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Home My WebLink About37178-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 11/2/2012 CERTIFICATE OF OCCUPANCY No: 36033 Date: 11/2/2012 THIS CERTIFIES that the building SHED Location of Property: 200 Pierce Dr, Cutchogue, SCTM #: 473889 Sec/Block/Lot: 136.-1-35.1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 4/20/2012 pursuant to which Building Permit No. 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: Lot No. filed in this officed dated 37178 dated 4/27/2012 12' X 20' accessory stall barn as applied for. The certificate is issued to Davis, Wendy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED rize¢ign/~t'-~r_J 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 #: 37178 Date: 4127/2012 Permission is hereby granted to: Davis, Wendy 200 Pierce Dr Cutchogue, NY 11935 To: construct a 12' X 20' accessory stall barn as applied for At premises located at: 200 Pierce Dr, Cutchogue SCTM # 473889 Sec/Block/Lot # 136.-1-35.1 Pursuant to application dated To expire on 10/27/2013. Fees: 4/20/2012 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $196.00 $50.00 $246.00 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 the Building Department with the following: 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 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 building, 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. Bo 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. Co 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 $15.00 New Construction: Location of Property: Old or P%exisling Building: House No. Street Owner or Owners of Property: t,K~ e ~. &x{ ~' ~ ay:,5 Suffolk County Tax Map No 1000, Section .[ 3 ¢ Sufidivision Permit No. ~.~ "~ /'7 ~ Health Dept. Approval: Date of Permit. t'/-~ 7 - / Date. Block Filed Map. Applicant: (check one) ~__~v Hamlet Oi Lot: Planning Board Approval' Request for: Temporary Certificate Underwriters Approval: Fee Snbmitted: * ~-'?). ,P~/, Final Certificate: (check one) ~om~u). xX'/o~ (!ST) I~OUN~TION COXVIlVmNTS. ROUGH F~mm~. G.&' STAT~ .m~m~YCOD~ ADDITI0t~AL COIVI1VIENT$ TOWN OF SOUTH TOWN HALL I- - SOUTHOLD, NY 11971~ TEL: (631) 765-1802_ L_ FAX: (631) 765-9502 - SoutholdTown. NorthFork.net APR 1 9 ZOi2 BLDG. DEPT. TOWN OF SOUTHOID PERMIT NO. Examined qbT, o Disapproved a/c Expiration Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or lleed the following, before applying? Board of Health 4 sets of Buildin~ Plans Plannin~ Board approval Survey. Septic Form N.Y.S J).E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: ! APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ,20 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 p~emises 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. f. 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 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 Depa~unent 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises an(~)l~dJ~J~J~¥s~spections. U-5 E iS UNLAWFUL (Mailing address of ai~plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~x~ e c~ c~x/ ~ .~o-~i 5 yA-~- / (As on the tax roll p_rJates~g~d) If applicant is a corporation, signature of duly authorized officer ~i _.z2'Ir~, --- (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which.oroposed work will be done: ~oo ~t~ec ce ~ (', v c House Number ' Street County Tax Map No. 1000 Section Subdivision 70%1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ROUGH - FRAMING, PLUMBING, STRAPPING, ELECTRICAL & CAULKING INSULATION FINAL. CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL RIEOt.,~R~T~-,OF,,.~F~ODIES OF NEW YORK]ffJJI~E~t NOT I~K)ITISIIJl,.E FOR DESIGN OR CONSTRUCTION ERRORS~ Block O i Lot ~,, [ Filed Map N~~ RUNOFF PURSUANT T3 CHAPTER 236 OF THE TOWN CODE,, 2. State existing use and occupanCy of premises and int~l, ed ~e and occ~u,p~cy of proposed construction: a. Existing use and occupancy ~.~'~,~c~ ~ __~b_~l,~ Te.S, b. Intended use and occupancy ~o.~v~e_. vO'~-dr/~ i"~.t el-,~. 3. Nature of work (check which applicable): New Building. / Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost ~ o~, ~o 5. If dwelling, number of dwelling units If garage, number of cars Fee (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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height 8. Dimensions of entire new construction: Front ;~1,~ Height t 3J Number of Stories 9. Size oflot: Front ~-~..i~/r}~.~q Rear 10. Date of Purchase ~,:)-o ~ ¢ Name of Former Owner 11. Zone or use district in which premises are situated ~-.&~ , ! Number of Stories Rear oXo' Depth Rear 12. Does proposed construction violate any zoninglaw, 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 p.reAnisesj~ ~ (. ~Dov',.~ Address ~ ~',~,~,, ~'. Name of Architect ~ 0~ ~.lc~o~ c~$~ , _ - Nme of Contractor 1~', <.~,~ ~ ¢ ~ i'Ve ~ 4' Address Phone No · Address a G,,, a¢Phone No. 15 a. Is this proPerty within 100'feet of a tidal wetland or a freshwate~ wetlahd? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.¢. PERMITS MAY B~Q~D. 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 fou tion 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 ~iny covenants and restrictions with respect to this proPerty? * YES NO ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~ ' '(Name of inldividual si~ing contract) above named, ~ ;~ ~"'.~: (Co~insctor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application: that ail $ifften%~ts,~,n~ m thi~ application are true to the best of his knowledge and belief; and that the work will be performed ~n ~.e.:~er'set'f0.rt~, .'. in ~e4~Pplication filed therewith ~: i. ,N?tary Public Notary F~bii~' State of New ¥0 ............. ' ~ No. 0~GU~0~$375 " ......... ' 'i ' ) Qualified in Suffolk Cou?ty ~2oL~ My Commission ['~v 'res june z, _ ~ efa SWPPP is required lot aB Co~sbucUon eetfviUes ~ ~i m~t ~e W~ Re~bemenb ~ ~e ~S Gemini Pe~it 4 Wili thi~ Project Require any Land Filling. Grading Or Excavation.where there is a change to the Natural ,~'~ V/ Existing Grade Involving more Ihafl 200 Cubic Yards Of Material within.any Parcel? 5 Will this Application Require Land Disturbing AcUviUes EncomPassing an Area In Excess of Five Thousand (5.000 S.F.) Square Feet of Gronnd Surface? 6 Is-there a Natural Water ~.ourse Running through the Site? Is this Projecl within .the Trustees jurisdiction or within One HUpdred (10(Y) fee~ Of a Wetland or. ' -~- Beach? ' 7 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Ver6cal Rise to One Hundred (100') plr Horizon~ Distance? 8 Will'Driveways. Parking A~eas or other Impervious Surfaces be Sloped to Direct Storm-Water RumOff into and/or in the direction of a Town right-of-way? i -- 9 Will this Project Require the Placement of Male~al, · ~mm _vvmmm me 1-own Right-of-Way or Road Shoulder .._:. · COUNTY OF Notary Public - State of New York ~' ' ' ~ No. 01GU6093375 .(~~-~~): .............. . ...... ~ ~~ / ~ ~m~sion Expires June 2, ~ ............... ~r~~~~r~ ........................... . ,~.~s appall, ~t ~ ~t~. ~ m ~ a~bon ~ ~c ~~ ~~.~ ~ ~d S~m to ~ore me ~s; NO. 01 GU6093375 .............. ~.{~=,. ............ ? o~.~.i.L~ .......... ,'. ~.t.Z ~ua,~ ~, S~,o,~ Cou,, ~y C~ mission~x~ms,ju~ ~ 1% N ..... ................................. FORM - 0611 N AREA OF GAZEBO = 13,~ ~q. fh I=MONUMENT e=P/PE 'i3 LOT (~) LOT(~ ~ Z L O T (~) oV~ L O T (~) SUR VE Y OF PROPER T Y AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-136-01-33 & 35 SCALE' 1'--30' APRIL 20, 2004 JUNE 16, 2010 .JULY I, 2010' (gazebo oreo) MARCH 20~ 2012. (proposed shed) ~ ~. m CERTIFIED tO: / .... [1~ WEND Y E. DA VIS · MET LIFE BANK, N.A. faro~'~Gn, ' ~ COMMONWEALTH lAND TITLE INSURANCE CO. LOT LOT NUMBERS REFER TO "MAP OF EUGENE HEIGHTS OWNED BY JACOB F. BOWERS FILED IN THE SUFFO~LERK'S N/Off pATRtCI^ McAEDL£ ~'- ',/~N. Y.S. LIC. NO. 'f~Ec'oNIc ~J~C~I~-yORS, P. C. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209~sUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP:OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SiGNATURE APPEARS HEREON: 1000-136-01-33 AREA=I2,500 SO. FT. 1000-136-01-35 AREA=8,804 SO. FT. 49618 (651) 765-5020 FAX (631) 765-1797 P. O. BOX 909 1250 TRAVELER STREET souTHOLD, N. × 11971 ~'*---~-~ ~ i 3 Project: '~ I Wendy Davis I Cutchogue, NY 11935 ' ' Plan Title: 2o'-o' t 2' x 20' .~tall Barn Date: 03/22/1 2 a~ Gazebos -PTSbdsMust~UmformlySup¢c~¢¢. ~curacyB~for~ Construction. - Wind = I 20 Mph \ I~ 4070 ri I] Lo70 ri 12 ~/ '"-~..~25 Yr Asphab Salutes on i/2" CDX ?lywoo¢ or Kau[olds Gountry Sheds ~< I/ and Gazebos ¢~e55 SECTION %----~ P~.r~-r~ ~,.~ 724 Middle Country Rd U4'= u ~,~ A~o~ W O~r~ Ridge, NY 11961 ~ 631-924-1265 Project: Wendy Davis ~ ~ 200 Pierce Dr Li ' Cutchogue, NY 11935 I 2' x 20' .~talt E~arn Dat~: 03/22/I 2 Drawn by: RL ........ No~; to Sheet 2 of 2