HomeMy WebLinkAbout36338-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
9/13/2012
No: 35951
Date: 9/13/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ALTERATION
5705 Stillwater Ave, Cutchogue,
Sec/Block/Lot: 137.-4-4
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/13/2011 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
36338 dated 4/20/2011
fence for existing swimming pool as applied for.
The certificate is issued to
Gerowski, Douglas & Michele
(OWNER)
of the aforesaid building.
SUlk'FOLK 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 #: 36338
Permission is hereby granted to:
Gerowski, Douglas & Gerowski, Michele
Date: 4/20/2011
89 S Brook Ct
Manhasset Hills, NY 11040
To:
replace an existing pool fence to code as applied for
At premises located at:
5705 Stillwater Ave, Cutchogue, NY 11935
SCTM # 473889
Sec/Block/Lot # 137.-4-4
Pursuant to application dated
To expire on 4/19/2012.
Fees:
4/13/2011
and approved by the Building Inspector.
ALTERATION OF ACCESSORY BUILDINGS
Total:
$100.00
$100.00
Building Inspector
Form No. 6
TOWN OF $OU]~O~D
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF occUPANcy
application must be filled in by typewriter or ink and submitted to the Building Department w~th the following:
A. For new building or new use:
1. Final survey of prop,my with aeeurate'location of all buildings, property lines, sweets, and unusual natura} or
topographic featur6s.
2.Final Approval from Health D~pt. of water supply and sewerage-disposal (S-9 form).
3..Approval ofclectrieul installation from Board 6fFire Underwriters.
4. aw. om statement from plumber certifying that tha solder used in system contains less than 2/10 of 1% lead..
5. Commemial building, industrial building, multiple residences and similar buildings and installations',, a certificate
of Code Compliance'from architect or engineer respm~ible for the building;
.6.Submit planning Board Approval ofcempleted site plan requirements.
B, For existing buildings (prior to April 9, 1957) nOn-conforming uses, or buildings and "pre-existing" laud uses'~
1. Actmrate survey of property showing all property lines, street, building and. unusu/d natumi or topographic
features.
2. A properly ¢4~mpleted 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. Certificaie of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimmi~ig pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00,.
2. Certificate of Occupancy on Pre-existing Building - $I00.00
3_ Copy of Certificate of Occupancy - $z25
. 4. Updated Certificate of Occupancy- $50.00
· 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of Property:
· Suffolk .County Tax Map No 1000, Section
Subdivision
Pormit No..:~0~0~ _~) Date of Permit.
Old or Pre-existing Building:
House No. Street
·/
Block
(check one)
H~j}nlet
Planning Board Approval:
Filed Map.
Und~vritera Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~), ~'
Final· Certificate: (check one)
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~UL~TION
[ ]FRAMING/STRAPPING [~'~AL ~ ~f~.~=~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RIlE 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 ~D , 20 I [
/
Approved ~//~e), 20~
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
b4 sets of Building Plans
Planning Board approval
Survey
Chick
Septic Form
N.Y.S.D.EC.
% Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Expiration ,20.__
~~\~ ~ngI~spector
~~~TION FOR BUILDING PERMIT
a. This' ~~lled IinN::tRy[Ue:::erO~n ink and s~t~tt ed to ~le~uilding Inspecto'r 2-a0it Ih ~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.
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 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 described. The
applicant agrees to comply with all applicable laws, ordinances, building code,,)~using code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections./
"O~7('Si2~ure ~f~appV'licant °r 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
If applicaa~7/~ a corporation, signature ofdu!y authorized officer
(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 proposed work will be done:
5-/05
House Number Street
County Tax Map No. 1000 Section
Subdivision
(As on the tax roll or latest deed)
ALL COt gttguc~o~J gd ' LL
MEET THE R'-~2utF~ ~r-~: OF THE
CODES OF ~ ~ gK 3TATE.
ENCL~E ~L TO C~DE
U~o~ CO~TlOr
¢cr~c~40~0¢-'t I~
Haml~
Block Z~
Filed Map No.
I Iq35"
Lot 4
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction.:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building_
Addition Alteration
Repair ._,.~1:4~ Removal. Demolition
Estimated Cost 8t c~ L~OC~., ~ 0 Fee
Other Work
If dwelling, number of dwelling units
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
Height
If garage, number of cars ~
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. )J/~
Dimensions of existing structures, if any: Front 2-,q ~ Rear 2-xt I
Number of Stories '2-
-. Height
9. Sizeoflot: Front
10. Date of Purchase
_Depth "~ I
Dimensions of same structure with alterations or additions: Front
Depth '~' Height_ Number of Stories
8. Dimensions of entire new construction: Front Rear
Number of Stories
'~00~ Rear ~00~ Depth
1125 I Z0oP_> Name of Former Owner
Rear 24
_Depth
)
ii. 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 v~ NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
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 covenants and restrictions with respect to this property? * YES NO V'/
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF ~,~-~-4/5')
~c['~,.,~ (J~ 5('Z'~ 1)S[-~- I being duly sworn, deposes and says that (s)he is the applicant
(Name of fnd~vidual signih~,~ontract) above named,
(S)He is the /t.,.j/~
/ (Contractor, 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 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 this
// day of ,~f/~/~ 20 fi/
~1~O~ New ~ ork
Geflificata fik;c: ;:~ (?', 7ns ~>un~
Signature of Applicant
]/2011 14:32 76q684i BOARD OF TRUSTEES PAGE 03
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. ~
DATE: .MARCH 23~.2011
ISSUED TO: DOUGLAS GEROWSKI
PROPERTY ADDRESS: 5705 ST, ILLWATER AYE.. CUTCHOGUE
SCTM#127-4-4
AUTHORIZATION
Pursuant to thc provisions of Chapter 275 and/or Chapter 111 of tho Town Code of the Town of
Southold and in accordance with the Resolution o£the Board of Trustees adoptod at the meeting held on
March 23 ~2.9~11 in consideration of application fee in the ~um of $250.00 paid by ~and stlbj~l
tire Terms and Conditions as stated in the Resolution, the Southold Town Board of Tmst~es authorizes and
the following:
Wetland Permit for the existing dwelllng, deck (without shed), in-ground
swimming pool and fence, and to replace the deck and fence around the swimming pool,
with the condition drywells are installed to contain roof run-off in accordance with
Chapter 236-Stormwater Management of the Town Code, and as depicted on the survey
stamped approved on March 23, 2011.
IN WITNESS WHEKEOF, the ~id Board of Trustees hereby cauaes its Corporate Sea[ to be affixed,
and these presents to be subscribed by a majority of the said Board as of thls date.
James F. King, President
Bob Ghosio, Jr., Vlce-President
Dave Bergen
John Bredemeyer
Michael J. Domino
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765.6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0725C
Date February 13, 2012
THIS CERTIFIES that the existing dwelling,_deck ,in-ground swimming pool, replacement of
fence around swimming pool and installation of drvwells
At 5705 Stillwater Ave., Cutchogue
Suffolk County Tax Map #137-4-4
Conforms to the application for Trustees Permit heretofore filed in this office
Dated 3/I/11 .pursuant to which Trustees Wetland Permit #7509dated 3/23/11 was
issued 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 existing dwelling, deck, in-ground swimmino ~ool. replacement of fence around swimming
pool and installation of drgwells.
The certificate is issued to DOUG GEROWSKI owner of the
Aforesaid property.
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (63 !) 765-9502
August28,2012
BUILDING DEPARTMENT
TOWN OF SOUT}IOLD
Douglas & Michele Gerowski
89,~ Brook Ct 5oo"t'tl
Manhasset Hills, NY 11040
Re: 5705 Stillwater Ave, Cutchogue
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
Alee 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. (Planning # 765-1938)
__ Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT: 36338 - Pool Fence
04
P.03
REMOVE AND REPLACE EXISTING FENCE AROUND
iN GROUND POOL
Property Owner
Doug and Michele Gerowski
516-650-4058
Property Address 5705 Stillwater Ave
Cutchogue, NY
Contractor
North Fork Fence
Pete Ponterio
631-960-3501
JOB SPECIFICATIONS
*4 Foot high Jerith Aluminum Fence (style: Ovation)
* 1" x 1 ½" Top/Bottom rail ~-
'3/4" pickets ~ ~'~R¢-~
* Spacing - 3 7/8"
*Post - 2" x 2"
*Gate posts - 4" x 4"
*Gates are self closing and self catching