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HomeMy WebLinkAbout33877-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33079 Date: 06/06/08 THIS CERTIFIES that the building ALTERATION 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 MAY 7, 2008 pursuant to which Building Permit No. 33877-Z dated MAY 7, 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" PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & NANCY P ROSCOE (OWNER) of the aforesaid building. SUFFOLK COUIIlTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4000004 05/15/08 PLUMBERS CERTIFICATION DATED N/A ~ize~ Rev. 1/81 ,.....~ .r'''. f.i?,~ 'fgS (' <5"~ 'YJY rlqs- I ~-..., r,' I \ G~ :L~__' jJu, v 8 I L-- L__]:;':":" -- This applicatIon must be filled in by typewriter or ink and submitted to the Building Department with the following: Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT :J I: TOWN HALL .....J. 765-1802 ".~~PPLICATION FOR CERTIF1CATE OF OCCUPANCY i ~ A. For new building or new use: I FIll31 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 fonn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swam statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Conunercial 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: I. 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. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Celtificate of Occupancy - $50.00 Temporary Celtificate of Occupancy - ResidentIal $15.00, COlTunerClal $15.00 2. 3 4. 5. Date. s/s J; ---L-. Ne"\v Constnlction: :'" LocatIOn of Propeliy: / z,,? House No. Old or Pre-existing Building: D \'c... ""'0 V''''-\ Le.... Street ............... (check one) ~Can/c-- Hamlet Owner or Ov.mers of Propeliy: -----~--._--- -,Suffolk County Tax Map No 1000, Section ()b 8 Block 6'L- Lot -_----.DI L.-j SlIbclIVISIOIl~____.______ __. Flied Map. _____ Lot: .J'ellllllNo :33'8 72_ DateofPcn11lt-.SNLLAPPlicant:_J<'l~_-.l1a..s_coC_ Health Dept: ApPloval. _.~____~__.. Underwriters Approval: _____ Plal1J1ing Boald Approval: Request fOI' Temporary Certificate ___'_ Final Certificate: ,.- Fee Submitted $ __~ 00 ~ ~ :,3D1'1 Lv '1~l{d-~ / (check one) ~ pplicant Signature @].[! ~ ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ @ ~ BUREAU OF ELECTRICITY ~ @J 40 FULTON STREET - NEW YORK, NY 10038 @ ~ @ @J @ ~ CERTIFIES THAT ~ ~ @ ~ Upon the application of upon premises owned by ~ @J ~ ~ ~ ~ JAMES ROSCOE JAMES ROSCOE ~ ~ 175 DIAMOND LANE 175 DIAMOND LANE ~ ~ PECONIC, NY 11958 PECONIC, NY 11958 @ ~ @ F.!J ~ ~ Located at 175 DIAMOND LANE PECONIC, NY 11958 ~ ~ ~ ~ Application Number: 4000004 Certificate Number: 4000004 ~ I Section: Block: Lot: Building Permit: . BDC: ns11 I I~ ~:~~;:~:~ dae~i~es and ~~;ii:;n:::~ribed below, located i~/~~ufhaen~~~~s~:'~the premises electrical system consisting of I '~ Outside, ~ ~ ~ I A visual inspection of the premises electrical system, limited to electrical devices and wifing to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code andlor standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ :~::ority having jurisdiction, and fO:~to ::t~n compliance ~:~:~ith on the ':i::UilSDay of ,,::y, 2008. I, ~ AdditionalCharges ~ ~ install 1 light an front porch ~ ~~~~ ~ ~ Fixture 0 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ @J ~ ~ ~ ~ ~ ~ m ~ m ~ ~ @J ~ ~ ~ seal iii! ~ ~ ~ I of ~ 11 ~ ~, Th' 'f' ~ ~ IS certl Icate may not be altered in any way and IS validated only by the presence of a raised seal at the location indicated, F.!J ~ ~ G!lG!I~Jr.lJr.I~ 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) PERMIT NO. 33877 Z Date MAY 7, 2008 permission is hereby granted to: JAMES & NANCY P ROSCOE PO BOX 485 PECONIC,NY 11958 for : AS BUILT RECONSTRUCTION OF AN EXISTING COVERED PORCH 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 MAY Building Inspector to expire on NOVEMBER 7, 2008 and approved by the Fee $ 400.00 ORIGINAL Rev. 5/8/02 33~77Z. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING D<r FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRAnON C4--~, /lJ._J REMARKS: _ ~ ~ Ok ~- /c ofr CJ_ tb- ~ DATE S- i - 0 g ~p INSPECTOR . .... " FIELD INSPECTION REPORT DATE I COMMENTS ( , "': Iod ~[OJ FOUNDATION (1ST) ~~ '-.;).., ".("" ------------------------------------ FOlJNDATION (2ND) ~~ ':;:;, [OJ ~~\ ""'2 ~O ~' \ - ~~ , g; ROUGH FRAlVIING & ~, PLUMBING ~ ~ ~ ~, --- f-- ~ (i.\ - --~ ~--- - ~- --~------ :I: -.----- ~~ )" L"ISULATION PERK y, -- t'i ::\ .., STATE ENERGY CODE , ~ " 0, , / S-Cj..-r; .,- T 0-4- I/u 'a J.- Jo. _L l4- ~K " l\ ("<: ,.j,i 1). IP' t//J7f),j_' , -'::" 1-, -' ~~ '~ -J-- !\Q.Il'd . t:7~ , FINAL U , , , b.. ADDITIONAL COMMENTS C; ""' ~----_. " CO , t>, 0 ::i: " z \. \~ ~ '--, " ~ t'i ~ )! ~ '" .., - ""~ ~ ( ~ ~ 1:1 , t'i "" ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971" TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdT own.NorthFork.net PERMIT NO.3 3~9-:r ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health ~ 4 sets of Building Plans Planning Board approval ~ Survey Check 0.;"C'\ on .~?..:()\) Septic Form ~ u N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form_ Examined ,20_ Expiration ,20_ Contact: Mail to: Approved Disapproved ale 5' Jr' 20~ Phone: ;'~G-~ f-:" "r \' 'A~pLI~TION FOR BUILDING PERMIT \ APR 2. 9 i Date ~~ r ,20_ I I INSTRUCTIONS I a. This ap~~~ca~;.M~J'.,be';~itiPre~lled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accur e p ot plan to scale. Fee according 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. 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, 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. (Signature of applicant or name, if a corporation) 'PQ.(0)( i-{??':;- PecOV\\L.i\Jr:' 11'15Y (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C) '^"' '^ EO- ..- Name of owner of premises --.')'" \IV"Ie.-.s. Ko S LaC-- (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 of land on which proposep work will be done: /7S D lO"vy\O....J,.." L__, House Number Street ';::::> , ( Ce-Oh/C- Hamlet County Tax Map No. 1000 Section 06 <t Subdivision Block 02.- Filed Map No. Lot Lot / t--/ 2. State existing use and occupancy of premises and !ntended use and pccupancy of proposed construction: a. Existing use and occupancy P Y I '^"' <^r ~I !:::i:2.}Yl r" - . I ' b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost S LOCO .60 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 existing structures, if any: Fro~ee.- RClI.~ ]tear Depth Height Number of Stories _Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: FrontlSee. f>\o.'-\S ') Rear Depth Height Number of Stories 9. Size oflot: Front Rear Depth 10. Date of Purchase I () II '19 <)/ Name of Former Owner I ;(/- IA Ie k? es '\ ol~,",,~ iG.J II. 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 / Will excess fill be removed from premises? YES_ NO -/ J;;> rl,s- O""'W\~ La.. 14. Names of Owner of premises "'W\~~ l'-..oSCoe..Address Pe-coV\;{ Phone No. /6S~'l'i?'7c; Name of Architectti.i.k~ u....J-.. ~..wa'" ~..s.I:::..,' Phone No Name of Contractor Address Phone No. IS 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 tidal wetland? * YES v' 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 . / -- * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF<;v...+-c'l!Q j(!l..\;v\ E2b ~o SCO(" being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the OVVlAey- - Lovr-lro-..c.--!-or (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 ~4'" day of At'rv\: I 20~ ~e;-'tr} NOTARY pu8L1c. State of New York No. 01 JU6059400 Quatifi~d ,In Suffolk County Comm~~~on Expires MaY_~9. 20.!..!- Signature of Applicant .. . I sL TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET / ~ DIST. SUB. . L-c.-rt Ie.. Yi- ACR. ?Fe.. OOC-'?~2 OWNER . "I F BUILDING ~A TYPE kt. Value LAND IMP. 100 '; 3 lie.. .l- .f1 b t. .roo J>ci / o--P-'f/ / 6-<>-~ e3~' / / HrrJ AGE NEW FARM BUILDING CONDITION , - NORMAL BELOW ABOVE Acre Value Per Value Acre FRONTAGE ON WATER FRONT AGE ON ROAD DEPTH BULKHEAD -- DOCK -- - Tillable Woodland Meadowland House Plot Total ,. '\ 1/, ~ - "' . , , .' 'f;\ (,.' ',. , Ii ; , , , , , i 1- i . . i . , I ~ 68.-2-14 2/08 ! ~, --'" ,/ L '6 .... - . . r'" / -........:-- M. B1diY 1; ..2 f,( '). r = 7Jf) Ext . r J f'</v 5~' L/ ~ .2, 01 IS (., en'slo,,;.? ,5)(/2-, ,~ Irv Extension '. 'Extension , I,) ,f ,.;5' Foundation , Bath L. Dinette JW. ; ,/j.1J.." I 3~1 / ' ,,~ ~ rA-r1o f,?~~= ~ > g'~ @) .2/5 2r~ Basement I Fu If Floors 0<< ?- K. Por-l Le./(, 1 - ... - (,{1), - / Ext. Walls 1€,( I 1/ Interior Finish 51''':' LR T ~, / . / ~ . ,.^ /UQ DR. (" X f2 .,~ 1-/ Il f~cf -72- ' \ 3<;, Fire Place Heat DR (0'1, IJO - Garage 1hi<.lh =- J.,,01-. (US) /.ZS' ::2,z,o Type Roof Rooms 1 st Floor BR Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Donmer Driveway Total ./- -r tft6 ~tGf) ~OR ./~'--" .-.-- ' ~.d.... TRIM /JA / f~ ~ . . . o -==- ." ~. ~~....;. .2-~ -~~.. '. . _. ...... -- -- M. Bldg. ? . -, ~ r /'/ /- ". 'I,P.../ f'1/t:! 5::-6 Extension. . {/ Extension J. ,j ,-V '""2 COLOR. /;{x' ~<Z. TRIM JJ ~ i fc -- ~. i . 1- If) 1 I , ! ^' ; .'6 [7 . IS fD Ir-- -. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD April 25, 2008 Mr. James Rosco e- P.O. Box 485 Peconic, NY 11958 RE: 175 DIAMON LANE, PECONIC SCTM# 68-2-14 Dear Mr. Rosco: The Southold Town Board of Trustees reviewed the survey prepared by Robert A. Kart, last dated October 1, 1983, and received on April 9, 2008, and determined that only the existing front covered porch is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code, and in accordance with Permit # 6806 as issued on January 23, 2008. If any work is to be performed on any part of the dwelling in the future, a permit must be applied for. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY lOCATION: S.C.T.M.#: , 0 00 .t2M{ ....Ql:- -.L.!i. District Secllon Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OFA STORM.WATER, GRADING, DRA'':'AGEAND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. ---------------------------------------------------- Item Number: ("OTE: A Check Marl< (.() for each Question Is Required for a Complete Application) Yes li2 -------------------------------------------~-------- 1 Will this Project Retain All Storm-Waler RunMOff Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as aU Site Improvements and the pem1anenl creallon of Impervious surfaces.) /[T J[J [Je/' [Je/' [Je/' [J/ [J/ [Jv/ [J/ 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures lndlcaling Size & Location? This lIem shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFlow! 3 Will thisPi"oject Require any land FlUlng, Grading or Excavation where there Is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 Will this Application RequIre land Disturbing Activities Encompassing an Area In Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 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? 6 Will there be Site preparation on Exisling Grade Slopes which Exceed Fineen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? 7 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? 8 Will tllis 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.) 9 Will this Project Require Site Preparation within the One Hundre(j (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions Olle 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 Permit! ----------.------------------------------------------ EXEMPTION: Yes J:!2 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 Required! / \/. ---------------------------------------------------- STATE OF NE\V YORK, COUNTY UJ' J."" VY\ C-5:'? S~-<'b(~ ..RP5Q.)~ ..... SS Thal !, being duly swom, deposes Ztnd says that hehhe is the ;lppUGUll fur Pcnnit, (Nan-,., ,,1 irHJividual signing Documenll And LlHt 11(' slH' )' tlh' OlAJl0~ (Owner, Con(ra<;(Q[, A.gent, Corporale OfrlGer, c(e) Owner <lnd,:ol lCPICSCI![;\uve or the Owner of OWTler's, and IS dul)' authoriz.ed to perrorm or have performed the sajeJ work and to make and Ilk tlw; application; that all statements contained in this application are true to the best of his knowledge and belief; cU1d that the lVork will be performed in the 111(lJ11ler set forth in the application /lIed herewith. Sworn to bdore llH'. tIllS; .q.~:t'" ..... ......qq.. .. day of .Arre,'qlq..qq, 200:, Notary PUbIICq~.q.~* qq..,...." ...~ (Signature of Applicant) \. FORM. 06/07 ~o~f A~Y J~8~~IC Slate of New York No 01JU6059406 Qualilied In Suffolk COMunt~9 20 II Commission Expires ay . - -=- _ ':'--'- , . . , --- "- ~ ! \ .~ ~ ~ .-~. ... , """" , ~,o("~t,,~.~ . : ...... "':"'.;.: ,'. . .'. :'.'" '. .:,. \ .\,.X ., ~ . 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