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HomeMy WebLinkAbout34810-ZTown of Southoid Annex 54375 Main Road Southold, New York 11971 12/5/2011 CERTIFICATE OF OCCUPANCY No: 35367 Date: 12/5/2011 Location of Property: SCTM #: 473889 THIS CERTIFIES that the building ACCESSORY 5223 1NDIAN NECK LA PECONIC, Sec/Block/Lot: 98.-1-1.4 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 6/22/2009 pursuant to which Building Permit No. Lot No. filed in this officed dated 34810 dated 6/22/2009 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: accessory 10 x 16 shed as applied for. The certificate is issued to Okula, Lisa & De Frese, Robert (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth~zo~ Sig~ture / FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34810 Z Date JUNE 22, 2009 Permission is hereby granted to: ! R DEFRESE 5223 INDIA~ NECK LA PECONIC,NY 11958 for : INSTALLATION OF AN ACCESSORY 10X16 SHED IN THE REAR YARD PER TRUSTEES APPROVAL AS APPLIED FOR at premises located at 5223 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 098 Block 0001 Lot No. 001.004 pursuant to application dated JUNE 22, 2009 and approved by the Building Inspector to expire on DECEMBER 22, 2010. Fee $ 100.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN HALL This applicatiou must be filled m by typewriter or mk and submitted to the Bud&ng Depaa~~ A. For new building or new use: 1. Fiual survey of property with accurate location of all buildings, propeay lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Depl. 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 ia system coatains less dmn 2/10 of 1% lead. 5. Commercial building, iudustrial building, multiple residences and similar buildings aud iustallations, a ceaificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additioas to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory buildiag $50.00, Additioas 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 Occupaacy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existing Building: 5Zz-3 LT-r dh House No. Street Owner or Owners of Property: ~1~,9~ Suffolk County Tax Map No 1000, Section ~' ~ Subdivisioa Permit No. Health Dept. Approval: Planning Board Approval: Request lbr: Temporary Certificate Fee Submitted: $ r---~ , Date of Permit. (check one) Hamlet Block [ Lot [' ~' Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG, [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [~11~L ~/~'~' [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ [ ]ELECTRICAL(ROUGH) [ REMARKS: ~'-~/~/~ /~-'~ ~ ~-~/~-~ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~SIJ~ [ ] FRAMING/STRAPPING ['/] FINA~/~J [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTIO# [ ] FIRE RESISTANT PE.ETRATIO" [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: C<~'~ ~ INSPECTOR FOUNDATION (2ND) PLUMBING ~S~ATION PER N. Y. STATE E~R~ CODE ~DITION~ CO~ENTS TOWN'OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined ,20 Approved Disapproved a/c · 20 Expiration ,20__ JUN 2 2 2009 8LDO. DEPT. TOWN OF SOUTHOLO PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, betbre applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form A Mail to: !Building Inspector Phone: ~21- g2',S-- .2'2 0 et APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST 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. t: 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 autborize, in writing, the extension of the permit tbr 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, Ne~v 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. , WC 7 U;, ' UNLAWFU,. ' UT CERTIFIC, - OF- CC'3UPANC¥ APPROVED AS NOTED State whether applicant is owner, ]essee, agent, architect, engineer, Name of owner of premises If applicant is a corporation, signature ot~dulv authorized of'ricer · .,-~L_L.¢_ONSTRUCTION SHALL (S~f a corporation) (Mailing address of applicant) ( t~ ,V general ,.cg_ntrac. to):` ~el~tri.,ci_aq, pl,~ qflr. Tbuilder LIA/I=:.=.~ [:3.F. # N?UFY BLiIL! ,: .... t ....,,-,:NT AT (As on the tax roll or l~t~ POURED C .... (Name and title of corporate'~;l~l~"'~ej'~t: HEQUIRE&',ENTS OF THE UODES OF NEW YO~K STATE. Builders License No. R~TAIN ~Yflm~ W~T~UNOFF Plumbers License No, PURSUANf~' ~u* ~ -- · ~,,.~T~ 236 Electricians License No, 0F ~-lfla/ll ~ne Other Trade's License No. ~~R~F~A~ -flEQU~ED ]. Location ofbnd on wNch proposed wor~ wH] ~ done: Ho~e Number Street Hamlet County Tax Map No, 1000 Section ~ Block ~ Subdivision ~(~ Filed Map No. 2. ROUGH- FRAMilJG .~ ° PLU~,~,,~'~T~ 3. INSULATION 4. FINAL - COL'STR:JCT!ON MUST BE COMPLEiE :~': C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE· NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Lot 1. C~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ iw ~'Z b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair Removal Demolition Other Work Estimated Cost ~ ~ ~, If dwelling, number of dwelling units If garage, number of cars Fee l O 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. Dimensions of existing structures, if any: Front Rear .Depth Height Number of Stories .. Dimensions of same structure with alterations or additions: Front , ~ ' Rear, Depth. Height t Dimensions of entire new construction: Front ~3 Height [ ~ ' Number of Stories Size of lot: Front Rear Number of St~o[ies i'./ ~ Rear 1 _Depth 10. Date of Purchase Name of Former Owner 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 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 of a tidal wetland? * YES NO __ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, witb 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 · IF YES, PROVIDE A COPY. NO STATE OF N~W Y94>,K) 'SS: COUNTY O~ . _.~.? [o.~'~ ~ 44~-~ - being duly swom, 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 th,e said work and to make and file this application; that all statements contained ~n th~s apphcat~on are true to the be~'of~lhs Im'owledge and behef; and that the work will be performed in the manner set forth in the application filed therewith. Swor~o4~efore me this~t 4~ day of >O ~ 20Oq Notary' Public Oual?fi°~gt~n'~fgluk~counlY4,~ / Signature of Applicant 6ommissiov ~xpires luly 28, James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 May 20, 2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Robert Defrese 5223 Indian Neck Lane Peconic, NY 11958 RE: 5223 INDIAN NECK LANE, PECONIC SCTM#98-1-1.4 Dear Mr. & Mrs. Defrese: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., May 20, 2009: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #6967 to relocate the 10'X 16 'shed, as shown on the plan last revised Apd113, 2009. This is not a determination from any other agency. Sincerely, Oame .~King, Preside~ Board'of Trustees JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (6311 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0444c Date: July 8, 2009 THIS CERTIFIES that the installation of an in-ground swimming pool, patio and shed and maintaining the 50' Non-Disturbance Buffer At 5223 Indian Neck Lane, Peconic, New York Suffolk County Tax Map # 98-1-1.4 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 7/1/08 pursuant to which Trustees Wetland Permit # 6967 Dated 9/17/08 was Issued and was Amended on 11/19/08 and on 5/20/09 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of an in-ground swimming pool, patio and shed and maintainim, the 50' Non-Disturbance Buffer The certificate is issued to ROBERT & LISA DEFRESE owner of the aforesaid property. Authorized Signature :Town o__f Southold Erosion, Sedimentation & storm.water Run-off ASSESSMENT FORM ~ ~R.~OPERTY~t~O~CA~TION: S~.C.T.M.~: . , .'i'~.E..F.O~__L~WING ACTIONS MAy REQUIRE THE SU~!e~,O.-. OF A ms~ s~on m,~k Lot/ ~~ Item Number:. (NOTE: A Check Mad((~) for each Queeito~ is Required for a Complete Application) Ye__s 1 W*dl this Pmject Retain AIl Storm-Water Run-Off Generated by a Two (2.) inch Rainfall on Site? (This item will include all mn-off created by site cleedng and/or consflucfion ac~vlties es wsti as all Site Improvements and the permanent creation of knpervlens sudacas.) 2 ODeS the site Plan alld/or Survey Show All Proposed Drainage Structures Indicating Size & Loca§on? ~--~ r~ This Item shall in01ude all Proposed Grade Changes and Slopes Con.oiling Sun'ace WatenClowl 3 Will this Project Require any Land Filling, Grading or Exoavalion where there is a c~ange to the Natural r~ Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 Will this Application Require Land Disturbing Acfivtitss Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Groond Sun~aca? 5 Is there a Natural Water Coume Running through the SRo? r~ is Ibis Project within the Trustees Jurisdiction or within One Hundred (100') feet of a Wetland or Beach'~ 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise th One Hundred (100') of Horizontal Distance? 7 Wi, Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Watec Run-Off into and/or in the direction of a Town fight-of-way? 8 Will this Project Require the Placement of Material; Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? O -- NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Perm~ EXEMPTION~ Yes N._R Does this project meet the minimum standards for classi§caUon as an Agdcotiural Project? Note: If You AnsWered Yes to this Question, a Stonm-Water, Grading, Drainage & Erosion Control Plan Is NOT Required] __ __ STATE OF NEW YORK~ ~ £ ~',~ ~d ~at he/she is ~e .............................................. ,Owner ~or ~prcscn~fivc of~c Owner of O~cr's, ~d ~s duly au~o~d ~o pc~om~ or have pedDled ~e s~d wo~ ~d to m~c ~d file ~is ~pli~fion; ~ ~1 sa~cmcnU ~n~ncd in ~is appIi~fion a~ ~c ~o ~ best o[h~ ~owlc~ ~d ~he[; ~d · ar ~e wo~ will bc performed in ~c m~ncr se~ [o~ in ~c appllcadon filed here~. Sworn ~o before mc FORM - 06107 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold~ NY 11971 0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 November 28, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD Lisa Okula & Robert DeFrese 5223 Indian Neck Lane Peconic, NY 11958 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: __ ^pplication for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. "/' A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All 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. - Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 34810 - Shed ,AREA = 16072 Acr JUL 1 2008 $out~old Town - Board of Tmst~es L 0 T NUMBERS ARE. REFERENCED TO ' MINOR SUBDIVISION FOR THE O'KULA /rAM/L. y" NOV - 5 2008 /O/F ,JOHN POM 'Board el Tmmas ....C, s. e,~2 ~,o,o. s. ,au. ,~1 · N. R10-96-0069 IN/OIF M, & E. MCKIERNAN , ~, I ~0'~5'00. .-E 37.51, g,30' ~' .05'4'0" APPROVED lines dong ~ ol gullet Richmond'S Creek BOARD OF TRUS~ TOWN OF SOUTH~ TOWN OF S'OUTHOLD DATE ~,~ /7 o8 \ "-t ~- , ....... · ..... ~.., ~. , ROBER~ L. & LISA , A T INDIA N NECK ~ ~ ~ .: TOWN OF SOUTHOLD SUFFOLK COUNTY., 1000 - 98 - O1 - PlO ~ 1 Sca/e: 1"= 50' July 3~, 1996 A~.9. 19, I~,E (Cerllflcctlon~ ..., Ocl. 7, /996 (toundolion) Nov. /5~ /996 (contou'r$ odded) Apr// 7/997 (f/nb/) CERT~I£D lO. ROS£R r L, O~FRESE LISA ~, Oef'RESE REPUBLIC ABSTRAC? CORP. RDELIrY NA ?IONAL rlrL£ ~tSURANCE OF NEW YORX 8RID$EHA/,¢P I.ON NA I'/ONAL BANN 1 ~m I~m,~ v/ih 1~ STAu~OAROS FOR APPROVAL ~ CONS)RUCl.ION OF ~'UaSURFACE SEYAGE p~rm? Io co~lrucl. · 1275.58' INDIAN NECKRoAD S~owo fl~reo~ ore /rom /l'~/d observoh'on~ / , . iSiS)~S5 ' ' CONl.OUR LIN~Z ~ND ELEVATIONS P, O, BOx 90, ~R~ R~RgNC~D rO N,G, VtD, I~0 ~RAV~ SOU~H~D~ N,~, ' 119ZI 78.44,00' W, $' 20.05' '0, 4961'8 Over Cedar Grove Outdoor Products - Sheds - Cape Cod - Sheds, Garages, Gazebos, Playsets .... Page 2 of 2 http://wwxv.cedargroveproducts.com/products/sheds/cape_cod/ 6/22/2009 L ~ ,j ll]JrlrlJJl II ' 12' ~V~dg Prc~d¢ Do~¢~tg 2x5 ~112" rly~uoe41 Alt Opcmngs - DOOr Pla~ TTtlg;