HomeMy WebLinkAbout36407-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
6/29/2011
CERTIFICATE OF OCCUPANCY
No: 35032
Date:
6/29/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
SHED
1135 Green Hill Lane, Greenport,
Sec/Block/Lot: 33.-2-28
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/13/2011 pursuant to which Building Permit No. 36407 dated 5/20/2011
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:
10' x ! 6' accessory shed as applied for.
The certificate is issued to
McCarthy, Stephanie & McCarthy, Suzanne
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36407
Permission is hereby granted to:
McCarthy, Stephanie & Suzanne
239 Jerome Ave
Mineola, NY 11501
Date: 5/20/2011
To:
Construction of a New Accessary Building, 10' x 16' Shed, as applied for.
At premises located at:
1135 Green Hill Lane, Greenport
SCTM # 473889
Sec/Block/Lot # 33.-2-28
Pursuant to application dated
To expire on 11118/2012.
Fees:
5/13/2011
and approved by the Building Inspector.
CO - ACCESSORY BUILDING
ALTERATION OF ACCESSORY BUILDINGS
Total:
$50.00
$164.00
$214.00
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCcupAN£
JUN - 1
BI DG DEPI.
TOWN OF SOLITHOLD
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual naturat 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 bnilding, 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 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 all property lines, streets, building and unusual naturai or topographic
features.
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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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
Old or Pre-existing Building:
House No. Street
New Construction:
Location of Property:
Owner or Owners of Property:
Date.
Suffolk County Tax Map No 1000, Section
Subdivision
(check one)
Perm/t No. ~/~ ~
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Hamlet
Block ~ Lot
Filed Map. Lot:
2~v-// Applicant: A2~ ~f~ ~9 ~r2
Underwriters Approval:
Request for: Temporary Certificate
Foe Submilted: $ ~ c~
Final Certificate: (check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FmERr~s'rJm'~
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[,~INAL
] FIRE SAFETY INSPECTION
] FIRE RESlSTMJI' I~..NETRATION
DATE
INSPECTOR
TOWN OF SOlYgHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. Nor(hFork. net
Examined ,20
Approved ~"'-OQ'~ ,20 I I
Expiration
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Building Inspector
Do you have or need the following, before applying?
B~ard of Health
4 sets of Building Plans
planmng Board approval
Survey_
Check
Septic Form
N.Y S DE C..
Trustees
Flood Permit
Storm-Water Assessment Form
APPLICATION FOR BUILDING PERMIT
Date
INSTmJCTIONS
,2o //
, filled in by typewriter or in ink and submitted to the Building Inspector with 4
~. Fee according to schedule.
Got and of buildings on premises, relationship to adjoining premises or public streets or
c I The work covered by this application may not be commanced 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 paxt for any purpose what so ever until the Building Inspector
issues a Certificate of Occopancy.
£ Every building permit shall expire if the work authorized has not commenced withha 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, 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 describe~: T~ef)
applicant agrees to comply with all applicable laws, ordinances, building code,~loo/sin~g code, and regulations, an~ to ~imit / /
authorized inspectors on premises and in building for necessm'y inspections. '
(' ' ( ~ignalmre of a~plicant or name~ ifa c~rpora~on)
·{-Maiiing ~ddress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premisee ~T~p 'al~ ~'~[ ~--- ~/
(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.
1. L°cati°n°fland°nwhichpr°p°seqlF°rkwillbq~l°ne:lJ~)_t:~ ~__~,~m~,l.~[~.lJ J,,~l, ~-s~--~gd~)~-t ~"~-~'
House'~umber ~ Street ' ' ' Hamlet
CountyT .ap o. 1000 See.on Block 07.. Lot
Subdivision Filed Map No. Lot
4.
5.
6.
7.
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and oceupancy ~./A/~ ~'s°cF/3lLct' ~t'l~g?'} ~
b. lntended use and occupancy S/tP'~/~ eOT ~PP'~_~))
Nature of work (check which applicable): New Building.
Repair Removal Demolition
Addition Alteration
~er Work ~~j~ ~i~t~t~ ~ ~ ~
Estimated Cost '~'2~t~r~
If dwelling, number of dwelling units
If garage, number of cars - '~
Fee ~j~ ~..,~ q (~0 (Description)
(To be paid on filing this ~lication)
Number of dwelling units on each floor
If business, commercial or mixed occupancy, specil~ nature and extent of each type of use.
Dimensions of existing structures, if any: Front /~:~ I Rear ~ .Depth
Height /~) t Number of Stories
Dimensions of s~mae~tructure with alt~e/a~ions or addition~s>FtE'nt
Depth ~ ~ ~ Num b~..0.c~'~to ries~
8. Dimensions of entire new construction: Front Rear _Depth
Height Number of Stories
9. Size oflot: Front /001 Rear ~ .Depth
10. Date of Purchase /~ "15- ~Name of Former Owner ,-~/~,~/Q
l 1. Zone or use district in which premises are situated ~[~ ~,._~ I
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__
I 4. Names of Owner of premises . ~/~7,~ ~///~-~/-tg
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. ls 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. Ifelevafion 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
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF/~d tt~l )
~loh&e,I ( ~ D'hc. Cc4rJ'q'-Q being duly sworn, dcT~oses and says that (s)he is the applicant
(Na~ne of individual signing contract) abov~e naned,
(S)He is the
(Contxactor, Agent, Corporate Officer, etc.)
of said owner or owners, md is duly authorized to perform or have performed the said work and to make and file this application;
thai 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.
U$iMClC~OWUrlx;~t~:5~T FO~M RFmOW WtTtlI/V NEW YOI~K S'I:~ TE 'ONt'¥:
State of NEY,, Yorl;, County of ~ D~OtAk }ssa
On thc )~day oF December in the yem'2009
Francis J. Yakabosk ' '
hc Salll¢ s~cr/thcir capacity(les), and that by tiis~er/their
State of New York, County of ) ss.:
say thaL t{clshclthcy reside(s) in
State of New York, County of
thc >,amc in his/hcr/flteir capacity(ies), and that by his/hct/lhcir
A CKNOWLEDGMEN? I:ORM FOR USE OUTSIDE NEB YORK ,~l;t ~'? ONIA:
&;;,,;.i,.b ¢,;,,;,; i~,i,;, s;o~,; ¢,;,,;,k; ¢,-.,,~,',,, ~.,,...,~., ~
On the day oF in thc year
belbrc me, thc undc~signed, personally appcarcd
personally knawn to me or proved to me on the basis ot satisfactory
evideace to be the individaal(s) whose nanqc(s) is tm'e) subscribed m thc
within instrument and acknowledged to me that he/she/they executed
the same in his&er/their capacity(les), that by his/her/their sigmttmc(s)
on the instrument, thc individual(sh or the person upon bchall of which
thc individual(s) acted, executed the instrument, and that such individual
made such appem'ance belore the undersigacd m thc
EX ECUTOF,'S DEED
Frank J. Yakaboski, as Executor of Estate of
Susan Deleo and Francis J. Yakaboski
TO
Stephanie McCarthy and Suzanne
McCarthy
DISTRICT 1000
SnC-FJON 033
BI.OCK 02
l.OT 028
COUN'I Y OR TOWN Greenport
Fidelity National Title Insurance Company
uJ
BUILDING PERMIT EXAMINER CHECKLIST
· '.
scm# 1000--
Property Address:
Estimated Cos .'~ ~ o o, o 0
-- ~ -- ~-~ Subdivision: ~v4v~;~v~Z~-Zone: /(9_ ~ Conforming?
Building Permits (Open/Expired): BP__~Z / C/0 Z- , Info: BP -Z/C/0 Z- , Info:
BP__-Z / C/0 Z- , Info: BP -Z / C/0 Z- _, Info: BP__-Z / C/0 Z- , Info: __
Single & Separate Search Required? Y ~ Determination: ,
REQ. Lot Size: ACT. LotSize: SZ.o, ~60~-~,¢7) REQ. LotCov. ag-~ ~aACT: LotCov.
KEQ. Front ACT. Front REQ Side 70 ACT. Side' 9-'7 REQ. Rear PROP. Rear
REQ. Height ~C9- ACT. Height.
Project Description: ~
Waterfront? Y or~
If yes, water body:
Panel~ ~ Flood Zone: -- Bul~ead/BluffDistance:
ADDITIONAL APPROVALS REQUIRED
Suffolk County Health: Y or(t~,/- If yes, *Bed#: __ *Date: / / *Permit#:
- If no, certification required: Y or N Received: Y or N By:
NYS DEC: PaS-oeC 9/uTs Y o Date:
Southold Trustees: Y 0r~ Date:
Southold ZBA: Y o& Date: __/ /
Southold Planning: Y oq~ Date: /
Town Landmark C of A: Y 6~DTE:
Town Septic: Y o~
/ / Permit #:
/ Permit #:
Permit #:
/ Permit fl:
/ /
or NJ Letter - Notes:
or NJ Letter - Notes:
- Notes:
- Notes:
*NYS CODE Compliance (page 2) Y~r N
Notes:
Fee Structure:
Foundation: -------- SF
First Floor: ~ ~ 0 SF
Second Floor: ~ SF
Other: ~ - SF
Total: SF
Calculation:
+InitialFee:$ } 0 0, 0{9
+ Additional Fee ( ): $
SF X $ --$
+ Initial Fee: $
+ Additional Fee ( ): $.
o.oo
TOTAL: $ I (~ ~ , O0
NEW YORK STATE CODE COMPLIANCE CHECICLIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: ~0
Weathering: Severe -Frost Depth: 36" __
Design Temp: 11 __ Ice Shield Underlay: YES ~
USE/OCCUPANCY CLASSIFICATION:
HEIGIZtT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED/pREscRIPTIVE
FULL FKAMING DESIGN ELEMENTS: Y/lq
ItEADERS: YIN' WALL STUDS: Y/N
CEILING JOISTS: Y/N FLOOR JOISTS:
LUIM[BER SPECIES AND GRADE: Y/N
Wind Speedl 120MPH__ Seismic Design Category." B .
Termite: M-H ' Decay: S-IV[
Flood Hazards:
GLRDERS: Y/N
ROOF 1L61WI'ERS:
W12qDOW AND DOOR SCHEDULE:
· MISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
~rENT 4%:
NAILiNG/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FYRE PROTECTION EQU][PMENT: Y/N
TRUSS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
SURVEY OF
LOT 129
MAP OF
EASTERN SHORES
sECTION FIVE
S£TUATED AT
GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000--33--02--2~
Land S
Nathan Taft Corwi~
urveyor
,,I
)1
~ ~Oq
~4
Special Order - The Premier Series
Berk~ey ftt
Traditional "b~rn" style provides plen~ of height ~ add a s~rage Io
* 5~4"w x 6'h double doors
NOTED · 6' high side waits
~ ~7 * lO' high peak
~ * Flexible door Iocotio~ *
Ab1 TO 4 PM FOR THE
HHP Item
i /c-e~-'~b,,rlON-TWOREQUIRED 18,~1,~2 ioosso3,~s
2 '~.FRAMING,~, ~s~2o ioo~so~s io',12',,o
'~APPING ELECTRIC~ ~ CAULKING ~.z ,~o~ ~O,x~,,~o,~,~
ALL CON8~~~ ~4~s9 ~oossosz~ lo., ~.. ~o.
YORK STATE. ~T ~ ~
DESI6N ~ ~ ~.
DO NOT PI~KX~EED ~
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
ELECTRICAL
INSPECTION REQUIRED
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIF!CATE
OF OCCUPANCY
COIvlPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRE
SO~¢Lf~TOWN TRU~S
_......_.._.,,h~.S. DEC
IH _cll.o/
Usted ,t mo
y ahorre!
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