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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