._._.._.___...,..._. �__ . ___.__.._._•_
Signature of Applicant: Date: a
STATE OF NEW YORK)
S :
COUNTYOF_� )
KATE RUMMEL 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/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
24 day of Tim V7 , 20k _
Notary Publi
8ARi3ARA KENNd
PROPERTY OWNER AUTHORIZATION N0.0110E6207488
(Where the applicant is not the owner) C aj S Jun W2=6
/f L t,rf 7/14 A/1V0L14 Al
residing at 295 MOCKINGBIRD LANE,SOUTHOLD, NY 11971
do hereby authorizeKATE RUMMEL,AGENT,COLE ENVIRONMENTAL SERVICESto apply on
my behalf to the Town of Southold Building Depart ent for approval as described herein.
i- 9#0
Owner's at re Date
Print Owner's Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
residing at 295 MOCKINGBIRD LANE,
(Print property owner's name) (Mailing Address)
SOUTHOLD, NY 11971 do hereby authorize KATE RUMMEL,
(Agent)
COLE ENVIRONMENTAL SERVICES
to apply on my behalf to the
Southold Building Department.
9510E /X-,OU
(Owner's Signature) (Date)
(Print Owner's Name)
Environmental Consulting
Wetland Project Management
425 Montauk Highway
East Quogue, NY 11942
(631) 369-9445
www.ColeEnvi ronmenta[Services.com
yk' 1� �S
December 9, 2021 ;
7
Town of Southold .0
Building Department
54375 Main Road
P.O. Box 1179
Southold, NY 11971
Re:Alla Imennova &Sergey Imennov
295 Mockingbird Lane
Southold, NY 11971
SUM No.: 1000-05500-0600-015059
To Whom It May Concern,
Our clients wish to legalize an existing deck. Enclosed are the following items:
1. Building Permit Application
2. Building Department Authorization Form
3. Photos
4. Survey(dated 03.29.21)
5. Four copies of plans (dated 11.30.21)
Kindly let me know what steps we need to take to legalize these structures. If you need anything
additional, do not hesitate to contact me.
Sincerely,
Kate Rummel
Project Coordinator
Cole Environmental Services, Inc.
kate@ColeEnvironmentalServices.com
(631) 369-9445
www.ColeEnvironmentaIServices.com
PHOTO SHEET
SERGEY IMENNOV
295 MOCKINGBIRD LANE
SOUTHOLD, NY 11971
SCTM NO: 1000-05500-0600-015059
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(631) 369-9445
www.CoIeEnvironmentalServices.com
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1000-055.00-08.00-035.000
LAND NOW OR FORMERLY
FRANCIS & PATRICIA O'MALLEY
/I 88°56' 'Fi L� 173.39
MAP LINE ( m - MAP LINE
�` VERNAL AREA
FENCE
USw INTERMITTENT
O,IR w
I/ () ` (UND )
CrJ SHED `` LAND
CC13 4.9E ERWATU 1\ #?ATERS EDGE
12.2 �\ h1ARCR 29,2021 �lT�.
�\� �
^12.2. PRAAfESHED
4.6E SHED BOUNDARFRFSY ATER
z 4.8E FLAGGEDRE�D
T7 BY COLE � \�
EIF BRMUEENTAARY L SERVICES. "FENCE
a 2021 O.BB�
~ P&R
FENCE FENCE
�-� 0.58'
'7
FENCE
0.3E
54
53
�v
24.2
%'i:=
y i NOOU:;: MASONRY
J' .
17.9 _:DECK; ::`` 1 PATIO S2
TWO StORY
W FRAME DWELLING
l� N
FF 58.4-RG 79.3
No: 295
CQ p
24.2: 1x2.0
CONCRETE -WOOD y/^ 35 0
o� APRON If PORCH• 329
C ASPHALT.' MASONRYDRIVEWAY?
'~ i WALKWAY O
�. cc
_ .
5, .................................. cv
P•p � o CI 2
d' o R`238.80
<l GB�R Z
IAN
LOT COVERAGE:
UPLAND AREA: 27,437.06 Sq.Ft.=0.63 ACRES
FRAME DWELLING: 1,439.43± Sq.Ft.
ASPHALT DRIVEWAY: 825.75± Sq.Ft.
WOOD DECK+STEPS: 402.50± Sq.Ft.
MASONRY PATIO: .213.65± Sq.Ft.
FRAME SHED: 192.76± Sq.FL
WOOD PORCH+STEPS: 162.10± Sq.Ft.
MASONRY WALKWAY: 96.82± Sq.Ft.
CONCRETE APRON: 41.00± Sq Ft
TOTAL = 3,374.01± Sq.Ft. (12.297%)
NOTES:
•EXISTENCE OF ANY EASEMENTS SHOULD BE VERIFIED BY A COMPLETE TITLE' SEARCH.
•SURVEYOR IS NOT RESPONSIBLE FOR UNDERGROUND UTILITIES OR STRUCTURES.
PROPERTY OWNERS: DRAWING INFORMATION:
SERGEY IMENNOV SCALE: 1"=40'
ALLA A. IMENNOV DRAWN BY: R.K.H.
FILE No.: Q048-21
SURVEY OP LOT 53, DATE: MARCH 29, 2021 Ny®
AS SHOWN ON MAP OF �/;� ��%A o.!'� LISA McQUILKIN
HIGHPOINT MEADOWS LAND SURVEYING - -
-SECTION THREE- PROPERTY INFORMATION:
FILED: MARCH 19, 1990 - MAP No: 8912 ,
274 EAST MAIN STREET
AT SOUTHOLD, TOWN OF SOUTHOLD, LOT AREA: 30,639.56 Sq.Ft. — 0.70 ACRES , ,; EAST ISLIP N.Y. 11730
SUFFOLK COUNTY, NEW YORK ZONED "AHD" RESIDENCE ` "f-' -`` 1�� �� TEL: 631-277-3605
SCTM: 1000-055.00-06.00-015.059 ELEVATIONS IN ASSUMED DATUM f�e� 0 050 ��� FAX: 631-277-3906
Sf D a a�D S
UNAUTUORI2ED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 720D OF THE NEN YORK STATE EDUCATION LAW.COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEEYYOlLVINK R EMBOSSED SEAL ARE NOT CONSIDERED TO BE A TRUE VALID COPY.DISTANCES SHOWN FROM
PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE,AND ARE NOT INTENDED TO GUIDE IN THE ERECTION OF FENCES OR OTHER STRUCTURES.CERTIFICATION INDICTED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BF.UALR TO
THE COMPANY OR AGENCIES LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
295 MOCKINGBIRD LANE, SOUTHOLD
•r
k_lo�
OCCUPANCY OR
APPROVED AS NOTED USE IS UNLAWFUL
DATE: __/2-2_9g.p.# Y'7,?j� WITHOUT
FEE: ,f CTD. BY: ° CERTIFICATE
NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4.-FINAL - CONSTRUCTION MUST COMPLY WITH ALL CODES OF
BE COMPLETE FOR C.O. NEW YORK-STATE & TOWN CODES
A1L CONSTRUCTION SHALL MEET THE AS,REQUI D AND CONDITIONS OF
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR SOUTHOID TOWN ZBA
DESIGN OR CONSTRUCTION ERRORS.
„ SOUTHOLD TOWN PLANNING BOARD-
SOUTHOW TOWN TRUSTEES
Additional O.S.DEC
Certification
May Be Required.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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