Loading...
HomeMy WebLinkAbout33884-ZFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34138 Date: 12/15/09 THIS CERTIFIES that the building MOVE ACCESSORY Location of Property: 1855 DEPOT L~ (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 1 Lot 9.1 Subdivision Filed Map No. Lot No. __ CUTCHOGUE conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 25, 2008 pursuant to which Building Permit No. 33884-Z dated MAY 8, 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 RELOCATE AN EXISTING ACCESSORY STRUCTURE AS APPLIED FOR. The certificate is issued to ROBERT & JOYCE BARRY (OWNER) of the aforesaid building. SUFFOLK COUN~1[ DEPARI~NT OF HEALTH APPROIK~J~ EL~t-rKICAL U~KTIFICATE NO. ~LD)~ERS CERTIFICATION DA'rF~3 N/A N/a N/A Rev. l/S1 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with A. For new building or new use: 1. Final survey of property with accurate location.of all buildings, property lines, streets, and un~ 3. 4. 5. topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. e wing: Sworn statement from plumber certifying that the solder used in system contains less than ?il 0 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 preperty showing all property lines, streets, building and unusoal natural or topographic features. 2. A properly completed application and cousent to iuspect 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, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: 1~,~ (check one) Location ofProperty: ~ SS ~ _r~fl_,¥ ~ -- ~'3J. x2P~C~C:~O,~ House No. St~t Suffolk County T~ Map No 1000, S~tion I ~ ~ Subdivision ~ k ~~ G r~ PemitNo. ~q DateofPemit. ~~ Health Dept. Approval: Planning Board Approval: lq Request for: Temporary Certificate Fee Submitted: $ c~ Block ~(DO [ Lot FiledMap. [/~O ~ Lot: Applicant: ~ {! ~0_~ Underwriters Approval: [kl / itel- Final Certificate: ~ (check one) A p~antISignatur~ 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. 33884 Z Date MAY 8, 2008 Permission is hereby granted to: JOYCE B~LRRY 1855 DEPOT LANE CUTCHOGUE,NY 11935 for : RELOCATION OF AN EXISTING ACCESSORY STRUCTURE AS APPLIED FOR. at premises located at 1855 DEPOT LA CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0001 Lot No. 009.001 pursuant to application dated APRIL 25, 2008 and approved by the Building Inspector to expire on NOVEMBER 8, 2009. Fee $ 100.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~[~] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT I~ENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ~/~FOU NDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ___~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JL~T~ON [ ] FRAMING / STRAPPING [/~]~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE#,- i~ATION REMARKS: DATE INSPECTOR ~m~ n~s~,~CT~O~ R~PORT I FO~ATION (1ST) ROUGH F~G & PL~G ,/ ~SL~ATION PER N. Y. STATE ENERGY CODE -:TOWN or SOUTHOLD %' ]]UILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Exaruined q~ ,20 D~ Approved ;7 ~/ ,20 O/f/ Disapproved a/c Expiration Building Inspector 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 Co.tac,: IC .OO Mail to: ~3~0~O~ "~t3tlZ~l~. Phone: bZt -clSCg Aii~LICATION FOR BUILDING PERMIT Date 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. 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, Suftblk 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. ( S ignaCe]l~ f a~plic ~nnt or' --n~e~if a cor~ration) (Mailing address of applicant) ~'~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '~)..~5~ i &,BUR_ '-~~ · (~s~the tax roll or latest dec'~d) 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. Location of land on whic~ proposed work will be done: House Numb~ ~ Street - Hamlet County Tax Ma~ No. 1000 Section Subdivision (Name) Block O I Lot Oq Filed Map No. II ziO~ ~Lot 2. 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 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~..~OO, OO 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ~J~CC~C~',~ (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 Height Number of Stories Rear ~O. ~ Depth Dimensions of same structure with alterations or additions: Front ~zO, ~ Depth ~ ~. ~ Height. Number of Stories Rear e,~O ,'~ 9. Size of lot: Front 10. Date of Purchase 11. Zone or use district in which premises are situated Dimensions of entire new construction: Front Height Number of Stories .3c)c . Rear &oo. ach Name of Former Owner Rear Depth Depth e~(D (,o .q~- 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 ~ 14. Names of Owner of premises2~x~~Address~l~ W. O..~ ~) Phone Nme of Architect ~ddress Phone No Nme of Contractor Address Phone 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 5( * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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__ · IF YES, PROVIDE A COPY. NO ~ STATE OF NEW YORK) SS: COUNTY OF-.~O ~L) ~'-'~ ~X/¢ ~-~ I -~c:a-~ ¥"4 being duly sworn, deposes and says that (s)he is the applicant (Name of]nd{vidual signing contract] above named, (S)He is the ~ J~/xt.- _ . ~ (Contractor, Agent, uorpomte 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 ~ qJg~ day of ~O, 20 o NOTARy PU~, (ligature of~pplicant (~ District Section Block Lot STORM-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) Ye~s N__9_o 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all mn-off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Stracturas Indicating Size & Location? ~J/~t- This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WateHqow! 3 Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural Existing Grade Involving more hah 200 Cub c Yards of Matedal within any ParceF~ 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of F ye Thousand (5,000) Square Feet of Ground Surface? 5 6 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? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15)feet of Vertical Rise to One Hundred (100') of Hodzontal 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 fight-of-way? 8 9 Will this Project Require the Placement of Matadal, 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 F oodplain of any Watercourse? NOTE: If Any Answer to Questions One 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: Ye.._~s No Does this project meet the minimum standards for classification as an Agricultural Projec[? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl -- -- STATE OF NEW YORK ...... (Name of individual signing Document) And that he/she is the .................. {~>~.J~t~._~ ............................................................................................................. (Owner, Contractor, Agent, Corporate Officer, elc.) Owner and/or representative of the Owner of Owner's, and is duly authorized to perfom~ 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 Imowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ...................... .'.~...~ ....... dayof ....... ~....~...~. ...................... 20....~<~ FORM - 06/07 No, 0tR~4aae ~,:mified in 8ufl~ ,o ; ,~,d~in Ex~ires July / / / / N,Y.S. Lm, No. 50467 JOSEPH F~LE SUFFOLK S.C. TAX SURVEY OF LOT 1 MAP OF & BARBARA GRATTAN No. 11403 FILED JUNE 27, 2006 SITUA TED A T CUTCHOGUE TOWN OF SOUTHOLD COUNTY, NEW YORK No. 1000-102-01-9.1 SCALE 1"=,50' SEPTEMBER 8, 2007 AREA = 80,077.40 sq. ff. 1.838 ac. CERTIFIED TO: ROBERT J. BARRY JR, JOYCE N. BARRY WELLS FARGO BANK, N,A. STEWART TITLE INSURANCE COMPANY THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED, Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 -. / NY6 SURVEY OF LOT 1 MAP OF JOSEPH & BARBARA C-RATTAN FILE No. 11403 FILED JUNE 27, 2006 SITUA TED A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-102-01-9.1 SCALE 1"=30' SEPTEMBER 8, 2007 AREA = 80,077.40 sq. ff. 1.838 ac. CERTIFIED TO' ROBERT J. BARRY JR. JOYCE N. BARRY WELLS FARGO BANK, N.A. STEWART TITLE INSURANCE COMPANY THE £XJSTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 50467 Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 / ~ /' 80 077.40 ,sq. ff. // / 1.858 ac. .. / N.Y.S. Lic. No. 50467 JOSEPH FILE SURVEY OF LOT 1 MAP OF & BARBARA No. 11403 FILED JUNE 27, SITUATED AT CUTCHOGUE GRATTAN 2006 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-102-01-9.1 SCALE 1 ,=o-'0-,2~-~:' ,, SEPTEMBER 8, 2007 AREA = 80,077,40 sq. ff, 1.838 CERTIFIED TO: ROBERT J. BARRY JR. JOYCE N. BARRY WELLS FARGO BANK, N.A. STEWART TITLE INSURANCE COMPANY THE EXISTENCE OF RIGHTS OF WAY AMD/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan Lc~nd l afL Corwin III Survoyor Ht~ Surveys -- Sub,vis,ns -- PHONE (631)727-2090 OFFICES LOCATED AT 522 Roanoke Avenue Riverhead. New York 11901 Site ~ans -- Cons~ruc~n Layou~ Fax (631)727-1727 MAILING AODRESS P.O. Box 1951 Riverhead, Ne~ York 11901-0965 27-341 r ! __ !. L(,~ u '?..x!2. dor. lv, 2~.'t6, t,') b :...-.., .,, . .l ~ ~Vt~(w o~ ~${~'~;9 -REQUIREU RETAIN STO~ WATER PURSUANT TO OHAPTER 236 _ ~ .... ,- ~,,~}~ow~ coo~. WITHOUT CERTIFICAT~ *T~ :~¢7~ s z".~.¢~ OF oCCUP,.CV ALL CONSTRUOTioFi ~? , FOR EOURED em TH~REQUiRS~,, · _ 2. ROUGH _ FR: ' .,* - ;- , CODE8 OF ~EW rQ',., STATE.4. FINAL - CONsTRUCT~O~ MUST