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Home My WebLink About37153-Z9/18/2012 Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 35961 Date: 9/18/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ACCESSORY 7090 New Suffolk Rd, New Suffolk, Sec/Block/Lot: 117.-6-7.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in tins officed dated 4/23/2012 pursuant to which Building Permit No. 37153 dated 4/23/2012 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: pergola addition to an existing accessory pool house as applied for. The certificate is issued to Samuels, Thomas & Steelman, Nancy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /~ed~l~gnat~te 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 #: 37153 Date: 4/23/2012 Permission is hereby granted to: Samuels, Thomas & Steelman, Nancy 25235 Main Rd Cutchogue, NY 11935 To: construct an accessory pergola addition as applied for At premises located at: 7090 New Suffolk Rd SCTM # 473889 Sec/Block/Lot # 117..6-7.1 Pursuant to application dated To expireon 10123/2013. Fees: 4/23/2012 and approved bythe Building Inspector. ALTERATION OF ACCESSORY BUILDINGS CO - ACCESSORY BUILDING Total: $233.20 $50.00 $283.20 Buildin(~ 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: A. For new building or new use: 1. Final survey of propen'y with aecUrate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health D~pt. of water supply and sewerage-disposal (8-9 form). 3. Approval of electrical installation from Board 6f Fire Underwriters. ' 4. Sw. om statement from plumber ceffifying that the solder used in system contains less than 2/10 of 1% Icad.. 5. Commemial 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. B. For existing buildings (prior to April 9, 1957) non-conforming useS, or buildings and "pre-existing" land uses: 1. Aecurate survey of property showing all property lines, streets, building and. unusuil natural or topographic features. 2. A properly c~mpleted application and cot!sent 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, Aecassory 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 Date. New Construction: Location of Properly: House No. Street · OwnerorOwner~ofPr~perty: ~P~:D~4.~ £ ~2~r · Suffolk Gqunty Tax Map No 1000, Section //'~ Block Subdivisi°n Old or Pre-existing Building: . (check one) Hamlet PermitHo. ~'~,[ ~'~_.~ DateofPermit. Health Dept. ApprOval; Planning Board Approval: Filed Map. Lot: Applicant:. Underwriters Approval: Request for: Temporary Certificate Foe Submitted: $ D~ .C6~ /Q/~ ~ Final Certificate:(cheek one) - -/ ~Xpplica~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] F/GUNDATION 2ND [ ] INSULATION / FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS: TOWN OF SO ILDING DEPT. 765-1802 INSPECTION [] FOUNDATION 1ST []FOUNDATION 2ND []FRAMING / STRAPPING []FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN~U~ATION [ ~]'FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE 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 Approved i~/~2/~, 20 Disapproved a/c Expiration / PERMIT NO. APR 1 Q 2012 BLDG. DEPT. lOW~ OF,SpUTHOL9 .... ~ Building Inspector 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: 7 ~ 5/-'~ 5tr{~'~''''' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date..~/~i} ]F3 ,20 ]2._ 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 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, hou.sing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection;)~l~/____/,~/~/~X / ~A~/.,._~, / ' -(Sign/~ii~of applicant or name, ifa corporation) '(Mailing address of applica~t) ' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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. 1. Location of land on which proposed work,ill be d.o_ne; 7oqo /k House Number Street Hamlet County Tax Map No. 1000 Section // 7 Block Ob Lot 7. / Subdivision Filed Map No. Lot State existing use and occupancy of premises and i.ntended use and occupancy of proposed co,nstruction: a. Existing use and occupancy ~/~ ](~_ ~mi ]'4 ~ ~r~,//.]D~(9) ~OOSx~ b. Intended use and occupancy ~/'~/~ )~)'D)/Jo~ f~c'JS'~t'O~-~// Addition Other Work 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost~2r:9:F),,-zO Fee Number of dwelling units on each floor 5. If dwelling, number of dwelling units ~-' If garage, number of cars - Alteration (Description) (To be paid on filing this application) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height J~' 2rD'-~" Number of Stories Rear 30' Depth .3~~ _~" Dimensions of same structure with alterations or additions: Front ~ ~ Depth ',' . ' ~DLD~ Height 20 '-~" Number of Stories Rear 8. Dimensions of entire new construction: Front ~' Height Number of Stories 9. Size of lot: Front~Rear 10. Date of Purchase I cz[ ?_~.v Name of Former Owner 11. Zone or use district in which premises are situated ~ - ~ Rear '~ Depth Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__NO 13. Will lot be re-graded? YES NO .,Y,, Will excess fill be removed from premises? YES NO ~ 14. Names of Owner of premlses~ddress~mhone No. ~M--d,~4~ ~ NameofAmhitect~-aqD~L~Z.C-,'~3L~-~ !v~ok~ Address ~ ~' PhoneNo t ~ ' ~' Name of Contractor 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 NO X * 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 l0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO 3( · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF~a~_S)S_: P~2F')C. ol ~-)-P-6z~/Y'k'~, )'~ being duly sworn, deposes and says that (s)he is the applicant (Name/ff individual signing contract) above named, (S)He is the D tz ) FL~y-- / ,~r t'-F~ i 7L~(>. c2_~I~ · / (CrJntractor, A~nt, 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 tree 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 ]O day of~_ 201') Notary Public ~40.04 gl(~/~.tf¢7 Ollllffleo in Suffolk ~/Ollallflt ~ in SuffoJ'k O#ltty Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971 0959 September 11,2012 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631 ) 765-1802 Fax (631) 765-9502 Thomas Samuels Nancy Steelman 25235 Main Rd Cutchogue, NY 11935 Re: 7090 New Suffolk Rd TO WHOM IT MAY CONCERN: The Foll/~ing Items Are Needed To Complete Your Certificate of Occupancy: / ~ Application for Certificate of Occupancy. (Enclosed) __ Electrical Underwriters Certificate. (contact your electrician) A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1184) __ 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: 37153 - Pergola N 81.21,$0,, W FANNING EXISTING POOL SCALE: 1116" =1'.0' ROAD SITE DATA SCTM # 1000-117-06-7.1 PROPERTY:7090 NEW SUFFOLK ROAD NEW SUFFOK ROAD 226.87' OWNER: NANCY STEELMAN ~.. TOM SAMUELS 25235 MAIN ROAD · ~- CUTCHOGUE, NY 11935 SITE: 70,565 FT. [] 1.622 AC. AREA ZONING: R-40 FLOOD: X ZONE SURVEYOR: JOE NGEGNO PO 1931 . , NY 11901 634 727 2090 ( 631 727-1727 9/16/02 , 253.41' s 84- 8,3o. 544.70' ~ GUy WIRE N 84'18'30" W 541.27' , APPROVED AS NOTED 765'1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS. 1. FOUNDATION - TWO REQUIRED ,[OR POURED CONCRETE 2 ~OUGH ' FRYING, PLUMBING ~T~APPJNG, ELECTRICAL & CAULKING 3. ;IN~T~ON 4. /~I~AL- CONSTRUCTION & ELECTRICAL ~UST BE COMPLETE FOR CO. ~LL CONSTRU~ION S~ ME~ THE REQUIREMENTS OF THE CODES OF NEW YORK ~ATE, ~T RES~NSIBLE FOR ~$IGN OE ~TRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCt I,IJ zz> Q.O UJu- U.I (tJ "' Z z UJ ttOJECT~i~TM ~ BRAWN'BY: TCS ~HECKED BY: NS DATE: X SCALE: 11t6" = 1' - 0" ~HEET TITLE: SITE PLAN ~HEET NO: E×I~TIN~ POOL HOUSE NEW PErgOLA WEST ELEVATION SCALE: 1/4" = 1' -0" EXIST, F'Ofl AT TERRAC,,E NEW PEt~$OLA EXIDTIN¢ POOL ~u'~ALV'. ~,'11.. ANC, HO~ ~[! ! ~ II~r'o ~ EXIST. FDN AT EAST ELEVATION SCALE: 114" = 1' -0" III PROVII;;E ~.~IT~J,. TO U U U U U FJ. QQR.~LAN SCALE: t/4" = t' -0" pIER~ ,SDJJTJ cLEV SCALE: 114" = 1' -0" LU O LU X ~CALE: 114" = 1'-0" · ~HEET TITLE: FLOOR PLAN & ELEVATIONS SHEET NO: ~x~ I J~J~A i t~ID lnlOOID ATTAGHJ--ID TO ~IEATHING, ~/~IA~HIN~ ABOVE 2X2 GE~AI~ ~, 12" OG ~,x~ GE~A~ TI~ELLI~ ~;24" ON Gt-'NTEI~, (~" x I%" iVL tDEAH, ~PAt~AtED BY BLOG~IN~, ~/VI~t~ITEt~ GA~ING. PP,~VI~E LGG FLA~HIN~ OVEP, E~AH NEhJ PET:P..®OLA IOxlO GA~E~ GOLUHN P4/I I~A] J~/ 5TONE ~/~AL%/. ~TL. ANGHOR, DR. ILLE~ INTO 5LAB EXIST. POOL EXI.~T. ~TONE * GONG <1 EXIST. PI Ela, EXISTIN® POOL HOUSE EXIST. STOt~,ASE t~.lvf BUILDING SECTION SCALE: 112 -- 1' TS )ATE: 1/2" = 1'-0" SECTION 3