HomeMy WebLinkAbout35077-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34109
Rte: 12/03/09
HIS CERTIFIES that the building ALTERATIONS
Location of property: 875 EAST RD CUTCHOGUE
(HOUSE NO.) (STREET) (HA~4LET)
County Tax Map NO. 473889 Section 110 Block 6 Lot 14
Su]m~ivision Filed Map NO. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 25, 2009 purs%u~nt to which
Building Permit No. 35077-Z dated OCTOBER 19, 2009
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 WINDOWS AND DOOR IN EXISTING PORCH FOR A ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to AARON M & MARY E SCHWARTZ
(OWNER)
of the aforesaid building.
SUFFOLK COIH~TYDEPARTF~qTOF~{EALTHAPPROlrAL
EI~t-i-KICJ~L CERTIFICATE NO.
PLIERS ~TIFICATION DA'r~u
N/A
N/A
N/A
/~~'~thori2~
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION'FOR CERTIFICATE OF OCCUPANCY
This application must be filled'in by typewriter or ink and aUbmittod to the Building Depamnent with the following:.
-.4. For new building or new use:
1. Fin~!. survey of property with. aoourate location of all buildings, proPerty lines, streets, and unusual natural or
· topographic features.
2. Final Approval from Health Dept. of wa{er supply and sewerage-d/sposal (S-9 form).
3. Approval 0 f electrical ina/aliation from Board of F/~e Underwriters.
· 4. Sw0m statement from plumber cet'dfy/ng that the S°lder uaed in syatem conl~ih~ leas than'2/10 of 1% lead.
· 5. Commercial building, induatfial build/ng, multiple reaidencesand slmila~ bu/ld/ngs and/nstallation~, a certificate
·Of Code.Compliance. from architect.o/- eng/necr resPonsible for the bu/lding.
· 6. Submit Planning Boa~l Approval.of oomP!eted site plan requirements.
"B. F~r e~s~ng bui~dings (pri~r t~ Apri~ 9~ ~ 9 57) n~n~c~nf~rm~ng uses~r b~ldings and "pre-existing~ land uses:
1. Accuratesurvey~fpr~pertysh~wing`al~prop~rtyYmea~strcets~bui~cY~ngandunusual~atura~rt~p~graphic ..
· .features.
.2. A properl7 completed application' and c0n%nt ~ insPect signed }~ythe ~plicani. if a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
-C. Fees : ·
· 1. Certificate ~f Occupancy - New dwelling $25.00, Additiom to dwelling $25.00, Alteration.q to dwelling $25.00,
Swimming P0ol $25~00, Acce~90r7 building $25.00, A. ddifion~ to acce~sor7 bullding 525.00, Businesses 550.00.
:. 2. Certificate of Occupancy on Pm-existing Building - 5100.00
3. Copy of Certificate of Occupancy - 5 25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial 515.0{) .
· xi g: _ (cheek one)
. . House No. Street '
Subdivision !0 ~' Applicant: ~/~ ~ 0
PermitNo. _.77.~ ~) 7?-gDateofPcmdt. lO, ,~l/nderwfitem^ppmval:
Health Dept. Approval:
Phnning Board Approval:
[~eque~t for: Tcm~po.rary~Certificate Final Cert/ficate: / (check one)
Lot:
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35077 Z
Date OCTOBER 19, 2009
Permission is hereby granted to:
AARON M & MARY E SCHWARTZ
73 WHIPOORWILL ROAD
ARMONK,NY 10504
for :
REPLACE WINDOWS & DOOR ON EXISTING PORCH PER APPROVED PLANS AS
APPLIED FOR
at premises located at 875 EAST RD
County Tax Map NO. 473889 Section 110 Block
pursuant to application dated SEPTEMBER 25, 2009
Building Inspector to ex-pire on APRIL
CUTCHOGUE
0006 Lot No. 014
and approved by the
19, 2011.
Fee $ 200.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
~.5-o 77 g. ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE II-/° - o ~ INSPECTOR
FOUNDATION (2ND) '~ ~ ~
ROUGH FRAMING & ~
PLUMBING
STATE EI~r~RGY CODE
~DITION~ CO~ENTS ~}
TOWN OF SOtdTHOLD
BUILDIN'G DEPARTMENT
TOWN HALL
SOUTHO, LD, N'Y 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' ~q~
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20 0q
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.
fi 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 lbr 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.
SEP 2 5 2009
· BLDG DEPT
State whether applicant is )wrier, les~,0a~0t~chitect, e
Name of owner of premises p"] a_ v- o ~..
(Mailing address of al/plicant)
tgineer, general contractor, electrician, plumber or builder
(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.
Location of land on which proposed w_or~ will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
Block
Hamlet
Lot
Filed Map No.
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy '¢ub~.; ,J~,~4C'~ [,
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair 6;~,{~[~.eX,, Removal Demolition
Estimated Cost ~/q;[O'O ~-~.'5~
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
(Description)
(To be paid on filing this application)
Number of dwelling units on each 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 -5 ~, t
Rear qo Depth
Height_ '~ 1~ ' Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth ~ , ~ .,.. ~ Height ¢.0 c I~.~ ~ Number of Stories-~r"-M"o
8. Dimensions of entire new construction: Front (~ Rear 0 Depth
Height O Number of Stories O
Size of lot: Front t ~- 0 t Rear { ~' 0 t .Depth ")-- ~-0 t
10. Date of Purchase
[ ~l { '"P Name of Former Owner
11. Zone or use district in which premises are situated {J~ -
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
Rear ~ ,"L-~t--
0
13. Will lot be re-graded? YES NO'/'V Will excess fill be removed fi.om premises? YES NO
14. Names of Owner of premises/}~u'o~- tP~ ~c[~w'~r~-~ Address'J} Ulk~ff~r~:~(~ /~"~"k' t,3'(
tWl;hone No. C~l~,
Name of Architect Address ~ l' Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V//NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R_EQUIRED.
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 distance~ to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
l 8. Are there any covenants and restrictions with respect to this prope,rty? * YES NO
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF.S., ff.lk ) _
rang u y sworn, deposes and says that (s)he is the applicant
(Name ofin~idual signing contract) above named,
(S)He
is
the
~(C~ractor, Agent, Co¢orate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have peffo~ed the said work and to make and file this application;
that all statements contained in this application am tree to the best of his ~owledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
%5*t' dayof ~',.[~'{tr-f~¢,,. 200o1
Proposed Replacements
RETAIN STORM WATER RUNOFF
°'"""°,""'"""";~r~UANT TO CHAPTER 236
OF THE TOWN CODE.
24'
30"
Existing Layout
i. FOIJN[:t: * TWO !
· 'FOR F'~U¢; CONC : ;E
2. ROUS4 ilNG &
3. I: "'~"
,.~. FINA~ - C; ~U"T :h MUST
BE COL~L P : O.
ALL CC;~5 ~¢ ~[-~.~L,~ MEET
YOR< S['A~
DES'GN OR CO~q'5~[~U ~RRORS.
=gure 3.9a
Studs and Headers Around Wall Openings
Double Top
Double Head;
Full Height-'~
Stud
~ck Stud~
Sill Plate
Bottom Plate
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
October 19, 2009
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. Benjamin Schwartz
1845 Fleetwood Rd.
Cutchogue, NY 11935
RE: t845 FLEETWOOD RD., CUTCHOGUE
SCTM#110-6-14
Dear Mr. Schwartz:
Dave Bergen of the Southold Town Board of Trustees inspected your property and determined
the work described in the application received on October 14, 2009 to replace windows and
doors on the existing dwelling to be out of the Wetland jurisdiction under Chapter 275 of the
Town Wetland Code and Chapter 111 of t~-~ Town Code.
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 and/or wetlands
jurisdictional boundary, 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 best management practices 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.
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call.
Since~ely~
Jame .~Kin~, Presiden ~
Board of Trustees
JFK:lms
S2'
B' ENC.PORCH '
~4' ,
,16'
LIVING B' ~
16' ROOM .... ~
DINING
ROOM
KITCHEN
/
16' BEDROOM /
BEDROOM
.
6'
8'yH BEDROOM
30'
24'
24'
AREA CALCULATIONS SUMMARY
LIVING AREA CALCULATIONS