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