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Home My WebLink About35050-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPD~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34367 Date: 05/21/10 THIS C~TIFIBS that the building CUPOLA ADDITION Location of Property: 2405 DIEDRICKS RD (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 18 Block 3 Subdivision Filed Map No. Lot No. ORIENT Lot 27 (HA~4LET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 2009 pursuant to which Building Permit No. 35050-Z dated OCTOBER 5, 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 "AS BUILT" CUPOLA ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GULSEN CALIK WESTVIND ( OWNER ) of the aforesaid building. SUFFOLK CO~ITI'YDEPARTMENTOFHEALTHA~PROVAL N/A ELECTRICAL C~KTIFICATH NO. 12803 04/21/10 PLIERS C~KTIFICATION DA'r~u N/A ~/d~'gnature Rev. 1/81 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 Depmtment with the following: 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 requiremeats. 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 proper!y completed application and cousent 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, Alteratious 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 New Construction: Location of Property: ~- ~ ~ House No. OWner or Owners of Property: ~(,//-J,.~AJ Suffolk County Tax Mag No I000, Section Date. Old or Pre-existing Building: (check one) D/ Pfz/c- -r /dP o St~t ~et Block Lot Subdivision PermitNo~ '~ ~"6~- ~ DateofPermit. Filed Map. Lot: Applicant: A ~:~ac~£ ~//~/~) Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~_-~. (9 o Final Certificate: (check one) Applicant Signature S U F F 0 LK"I~ BUREAU 40 Nottingham Ddve, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS~gmail.oom CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: REP Electric Certificate No.: 12803 Final Inspection Date: Apr 21w 2010 12~O3 Building Permit No.: County Tax Map No.: This~r;c~-ate ~f Eiectd-cal c~n~Pl~iance is~it~ec~ to the Inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not alter the final inspection date above: Owner: I.ars Westulnd Site Location: 2405 Dudricks Road, Orient, NY 11957 Owner's Address (if different): Residential ~lNew i r--~Addifioo [] Indoor [] Basement [] Sewice [] Shed [] Outdoor F~ First Floor [] Pool [] Hottub [] Renovat/on [] Second Floor [] Altlc [] Garage [] Suwey Othec cupola Single Phase Heat Transformer ~pliances Ou~ex Recpt 5 GFCI Rec~ 1 Tw~ I..o~ Bec~c He~ INVENTORY Ceding Fixlure 2 HID Figures Wall Fixture I Smoke 1 ~ Smoe. e CO Corr~o Emergency T~me Clock The electrical work and/or equipment described above were inspected and appear to be in compliance ~with local, state and national electrical code requirements and this office. Applicant: REP Electric Inspected By: Roger Richert License No.: 46288-ME Date Of Certificate: Apr 23,2010 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. 35050 Z Date OCTOBER 5, 2009 Permission is hereby granted to: GULSEN CALIK WESTVIND P.O. BOX 382 ORIENT,NY 11957 for : AAS BUILT CUPOLA ON ROOF OF SFD PER PLANS AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 018 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 2405 DIEDRICKS RD ORIENT Block 0003 Lot No. 027 1, 2009 and approved by the 5, 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 JAMES J. DEERKOSKI P.E. 260Deer Drive Mattituck, NY 11952 (631) 774 7355 Date: April 6, 2010 To: Town of Southold Building Dept Re: Westvind Diedrick La. Orient, NY Permit #35050 Cupola To Whom It May Concern: This letter certifies that the installation of the cupola at the above mentioned location was built in conformance with the New York State Building Code. The Strapping, insulation and framing of the cupola were constructed to the specifications of the submitted plans. Any questions feel free to call. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FIRE RESISTANT/C~iSIRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ ~. ~'...~/~- ,.~.~..~. :~~.. DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net ' 9" d) ~/ Examined / --~2-/ ,20 Approved /z//(5- ,20 d.(ii Disapproved a/c Expiration ,20 , OCT 1 BLDG. DEPT. TOWN OF $OUTHOLD a. This application MUS~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? eard of Health_ ts of Building Plans Planning Board approval ,..,'~urvey t.~C'~eck ~'~t~ O Septic Form N.Y.S.D.E.C. Trustees Flood Permit ~..8'r6'~n-Water Assessment Form__ Contact: Mail to: Building Inspector Phone:& APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS 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 frmn 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 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. & ~--I/h%~ (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpremises ~"Ot~.~'~-.J ~.~//~ ~ff-~ff-¥{//~/..~ .ff ~'~ (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 work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block ~ Filed Map No. Lot Lot o?7 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,~FL,N 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (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 Rear Height. Number of Stories .Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories · Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Sizeoflot: Front /O.~'~l' t Rear / O~, ~{ I Depth .Depth 10. Date of Purchase Name of Former Owner I 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO 1/ 13. Will lot be re-graded? YES NO [/' Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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 o£a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate tbundation 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 V · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual 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 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 ~re me this ~t~ day of K,~ 200~ l~oraW FUOLlC NO, 01T0619~ {,om~ission Signature of Applicant ,Town of Southold -- Erosion, Sedimentation & Storm.Water Run-off ASSESSMENT FOR::; ~.E..F.O,,~LL~O_W_IN_G~ACTION$ MAY REQUIRE THE 8UBMISSION OF ~'" ...... ~',;~:~ GRADING~ DRAINAGE AND EROSIn" Cr.~l II'lED BY J DESIGN pRO~..~;~.NAc IN THE S~',~T~FI~I~' ~-~/~- Item Number:. (NOTE: A Chuck Mark (~') for each Question is Reoulrad for a Comptate Appitceiion) -- ..... Yes 1 2 3 4 5 6 7 8 9 Will ~ ProJe~ Retain AJI Stam~Water Run-Off Genemtad by a Tw~ (2'J Inch Rainfall on Site? (This Item will Inolude all mn-off created by site cleating aed/or censtmcttce acflvitics as well as all Site Irngrovefnonts end the pemmnent ~eaflon of Impewlous surfaces.) Does the Site P~an and/or Survey Show AJI Proposed Dminnge Stmctoras Indieaftng Size & LocaUan? This Item shall Include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl ExistingWlll this GradePr°jectlnvolvingRequlre any Land .Filling, Grading or Excevaito~ Wflem there is a change to the Natural mom than 200 Cubic Yards of Matadal with n any Parcel? Will this Application Require Land Disturbing Ac6v~es Encempassthg an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (1009 feet of a Wetland or Beach? Will there be Site preparation on Existtag Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Hedzo~ta Distance? ~/ill DHveways, PaWing Areas or other Impe~,-ious Sulfaces 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 Matedat; Removal of Vegetation and/or the Construction Df any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT Include the Installation of Dr/veway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Flce~Jplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in ~he Bex, a Storm-Water, Grading, Drataa_~e& Erosion Control Plan Is Requited and Must be Submitted for Review Prior to Issuance of Any Building Perm~ EXEMPTION: -- Yes No Does. this project meet the minimum standards for classillcaUon as an Agdcultarel Project? Note: IfYouAnswered Yest~th~sQuesti~~~a$t~rm~Water~Gracit~g~Drathage&Er~sion~~ntr~~PtanisN~~Required~ STATE OF NEW YORI~ ........ COUNTY OF ................ SS That [,. ............................................................................... b~lng duly sworn, deposes and says d~at he,/sh¢ is die applicant for Pe.n~k, And that he/she is the Owner and/or representative of the Owner of Owner's~ and is duly authorized Lo peffonu or have performed the said worn and to make and ~le this application; that all statemen~ contained in this application are true to the best of bls knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ..................... !...Q.. .................... day o£ ..-~....~...........~.,~. ~ 90.~..°1 ' [ FORM - 06/07 ~' ,~ualifiedin Suff01kC0u (Signalum of Applicanl) .... : .......... To~ 1 lall Annex 54375 Main Road P.O. Box 117!) Soulhold, NY 11971-0959 Telephone (1331) 763-1802 F~x (631) 765-9502 BI Jl 12)lNG DEPARTMENT TOWN OF SOUTHOLD May 14, 2010 Gulsen Westvind PO Box 382 Orient, NY 11957 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. __ Final Planning Board approval. Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35050-Z cupola Z 41017'00'' 32.54' 1°08,00,, 39.83' STORy IRREGULAR N 41°17'00" W E S 41017'00'' E or POST · RAIL FENCE RIGHT OF / 112 16.5' X RIGHT OF I~AY ?.6 FOR GENERATOR I-1/2 STORy FRAME HOUSE 14,2' 20' RIGHT OF ,v/o/~ EDIYIN A. SMITH __L_. 185.00' 2,302.5 41'17'00" W 11.17' EXISTING CXWI4 ADD TO RIDGE: (2) 14" ML CXW14 , , (2 1-~ mi ~ ~ ............ ~ UND " ~ ~ ~ ~ TOt ,, CUPO~ ,,' ~ -- F ~ ~ I~ '"' NL UNDER WALL ~TI~E LENGTH OF WALL BELOW 1-3/4X16 ML UNDER WALL TO FIREPLACE FLOOR PLAN SCALE: 1/4" = 1'-0' APPROVED AS NOTED DATE: 'dim'J(' B,P.# '} C,j HOTIFY BUILDING DEPARTM2NT A~ 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPEET ~htS: ~. FOUh:DATION - Tt,V¢ : EOLFRED FOR POURED CO~,CRE~b ?. ROUGH - FRAM!MG & PLUMEiNG :INSULATION ~. RNAL - CONCTRUCT!ON MUST BE COLIPLETE FC~ L:O. b, LL CONSTRUCTION SHP L VEE~ THE ~EQUI~EMENTS OF THE =('OES OF NEW ORK STATE. NOT RESFONSIBLE FOR )ESIGN OR CO~JSTRUCTION ERRORS. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. EX, CERTIF!CA TION OF NAILING & CONNECTIONS RFOr ~!RED. UNDERWRITERS CERTtFICAI'~ REQUIRED SKylIGHT 2X6 STUD WALL (I'YPICAL) 12) I4" ML RIDGE EX. CEILING (4) q-l/2 ML CROSS SECTION AS IBUILT CUPOLA ORIENT, Nh" 2'B, 200'B ~*L~: I/4" · 1'0" Pe' I JD UN^UTHORIZ£D ^LTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED Nathan Taft Corw,n III Land Surveyor PHONE {631)727-2090 Fox (651)727 1727 NYS No 50467 % SURVEY OF PROPERTY XITUA T£D A T ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-18-0.3-27 SCALE 1"=20' DECEMBER 25, 2005 NOVEMBER 15, 2006 REVISED LIPA EASEMENT JULY 29, 08 ADDED PROPOSED LAP POOL SEPTEMBER 29, 2008 ADDED SPOT ELEVATIONS AT TOP OF BLUFF AREA = 19,433 sq. ff. 0,446 25 308D1