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HomeMy WebLinkAbout37149-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 6/12/2012 CERTIFICATE OF OCCUPANCY No: 35748 Date: 6/12/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: DECK 850 (aka 711) Wiggins St, Greenport, Sec/Block/Lot: 48.-1-32 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/10/2012 pursuant to which Building Permit No. 37149 dated 4/20/2012 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: 12' X 22' deck addition as applied for. The certificate is issued to Donald & Tonia Wachtel (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ofized ~ignature 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 #: 37149 Permission is hereby granted to: Wachtel, Donald & Wachtel, Tonia 711 Wiggins St Greenport, NY 11944 Date: 4/20/2012 To: to construct a 12' X 22' deck addition as applied for At premises located at: 850 Wiggins St, Greenport SCTM # 473889 Sec/Block/Lot # 48.-1-32 Pursuant to application dated To expire on 10/20/2013. Fees: 4/10/2012 and approved by the Building Inspector. SINGLE FAMILY DWELLING - ADDITION OR ALTERATION CO - ADDITION TO DWELLING Total: $305.60 $50.00 $355.60 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to tile Building Department witb 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 natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installatiou fi'om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that tile solder used in system coutains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple resideaces and similar buildings and installations, a certificate of Code Cmnpliance fi'om architect or eugineer responsible for the building. 6. Submit Planning Board Approval of completed site plau requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of prope~ty showing all property lines, streets, building and unusual natural or tolrographic featmes. 2. A properly completed application and consent to iuspect signed by the applicant. If a Certificate of Occupancy is deuied, tile [3uildiug luspector shall state tile reasons therefor ill writing to tile applicaut. C. Fees t, Certificate of Occupancy New dwelling $50,00, Additions lo dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory buildiug $50.00, Businesses $50.00. 2. Certificate of Occupancy ou Pre-existing Building- $100.00 3 CopyofCertificateofOccupancy $.25 4 [JpdatedCetlificateofOcc.pancy $50.00 5. Temporary Certificate of Occupancy Residential $15.00, Commercial $I 5.00 New Constructiou: Location of Property: House No. Date. Old or Ih-e-existing Building: (check one) '-S'treet Date of Permit. Owner or Owners of Property: Suffolk Couuty Tax Map No 1000, Section Su6division Permit No. Healtb Dept. Approval: Ham l el' Lot '~o'~ Filed Map. Lot: Applican!: Underwriters Approval: Planniag Board Approval: Request lbr: Temporary Certificate Final Certificate: (check one) I:ee Subtnittecl: $ Appbcaat $~t:,aature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~JLATION [ ] FRAMING/STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) . [ ] ELECTRICAL (FINAL) REMARKS: DATE ~//~/~/~_ INSPECTOR ~/ '~/~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined ~/{~0 . 20 [ ~L* Approved Disapproved a~c PERMIT NO. 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mailto: 7ii, Expiration ~ ~----- /~ /ii ' Building Inspector ~, ,,7 ¢'['i. Date t//~ , 20 ~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or iu ink and submitted to the Building Inspector with 4 sets of plans, acctn'ate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoiuing premises or public streets or areas, and waterways. c. The work covered by this application may not be commeuced before issuauce of Building Permit. d. Upon approval of this application, the Buildiug luspector will issue a Building Permit to the applicant. Such a permit shall be kept ou the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or iu paa lbr any purpose what so ever until the Building Inspector issues a Ceaificate of Occupancy. fi Every building permit shall expire if the work authorized has not commenced within 12 mouths aRer the date of issuance or bas uot been completed within 18 months from such date. If no zoning ameudments or other regulatious affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pemit for an addition six months. Thereafter. a oew permit shall be required. APPLICATION IS HEREBY MADE to the Building Depamnent for the issuance ora Building Permit pursuaut to the Building Zone Ordinance ofllhe Town of Southold, Sufk~lk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or fbr removal or demolitiou 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 bnilding for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises :,. '-"~70~ \ ,~ (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. Location of land on which proposed work will be done: Ilouse Number Street County Tax Map No. 1000 Section Block Hamlet Lot 32- Subdivision Fb Filed Map No. ~ ~ ~-~ Lot State existing use and occupancy of premises and intended use and occupancy of ~roposed construction: a. Existing use and occupancy ,~, ~\c~'[ q-- ~'-~', ,\ ~/ L_r~l~'2~,k, v~ Ci~ b. Intended use and occupanc~ ~l~i.t~.~l~ b(' ~--~ (-~-- 0 fix C_,\ rxex~,c, 5¢ ex'~tll -('x)~cT Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work (Description) Estimated Cost ;5OC,ID' Fee If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor tf business, commercial or mixed occupancy, speci fy nature and extent of each type of use. Dimensions of existing structures, if any: Front~) q / Real' Height ~O / Number of Stories Dimensions of same structure with alterations or additions: Front 9 1~" Depth q ? ~ Height "~O r Number of Stories Dimensions of entire new construction: Front D ~ ' Height ~'.tTt ~ l&~,~ ~'~::lumber of Stories I / Size of lot: Front ~i~) Rear ~-(? 10. Date of Purchase ~ \'lC Nc)_a,,a 11. Zone or use district in which premises are situated Depth Rear Rear ~Q,'~ / Depth Depth Name of Former Owner 12. Does proposed construction violate any zoning law, ordinance or regulatioo? YES NO ~ 13. Will lot be re-graded? YES NO ~x::~Will excess fill be removed from premises? YES NO ~ 14. Names of Owner of premises~¢~,N ~.,,,,.~-~ Address ?/~ ~ ~t~5 5~t~Phone No. b~g/- ~ ~-(~ ~ Name of Architect Address Phone No N~e of Contractor ~ ~J~] Address ~ll ~5 PhoneNo. 5'~ 15 a. Is this prope~y within 100 feet of a tidal wetland or a freshwater' wetland.O'YES NO ~ * IF YES, SOUTHOLD TO~ 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 fbundation plan and distauces to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. l 8. Are there any covenants and restrictions with respect to this property? * YES__ NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUp&OF )(' _..-~--N--¢.&- _ Q...__x_T,3- o~ being duly swum, deposes and saysthat (s)be is the applicaat (Nam~ ~f ihdiv~ual signing contract) above named, JONNIE' D BUNCH ~---/~ k r-~ Notary Public, State of Now York (S)ne is the.K~~ ~ ,~ ~ t,~.,_..o~ -~-~.~ .... (Contractor, Agent, Corporate Officer. etc.) Commi~ion Ex, ires April ltt. of said owner or owners, and is duly authorized to perfom~ or have performed the said work and to make add 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. Sworn to before me tbisa · Notary Public Signature of Applicant Town of Southold Erosion, Sedimentation & S,torm-Water Run-off ASSESSMENT FORM  PROPERTY LOCA~OH: S.C.T.M. ~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADINGt DRAINAGE AND EROSION CONTROL pI_~~. District Section Block Lot CERTIFIED BY A DESIGN PROFE~.~iONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITI~'VI# / WORK,a,_SSF_SSM]~ I Yes No a. What is the Total Area of the Project Parcels? ~ ~ I Will this Project RetainAIISterm-WaterRun-Off (include Total Area of all Parcels located within I ~ -- the Scope of Work for Pmpesed Construction) ~ ~*;-~ ~.~1- Generated by a Two (2") Inch ~infall on Site? b. What is the Total Area of Land Clearing ~- ~.~.F./  clearing and/or eanstmstlon activities as well as all '___ and/or Ground Disturbance for the proposed Site Improvements arid the permanent creation of constmstion activity? Impel/leas surfaces.) {s~="--) 2 Deas t}he Site Plan and/or Survey Show Alt Proposed ..[,k~ [.,~,~.~I PROVIDE BRIff~ ?ROJI~rl' DESCRIPTION 0'mw,~a~,a,,~e~e~ DminageStmctureslndicatingSIze&Loca~on?'ll~ls Item shall Include ell Proposed Grade Changes and %~'I\XC~\% ¢(Z~'.D "/0e(~'~. (o('~ SIopes Controlling Surfaco Water FIow. 3 Does the Site Pion and/or Survey deseribe the emslon and sediment control practices that will be used te ~ control site erosion and storm water discharges. This -- \ ~.~.//. _,~t item must be maintained throughout the Entlm Construction Period. 4 Will this Project Require.any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving mom than 200 Cubic Yards of Material within any Parcel? Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surlace? · Site? is this Project within the Trustees jurisdictkm General DEC SWPPP Requirements: or within One Hundred (100~) feet of a Wetfend or disturbances of one (1) or more acres; incleding disturbances of less than one acto that 7 W~t there be Site preparation on Existing Grade Slopes i-~, are part of a larger common plan thai will uidrneto~y disturb one or more acres of land; which Exceed Fifteen (15) feet of vertical Rise to I I the DEC has determined that a SPDES permit is required for sm water discharges. One Hundred {100') of Horizontal Diste~ce? SWPPP's Shall meet the Minimum Requirements of the SPOES Oeneral Permi~ 8 Will Driveways, Parking Areas or other impervious r'~ submi~ed to the Department pdor to the commencement of construction actively, into and/or in the diraction of a Town right, of-way?/-- 2. The SWPPP shall desc~he the erosion and sediment control ixacUces and where 9 Will this Project Require the Placement of Material, constmcte~ to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoukler STATE OF NEW YORK, % .... COUNTY OF ......... ~.~.X..V-~. .......... SS No. 0;8U6~85050 Qualified in Suffolk County ' Commission E ..................... i~'~'~;,ih'~'~;~;,~;~____ __ (~.mm§ omy sworn, aeposes an(] says that he/she is the applicant for Peimit, . IO,~r. c~, ;/&:;;q;.~i.' ~i;' ~.' ~i ................................................................ Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statement~ 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 foF,.h in the application filed herewith. Sworn to before me this; , ............ ~-.-~-.--~......-~,. . day ot-~.. ' (Signature of Applicant) FORM - 06110 WIGGINS STREET EDGE OF PAVEMENT O.H. WIRES S89'J6'Jg "E 50. 00' CONCRETE FOUNDA T/ON T.F. 53.1 24.0' LOT 38 FRAME~ L ~oor o.~ N89'14'10'~/ LOT J7 50. O0 ' LOT 41 LOT 42 LOT 4J 100.0' LOT 36 CERTIFIED TO: FIDELITY NATIONAL TITLE INSURANCE COMPANY DONALD E. WACHTEL EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT JOB NO. F1JO0 MAP NO. 548 F/LED 12/23/1930 REVISIONS: ~o/9/~a Aoo roPo 11/03/99 AO0 PROP. OWE[LIND 07/24/2001 REtOSE PROPOSED HOUSE 08/03/2001 PR. HOUSE STAKEOUT 08/21/2001 UNDER CONSTRUC770N license no. 050149 SURVEY OF LOT 37 MAP OF PLAN OF THE S. BUEL CORWIN ESTATE SITUATE AT GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCALE 1" = 20' JULY 9, 1998 S.C.T.M. DIST. 1000 SEC. 48 BLK. 01 LOT 32 ........................... ...................... . ~ ~~~woy Marc ~. Chorest, L.S. Succe$$or~ ~o Paul T. Canal~za, L.$. Rober~ A. Karl, L.S. Good Ground Surveyors, P.C. ' TIOI~ )F NAILINg. ~ , ~NE(:~rl(~S REQUi~-~ED. ..... PROVF. NOTED 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH- FRAMING, PLUMBING, STRAPPING. ELECTRICAL & CAULKING 3 INSULATION 4 FINAL - CONSTRUCTION &ELECTRIGAL MUST BE COMPLETE FO~ C.O. ~LL CONSTRUCTION SHALL MEET THE ~EOUIREMENTS OF THE CODES OF NEW ~K STATE, NOT RESPONSIBLE FOR _SIGN OR CONSTRUCTION ERRORS.