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HomeMy WebLinkAbout37165-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 6/12/2012 No: 35749 Date: 6/12/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ACCESSORY 3865 Bridge Ln, Cutchogue, Sec/Block/Lot: 84.-4-11.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/16/2012 pursuant to which Building Permit No. 37165 dated 4/25/2012 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: accessory gazebo as applied for. The certificate is issued to Joseph & Kathleen Caroli (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A/yJ)(/~z ed/gfg n at~r e 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 #: 37165 Permission is hereby granted to: Caroli, Joseph & Caroli, Kathleen 3865 Bridge Ln Cutchogue, NY 11935 To: construct an accessory gazebo as applied for Date: 4/25/2012 At premises located at: 3865 Bridge Ln, Cutchogue SCTM # 473889 Sec/Block/Lot # 84.-4-11.1 Pursuant to application dated To expire on 10/25/2013. Fees: 4/16/2012 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $157.60 $50.00 $207.60 Building Inspector Form No. G 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 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 natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead. 5. -Commercial building, industrial building, multiple resideuces and similar buildings and installations, a certificate of Code Compliauce from amh itect or eogineer responsible for tile building. 6. Submit Plamling 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 unusnal natural or topographic features. 2. A properly completed application and consent to respect signed by the applicant. [fa Certificate of Occupancy is deuied, the Building Inspector shall state tile reasons therefor m w~iting to tile applicant. C. Fees I. (crtificateofOccupancy New dwelling $50.00, Additions to dwelling $50.00. Alteratious to dwellmg $50 00, Swimming pool $50 00, Accessory building $5000, Additions to accessory Ntilding $50.00, Businesses $50.00 2. CertificateofOccupancyoliPreexistingBuildmg- $100.00 3 Copy of Certificate of Occupaucy - $.25 4. Updated Celxificate of Occupancy ~ $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ~Z~ ~ Old or Pre existiug Building: (check one) House No. Street ' ~ Hmnle} Owne,- or Owuers of Property: '~Se~ ¢ R~¢[~ m ~a~0[; Suffolk County Tax Map No 1000, Section ~ & Block O ~ Lot { ~. ~ Lot: I Permit No. 59 1 (¢ ~" Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted:$ .5©. ~ Date of Permit. Filed Map. Applican!: (check one) , ffAppl[9ant Signature' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN~SUt. ATION [ ]FRAMING/STRAPPING [,/~]~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. / [ ] FOUNDATION 2ND [ ylNSULATION [ ] FRAMING/STRAPPING [~/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL~.OUGH) [ ] ELECTRICAL (FINAL) REMARKS:~ ~.~ DATE ~/~/~ INSPECTOR ~ ~ TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved Disapproved a/c Expiration / J' PR g~ ~G DEN. 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 /~O 4- ~-/_~ v~- C/~,~C~O ~ Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: ~"O e~'6. I0 ~ ~O,.OO l; B~il~-ing Inspector Phone: PPLICATION FOR BUILDING PERMIT Date ,20 1 7_, INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to tile 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 ou premises, relationship to adjoiuing premises or public streets or areas, and waterx~ays. c. The work covered by this applicatiou may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector xvill issue a Buildiug Permit to the applicant. Such a permit shall be kept on the premises available fbr inspection throughout the xvork. e. No building slmll be occupied or used in whole or iu part Ibr any purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Every boilding permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed ~ithin 18 months from such date. If no zoning amendments or other regulations affecting the prope~y 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 lbr 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, tbr 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 aothorized inspectors on premises and in boilding for necessary inspectious. ~- (¢n~t~ applicant or name, if a co,oration) i I q ~ ~ (Mailing address of applicant) ~s owner, enmnem ,eneral con~ State whether applicant lessee, agent, architect, =' ', g :~tg, ~rlg~a~, plumber or builder (As on thc tax roll or lalost~eed} IF applicant is a corporation, signature of' duly authorized officer (Name and title of eorporatOO~pANC¥ OR Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. UbI- lb UINLAV¥1-UL ; ,I!'FLIO! IT F'I::DTIF:? Location of land on which proposed work will be done: House Number o Street FOUN~- - t.t . ~, LOL,~JN( '~ ] ~: · L }H - FRYING, PLUMB',,N$ S ' ~APPING, ELECTRICAL & CAULKING iNSU~TION F NRL- CON~TRUBTION ~ [~T~B~ ~EQUIREMENT$ ~ ~E C~ES ~ NEW YORK STATE. ~T ~ ~ Hamlet '~ County Tax MapNo. 1000 Section O ~'4 Block 1:3-de. Lot Il, l Subdivision · 5/qO, Iqe*,./ gO,O4t,--+t'~,~ FiledMapNo. ~q"/'~- Lot 2~ State existing use and occupancy of premises and intended.use and occupancy of proposed constrnction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~'j 3 '1 l, ~' [ 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) .Number of dwelling units on each floor ,,~'t0 If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~//ZI Dimensions of existing structures, if any: Front r'/q .1~,, Rear '7 -/~. q, tt Depth ff,_q t {{ tt Height Iq ' Number of Stories Dime..~.sio~ nf .~ame structure with altemtinnsj~r,~d/tion~ron~t ~ Depth. Height ',,/Ii l, / I Numberb¥Stories 8. Dimensions of entire new construction: Front [2 Height [ ~ ~ Number of Stories t 9. Sizeoflot:Frontb~-~ ' ~ Rear P~.l'5,C..F~ Rear _Depth Depth / ~' ! 10. Date of Purchase 7/'Zl]¢5C' Name of Former Owner ~/~,a_ [Oe w' ll. Zoneorusedistrictinwhichpremisesaresituated t , _4M e_m'[-ia 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 14. Nines of Owner of premises__ AJ ressaa6r ~¢ Phone No. ~t ~/~ Addres~4e~o,,t R.~J~PhoneNo. Name of Contractor R ~gal B's Sh~s ~ [~z4~Address I&4 ,~r~ N ~d{vv Phone No. ~ 31 -W ~4- I~[~ 15 a. Is this prope~y within 100 feet of a tidal wetland or a f}eshwater wetland? *YES NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland7 * 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, ocovenants and restrictions with respect to this property? * YES NO X · IF YES, PRO~tDE A COPY. STATE OF~lq-~z YDRK) SS: COUNTY OF,S~t-~(~l'l( ) k · 0-ct Ii being duly sworn, deposes and says that (s)he is the applicant (Name o~individual signing contract) above named. CONNIE D. BUNCH ~He is the ~ ~ ~ Nota~ P~I~, ~e ~ New Yo~ No. 0i~U6~ · ~ "*v ~' "=J~[~actor, Agent Corporate Officer etc ) -'~¢'~' ~J~ ~ W},",9~TS,~- - ' C~i~ E~i~ ~fil 14, of said owner or ow~¢~'~j~ ~oriz¢d to pe,'form or have performed the said work and to make and file this application; that all statem~~j~=~,~Ation are trae to the best of his knowledge and belief: and [hat the work will be performe~$~]~ i~gl,,he!apphcatton hied therew,th. day of,.~, ~ 20 Notary Public Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTy LOCATION: $.C.I-.M.~. THE FOLLOWING ACTION8 MAy REQUIRE THE SUBM!~_e!ON OF A ob~ict ' n 8~ CgKe tr;=u BY A DESIGN PROFE~ION~ IN ~E ~ATE OF N~ YORK, SCOPE OFWORK - PROPOSED CONSTRUUrlON a. What is the Total Area of the Projes{ pmcdis? (Include Total Area of all Parcels located within the Scope of Work f~- Proposed Censlmctfon) { ~- b. What i$ the Totar Area o~ Land Clearing and/or Ground Disturbance for [he proposed ~ ~ ~ coastmctlon ac~viTy? PROVIDE BRIEF PROJECT DESCRIFrION 0'W~*~',~.~'~..N~) l'l'l~v[ # / WORKAS~ESSMENT' ] Yes No Will Ibis Project Retain Afl Stern-Water Run-Off Generated bya Two (2) Inch Rainfall on Site? (This item will isclude all mn-off created by site c~ear~ng end/or construction ac~vifies as weJl as ail SITe Improvements and the permanent creation of impervlous surfaces.} ~s ~e Site Plan and/or Survey Show All Proposed Drainage Sbudiums IndlcalJng Size & Loce~on? Thrs Item sbaiT include all Proposed Grade Chaages and Slopes Contml~ng Surface Water Flow. andD°eSsedimentthe Site contmlPlan and/or Survey desc~be the erosion practices that wi~ be used to control site emsicn and storm water discharges. This ITem must be maintained throughout the Entire Conslmdiion PeHod. Will thEs Prefect Require any Land Filing, Grading or Excavation v/here there Es a change to the Nature; E~Jsti~g Grade Involving more than 200 Cubic Yards of Maledal within any Parcel? Will this Application Require Land Disturbing Activities Eacompassisg an Area In Excess of Five Thousartd (5.000 S.F,) Square Feet of Ground Sulface? Is there a Natural Water Course Runnthg through the Site? Is this Project,Mthin the Trustees jutisdlclion or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation ~ Existing C~'ade Slopes which Exceed Fifteen (15) feet of veracal Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Waler Run~3ff into aed/er M the direction of a Town ~ht-ot-way? WTII t his Project Require the Placement o f Mat eital, Removal of Vagetaiten and/or the Consthdc~on of any Item W~hin the Town Right-of-Way or Road Shoulder STATE OF NEW YORK, ¢' PP , L CON~ COUN'I~' OF ._.....,~,,. ~.~..o..I...~.. ................. SS Notary Public, State o{ New Yon~ No, 01BU6185050 Th-,! '~ S%~h 3, ~-x:~rOt; .. , QuaiifledinSuff°lkC°un~o/~ ................ (1~ a~, _ ~ e...~.i~,~{,;i, ~ ~al. ~ ~ng. ~ .................... OelI~g tluly sworn, d~qllIR{~]~ ll][lllit~ll~8 ~: ~D~a~t for ~d ~at hWshe ~ ~e ..................... .~.~fi~ ....... ~'~7~:~' ~L"~'~7~S ............................................................... S~m m before mc ~s; , .............. ___. : ..... No~ KaufoM's Cozmt T Sheds & Gazebos Standard Gazebo Structural Features All gazebos are delivered completely constructed unless ordered in modular form (as indicated with a * by gazebo style). All wood is .40 CA #1 Southern Yellow Natural Select (Arsenic Free) Pine providing maximum strength and longevity (40 yrs.). The wood is also kiln dried twice to eliminate twisting, shrinking and waiting time before painting or sealing. All wood is milled and machined on all four sides. Custom I. ouvemd Cupola #1 24' Western Red dried (no cuffing), ~ple coverage Beveled Roof Caps for Periins Machined & Milled ,2 x 6 Roof Raltars Painting of gazebos include painted PerFms & Raltem to produce a crisp detail in contrast against the cedar shing~s Ventilating Soffit pro- vides 10% additional air- flow Each of the 8 Roof 2x6 Cornice Seams scmwed with 6 stainless steel for maximum slrength & stability Baluster Railing both top & bottom are eacured with stainless steel Milled 4x4 Posts support rafters to flea~ foundation Custom Screens include a quality pressure treated wood screan ddor Each of the 8 tkx~ ceams screwed wil~ 6 stainless steel sc*ews Site Preparation. Double 2x6 Floor Joists for ma,~rnum strength & fastening area for deck Custom Screen Option Includes: 30' door (with closer & latch) hung on 3 sturdy decorative hinges and centered with rails & spindles identical to your specific gazebo style with 10 custom, removable, matching screen panels. ·.. All of our Gazebos have a 5 year warranty Sub-Flooring Dia~ .... kauf'o~s, c It is vmy important to have a tirm, completely level surlace prepared before deliven/or assembly. This can be accomplished by tilling the area with 3,~. stone approximately 3' deep or set concrete posts like one would with a deck. Detailed drawings are available for post placement. Local building codes should be consulted for site preparation. Choice of Baluster / Railing lx3 or 2x2 A. lx3 Spindles B. 2x2 Spindles N LOT NUMBERS REFER TO 'SHALVEY PROPERTIES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JULY 16,1990 AS FILE NO. 8975. AREA=80,000 SQ. FT. x. x. > /. The Iocotion of w( from field observe m =MONUMENT e--ROD ANY ALTERATION OR OF EECTION 7209OF EXCEPT ,AS PER SECl7 HEREON ARE VALID SAID MAP OR COPIES Iff-lOSE SICNA IURE AP~ SURVEY OF PROPERTY AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.-Y. 1000--84-04-I1.1' $C~.,ff: 1'--50' OCTOBER 5, 2006 'x > 'N ond cesspools shown hereon ore ~ ond or from doto obtoined from others. 'ON TO THIS SURVEY IS A VIOLATION EW YORK STATE EDUCATION LAW,, 209-SUBDIVISION 2. ALL CERTIFICATIONS : '15 MAP AND COPIES THEREOF ONLY IF ,- - ' THE IMPRESSED SEAL OF THE SURt,'EYOR .~ ~ HEREON. - ~tCONlC SL ~ (651) 76S-'~ ~, P.O. BOX 909 1250 TRAVELER SOUTHOL'D, N. Y. 11971