HomeMy WebLinkAbout50653-Z og�FFolkc ` Town of Southold
�o� QGy 6/4/2024
P.O.Box 1179
CO
C11. •x. 53095 Main Rd
oy�� ao�Y Southold,New Fork 11971
CERTIFICATE OF OCCUPANCY
No: 45252 Date: 6/4/2024
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 485 Old Woods Path, Southold
SCTM#: 473889 'Sec/Block/Lot: 87.-1-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/11/2024 pursuant to which Building Permit No. 50653 dated 5/10/2024
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 addition to existing single-family dwellingas applied for.
The certificate is issued to Hollander JR Liv Trt
of the aforesaid building.
SUFFOLK COUNT'DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorize ignature
�SUFFat,t�. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 50653 Date: 5/10/2024
Permission is hereby granted to:
Hollander JR Liv Trt
430 7th. St
Brooklyn, NY 11215
To: legalize "as built" deck addition to existing single-family dwelling as applied for per
Trustees approval. Additional certification may be required.
At premises located at:
485 Old Woods Path, Southold
SCTM #473889
Sec/Block/Lot# 87.-1-4
Pursuant to application dated 3/11/2024 and approved by the Building Inspector.
To expire on 11/9/2026.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $668.00
CO-ADDITION TO DWELLING $100.00
Total: $768.00
Building Inspector
# TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [v]�FINAL DAC --
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: As- buill
DATE INSPECTOR
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FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION(1ST) �J
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FOUNDATION(2ND) �
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Glenn Goldsmith, President �Q� sotjp Town Hall Annex
A. Nicholas Krupski,Vice President ®may �® 54375 Route 25
P.O. Box 1179
Eric Sepenoski OW Southold,New York 11971
Liz Gillooly
Elizabeth Peeples � ® � Telephone(631) 765-1892
Fax(631) 765-6641
®`Comm
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
#-2 24 C - - Date: March 3, 2024
THIS CERTIFIES that the as-built 170.64sq.ft. deck with stairs to ground; as-built hot-tub
on top of 78sq.ft. deck; removal of existing septic system and installation of an UA OWTS system; install
Geomat disposal trenches to serve both the primary residence and accessory building apartment; and for
the existing 8'xl2' shed.
At 485 Old Wood Path, Southold
Suffolk County Tax Map#1000-87-1-4
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated pursuant to which Trustees Administrative Permit#10272
Dated November 16,2022,was issued and conforms
to all of the requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for the as-built 170.64sq.ft. deck with stairs to
ground; as-built hot-tub on top of 78sq.ft. deck;removal of existing septic system and installation of an
I/A OWTS system; install Geomat disposal trenches to serve both the primary residence and accessory
building apartment; and for the existing 8'xl2' shed.
The certificate is issued to Jacqueline Hollander owners of the aforesaid property.
Authorized Signature
x; MAR 8 202 ..
.r •V,
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
ado•. ��o� , Telephone(631) 765-1802 Fax (631) 765-9502.hLVs://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
QWE
57�
GPERMIT NO. . -Building Inspector: ti
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MAR 1 2024
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Date:
Name: C, SCTM#1000-
Project Address: �990 RA 0
Phone#: 9'17. Z7. Email: . 4Z_02 60
Mailing Address: 57 0,O
Name:
Mailing Address; - "Lw Q `l 9�
Phone#:
Name:
Mailing Address:
Phone#• 73 yr — Email:
T1 "MA I:O:N '.:
Name:
Mailing Address:
Phone#: Email:
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QNew Structure ❑Addition CIAlteration ❑Repair ❑Demolition Estimated Cost of Project:
'Other 4�8� ep �K $
Will the lot be re-graded? ❑Yes,'kJNo Will excess fill be removed from premises. ❑Yes WNo
1
PROPERTY INFORMATION
Existing use of property- � L Intended use of property
�—W
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this.property?...P.Yes.XNo -I.F YES,.P.ROVID-E..A-CO.PY...------- -_ --— -
Check BOX After Reading: The owner/contractor/clesign profes:iional 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 a nd other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein des-ribed.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspector:on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name)
-"H/ C1✓�e 40.. Af/Al4 LQXG .KAuthorized Agent ElOwner
Signature of Applicant: &OPA%1�41100m� Date: 2%l,1/1Z
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No.01 BUel86050
SS
Qualified In Suffdlk County lL
COUNTY OF ,�(J �O4t ) Commission ExplrosApril 14,2 2 I
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the .4
(Contractor,Agent, Corpo-ate Officer,etc.)
of said owner or owrers,and is duly authorized to perform or have perfo-med 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:lie application file therewith.
Sworn before me this
day of i V ►&A 20 9 NV
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, 614<L/N.6_ //OLL/&l ZCR_ residing at
Q�1 dl NY do hereby authorize_,fl jLj_�,}Cie to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Z
ner's Signature Date
Print Owner's Name
Glenn Goldsmith, President ,`� SO&� Town Hall Annex
' ��• � � 54375 Route 25
A. Nicholas Krupski,Vice President �� �� P.O. Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly cam+ Telephone(631) 765-1892
Elizabeth Peeples ® y Fax(631) 765-6641
roufm
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
-- -#2124 C Date: March 3, 2024
THIS CERTIFIES that the as-built 170 64sq ft deck with stairs to around,• as-built hot-tub
on top of 78sq ft deck; removal of existing_septic system and installation of an UA OWTS system; install
Geomat disposal trenches to serve both the primary residence and accessory building apartment; and for
the existing 8'xl2' shed.
At 485 Old Wood Path, Southold
Suffolk County Tax Map#1000-87-1-4
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated pursuant to which Trustees Administrative Permit#10272
Dated November 16, 2022,was issued and conforms
to all of the requirements and conditions of the applicable provisions of law. The project
for which this certificate is being issued is for the as-built 170 64sq.ft. deck with stairs to
ground; as-built hot-tub on top of 78sq ft deck; removal of existing septic system and installation of an
I/A O WTS system; install Geomat disposal trenches to serve both the primary residence and accessory
building apartment; and for the existing 8'xl2' shed.
The certificate is issued to Jacqueline Hollander owners of the aforesaid property.
� o
Authorized Signature
Unauthorized alteration or
V addition to this survey 1.a
D LS Il 1J violation of section 7209,
9,
subdivision 2, of the New York
State Education Low. Copies of
this survey map not bearing
HEIDECKER LAND SLRVEYING the land surveyor's Inked or
embossed seal shall not be
JAN 1 3 2023
considered to be a valid copy.
Southold Town
Board of Trustees
DO s0,
0 10 20 -30
1 I
METERS
APPROVED BY 7 1 1 FEET
BOARD OF 1 RUSTEES 20 GRAPHIC SCALE 160= 20' e0
TOWN OF SOUTHOLD
DATE J"p-Ku.AR 13 LZovJ � a
-�'E
011
NOTES
1. FIELD WORK WAS CONDUCTED JANUARY,
2022 BY HEIDECKER LAND SURVEYING, PLLC
AND ALL MEASUREMENTS WERE TAKEN ON .
THE GROUND.
2. PROPERTY LINES ARE BASED UPON DEr,D SECTION 87—BLOCK 1—TAX LOT 4
FILED WITH THE K COUNTY CLERK IN127
LIRER 12770—PACE N/F JACQUELINE R. & HARVEY Sip HOLLANDER
GE 724 72t AND CLIENT
PROVIDED SURVEY PREPARED BY PECONIC LEER 12770—PAGE 724
SURVEYORS. PC ON NOVEMBER S. 1996.
3. UNDERGROUND UTILITY LINES ARE NOT
SHOWN. PRIOR TO CONSTRUCTION THE �. AREA= 4"'
CONTRACTOR SHALL CALL "DIG SAFELY NEW I
YORK"AT B11 AND HAVE ALL UTILITY 26,718 SQ. FT.
LOCATIONS MARKED ON THE GROUND.
4. ELEVATIONS REFER TO THE NORTH �2' F� OR �v
AMERICAN VERTICAL DATUM OF 198E (NAVD '��cF�' -`0.613 ACRES \
AND ARE BASED UPON GPS
OBSERVATIONS
OBSERVATIONS PERFORMED BY HEIDECKER
LAND SURVEYING, PLLC. \ T
n'D
5. WIZLAND FLAGS SET BY OTHERS ON `z LINE
6. SEPTIC DESIGN PROVIDED BY DANIEL R. ST RETAINING WALL
= N
FALASCO, P.E., P.C. rV F WALL ' a
q ° PQST & RAIL FENCE °
\ PLANTER ° / o CO-
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� PROPOSED I/A SYSTEM
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26.6p' W N 43'25'10 122.59'
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PRIVATE ROAD/RIGHT OF WAY
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JOW GERD HEIDECKER N.Y. STATE LAND SURVCYOR LIC. # 050719 DATE: TOPOGRAPHIC/BOUNDARY SURVEY SHEo No.
ADO C1501l� �V� 751 COATES AVENUE NOVEMBER 5, 2022
ND LAND `����� SUITE 22 DRAWN BY: B.D. SECTION 87—BLOCK 1—TAX LOT 4 pROJ. N0.
�� HOLBROOK, NEW YORK 11741 #485 OLD WOOD PATH 22HLS01
(631)-772-9604 CHK BY: J.H. TOWN OF SOUTHOLD CAD FILE:
jheidecker®heideckeris.com SCALE: 1"= 20' SUFFOLK COUNTY NEW YORK
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7, ,� ] NOTIFY BUILDING DEPARTMENTAT ,�PC
631 765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS: * SHEET N O.
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE zP
OCCUPANCY OR Uj
-
' 2. ROUGH-FRAMING& PLUMBING "
4 3. INSULATION USE �' E A
A - e A v " A SITE PHOTOS 4. FINAL-CONSTRUCTION MUST 1 _ o ss(o
� Y ; j j COMPLETE WI �1�' CERTIFIC/�
BE COMPLET OR C.O. A ,
K Zn "J SCALE: NOT TO SCALE ALL CONSTRUCTION SHALL MEET THE �F OCCUPANCY
�. w . .
REQU IREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
Additional
Certification
May Be Required.
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