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Home My WebLink About33746-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32945 Date: 03/24/08 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 175 DIAMOND (HOUSE NO.) County Tax Map No. 473889 Section 68 LA (STREET) Block 2 PECONIC (HAMLET) Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 2008 pursuant to which Building Permit No. 33746-Z dated MARCH 18, 2008 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 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JAMES & NANCY ROSCOE (OWNER) of the aforesaid building. SUFFOLK COU!lTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A )J / / Rev. 1/81 Co.:c:'7O<"/ 7"'> FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18, 2008 PERMIT NO. 33746 Z Date MARCH permission is hereby granted to: JAMES & NANCY ROSCOE PO BOX 485 PECONIC,NY 11958 for "AS BUILT" ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR at premises located at 175 DIAMOND LA PECONIC County Tax Map No. 473889 Section 068 Block 0002 Lot No. 014 pursuant to application dated MARCH 7, 2008 and approved by the Building Inspector to expire on SEPTEMBER 18, 2009. Fee $ 200.00 " ,riu ~ ~ 4. C.JtC Authorized Signature ORIGINAL Rev. 5/8/02 FIELD INSPECTION REPORT DATE I COMMENTS "d \ '''-.;.' ~ . V~ " '.~ FOUNDATION (1ST) ~ "-...., ~'lt ------------------------------------ ~ ;:;;;~c:: FOUNDATION (2ND) c..' <-.", .~ ~ ........... :z ~ 9 ~ ~. en . ~ ..., c Gi ROUGH FR.vwING & ~ t'l PUiMBING ..., ;:--. ~ --- -- -...---- _.._------~--..------_._..- ';;:(J: _.-.- -- -- 11\ '7 . . ..- ..." ~ "- t" '"SL'LATlON PER N. Y. -- S. t'O . ---- .., STATE E.'lERGY CODE ---- 0 J qJi,A/. C1 <'/) ~ r ~d~ y~./ II I /J ., Y ./ /J V FINAL . ADDITIONAL COMMENTS lo:'\ ~. -_.--- " \ --- ,l.... ... ,0 - -~-- ~~ ... " ~ m ::0 -' '2v -'-' - ~ ,.,. -' " . rot ~S ~~ \ ..., ~ ~ 0 "" :z ---. '- --' ~ -.-' ~ .. ..., := I:l t'l "d ~ , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.N orthFork.net Ot\~ 1'( 0 ii' v \ )" '-~ C BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? CJ CLJ - _ _ Jloard of Health O-'~4 sets of Building Plans /' j,}lanning BoJRI approval YSurvey i/ Check -:p:. Septic Form N.Y.S.D.E.C. Trustees Storm-Water Assessment Form_ PERMIT NO. B N b z:; , M 't, 20ifL , 3 J (~20 ort Examined Approved Disapproved ale Contact: Mail to: I 7/1S,20~ Phone: 7 65--~ f5 '11 Expiration ,Jc;L Building Inspector 'iAR 7 J. L APPLICATION FOR BUILDING PERMIT Date ,20_ 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 accordmg to schedule. b. Plot plan showing location oflot 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. APPLICA nON 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 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. /'~ ~o< (Signature of applicant or name, if a corporation) // , I'r.~. /3'I-/. '1:1:) /~cmlc- /l'Y //<J'.'J!? (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Jo.. ; '" c-.':::, i20 S COC- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No, Plumbers License No, Electricians License No. Other Trade's License No. I. Location ofland on which proposed work will be done: /7.5" j) IC\ "...,,, hj L4 PCCOVl (C- House Number Street ('J,y //<J'YP Hamlet County Tax Map No. 1000 Section Subdivision 655" Biock2-- -9. '~.' ;.. .~ ~. . ~~..',jll ~ PI ~~'{t,,~ "~'- Lot Lot /</ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S j") e-,L b. Intended use and occupancy 3. Nature of work (check which applicable): New Building / Repair Removal Demolition 4. Estimated Cost ..// ~OO. C> 0 Addition Other Work Alteration (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of rxistin,9 structures, if any: Front . / b ~A- Height I or z... Number of Stones Rear { b~T Depth I (, +-1- Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front I~#I Rear Depth Height Number of Stories I / 9. Sizeoflot:Front 2-02- Rear /90 Depth 13<-( 10. Date of Purchase /0.. ~ S-" Name of Former Owner II. Zone or use district in which premises are situated ---R e <:, 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO J 13. Will lot be re-graded? YES_NO J Will excess fill be removed from premises? YES_NO ../ 17 5 Di,^VVI()~ L'^- 14. Names of Owner OjremisesJG( me.'" /(oScoe.Address t~CCl.II{ IV. r i1'i5xPhone No. 765' - ci'i?/4 Name of Architect ..........s Oee.~\.::.o5/.:i PfAddress Phone No Nam@ sf CSRka-.(gr r\;\'-e- .\.h",J Cries;,,,,,,,..) Address Phone No. 15 a.ls this property within lOa feet ofa 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 tidal wetland? * YES.../ NO_ * IF YES, D.E.C. PERMITS MAY BE 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 c/ * IF YES, PROVIDE A COPY. ST ATE OF NEW YORK) SS: COUNTY OFS' ~oLb --hfY'\~ kOSCc>t' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Gvv-/-\r~Y-- (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 know ledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ day of fYlo..rct.... j)V;Oll.. Notary lie 20!LL GAllA.R: IIIIIIy Public, ... No 61 Cklal",ed In CIIIlIIr J~on r .plres MardI I'; fa Signature of Applicant - r \ ~ ()C-"i.f-2-1V: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET UAGE DIST. SUB. LOT IMP. 100 t. "'-0 P''i'<>o AGE NEW FARM NORMAL , BUILDING C9NDITION BELOW ABOVE ACff> Value Per Acre Va.lue TUlabl. Woodland FRONTAGE ON WATER FRONTAGE ON ROAD Meadowlcnd House Plot DEPTH BULKHEAD - Tota! .- DOCK /..I{"V -- - .~ j'\ \ ~ "'.." . , , , ~: .J 1 :'"~ I I 1-~ iI":" I 1.1 _.- .. - I './ .~ 02"'_-- M.BIdrj.-.l; ~,fn f' - 7.1',/) , , ! I"N 5~iI ,/~;,rI ~ ,.J"y -' 2. : 6' I Extension Extension /1:,< 'I K 3/.. , J.lF . ,t, J~I Foundation /:< c: Both z.. Dinette Porch .. Bosomen' "",, II Floors 0.1. K. pord,)/.L"< r'X"J."7. ?,3~ . /)4 /07 Ext. Wall. ~~ III Interior Finish 51'; LR. Breezeway Fire Place - Heat I-It;. I L,( DR. Garage Type Roof Rooms 1 sf Floor BR. Patio Recreation Room Rooms 2nd Floor FiN. B O. B. Dormer Driveway Total t/3~. . , I COLOR 13,..,,,,,, TRIMW;' ,./-. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM Item Number: (NOTE: A Check Mark ( .f) for each Question is Required for a Complete Application) PROPERTY LOCATION: S.C.T.M. #: 1(70{) a.6iL 7_ 1'-/ DistrIct Sectfon ~ Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Will this Project Retain All Stonn-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run...off created by site clearing andlor construction activities as well as all Site Improvements and the permanent creation of Impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlowl Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? Will this Application Require land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run.Off into and/or in the direction of a Town right-of.way? Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This Item will NOT Include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? 5TATE OF NEW YORK, COUNTY OF ...s."":\.b:g.\..\:.s....... 55 Comni ---------------------------------------------------- Yes No 1 ---------------------------------------------------- 2 3 4 5 6 7 8 9 J'[J ,./ [J [J / [J J [J ./ [J J [J J [J .L [J J NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm~Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Pennit! EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm~Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl t.L That I, ,.,..J0-.y~?-.?.....K9.S.C<:.'.(..:.~-..................... being duly swom, de;)oses <Uld says that he/she is the applicant for PCI111it, (Name of individual signing Document) And that he/she is the ..........Q~~~X:.:_...................... .......,....,.... ........... ....... ........ ................................................................, (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner of Owner's, and is duly autllOrized to perform or have performed the said work and to make and file this application; that all sl<ttemenls contained in this application are true to the best of liis knowledge and belief; and that the work will be pClformed in the manner set forth in the application filed herewitll. Sworn to before me this; .....................~................ day of ../Vl.~.................. ,20!??" Nol<tl)' Public .~.12:...~?........................................ FORM - 06/07 ...................~ (Signature of Applicant) M Design Services www mr.hdflRinnRANk:A!I. com phone: (531) 29S.2250 mall: mlchael@mchdeslgnservlces,com Q~ lJ.J U ~ .IZ~~ V'\ ~ j :>< ~aCll~ --.J CI) z z - ~09 ~ ~~o eJ~~~ -~ CI) .... 0 L.L 0 CIl a..~ DRAWN BY: MH February 17, 2008 SCALE: 1" = 20' SHEET NO: SITE PLAN SCALE: 1" = 20'-0' ~DlJ