HomeMy WebLinkAbout46211-Z -
ao�O cpGZ� Town of Southold 11/7/2022
P.O.Box 1179
o _ fi 53095 Main Rd
y o� �� Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 43554 Date: 11/3/2022
THIS CERTIFIES that the building DECK
Location of Property: 8355 Main Bayview Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 78.-9-80
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/11/2018 pursuant to which Building Permit No. 46211 dated 5/10/2021
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:
deck addition and outdoor shower addition to existing single-family dwelling as applied for.
The certificate is issued to Richardson,John&Mary Sue
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
uth ri a Signature
siiFfo TOWN OF SOUTHOLD
��� BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
dal lF �}.
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#: 46211 Date: 5/10/2021
Permission is hereby granted to:
Richardson, John
59 W 71st St
New York, NY 10023
To: Construct deck addition and outdoor shower to existing single-family dwelling as
applied for.
Replaces BP# 42876
At premises located at:
8355 Main Bayview Rd., Southold
SCTM # 473889
Sec/Block/Lot# 78.-9-80
Pursuant to application dated 5/10/2021 and approved by the Building Inspector.
To expire on 11/9/2022.
Fees:
PERMIT RENEWAL $446.00
Total: $446.00
Building Inspector
�SUFFn TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 42876 Date: 7/19/2018
Permission is hereby granted to:
Richardson, John
59 W 71st St
New York, NY 10023
To: construct deck addition and outdoor shower to existing single-family dwelling as
applied for.
At premises located at:
8355 Main Bayview Rd., Southold
SCTM # 473889
Sec/Block/Lot# 78.-9-80
Pursuant to application dated 7/11/2018 and approved by the Building Inspector.
To expire on 1/18/2020.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $396.00
CO -ADDITION TO DWELLING $50.00
Total: $446.00
f
Buil 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.
s�
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
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: �3,�5� /1/IG�,, `1, 4, G�i.��./ dea,z fl°Y7/
House No. Z Street Hamlet
Owner or Owners of Property:Myr, cute o- 5a/w P,,®LdSo✓1.
Suffolk County Tax Map No 1000, Section zS1 Block O'7 Lot 910
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: $
Ap scant Signature
OF SOOT --- --- - - ---- —-
-n
'yOlo
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ FOUNDATION 1 ST [ ' ] ROUGH PLBG.
[ ] UNDATION-2ND [ ] INSULATIOWCAULKING
FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] -FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION ( [ ] PRE C/O
REMARK I - 1 �1 41 A
F 04
51
W Ih 0 tA/I
DATE al INSPECTOR
QajiF SOGT�,°� _
* # TOWN OF SOUTHOLD BUILDING DEPT.
couHr+, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] SULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINAL��, f &k' &�a>��
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
i
DATE I y INSPECTOR
IJ
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) N
'FOUNDATION(2ND) co�
z
' ok WA
ROUGH FRAMING&
PLUMBING (A4 t
C
INSULATION PER N.Y: y
STATE ENERGY CODE
Z �4
FINAL
ADDITIONAL COMMENTS --
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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 ( �� � Suryey
Southoldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.-
Trustees
D C.O.Application
L=am Flood Permit
Examined ,.20 Single&Separate
JUL1 1 2018 Truss Identification:F.orm
Storm-Water Assessment Form
BUHMING DEPT. Contact:
Approved 201 TOW?SBF S0. 131 HOLD `2
Disapproved a/c
Phone:51""
Expiration 20
Ba�spector
APPLICATION FOR BUILDING PERMIT
Date zz lam , 20 /'g/'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•Biiilding 1�.epartment for the is of a Building Permit-pursuant to the
Building Zone Ordinance of the Town of Southold,'Suffolk Country,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'tegulations, and to admit
authorized inspectors on premises and in building for necessary inspections
(Signature of appli ant 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 �y�L���e ,� X44
(As on the tax roll or latest deed)
If a scant is orporatio ature of duly authorized officer
(Name and title of corporate officer)
Builders License No. o' 14109'_
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section Block 0 9 Lot��
0 LLUU1V1J1U11 111Vba 1�1�1V. v
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and-occupancy
b. Intended use and occupancy,U, �a�_� 22 j ZlL 6;
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work 12
ell �����,;• -e� (Description
4. Estimated Cost �D > G,
€ 4 (To •e aid on filing this application)
5. If dwelling, number of dwelling units Alk ----Number_ of dwelling u'itsWn each floor
If garage, number of cars e� p �� .
6. If business, commercial or mixed occupancy, specifyr atI re aiid''ex'ter"T, each type of use.
- o
7. Dimensions of existing structures, if any: Front5 , Rear 1�7, Depth 572;�
Height .,.Number of Stories
Dimensions of same structure with alterations or additions: Front ;2 Rear ,'17,
Depth 6-d Height Number of Stories
8. Dimensions of entire new construction: Front !2 V Rear Depth 20
Height ':N'umber of Stories'
9. Size of lot: Front 1?D � Rear 117 /v _Depth
10. Date of Purchase AIA— Name of Former Owner A//,4-7�
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES- NO '\,,!P Will excess fill be:removed-from premises? YES NO
14. Names of Owner of premises o4tduvcldavt Address ?��it�la,N �/r�k/ Phone No.
Name-of Architect " d e Address'. g!XW.1 Phone No/?/
Name of Contractor Address y�,,,, r�, Phone No.5:2?, G3s Y/;�?
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'tiddl wetland? * YES NO
* IF YES, D.E.C. PERMITS MAYBE 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 )
being duly sworn, deposes and says that(s)he is the applicant
(Name o individual signing contract)above named,
(S)He is the C ii,�//�✓(/l/�
(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 will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this JANE C COHEN
day of 120N try Public State of New York 7
A=.01C06333267
I Qualified in Suffoik County4�- commission Expires Nov,10 C�
Notary Public Signature of Applicant
Scott A. Russell 15U�/r STORI\WWATIER,
SUPERVISOR MAN AGIENUENT
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 0 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
.........._._.__._._..__.___-_- .___._._.___.. __..._...._.....- - . -
DO ES
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes.No (CHECK ALL THAT APPLY)
E10 A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
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.
E.- Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
E111M F. Installation of new or resurfaced impervious surfaces of 1,000 square
LP
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 Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. 4: 1000 Date:
District
NAME: 7 acl -9-61
Section Block Lot
FOR BUILDING DEPARTINIENT USE ONLY
Contact Informatiorr 2N
Reviewed By:
- — — — — — — — — — — — — — — — — — —
Date:
Property Address/Location of Construction Work: — — — — — — — — — — — — —
Approved for processing Building Permit.
g&ldiei✓ ,o
l 24d — Stormwater Management Control Plan Not Required.
— — — — — — — — — — — — — — —
/l/ ��� �/'� 97�- ❑
Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM 4 SMCP-TOS MAY 2014
'UR VE Y OF PR OPER TY
AT BA Yl` L E [/
TOWN OF SCS UTHOLD
SUFFOLK COUNTY, NEW YORK
1000--78--09--80
scmZ: 1" =50'
APRIL; 23, 1999
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OF SECTION W9 OF_ THE NEW YORK STATE EDUCATION LAN, � 1� S,l 1 P,C.41
EXCEPT AS PER SECTION 7209_SUBViVISION 2 ALL CER DFICA TIONS
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SOU THOC D, N� Y, ] 19 71 19 -9 - 1861
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