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Home My WebLink About33487-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-33362 Date: 10/30/08 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 4630 BLUE HORIZON BLUFFS (HOUSE NO.) (STREET) County Tax ~ap No. 473889 Section 74 Block 1 Sulx~ivision Filed Map No. Lot No. PECONIC (H~J4LET) Lot 35.51 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 2007 pursuant to which Building Permit No. 33487-Z dated OCTOBER 23, 2007 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 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR PER TRUSTEE APPROVAL. TRUSTEE CERTIFICATE OF COMPLIANCE # 376C OCTOBER 24,2008. The certificate is issued to CHARLOTTE DICKERSON (OWNER) of the aforesaid building. $IIFFOI~KCOI~rYDEPAR~)~TOF~{F~khTHAPPRO~-AL ELEC~RICJkL CERTIFICATHNO. PL~B~S c~TIFIC3%TION DA'r~o N/A N/A Rev. 1/81 BLDG. DEPT. ' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 PPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final 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 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial 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: 1. 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, CommercialDate. $15.00(_1 [}UL~~]0 ~ New Construction: 'x~ Old or Pre-existing Building: (check one) LocationofProperty: 4~.~0 5/'0,~ ~(/"Lm~x ~]'-5~-'q House No. Street Hamlet Owner or Owners of Property: ~/~[o3ff~e.. Suffolk County Tax lV~p No l000, Sectionq'~,{~ '~ 07q Block ~)00/ Lot 034'-, Subdivision ~z~l~O-.- ~.'Pl(l~.0'~ (,"~[Iag~'5 Viled Map. __ __ Lot:~__ mermitNo. ~3k/~'~ '~ Dateofmermit. 10~10'7 Applicant i~l"~'"'k} H 1 - I ea th Dept Approval' gr Underwriters Approval' m A- Planning Board Approval: ',/?/7, ~d Request tbr: Temporary Certificate Final Certificate: J (check one) Fee Submitted: $ '~plicant Signat~'e 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. 33487 Z Date OCTOBER 23, 2007 Permission is hereby granted to: CHARLOTTE DICKERSON 460 PADDOCK WAY MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR PER TRUSTEE APPROVAL at premises located at 4630 BLUE HORIZON BLUFFS PECONIC County Tax Map No. 473889 Section 074 Block 0001 Lot No. 035.051 pursuant to application dated OCTOBER 12, 2007 and approved by the Building Inspector to expire on APRIL 23, 2009~ 00.oo ORIGINAL Rev. 5/8/O2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined c~~~ , 20 ~ Approved ,20 Disapproved a/ Expiration ,20 ~ &,Lb, CEPT L. TC'WN OF ~"'", 'T~' n BUILD1NG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning~d approval Survey_ Check ~-- ~0~0 Septic Form N.Y.S.D.E.C. Tmstees '~{( ~z Storm-WateCAssessment Form Contact: Mail to: Phone: 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 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 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. Thereat%r, 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. (Signat~ of applicant {~r name, if a corporation) (Mailing address df applicant) State whether applicant is owner, lessee, agegt, architect, engineer, general contractor, electrician, plumber or builder Name of owner of rem]ses (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. 1. Locatioao£1and on which p~p. osed,w, ork will be done: House Number Street Hamlet County Tax Map N~./~000 ~ection //4 Block Subdivision [-~_ [ul(~, '~ Ofl ~¢A ~ Filed Map No. (Name) Lot I State existing use and occupancy ofpremisd~and intent~ed use and ¢ccupancy of proposed construction: a. Existing use and occupancy ~'1~, ~ ti[ ( Cq! ([~t C b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ~, Addition Alteration Repair Removal Demolition '~ Other Work Estimated Cost ! 0fid ' Fee If dwelling, number of dwelling units If garage, number of cars (Description) (To be p~iid on filing this application) Number of dwelling units on .ehch floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height [~ ' Number of Stories Rear I~ Depth Dimensions of same structure with alterations or additions: Front I (o Depth ;~q' Height 1.9 Number of Stories 8. Dimensions of entire new construction: Front Height ~'3 Number of Stories I Rear 9. Sizeoflot: Front 10. Date of Purchase 50,~ Z 00 Name of Former Owner 11. Zone or use district in which premises are situated Rear IO Rear l0 Depth Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO X 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor 31[~x. 'Dt[Jttr~,x Address __ NO X Will excess fill be removed from premises? YES NO ~d[01~f~ }_~,c~dl,~ddress ~¢ ~c{~¢.[{,,1~ Phone No. ' fi~l' ~ Address Phone No Phone No. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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 X * 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 '~x · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~1/~/x, ~ ~)(t)6~O v-~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe ~ \oOI1.~,~ / (' fflA4-Wyt~O(' (Contractor, Agefit, C~rpoi'at~-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 tree 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 ~-_7 day of 20 Notary PuMf~K Tm GA~J~/ NOTARY PUBLIC, State'fif N~ ¥0~ No. 469565t~ Qualified in S~fiolk Co~n~y ~mmi~ion ~pires May 31, - - ~i~tt[tre ~-f%~ppl*i~ant James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 # 0376C Date: October 24, 2008 THIS CERTIFIES that the demolition of existing storage shed and construct new beyond 100' from top of bluff At 4630 Blue Horizon Bluffs, Peconic, New York Suffolk County Tax Map # 74-1-35.51 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 8/08/07 pursuant to which Trustees Permit # 6690A Dated 8/22/07 and 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 demolition of existing storage shed and construct new beyond 100' from top of bluff The certificate is issued to CHARLOTTE DICKERSON owner of the aforesaid property. Authorized Signature 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 INSPECTOR DATE ?'- / 7~ 0 ~' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION RFMARKS: ~~~__~ DATE FIELD INSPECTION REPORT I DATE [ COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) PLUMB]lNG STATE ENERGY CODE ADDITIONAL COMMENTS James F. King, President Jill M. DoherCy, 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 SOUTHOLD Permit No.: 6690A Date of Receipt of Application: August 8, 2007 Applicant: Charlotte Dickerson SCTM#: 74-1-35.51 Project Location: 4630 Blue Horizon Bluffs, Peconic Date of Resolution/Issuance: August 22, 2007 Date of Expiration: August 22, 2009 Reviewed by: Board of Trustees Project Description: Demolish the existing storage shed and rebuild beyond 100' from the top of the bluff. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the application prepared by Charlotte Dickerson, received on August 8, 2007. Special Conditions: None. Inspections: Final inspection, If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F King, President Board of Trustees JFK:eac CONC. SLAB 6X6 10/10 WWM COMPACT FILL 12' TYPICAL CONC. MONOLITHIC FOUNDATION. REINFORCE WITH (2) fl-4 REINFORCING BARS Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T . #: ~ I~JstHct Sectflon Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 8TORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes N~o 1 2 3 4 5 6 7 8 9 Will this Project Retain All Storm-Water Run-Off 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 all Site Improvements and the permanent cmatioo of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Dra nage Structures Indicating Size & Location? This Item shall include all Pmpesed Grade Changes and Slopes Controlling Surface WaterFtowI Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Pamel? 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 Coume Running through the Site? Is this Project within the Trustees jurisdiction or with n One Hundred (1 Off) feet of a Wetland or Beach? Witi them be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Verlical 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? NOTE: If Any Answer to Questions One through Nine ia Answered with a Check Mark in the Box, a Storm-Watar, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Butiding Permltl 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 -- STATE OF NEVV YORK, ~'N1. COUNTY OF .....~ 3.,0~..~ ?.~..L.. ............... SS That I ............ .~.~...~...!~..~.~......~....[.~'.[.~..~.~.~....[~... ......... being duly sworu, de'poses and says that he/she is the applicant for Permit, (Name of individual signing Docume~ And that he/she is the .........................~J~.~t~.. Owner and/or representative of the Owner of Owner's, 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 ford~ in the application filed herewith. Sworn to before me this; ................. · ..~....'~. ..................... day of ........ 5....~. ,....~... ................... ,tl/J_ Notary Public: ...... ..~..'~~~ ................. ~;CTAR;' P.'.J'~LIC, State cf Hew Y"_r~. FORM - 06/07 No. 4695650 Qualified in S~ff01k County C0rarai~0n Expires May 31, (S~nalure of Applicant) CO~,r~pLY W!TH ALL CODES OF NEW W.)RK STATE & T(')'C,/N CODES .--., ""-~ AND COND~TIONS OF -- · :'~ING BOARD OCCUPANCY OR USE IS UNLAW, UL OATE."~.'/~'.k; ~ WITHOUT CERTIFICATE 7~5:1802 8AM FOLLOWING pOuRED ~,SR~E FOR 2; ROUGH - 3. .... 4. FINAL ' b ALL CONSTRUO ............. DESIGN OR CO~S~RUC~ ~ ' ' :"~i CONC. SLAB 6X6 10/10 WWM COMPACT FILL DRAIN TI~~ BAR 12' YPICAL CONc. MONOLITHIC FOUNDATION. REINFORCE WITH (2) ff~ REINFORCING BARS '~ ~NAILING SCHEDULEr ~,,,..,~,:.~,'""v~ ~,..,a,'~[o,. ,,.s ~.c..a.,/1..o E~m,~..,..,a,~ ~,,... ~o,..'r~,~o. ALL NNL SPACING iS BASED AT 16' G*C. SPACING. ANY OTHER ~PACJNG OR DIFFERENT APPMCA'I'IONS, THE CONTRACTOR SHALL REFER TO THE PRESCRIPTIVE DEIGN SECTION OF THE ~OOD FRAMING MANUAL FOR PROPER APPLICATION ROOF FRAMING: WALL FRAMING: ROOF SHEATHING: CEILING SHEATHING: WALL SHfiATHING: ;LOOR SHEATHING: NOTES: THESE NQTES ARE ONLY TO BE REFER,RED TO IF MENTIONED iN SCHEDULE NOTES ONLY. :LOOR FRAMING: TABLE 3.8 ROOF SHEATHING REQUIREMENTS FOR WIND LOADS: NOTfi_ _ _S THESE NOTES ARE ONLY TO BE REFERRED TO IF MENTIONED IN SCHEDULE NOTES ONLY. TABLE 3.9 WALL SHEATHING REQUIREMENTS FOR WIND LOADS: NOTE__S THESE NOTES ARE ONLY TO BE REFERRED TO iF MENTION ED tN SCHEDULE NOTES ONLY. ..SU~-.ME¥ OP LOT I ~Ut~,iDI',/ISION HAP OF E~LUE HOF~IZONS PILl= No. lq14 SITUATE~ PEGONIO TOINN.' .~:2UTHOLD I.~UPPOLtC COUNTY', NY LOT ~ LOT I S$0°19'00.~, 804.00, LOT JOHN C. EHI ,ERS LAND SURVEYOR 6 EAST MA~ STREET N.Y.S. L[C. NO. 50202 R/VERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Compaqs=rver\pr os~2000 pros~20-264E.pro ®P-.APHIO SCALE 1":50' SURVEY Of= LOT I SUBDIVISION IvlAP OP BLUE HORIZONS PILE No. 3q"f4 51TUATF: PEGONIC, TOWN: ,50UTHOLO EA)FFOLK COUNTY, NY 5UPPOLK COUNTY TAX ~' 1000-74-1-55 DI % I 'rl LO?- LOT ~ 80~.00, LOT ¥ NOTES, ®RAPHIO SCALE ["=50' ¢LoT 7 5C^LEI"=IO0' JOHN C. EHI.ERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 R[VERHF~M), N.Y. 11901 369-8288 Fax 369-8287 REF.-\~Hp serverkikPROSg10-264E.pro