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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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