HomeMy WebLinkAbout35961-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34684
Date: 11/16/10
THIS c~KTIFIES that the building DECK
Location of Property: 260 OAK ST CUTCHOGUE
(ROUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 136 Block 1 Lot 50
Su]~division Filed Map NO. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 20, 2010 purs,,mmt to which
Building Pe~q~it No. 35961-Z dated OCTOBER 20, 2010
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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
· ~ne certificate is issued to BETTY R DEROSKI REV TRUST
(OWNER)
of the aforesaid building.
SuFfOLK CO~N~"f DEPARTmeNT OF HE~J~TH APPROlrAL
R3,R~-rKIC/kL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'£~O
Rev. 1/81
N/A
N/A
N/A
r ute
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. 35961 Z
Date OCTOBER 20, 2010
Permission is hereby granted to:
ROBERT J DEROSKI
PO BOX 906
CUTCHOGUE,NY 11935
for :
"AS BUILT" DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR
at premises located at 260 OAK ST CUTCHOGUE
County Tax Map No. 473889 Section 136 Block 0001 Lot No. 050
pursuant to application dated SEPTEMBER 20, 2010 and approved by the
Building Inspector to expire on APRIL 20, 2012.
Fee $ 400.00
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAxNCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or ne~v use: 1. F~al sm'vey of property with accurate location o f all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval fi.om Health Dept. of water supply and sewerage-disposal (S-9 fora0.
3. Approval of electrical installation fi.om Board of Fke Underwriters.
4. Sworn statement fi.om plumber certifying that the solder used in system conhains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and inslallatious, a certificate
of Code Compliance fi.om architect or engineer responsible for the building.
6. Subndt Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-confor~ning uses, or buildings and "pre-existing" land uses:
1. Accurate sm'vey of property showing all properly lines, streets, building and tmusual natural or topographic
featm'es.
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,
Swhmning 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 Coustruction: Old or lh'e-e (check one) ~/
Location ofh-operty: Hde_~No _ ~--~H~~
Owner or Owners of Property: . t J,-.,, ,., -,
Suffolk Cotmty Tax Map No 1000, Section
Subdivision
Pernlit No.._~"_~J Da' te ofPennit
Block / Lot
Filed Map. ~"~ Lot:
/
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Applica0~igna~e /, /r.
DATE~-~~---INSPECTOR~~
[ ] FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
INSPECTION
[ ] ROUGH PLBG.
[ ] INSU~I. ATION
[~}'I~NAL
[ ] FIRE SAFETY INSPECTION
TOWN OF SOUTHOLD BUILDING DEPT.
765-18O2
Robert T. Jones
p.o. box314
Westhampton
New Yor/~ 11977
Phone (631) 514-5917
November 11, 2010
Town Hall Annex Building
Building department
54376 Route 25
Southold NY 11071
~;Deroski Estate
260 Oak St,.
Cutchogue, NY
To whom it may concern,
After inspection of the existing Deck with 2 "x8" deck joist at 24' o.c.
with a spand of lO '8 'and 4 "x8" girder with post at 6 '10" on conc. Pads
36" below grade. The new 36" rail with balluster less then 4 'o.c. Meets or
exceed 2007 unified Building code.
~TOWN OF SOUTHOLD'
BUILDING DEPARTMENT
TOVqN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO. ~'-f~/
Examined
Approved
Disapproved a/c
20/0
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
Contact:
Mail to:
Phone:
Expiration /7//0.9.~, 20 / ~
~ ~~ ~ ~¢~~ Building In~) ~ ~ spector
$~? ~ LICATION FOR BUILDING PERMIT
'[3[0 INSTRUCTIONS Date September 20 ,20 10
~. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets &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 Pemfit 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 demoliti~ herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, a~td~regi~atio~, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of ai~plig~g.~ame, if a corporation)
c/o Twomey, Latham, Shea, Kelley, ~ubinTM& Quartararo LLP
P.O.Box 9398,Riverhead,NY 11901
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Trustee for the Estate
Nameofownerofpremises Betty R. Deroski Trust
· (As on the tax roll or latest deed)
If applicant is a corporation, signature of/i~J,~autnorized officer
(Name and title of corporate
Builders License No. N/A
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
260 Oak Street
Cutchogue
House Number Street
Hamlet
County Tax Map No. 1000 Section 136
Subdivision Map of Eugene Heights
(Name)
Block 1 Lot 50
Filed Map No. 856 Lot 12 & 13
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy s~ ng] o Family
b. Intended use and occupancy Single Family Residence
3. Nature of work (check which applicable): New Building. Addition
Repair X Removal Demolition Other Work
Estimated Cost Fee $400.00
If dwelling, number of dwelling units
If garage, number of cars 0
Alteration
"As gn{lt?' Doek
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor I
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear 28.4 Depth
12.5
Dimensions of same structure with alterations or additions: Front N/A
Depth Height. Number of Stories
8. Dimensions of entire new construction: Front N//~ Rear .Depth
Height Number of Stories
Rear
9. Size oflot: Front 46' Rear 'iff 1~1 Depth 167.87
10. Date of Purchase 12/06/99
NameofFormer Owner Nicholas J. Micciche
11. Zone or use district in which premises are situated R-a 0 ~,~.~ q don
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO N/h
13. Will lot be re-graded? YES __ NO__ Will excess fill be removed from premises? YES__ NO N/h
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 NO x
* 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
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. See attached Letter of Non-Jurisdiction
16. Provide survey, to scale, with accurate foundation plan and distances to property lines. N/h
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. N/h
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOL~{
Jay P. Quartararo being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)Heisthe Trustee for the Estate of Betty R. Deroski
(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 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.
20 lO
Sworn to before me this
oZ / J~- day of .~_t,~
- ff motaWPubli
MARY ANN RO~ENBERQ
~mtml~OusIl§ed In Suffolk Count~
Expire~ Jilrl. 81, [1011
Signam~p]m~t
Town ~
~95 k(.i. Ro~d
P.O. BO~ 1179
S~u~old. New York 11971
Telephone (516) '/65-t9~2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEE9
TOWN OF SOUTHOLD
D~'[J!~RMINATION OF NON-~IRISDICTION
DATE: Nov_ember 23, 1999
AGENT: APPLICANT:
ROBERT DEROSKI
ADDRF.~S: ADDRESS:
CUTCHOGIIE NY 11935
PHONE: PlIOl~: 734-6(,~
RE: SC12V~ 136-,1-~Q
The $outhold Town Board of Tm.m~ ~ewed the surv~ ~ md r~iv~d i~ our
of S~eon Nov, lq. 1999 nd determined d~ your proponl to
CONSTRUCT A IZ' X 28' DECK ONTO AN EXISTING HOUSE
to be out of the Trustee Wetland Jurisdiction under C[~pter 97.
However, any activity widen 75' ofthe Wed~d line requires a pmait titan tb~ office.
This detmmin~ion is not a determination from any odin' agency.
Ir'you have say fiutber questiom, pkue do not hesitste to call.
Sincerely,
Albert I. IC, hpski, k.
President, Board of Trustees
i~W YOF'd~ STATE u=P~z~.-*~l'~f OF ENVIPD~P.:~'MTAL CONSEEVATiO?I
Ragu!atoll Affairs Unit
Bldg. 43, SU~Y--Room ~-9~'~
Stony ~r~o~:,- ~ '11794
..... (5 ~.) 751-7900
9 D~aamber loS3
.~tS.-~-.~5 ,.oo~ca,~zon No. 10-~3-0330
Dearer. ~kccic2e:
A review has been made of your proposal to:
'Install a sanitar~ system On the s-uth side of the ~ro~osed residence
as ocr su~vl%ed ol,ans recieved by this office Decenber 9, iq~3.
The sanit rv system is to be i,~nd-,ard of th !0' eievational contour.
Location:E~st s~e of Oak 3treet 3CTM Mo 1000-136-01-50
New York State Department of Environmental Conservation has found the
.parcel xx project to be:
Greater than 300' from inventoried tidal wetlands.
Landward of a Substantial man-made structure
-- greater than 100' in length constructed prior to September 20, 19B7.
XX Landward of 10' contour elevation above mean sea level on a gradual, nat-
ural slope.
__ Landward of topographical crest of bluff, cliff or dune in excess of 10
feet in elevation above mean sea level. .....
Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental
Conservation Law) is required at this time since the current proposal is beyond
State mandated J~risdiction pursuant to this act. However, any additional work
or modifications to the project may require a permit. It is your responsibility
to notify this office, in writing, if such additional work of modifications are
/
~aniel J. Larkin
Regional Supe~zisor of
Regulatory Affairs
/~. /a~~/_~-~ TOWN OF SOUTHOLD P~OPERTY RECORD CARD
OWNER
fORMER OWN
.ES.
LAND
y
SEAS.
IMP.
STREET ~_~:~ 0
N
VILLAGE
DISTRICT
ACREAGE
SUB.
LOT "~'/~9 ,-- /2
louse Plot
wampland
rush land
Farm Acre Value Per Acre
'illable 1
'illable 2
'illable 3
Voodland
NEW
NOP, JV~L
BELOW
ABOVE
Value
BULKHEAD
DOCK
/ /
FRONTAGE ON WATER
FRONTAGE ON ROAD
I/
AGE BUILDING CONDITIOI'
DATE REMARKS
W TYPE OF BUILDING
FARM COMM. [ IND. J CB. MISC. Est. Mkt. Value
I
~5.~O ~ t ~/ Foundation ~ Bath
~xtension
~xtension Ext. Walls ~ d~ ~ Mterior Finish
~xtension Fire Place Heat
~' .,r ] ~ Porch Roof Type
~reezeway Patio Rooms 2nd Floor
;arage Driveway Dormer
/
k
I[
~tension ~ ~ ~ ~ ~, Z~' ~ ~/ Basement ~ Floors
[xtension Ext. Walls ~ U~ ~ Interior Finish
[xtension Fire Place Heat
¢~ ~ ~ ~ ~ Porch R~f Type
Jreezeway Patio Rooms 2nd Floor
~arage Driveway Dormer
).B. /
CONSENT TO INSPECTION
Jay P. Quartararo, Esq., Trustee
for the Betty R. Deroski Trust , the undersigned, do(es) hereby state:
Owner(s) Name(s)
/ Trustee
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, locatedat 260 Oak Street, Cutchogue, NY ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 136 ,Block 1 ,Lot 50
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: Building Permit for
"as built" deck.
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described pmperty, including any and all
buildings located thereon, to conduct such inspections as they nmy deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: September , 2010
Jay P. Quartararo, Esq.
(Print Name)
(Signature)
(Print Name)
Twomey, Latham,
Shea, Kelley, Dubin & Quartararo LLP
A T T 0 R N E Y $ A T L A W
MAILING ADDRESS:
Post Office Box 9398
Riverhead, New York 11901-9398
MAIN OFFICE:
33 West Second Street
Riverhead, New York 11901-9398
Telephone: 631.727.2180
Facsimile: 631.727.1767
www.su ffolklaw.com
ccheshire~suftblklaw.co
Extension 317
October 20, 2010
By Hand Delivery
Town of Southold
Building Department
Town Hall Annex Building
54375 Rt. 25
Southold, NY 11971
Att: Pat Conklin
Re: Property of Deroski
260 Oak Street, Cutchogue, NY
SCTM #1000-136-1-50
Dear Ms. Conklin:
With regard to the above referenced property and our conversation this morning,
please find enclosed three (3) copies of the revised deck plan. Plans indicate removal
of side deck and ramp and placement of 3' x 3' platform with railing and steps
located at side door.
Please advise when the Building Permit has been written and an inspection of the
premises can be conducted in order to obtain our Certificate of Occupancy.
If there is any further information that you require, please do not hesitate to contact
me.
Thank you for your attention to this matter.
Charlene Cheshire
Paralegal
mnc.
cc: Janice Snead, Esq.
BLDG DEPT.
TOWN OF SOUTHOLD
20 Mare Street
East Hampton, NY 11937
S.ulhampttm, NY 11968
Twomey, Latham,
Shea, Kelley, Dubin & Quartararo LLP
A T T 0 R N E Y S A T L A W
MAILING ADDRESS:
Post Office Box 9398
Riverhead, New York 11901-9398
MAIN OFFICE:
33 West Second Street
Riverhead, New York 11901-9398
Telephone: 631.727.2180
Facsimile: 631.727.1767
www.suffolklaw.com
ccheshire~suffolklaw.co
Extension 317
November ll,2010
By Hand Delivery
Town of Southold
Building Department
Town Hall Annex Building
54375 Rt. 25
Southold, NY 11971
Att: Pat Conklin
Re: Property of Deroski
260 Oak Street, Cutchogue, NY
SCTM #1000-136-1-50
NOV 1 2 2~i0
BLDG. DEPT.
IOWN OF SOUIHOL~)
Dear Ms. Conklin:
With regard to our conversation yesterday and the above referenced property, please
find enclosed the following:
· Town of Southold application for Certificate of Occupancy;
· Letter dated November 11, 2010 from architect Robert T. Jones certifying
deck, framing, footings and structural integrity of the deck;
· Copy of our check #63567 dated 10/22/10, representing the application fee for
the Certificate of Occupancy;
· Notice of Final Inspection signed by Building Inspector, Gary Fish.
We understand Mr. Fish is on vacation, but would appreciate it if someone else could
sign off on the Certificate of Occupancy since this is a pre-existing deck and we are
anticipating a closing on this property once the Certificate of Occupancy is received.
If there is any further information that you require, please do not hesitate to contact
me.
Thank you for all of your assistance in this matter.
ur~~
shit~ ' fi'
Enc.
cc: Janice Snead, Esq.
S.C.T.M. NO. DISI~ICT: 1000 SEC'NON: 1.56 BLOCK: I LOT(S): 50
~.~ ~ 28.4'
~ wood DECK 3:
FRAME
~ DWELL d ~ ~
~ STONE ~E.
DR)VER~AY
O.~S
N 07 b~ ~u ,,
OAK (so') STREET
A~[A: ~,830 S.ff. O~ 0.23 ~C~[S ~w~o~ ~m~: .........................
UNAU~ORIZED AL~RATION OR ADDITION TO THIS SURLY IS A ~OLAnON OF SECnON 7209 OF THE NEW YORK STA~ EDUCA~ON LA~ COP/ES OF THIS SURLY
MAP NOT BEARING THE LAND SUR~YOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID ~UE COP~ GUARAN~ES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR ~OM THE SURLY IS PREPARED AND ON HIS BEHALF TO THE E~E COMPAN~ GO~RNMENTAL AGENCY AND LENDING /NSnTUT/ON
LISTED HEREON, AND TO THE ASSIGNEES OF ~E LENDING INS~TUTION, GUARANTEES ARE NOT TRANSFERABLE.
~E OFFSETS OR DIMENSIONS SHO~ HEREON FROM THE PROPERTY LINES TO ~E S~UCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC~ON OF FENCES, ADDI~ONAL S~UCTURES OR AND OTHER IMPRO~MENTS, EASEMENTS
AND/OR SUBSURFACE S~U~RES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PH~ICALL Y E~DENT ON THE PREMISES A T THE nME OF SURLY
su~Y oF: LOTS 12 k 13 CERTIFIED TO: ESTATE OF BET~ DEROSKI;
UAP OF: EUGENE HEIGHTS
F~LED: OCTOMBER 29, 1928 AS ~856
mTUATED ~T: CUTCHOGUE
TOWN OF: SOUTHOLD ~ M. ~O~CBU[ [.~.
SUFFOLK COUNTY, NEW YORK ~d ~e~ aad Des~
L~/~, ~ P.O. Box 3, Matfltuek, New York tt95~
FILE ~ 10--~ SCALE: 1"=~0' DATE: JUN[ 1~, ~010 PHO~ (~1) ~8-t588 F~ (~t) ~8-158e
t
OCCUPANq'/
AS
NOTED
FOUNDATION- TWO REQUIRED
FOR POUREB CONCRETE
STRAPPING, ELECTRICAL & 6AULKING
INSU~TION
4 EIEAL - 6ONSTRUCTION & ELECTRICAL
)/ ~UST~E C~P~ETE FOR C O.
~L ~N~T~ION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE NOT RESPONSIBLE FOR
BESlGN OR CONSTRUCTION ERRORS
RETAIN STORM WATER RUNOFF
i 'r "1 - PURSUANT TO CHAPTER 238
WITH(:: ,: i'-,-,, IFICATE OF ~Ue TOWN CODE,
OF L,,,:,_,, vANCY