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Home My WebLink About35876-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 5/1/2011 CERTIFICATE OF OCCUPANCY No: 34925 Date: 5/1/2011 THIS CERTIFIES that the building SHED Location of Property: 435 Bay Road, Cutchogue, NY 11935, SCTM #: 473889 Sec/Block/Lot: 116.-2-11.1 Subdivision: Filed Map No. conforms substantially to thc Application for Building Permit heretofore 9/7/2010 pursuant to which Building Permit No. 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: Lot No. filed in this officed dated 35876 dated 9/20/2010 accessory 12' x 18' shed as applied for. The certificate is issued to Robertson, Mark & Robertson, Ann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35876 4/4/11 A~thorized Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPD=RTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35876 Z Date SEPTEMBER 20, 2010 Permission is hereby granted to: ANN D TOBIN 435 BAY RD CUTCHOGUE,NY for : CONSTRUCTION OF A/q ACCESSORY 12'X 18'_SHED AS APPLIED FOR at premises located at 435 BAY RD County Tax Map No. 473889 Section 116 Block pursuant to application dated SEPTEMBER 7, 2010 Building Inspector to expire on MARCH 20, CUTCHOGUE 0002 Lot No. 011.001 and approved by the 2012. Fee $ 100.00 / Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TO~,VN OF SOUTHOLD BUILDING DEPARTMENT TOW~ 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 the following: A. For new bnlidilag or new use: I. Final smwey o f property with accurate locatinn o f all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerageqtisposal (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 2710 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsibIe for the building. 6. 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 property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and cot/sent to inspect signed by the applicant. ~.a_C~, ;kS,.,,z,...,f C,:,.;z:~anc~,' is denied' the Building Inspect°r shalt state the teas°ns theref°r in writing t° the app[tq'A~' 1. Certificate of Occupancy- Ne'* dwelling $50.00, Additions to dwelling $50.00 Swimming pool $50.00, Accessory building $50.00, Additions to accessory build~n"~ $~.00,']~usin~sses ~'6!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 J TOWN 0r ~0UI~0LD 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date._ / New Construction: ¥/ Old or Pre-existing Building:_ (check one) Location of Property: ~D~ ~/07 R ~ . ~ L.2TC/~(~.~L) House No. Street Hamlet .OwnerorOwnersofProperty: ])~/~ ,;~ M i~({'~('~-~:~~ Suffolk County Tax Map No t 000, Section ] l (a~ Block ~_ Lot Subdivision Filed Map. Lot: PermitNo.- ~_~._~DateofPermit._ O~0~/~:2 Applicant: ~- Health Dept. Approval: Undenvriturs Approval: Final Certificate: (check one) Planning Board Approval: Request for: Temporary Certificate Fee Submitted: 5; ~ 0 .ZY'Z7' ~A~pli~ignafure Town Hall 2~llllCX 35373 Main Road ILO. Box 1179 Soulhold, NY 11971-0!J,59 Telephone (631) 76,5-1802 l:ax (631) 76.3-9302 rofler, richatt~town.southold.n¥.us BI !IL1)ING DEI'ARTMENT TOWN OF $OUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Robertson Address: 435 Bay Rd City: Cutchogue St: NY Zip: 11935 Building Permit #: 35956-35876 Section: 1 1 6 Block: 2 Lot: 11.001 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Tim Meskill DBA: License No: 5211-e SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only [~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage Service 1 ph LJ Heat Service 3 ph ~ Hot Water Main Panel A/C Condenser Sub Panel A/C Blower Transformer Appliances Disconnect Switches Other Equipment: INVENTORY GFCI Recpt Wall Fixtures Single Recpt Recessed Fixtures Range Recpt Fluorescent Fixture Dryer Recpt Emergency Fixtures Twist Lock Exit Fixtures HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS swimming pool and shed, pool includes-bonding, 2 lights, 2 twist lock recpticles fo~ pumps, 1 control panel, 1 GFI recpticle, I dead front GFCI, 3 GFCI circuit breakers, 1 heat pump,1 cover motor Notes: Inspector Signature: Date: April 4 2011 81-Cert Electrical Compliance Form TOWN OFS~DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[i:OURAid~::~IsON 2NTRAPpiDNG [~LLATION [ ]FIREPLACE&CHIMNEY [ ] FIRESAJ-.'~'INSPECTION TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-180;I FAX: (631) 765-950:l SoutholdTown.NorthFork.net PERMIT NO. Examined Approved Disapproved a/c Expiration ~f'~oL~ 20 ) ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before apply'ng? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check \ C:~. 0 0 Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: ~,,0~/~ Mail to: Phone: OJ~ Building Inspector ?LICATION FOR BUILDING PERMIT Date INSTRUCTIONS 8EP 7 2010 20 BLOG. DEPI. m Thi~ a~fl~[~liS0~Ol~IIl~T be com letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. F :e 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 thd premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part lbr 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 d.ate. 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, Suflblk 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. (Sig~re of applicant or name, ifa corporation) (IV~il/ng address of applicant) ~ Il>Jo State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~,d~,/ ~'Og~,.,V , .,~. ~K "'(As on the tax roll or latest deed) If applicant is a corporation, signature of duly anthorized officer (Nafne and title of corporate officer) Builders License No. Plumbers LicenseNo. Elec~icians License No. Other Trade's License No. Logation of land on which pr, qp0sed work w~lbe done: HouSe ~qumber Street Hamlet County Tax Map No. 1000 Section Subdivision Block Filed MapNo. Lot II, I Lot 4~ f State existing use and occupancy of premises and intended use and occupancy o proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ..~ qto.~.o, oo 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work l;~o ~.~ ~"~ (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 .Depth Rear Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories 8. Dimensions of entire new construction: Front /8 /~7' Rear /8 Height ii ,~F~ 7' Number of Stories I 9. Size oflot: Front [91. ~o~ Rear /~ ~ . 09 Depth 10. Date of Purchase 4~/t- 7-~OO Name of Former Owner ~t- 11. Zone or use district in which premises are situated 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 . . rnone No. ~8 qXl-/~0 I 14. Names of Owner of premises ~am~ ~0~q¢~Addres~¢~ ~ ~ Name of Architect Address 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 NO ~ * 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. 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 NO 1( * IF YES, PROVIDE A COPY.'- .... ~dLI;& .... t ............ t Notary PuOlic - St(fie (fi New York ~]AJ~z u~ ~,4~w YuRK)- ~ No. 01LI6182676 cc. · Ouallflecl In Suffolk CounN ~ ~o. · My Commission F.~e~ March3, 2012 COUNTY OF .r, ys,~ ) 4 ~- ........... ~)~,~ ~7. R."~,g $ ,4 T..~,,~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, .kgqHe 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 ~brth in the application filed therewith. Sworn to before me this Notary Public · ToWn of Southold ~ Erosion, Sedimentation & S.torm-Water Run-off ASSESSMENT FORM PROP,-IIiy LO~ATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SU_~._M.!~__~!_AN OF A SCOPE OF WORK - PROPOSED CONSTIIUCTION ITEM# / WOIIKASSESSMENT ~ a. WbetlstheTotelAreao~theProjectParcais? (Inciede Totel Aree of all Parcais incated Within '1 Will this Project Reteln NI Strum-Water Run. Off the 6cape of Work for Propoeed Ceestmcflon) Genereteq by a Two (2") Inch Rainfall orl Site? b. WhaltetheTotelAmaofLsudCle~tng (s.F./~c~es) c~ear~ng~nd/orcousbuc~i~nacb~vit~sasw~asa~(Th~sitemwi~ir~ck~ea~run-~createdbysite :.-.- ImpenAous surfaces.) · co..~.~.o. ~ (s,.,~,,,) 2 _~o~s. /,~ '- the She Plan and/or'Survey Show Ait prelx)sad~/ PROVZDE B]~ ]~TO.I~ D~,.I~O~T ~",~de-'~lP~e~.l,k..~ urelnageSbuctoreelndlcaUng$ize&Loceiton?Thjs /,"" I I Item shaft include all Proposed Grade Changee and /~'~ /,~ <;'H~'O. ~ ,;~- Sk)pesContmlflngSurracaWaterRow.' D,/,~,~,, o,v ~/'.~o~'. 3 D~esth~$iteP~anand/orSurvaydeecribetheor~s~n4`Z~/~andeed~meetcentr~pmc~casthatWi~beueedto '/r~ item must be maintained throughout the Er,~e Construction Peded. 4 Will this Project Require.any Land Fifling, Grading or Excavation where there is a change to the Natural ExJsUng Grade InvoMng more than 200 Cubic Yards -'~ of Material within any Parcel?I~1 5 Will this Application Require Land Disturbing Ac6vitiee [--'""1 Encompassing an Area in Excess of Rye Thousand--L.~.J (5,000 $.F.) Square Feet of Ground Surface? ' 6 Is them a Natural Water Course Running through the r-----, Site? is this Project Within the Trustees jurisolciton General DEC SWPPP Requlmmeptu: or within One Hundred (100~) feet of a Wetland or Submission M a SWPPP I~ requked for ell Co~sbucUon aclNf~s tnvoMn9 soil Beech? disturbances of one (1) or rrmm acres; leciudleg d~turbences of less ihan e.e acm that 7 Wilt there be Site preparetlon on Existing Grade Slopee i.--,.~ includ~ngare per~ of a la, gel' common plan that will uitimately disturb one cr mora acres ~ ~;Construcllon ac6vllk~s Im, olv~ soil disturbances of less than o.e (1) acre where which Exsaed Fitteen (15) feet of Yertisal Rise to the DEC has delmminm:l 1hat a SPDES pemdt is required for store} water discharges. One Hundred (100') of Horizontal Distaqca? L.T.J -- SWPl~P's Shall meet the M~nlmum EequJmmenf~ of the SpDE8 General pemflt 8 Will Drivaways, Parking Areas or other Impervious ~or Storm WeM~ Db(=bargl~ from Co~,~ruct Ion aetlvHy. Permit No. SP-O-10-001 .) Surfaces be Sloped to Direct Storm~Water Rub-Off r~ submllted to the Deparbllent pdor to Ihe ,M,,,rMl~eme~t of co~slnictton ac~. into and/or in the direction of a Town dght:-of-way? 2. Th. s~'.~, d,~,~ ,. ,.=.o..~ .d~,~ .,,.4 r.=~,..,~.,.~ 9 Will this Project Require the Placament of' Materisl, c~mF41aflce wflh the terme and c(xlo19o~ M ih~ pemdL b a~ 1he ~Nppp shall item Within lhe Tow'~ PJght-ef-Way or R°ad Sh~k:lor ~OTE: ^c~e~ Mark (,/) COUNTY OF ........ ..u....~.....~......~: ......... SS ThatI, l~2~.~.~.. ~' .................. .'.. ~.......l~.Jid.~..~.~....... being du~¥ sw~m~ dep~s and say~ that he/~he ia the applicant f~r P~h Name of le~ signing Document) And that he/she is thc ~:~)b~ ¢l~& ..................................................... : .................... Owner and/or representative of thc 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 n-u¢ to thc best of his knowledge and be. lid'; and. that the work will be pe. rformcd in thc manner set forth in thc application filed h~cwith. Sworn to b~forc mc this; Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (631) 765 1802 Fax (63 l'l 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 21, 2011 Mark Robertson 172 Argyle Road Stewart Manor, NY 11530 RE: 435 Bay Road, Cutchogu~.~ TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ~ Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of 50.00. Final Health Department Approval. __ Plumbers Solder Certificate. (AII permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 35876-Z accessory shed TOWN OF SOUTHOLD I~ROPERTY RECORD CAIID OWNER FORMER OWNER VILLAGE DISTRICT SUB. ACP, F~S~GE TYPE OF BUILDING LOT RES, LAND AGE NEW FGrm Tillable I Tillable 2 Tillable. 3 IMP. NORMAL Ac~-e VL, Woodland Swamp)d~d Brushland House Plot' Total TOTAL FARM DATE BUILDING CONDITION BELOW Value Per Acre ABOVE Value Breeze~y Patio Rooms 2nd FIo~ ~mge ~ Drlve~ - ' · Tow~ I-I~ Annex 54375 M~in Road P.O. Box 1179 · .Sout~ld, IX"Y 119714)959 Telephone (631) 765-180~ · (631) 7 ro~er.,cbertF~,t~w(Rso~u~o~.n¥.us BUII ,]')ING DF_.PARTMF_,NT TOWN OF SOUTItOLD APPLICATION FOR F:LF:CTRIGAL {NSPEGT{ON REQUESTED BY: Company Name: Name: Eicense No.: Address: Phone No.: Date: i0_27;/0, JOBSITE INFORMATION: (*lndi~;ates required information) *Name:· *Address: · · *Cross' Street: /N~ ~'~.~ · Phone No.: Permit No.: Tax Map District: 1000 Section: . I I ~ Block: oO0.2 Lot: *BRIEF DESCRIPTION OF WORK (Please Print YES / NO YES / NO Rough In Final (Please Circle All That Apply) *Is. job ready for inspection: *Do you need a Temp Certificate: Temp'lnformation (If needed}. *Service Size: 1 Phase 3Phase 100 *New Service: Re-connect Underground ^dditional InfOrmation: 150 200 300: 350 400 Other Number of Meters Change of Service Overhead PA.YMENT DUE WITH _AP.PLICA_TIO_~N 82-ReqUest for Inspection Form SPECIFICA'I'ION S Verdeal Sidewalls 2~ x4" - 16~ On Ccnte~ 2x4 Pr~"~ureTmated Joists Siding or Red Cedar (Non Wood) F<)tlNDATION: PressureTreated 4 xOF OCCUPANCY RAIaTERS: 2" x 4" - 16~ On Center TRIM.: Permatrim (NonWood) or lx3WoodTrim C'VIN~OWS: Vertical Siding OF THE TO~ CODE · ~UP..V-r' OF= PF~OPEt~T'r' 51TUATE: GUTGHO®UE TOYiN: .50UTHOLD SUFFOLK COUNTY, NY 5~JRYE'r'Ei2 ~:~JFFOLK COUNT'r' TA~( 1000-116-2-11.1 Land No~ or Formerlw oh North Pork CounEry Club S89°42' ]0"E 153.78' N NO~5: HONUMb-'~T POUND AP-.EA = 262415.F. or 0.60 ACRE ®RAPHIC 56AL5 I"= ~O' o~ I Si;or?, Loncl No~ "~eCkl r~r?u, o£, ~lt' e ' JOHN C. EHLERS LAND SURVEYOR 6 EAST ~ STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 .~.. 369-8288 Fax 369-8287 REF.\\Server\d~PROS\05-239.pro