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