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HomeMy WebLinkAbout33985-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33285 I~ate: 09/22/08 THIS CERTIFIES that the building ACCESSORY I~cation of PropeI~cy: 935 FAIRWAY DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 109 Block 5 subdivision Filed Map No. __ Lot No. __ CUTCHOGUE (HAMLET) Lot 14.31 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 2008 purst~mnt to which Building Permit NO. 33985-Z dated JUNE 17, 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 ACCESSORY DECK SURROUNDING AN EXISTING INGROUND SWIPING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to CHRISTOPHER M LEADEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENTOF HEALTH A~PROVAL EL~t-I'KICAL C~4(TIFICA~ NO. PL~P~ U~K'CIFICATION DATED N/A N/A N/A Author~ zed S ~gnature Rev. 1/81 This application must be filled in by typewriter or ink and submitted to/he Buildiug Department with the following: A. For new building or new use: l. Final survey of property with accurate location of all buildings, propeIly lines, .tleets, and unusual natural or topographic features. 2. Final Approval frmn Health Dept. of water supply and sexverage-disposal (S-9 form). 3. Approval of elect/Seal installation from Board of Fire Underxvriters. 4. Sworn statement from plumber certifying that the solder used m system contains less than 2/10 of 1% lead. 5. Coim'nercial building, iudustrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible fbr the buildiug 6. Submit Planning Board Approval of completed site plan requirements. B. For existiug buildings (prior to April 9, 1957) nomconforming uses, or buildiugs and "in-e-existing,, land uses: 1. Accm ate survey of property showing all property lines, st~ eets. building and onusnal natnral or topographic features. 2. A properly completed application aud consent to inspect s~gned b5 thc applicaut, ifa Certificate of Occupmcy is denied, the Building Inspector shall state the reasons 0mrefo~ m wd/ing to lhe applicant. C. Fees 1 CcrtificateofOccupancy Next, dwelling $2500, Additions to dwel g$2500, Adlerationstodwellmg$25.00, Swilmning pool $25.00, Accessm y boildmg $25 00. Additions to accesst~t y building $25 0(, Businesses $5000 2. Cmxificate of Occupancy on Pre existing Bmkling - $100 00 Copy of Certifica/e of Occupancy - $.25 4 Updated Ce:lificate of Occupaucy - $5000 5. Temporal y Cmtificate of Occupancy - Resideutial $15.00, Ccmnncr¢ial $15.00 New Cons/rn~tioll: Locatioo of PropetSy: Old or Pre-existing Building: (check oue) Street House No Suffolk Csunty Tax Map No 1000, Section Subdivisioo __ Block __~_ . ~ Lot Filed Map. lot: UndeIxvriters Approval: 0 Penni/ No. 3.~ ?~1:1.-,,.,,~ Health DeN. Approval: Planning Board Approval: Request for: Temporao Certificate Fee Subnfitted: $ oX-~ .0 0 Final Celtificate: ~ (check one) t 8ignatur~ 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. 33985 Z Date JUNE 17, 2008 Permission is hereby granted to: for : CHRISTOPHER M LEADEN PO BOX 1036 CUTCHOGUE,NY 11935 ACCESSORY DECK SURROUNDING AN EXISTING INGROUND SWIMMING POOL FENCED TO CODE at premises located at County Tax ~4ap No. 473889 Section 109 pursuant to application dated JUNE Building Inspector to expire on DECEMBER 935 FAIRWAY DR CUTCHOGUE Block 0005 Lot No. 014.031 6, 2008 and approved by the 17, 2009. Fee $ 556.00 i, Aut~6rized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ,HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c Expiration PERMIT NO. 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 Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: ~uild~ing I~spector ?ATION FOR BUILDING PERMIT Date INSTRUCTIONS k____._.7 ~ ~ ____.~ , 20 O0e- 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 thc work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months kom such date. If no zoning amendments or other rcgulations 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.~ ,/~_ , ~ ~/]~ (Signtatnre of applicant or name, if a corporation) (Mailing address ofa~plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~ql~lt-00'~,--- ,4- ~--J4~q,~ /~e..av, Q (As on thd tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~ 0t ? - hq Plumbers License No. IkJ!/q Electricians License No. AJ/~k Other Trade's License No. /<//lq' 1. Location of land on which prol~osed work will be done: 4 House Num6er / Street County Tax Map No. 1000 Section /0 ~ Block 5' Subdivision Filed Map No. Lot Lot /q.3 / 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 Fee 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition Addition Alteration Other Work DOt2 [ dI~F_J~ (Description) 4. Estimated Cost 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 If business, commercial or mixed occupancy, specify nature and extent of each type of use. K//t°f Dimensions of existing structures, if any: Front bJ/~r- Rear Depth Height Number of Stories ' Dimensions of same structure with alterations or additions: Front /b~r Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories O 9. Sizeoflot: Front 1~..5 t , Rear [3 v~. ~o _Depth _Depth 10. Date of Purchase I ~ c/ ? Name of Former Owner 11. Zone or use district in which premises are situated ~d-_c} ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO '~ 13. Will lot be re-graded? 14. Names of Owner of premises Name of Architect ~ k Name of Contractor ~ 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 within 300 feet of a tidal wetland? * YES__ NO /& property * IF YES, D.E.C. PERMITS MAY BE REQUIRED. __ NO/~ Will excess fill be removed from premises? YES NO Address pO e)o~, io~10;(-kd~°~one No. Address ~o. ~.~' ~, 3~ Phone No Address ~ ~o~-~ Phone No. 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. CONNIE O. BUNCH Notary Pubtic, State of New STATE OF NEW YORK) No. 01BU6185050 Qualiffmd in Suf'mlk County SS: Commission Ex~ims ~ 14, 20 lc,I- COUNTY OF ) ~ '~>~'~ ~ being duly swom, deposes and says that (s)he is the applicant (Name oftfndividual signing contract) above named, (S)He is the (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. Notary Public TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING/STRAPPING ~/'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION[ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ DATE ~ ~//~'---- ~ ~ INSPECTOR~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE ~- ~''~ c) (~ FOE~DATION (2ND) ROUG~ F~G & pE~G ~SL%ATION PER N. ¥. STATE ENERGY CODE ~DITION~ COUNTS Town of Southold Erosion, Sedimentation & Storm-Water Run.off ASSE88MENT FORM !tern Number: 2 3 4 PROPERTY LOCATION: 8.Cff. t& #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A (000 ((~ ~ ~0,~ i STORM'WATER, GRAEING, DRAIHAOBANDERO$1ONOOHTROLFi..AN DIsldcl Section 6lock Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, (NOTE: A Check Ma~ (~) for each Questio~ is Requked for a Complete Appfication) Yes No Will Ibis Project Retain Alt Stoma-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include alt run-off created by site clearing and/or construction activities as well as alt 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 Conlrolling Surface Wa{ed:low! Will this P?oject Require any Land Filling, Grading or Excavation where Ihere is a change to the Nalural Existing Grade Involving more than 200 Cub c Yards of Ma edal within any Parcel? Wltl this Application Require Land Dislurblng Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Sudace? 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feel of a Wetland or Beach? 6 Will there be Site preparatiofl on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedioal Rise to One Hundred (100') of Hodzo~lal Distance'? 7 Will Driveways, Parking Areas or other Impervious Sudaces be Sloped to Direcl Storm-Water Run-Off thio and/or in the direction of a Town dghl-of-way? 8 Will this Projec( Require the Placemenl of Material, Removal of Vegetation and/or the Construction of any item Within the Town R g -o -Way or Road Shoulder Area? (This item witl NOr include the Installalion of Driveway Aprofls.) EXEMPTION: Ye~s N~o STATE OF NEAV YORK, ~ ~ , ~ O~al~n~k~n~ m~e ~M file d~s applica~on; d~at MI s~temenLs con{tuned m fl~is applicadou a~e uue. Io d~* besl ol his h~owledge and belief; and FORM - 06/07 0 $ 88'59'20" E rOUND 70.1' Lot ~ S B'F't 9' 40" ~ 42.7' 25.0' Lot (~) S 284.95' FOUND CONC. 79.7' ?_55.14' (,ACT.) \N 88'58'20" W (~.s~' ~) 4.50' N.Y.S. Lic. No. 50467 SURVEY OF LOT 31 MAP OF FAIRWAY FARMS FILE No. 6066 FILED FEBRUARY 15, 1974 S/TUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-109-05-14.51 SCALE 1"=50' MAY 1, 2008 AREA = 45,804 sq. ff. 1.052 ac. UNAUTHORIZED ALTERATION OR ADDmON TO ~IIS SURVEY 15 A ~,qOLATION OF SECllON 7209 OF THE NEW YORK STAT EDUCATION LAW. COPIES OF ~'IIS SURVEY I,~ NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan Taft Corwin III Land Surveyor ?Ttle Surveys -- Subdivisions -- Site Plons -- Construction Loyout PHONE (651)727-2090 OFFICES LOCATED AT 322 Roanoke Avenue Riverheod, New Yo~ 11901 Fax (631)727-1727 MAIUNG ADDRESS P.O. Box 1931 Riverheod, New York 11901-0965 .9 ALL CONSTRUCTION SHALL IV EET THE REQUIRE,,;:, '~,q CF FHE CODE8 OF NEW' ~ C,,-,K ::,V' ~, : APPROVED AS NOTED FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE CODES OF N~ YOR~ STATE, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, ~[ CL>~X~C-¢~C(:, 3OCUPANC'? OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY