HomeMy WebLinkAbout47413-Z ��oog�lFFOt,��oGy Town of Southold
8/8/2022
P.O.Box 1179
y 53095 Main Rd
c
Southold,New York 11971
i
CERTIFICATE OF OCCUPANCY
No: 43317 Date: 8/8/2022
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THIS CERTIFIES that the building ACCESSORY
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. 47413 dated 2/3/2022
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:
Relocated accessory shed as applied for.
The certificate is issued to Imennov, Sergey&Alla
of the aforesaid building.
i
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL;
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
t ori e Signature
/ s�FfQt� TOWN OF SOUTHOLD
dooms° coGy BUILDING DEPARTMENT
CTOWN CLERK'S OFFICE
y 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#: 47413 Date: 2/3/2022
Permission is hereby granted to:
Imennov, Sergey
295 Mockingbird Ln
Southold, NY 11971
To: Relocate accessory shed out of conservation easement as applied for.
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 8/5/2023.
Fees:
ACCESSORY $157.60
CO-ACCESSORY BUILDING $50.00
Total: $207.60
Building Inspector
�Oz souryO�
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINALS4I 'p�1Q�&ft'41 V'
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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���,S1FE17lKcp� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtowM.gov
Date Received
APPLICATION FOR BUILDING PERMIT
D ���C, cvr��
aL� 1
For Office Use Only /
4-7/� 2 J DEC 1: 2021
PERMIT NO. � Building Inspector: ' v
Applications and forms must be filled out in their.entirety.Incomplete 1^Y; Ti'I^y's�i',4'Ta
�,-�. - �,s,a.c.., -G,
applications will not,be accepted.-:.Where the Applicant isnot the owner,an: �,�;.a=l •� „,; ;iz1,Tg ,4;s,,x_�,,
Owner's Authorization form(Page 2)shall-be completed.
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 INFORMATION:
Name: N/A
Mailing Address:
Phone#: TEmall:
_CONTRACTOR INFORMATION.-
Name:
NFORMATIONrName: N/A WORK HAS ALREADY BEEN COMPLETED
Mailing Address:
Phone#: Email:
DESCRIPTION.OF.PROPOSED ZONSTRUCTION,
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
®Other EXISTING SHED �Q�4G $
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
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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.
_.
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Application Submitted By(print name)-KATE RUMMEL,COLE ENVIRONMENTAL SERVICES®Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
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
J &94A�
/ rday of _ CP�� 20 Z
Notary Public
MICHELE A MEDUSKI
Notary Public,State of New York
PROPERTY OWNER AUTHORIZATION Reg.No.01ME6393343
---
Qualified in Suffolk County
(Where the applicant is not the owner) Commission Expires June 17,2023
,41 �( cf Liyl�iiJNOV 295 MOCKINGBIRD LANE, SOUTHOLD, NY 11971
I, residing at
do hereby authorizeKATE RUMMEL,AGENT, COLE ENVIRONMENTAL SERVICESto apply on
my behalf to the Town of-Squthold Building Department for approval as described herein.
Owner's Sig ature Date
Print Owner's Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
14 Z- t,4 �� C,t/l/o VA f'
I, -<,'F P-C-,C V -TVE/V/(/0 V 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.
Z le2 5�
(Owner's Signatur ) (Date)
(Print Owner's Name)
j
Environmental Consulting
Wetland Project Management
425 Montauk Highway
East Quogue, NY 11942
(631) 369-9445
www.ColeEnvironmenta[Services.com
December 9, 2021
Town of Southold
Building Department
54375 Main Road
P.O. Box 1179 -
Southold, NY 11971 �` +"�', j �`n f �"
L
Re:Alla Imennova &Sere
J; Y Imennov
295 Mockingbird Lane DEC 1 6 2021
Southold, NY 11971
SUM No.:'1000-05500-0600-015059 T17,7117G,h��,
To Whom It May Concern,
Our clients wish to legalize an existing shed. 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.ColeEnvironmentaIServices.com
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loan-OSS.00-06.00-035.000
LAND NOT OR FORMERLY
FRANCIS A PATRICIA.O'IIAI2&Y
EDGE'OP T$TIANDS AS "—
INDICATED ON nm NAP
ompp 32•, 173.39
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o�-'-w=�—>' :" •,rte
MASONRY
. DECxs` -. y PATIO
179 =
�o SfiORY ' ,
w .:: E DItELLING,
FF 6.-RG 79.3
NO. 295 i
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C DBNEpAY :: bL1SONRYIrMWAY
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$
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400 (1r7 18
(6p Wig," 441
LOT COVERAGE:
UPLAND AREA: 27,437.06Sq:Ft,.=0.63 ACRES
FRAME DTIELLING: 1,439.43# .Sq:F t:
ASPHALT DRIVEWAY: 825.75± Sq.'Ft.
FOOD DECK+S`T'EPS: 402.50± Sq.Ft,
.MASONRY PATIO: ' 213.65± Sq.Ft.
FRAME SITED: 1.92.76! Sq Ft.
WOOD PORCH+STEPS: 162.10± Sq;FL
MASONRY WALKWAY; 96:82± Sq.FL,
CONCRETE APRON' 410Q±" Sq
TOTAL = 3,374.01± Sglt. (12.2970
NOTES:
EAI TENCE OF ANY 'WEMENTS .SHOULD BE YEI31FIliT) ,.BY ACOMPLETE TITLE. SEARCH.
SURVEYOR ISNOT RESPONSIBLE FOR.UNDERGROUND UTIIdTI�S OR STRUCT M>
PROPERTY OWNERS: DRAWING INFORAALTION:
SERGEY IMENNOV SCALE: 1"=40'
ALLA AIMENNOV T)Iik*N
FILE; ido .Q048-21
DATE: MARCH 29, 2021 w;
SURVEY OF LOT 53, ".._ ` ';_'
AS SHOWN ON MAP OF ADDED' EASEMENT; FEBRUARY 2,.2022 cQUN
HIGHPOINT AD® •S + LAND SURVEYING
-SECTION�TBM- PROPERTY INFORMATION:
FILED: MARCH 19, 1990 N MAP No: :8912 ,.` .;i" 274 EAST MAIN STREET
AT SOUTHOLD, TORAt. OF SOUTHOLI), :` EAF ISLTP, N.Y. 11730
SUFFOLK COUNTY, LOT AIZEAs.30,639.56' Sq FL _ 0.70 ACRES t.- �;. ',1
YORK J_
SCTM: 1000-055.60-06.00-015.059 ZONED # � RESIDENCE „<_ /""4
TEL: 631-277-3605
.� ,�
ELEVATIONS IN;ASSUMED DATUM . ={ :' . � FAX: 631-277-3906
q
UNAUTRGRITEO UTEW10N 09 ADDITION TO TW SUEFEY IS A PIOUTION OF'SHtT10N 4809 OY THE NEM YORC'S2ATE S6NICATI6N:Lt1.•COP+=-.OP THM SURPAYHAP NOT,:RUWG�THE WW 90RYC1'089*U7EED-"tiR" SSA±ARS Na CONMRM TO BE A TRUE YAUID COPY.DL9TANC18 S ,11N FROH
PROMBRTY UNM TO EY MNG TUWCTUESS ARE FOR A SP&MC PURI'='ANO.M.AND AM'NOT RMDM•TG GUlM IN.THS BP.DCIION QP FENW-01 OTHER 3MUCTURE.4.CER MCAT7ON DfOmm HEREON 3HAu RDN ONLY TO THE PEMN FOR&HON THE SURTSY L4 PEEPAFEO ANO ON BIS REHAIP,TO
TRE COMPANY OR AGENM LISTED EEEEON ANO TO THE ASffiCNEE9`OP TUE�LENOING UiS4iVTOM CERTG'T=ONS'ARE NOT TRANS@FBAOLE t0 AODROti s (NS(ITUTlON3 0R EUESBQUEM OHNERS.
_�
�!4K V()(lvfm _pTpn T A UP QATTmi
I Le F
now or formerly Francis & patricio O'Malley
�
Yours g & Young, Land Surveyors
.I EDGE OF -� 516-727-2303
400 Ostrander Avenue, Riverhead, New York 11901
METLANOS AS PER FILED
_
uung "'
'
N $85632 E I 173.39
_ _ _ Alden F. Young, P.E. & L.S. (1908-1994)
Howard W. Young, Land Surveyor o
"I \ Thomas C.John Schnurrr, Laced SurveyorFeer Y
r CONSERVAT1O,y
Ihm � h
N F ^ NOTE
N O STAKE SET �- STAKE FO
MONUMENT SET ■ - MONUMENT FOUND
� 6. A UND
AREA = 30,640 SQ. FT.
PleOPOSF,b \
spyyp
S+H �i • SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF A
�2 x i6 ' Lot 53 oiF SUFFOLK COUNTY ON MAR. 19, 1990 AS FILE NO. 8912
\ • WE HEREBY CERTIFY TO WILLIAM FEATHERSTONE,
`moo ERICA FETHERSTONE, FIDELITY NATIONAL.
Lot 54 114TITLE INSURANCE COMPANY, NORTH FORK as.
i BANK, D.B.M. COMPANY THAT THIS SURVEY WAS
PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR
� LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION
p
\, OF PROFESSIONAL LAND SURVEYORS,
I r
O '
o it, N ) O
-' sas•
®
Lot 52
2 STORY FRAME :,
W ,; HOUSE do GARAGE n
Q U 7.T•� tB.9• O
N s Jo JOHN SCHNURR. N.Y.S. L.S. NO. 49517
HN.Y-S-
C �k
t0 n WOW PORE HOWARD W. YOUNG, N,
Y-S_ L.S. NO. 45893 'y
.•, • � �
c aJ CA
\rr Iy .ryn7ZYOFN��1 a
(�� f ,c'.--: SURVEY FOR
- LOT 53 "HIGHPOINT MEADOWS, E'
f C.P. SECTION THREE'
�,�y :R, YAWAM FEATHERSTONE & ERICA FEATHERSTONE X11
LL
0o r GRAS �p 29, At Southold, Town of Southold
0, 5 .yo Suffolk County, New York
MO
.y6 CKI NG cou� �
$ �g� L --- --- e�pD a,Re County Tax Map District 1000 Sect;on 55 ero-K 06 Lot 15.59 fit
IT
FINAL SURVEY fit
• a
DEQ c Qaqti� ; �
MAP PREPARED JUNE 18, 1999 b
ob
AUG , " 1.,.- gig
SCALE 1" = 40'
JOB NO. 99-0413
DWG- NO. 990413 3
O Southold sown 1@7 �
OCCUPANCY OR
APPROVED AS N TED USE IS UNLAWFUL
DATE: B.P.' 3 WITHOUT CERTIFICATE
FEE:�d_ 0.7&0 OF OCCUPANCY
NOTIFY 'BUILDING DEPARTMENT' AT
765-1802,: iAM' TO 4 PM FOR THE
FOLLOWING )NSFECTIONS:,:.
.-�-,
I. FOUNDATION '..J REQUIRED,
FOR-POURED'CONCRETE
2. ROUGH -_.-FRAMING & PLUMBING
3. -INSULATION COMPLY WITHALL CODES 017
4. FINAL'- -CONSTRUCTION 'MUST NEW YORK-STATE & TOWN IN CODES
'
BE.COMPLETE FOR C.O� '- As REQUIRED AND CONDITIONS OF
ALL CONSTRUCTION SHALL -MEET THE
REQUIREMENTS OF THE CODES OF NEW SOUTHOL.D.T,OWNZBA
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERROR 'SOUTHOLD TOWN PLANNING BOARD
SOUTHOLD TOWN TRUSTEES-
N.Y.S.DEC
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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