HomeMy WebLinkAbout36242-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
1/15/2013
CERTIFICATE OF OCCUPANCY
No: 36116 Date:
THIS CERTII~IES that the building SHED
Location of Property:
1/15/2013
39405 MAIN RD ORIENT, N.Y. 11957,
SCTM #: 473889 Sec/Block/Lot: 15.-8-17
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/17/2011 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:
AS BUILT SHED
Lot No.
filed in this officed dated
36242 dated 3/17/2011
The certificate is issued to
CHRISTOPHER MALLOY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ature
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 #: 36242
Date: 3/17/2011
Permission is hereby granted to:
CHRISTOPHER MALLOY
39405 ROUTE 25
ORIENT, N.Y. 11957
To:
AS BUILT SHED 8.4'X14.2 IN REQUIRED REAR YARD AS APPLIED FOR. (ELECTRIC).
REPLACES EXPIRED BP # 34224
At premises located at:
39405 MAIN RD ORIENT, N.Y. 11957
SCTM # 473889
Sec/Block/Lot # 15.-8-17
Pursuant to application dated
To expire on 9/17/2012.
Fees:
3/17/2011
and approved by the Building Inspector.
PERMIT RENEWAl,
~ ~T°tal:~'~
Building Insl;
$294.40
$294.40
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: I. Final survey &property with accurate location of all buildings, property fines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval ofalectrical 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
&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:
I. 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 &Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees I. Certificate &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 ou 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:
Date.
House No.
Owner or Owners of Property:
Suffolk County Tax Map No I000, Section
Subdivision
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~ .c.R)
Ol,~r Pre-existing Building:
//~ Street
/V Block
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Hamlet
Lot:
(check one)
APplicant Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL
COMPLETION OF THE WORK AUTHORIZED)
FULL
PERMIT NO. 34224 Z
Date OCTOBER 10, 2008
Permission is hereby granted to:
CHRISTOPHER MALLOY & ELIZABETH
39405 ROUTE 25
ORIENT,NY 11957
for :
AS BUILT SHED 8.4'X14.2 IN REQUIRED REAR YARD AS APPLIED FOR.
(ELECTRIC)
at premises located at 39405 MAIN RD
County Tax Map No. 473889 Section 015
pursuant to application dated OCTOBER
Building Inspector to ex~mire on APRIL
ORIENT
Block 0008 Lot No. 017
10, 2008 and approved by the
Fee $ 200.00
Rev. 5~/
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSU~I, ATI~ON
[~-'Fli~AL
[ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) _..-~[2 ELE~_~IGAL (FINAL)
REMARKS: __~'~~:r.~(~9
DATE ~ INSPECTOR
TOW SOUT.OLD
BUILDING DEPARTMENt]
TOW LL /UUl
SOUTHOLD, NY 11971
TEL: (631) 765-1802 ~ ~o,;. DEPT.
F~: (631) 765-9502
SoutholdTo~.No~hFork.net PERMIT NO.
Examined [0[(0 ,20_~9~
Disapproved a/c
Expiration I 0 , 20 [ U
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:
COMPLY W!TH ALL CODES OF Building Inspector
NEW YORK STATE & TO,~ ~P~'N FOR BUILDING PERMIT
AS REQUI~ED AND COIgD~
-- SOUTHOiD TOWN ZBA Date 20
-., /: j~S00THOU} TOWN F~NNIN~ ~NSTRUCTIONS
a. ~ms appii~fi~~lled M by t~ewnter or m ~ ~d submitted to the BuildMg Mspector with 4
sets of pl~.% ~o,,ra¢~'nlot ~.~cale. Fee accor~ng to schedule.
b. Plot plan showing location of lot ~d of buil~ngs on premises, relationship to adj oinMg premises or public sffeets or
areas, ~d wate~ays.
c. The work covered by this application may not be co~enced before issu~ce of Building Pe~t.
d. Upon approval of tMs application, the Building ~spector will issue a Building Pe~it to the applic~t. Such a pe~it
shall be kept on the premises available for inspection t~oughout the work.
e. No bulling shall be occupied or used in whole or in pa~ for any p~ose what so ever until the Buil~g ~spector
issues a Ceaificate of Occup~cy.
f. Eve~ buildMg pe~it shall expire if ~e work autho~zed has not commenced witMn 12 months a~er the date of
issuance or has not been completed within 18 months ~om such date. If no zoning ~en~ents or other regulations affecting the
prope~y have been enacted in ~e interim, the Building ~spector may authorize, M writing, the extension of the pe~it for an
addition six months. Therea~er, a new pe~it shall be requ~ed.
~PLICATION IS HE.BY M~E to the Building Depa~ment for the issu~ce of a Building Pe~it pursuit to the
Building Zone Ordinance of the Town of Sou~old, Suffolk County, New York, and other applicable Laws, Or~n~ces or
Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicam agrees to comply with ~1 applicable laws, ordinances, building code, housing code, ~d re~lations, ~d to admit
authorized inspectors on premises ~d in building for necess~ inspections.
~8[ 18 H~k~FUk ~ ~t,~,~gna~c~t or name, ifa co¢oration)
VVI/~U/~C~/Ir U~I~ OnwCOOE.
OF
OCCUPANCY o hoanO
State whether applic~t is owns, lessee, agent, ~chitect, engineer, g~eral ~n~actor, elec~ci~, pl~ber or builder
Nameofownerofpremises ~ ?/~(_T 5 7 c r' ~/ ~ Y{ /~ J L L D //
(As on &e tax roll or latest dd~ ~'L ~'
If applic~t is a co~oration, si~at~e of duly authorized offic~ DATE:
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
ALL CONSTRUCTION SHALL
U;FT THE REQUIREMENTS OF THE
¢C~BES OF NEW YORK STATE.
1. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
FEE: ~d, ~ BY: ~-.~t~
NOTIF~ BUILD'NG DEPARTMENT AT
765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
_ BE C~QMPLETE FOR C.O.
C:~'~..,AL~-/'~"OiI, ISTRUCTION SHALL MEET THE
Block dg
Filed Map NO.
I-PaE~EMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CLOo~ST~X~I~I' ERRORS.
Lot
2. State existing use and occupancy of premises and intended use and ~ca!~anWc3Pof ~:oposed construction:
a. Existing use and occupancy
b. Intended use and occupancy.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
75/' Addition Alteration
Other Work
(Description)
Fef .... ~,. -~l.
.,~ .n ? '. !.' 'ii-: .,r,,~i.(T° be paid on filing this application)
Numbe~°6'~d:'~elhng units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
10. Date of Purchase /~ - ~'-0 7' Name of Former Owner iv-//2~ t( _~ 4/
11. Zone or use district in which premises are situated ~ -- ~L~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES
Dimensions of existing structures, if any: Front Rear _Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Frq0t: ;, ,~',c~ ' , Rear
Depth Height ,Nur~er~f~t0rie~.
Dimensions of entire new construction: Front /tff ~- Rear /t'-,~~'C''- ~::''Depth
Height /~ / Number of Stories ', ": .' ,t~O: ' '
Size of lot: Front Rear Deptti
__NO //
13. Will lot be re-graded? YES NO .
14. Names of Owner of premises
Name of Architect
Name of Contractor
//Will excess fill be removed fi.om premises? YES NO //
/~4c/.,a K Address ae 17~7 -~ f//~-?- 7 Phone No. 6' g/--72('021 ~
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO __ * 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
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundatmfi i~lan alld djst~es
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
* IF YES, PROVIDE A COPY.
STATE OF l~W YQRK)
COUNTY OF~ILS:
f' fir( ~'3 ~ ~/-/,F )Z ./14 d/-/- d [' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.) : : '
of said owner or owners, and is duly authorized to perform or have performed the sai/t 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
/(9. day.of "-'e ~t'~- 20 ~9"~
~ _ . ] ~ / ~.~Mh.~dN~~mTOT"
' Nota~ ~bl[c mo. 01T0619~96"
_ Opalifi~in 3~k ~u~
~mm~ssion upi~ July 28,2~
~T_/.~gignature of App~i'~ant ;
Town o. f $outhold
Erosion, Sedimentation & Storm-Water Run-off A88ESSMENT FOaM
PROPERTY LOCATION: S,C,T,M, #: THE FOLLOWING ACTIONS MAY REQUIRE THE 8UBMI881ON OF A
Item Number:
1
2
3
4
5
6
7
8
9
(HOTE: A Check Mark (~') for each Question is Required for a Complele Application)
Will this Project Relain All Storm~Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This item will include all run-off created by site clearing and/or construction activities as well as all Site
Improvements and the permanent creation of impervious surfaces,)
Does the Sile Plan and/or Survey Show All Proposed Drainage Structures rndicating Size & Location?
This Item shall Include all Proposed Grade Changes and Slopes Conlralllng Surface WaterFIow[
-- ~;/j~ ~ <~/7 STORM-WATER; GRADINGf DRAINAGE AND EROSION CONTROL
Secti0. elock Lol CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW Y01~I~,
Will this Projecl Require any Land Filling, Grading or Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel?
Will this Application Require Land Oislurbin9 Activities Encompassing an Area in Excess ot
Five Thousand (5,000) Square Fee o Ground Surface?
Is there a Natural Waler Course Running through 1he Site?
Is this Project within the Trustees judsdic(ion or within One Nundred (100') feet ota Wetland or Beach?
Will there be Site preparation on Exisling Grade Slopes which Exceed Fifteen (15) teet of Vedical Rise ID
One Hundred (100') of Horizontal Distance?
wirl Driveways, Parking Areas or other hnpervious Surfaces be Sloped Io Direct Storrn-Water Run Off
into and/or in the di eciion of a Town right-of-way?
Will this Project Require tho Placement of Material, Removal of Vegetation and/or the Construction of
any Ilem Within tile Town Right-of Way or Road Shoulder Area?
(This item will NOT include the Installation of Driveway Aprons,)
Yes N0
Wilt this Project Require Site Preparation within Ihe One Hundred 100) Year Floodplain of any Wa ercourse?
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit!
EXEMPTION~
Does this projec( meet Ihe minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question, aStorm*Water, Gradlng, Dralnage&EroslonControIPlanisNOTRequlredl
Y e~s
(Name of individual sig~in9 Documen0
(Owuel, Conlracl0r, Agenl, Corporate O~ce¢, otc )
Owoer and/or representative o[ d~ Owger o[ Owner's, atd is du]y au~orized to perform or bare per[ormed ~e sad work
m~e a~d file this application; d~at MI s~temen~s confined in tiffs application are ~e to d~e best of his ~owledge ~d belief;
~at dap work will be performed m fl~e Pruner set forfl~ in d~e application filed herewi~
Sworn to before me ~is;
................. ~.~- ...................... day of .............. ~..~ ............. 20.~
Notary Public: .............. ~ ..................
~C~ T~H ff~~~ ~ignature ~pll~
N0. 0i,G6i~0668
FORM - 06/07 ouatm~ in ~k ~ ~
~mmissi0n ~pi~ July 28, 2~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
December 15*h, 2010
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
FIRST NOTICE
Christopher Malloy
39405 Route 25
Orient, N.Y. 11957
RE: 39405 Route 25 (A$-BUTLT SHED)
SCTM: #1000-15.-8-17
To Whom It May Concern:
Please be advised that your Building Permit # 34224 issued October 10th, 2008
has expired. According to the Code of the Town of 5outhold, a Certificate of
Occupancy must be issued before use of the structure.
To renew your Building Permit, please submit a fee of $294.40; at that time, we
can schedule an inspection by one of our Building Inspectors.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLb TOWN BUILDING DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765~ 1802
Fax (631) 765-9502
December 15th, 2010
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
FIRST NOTICE
Christopher Malloy
39405 Route 25
Orient, N.Y. 11957
RE: 39405 Route 25 (A$-BUTLT SHED)
$CTM: #1000-15.-8-17
To Whom It May Concern:
Please be advised that your Building Permit # 34224 issued October 10th, 2008
has expired. According to the Code of the Town of $outhold, a Certificate of
Occupancy must be issued before use of the structure.
To renew your Building Permit, please submit a fee of $294.40; at that time, we
can schedule an inspection by one of our Building Inspectors.
If you have any questions, please call us at 765-1802.
Respectfully,
$OUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 15.-8-17
Permit #: 34224
Permit Date: 10/10/2008
Expiration Date: 4/10/2010
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 2/19/2011
Applicant:
Location:
Work Description:
CHRISTOPHER MALLOY & ELIZABETH KARSCH
39405 MAIN RD ORIENT, N.Y. 11957
SHED
AS BUILT SHED 8.4'X14.2 IN REQUIRED REAR YARD AS APPLIED FOR. (ELECTRIC).
A FEE OF $294.40 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: CHRISTOPHER MALLOY
Address: 39405 ROUTE 25
ORIENT, N.Y. 11957
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
MAP OF ORIENT BY THE SEA, FiLE MAP #6160, FILED OCT 16, 1974
LOT 176 1 .,-~-'79.~R'
...... 87'09 '40"Ec,~ u.K ~
LOT 175
45.0'
Z
Oo
7.2~
FP,~E
RESIDENCE
SURVEY OF
DESCRIBED PROPERTY
GUARANTEED TO:
CHRISTOPHER MALLOY
ELIZABETH KARSCH
SITUATE
ORIENT, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: CHRISTOPHER MALLOY
ELIZABETH KARSCH
TM// 1000 015-08-017
SURVEYED: 19 AUGUST 2008
SCALE 1"= 30'
AREA = 36,076 S.F.
OR
0.828 ACRES
GUARANTEES INO~CATEO HERE ON SHALL RUN
ONLY TO THE PERSON F~R ~0~ THE SURVEY
SURVEYED BY
STANLEY d. ISAKSEN, JR.
P.O. BOX 294
~Ew SUffOlK. N. pf. /t~56
/NYS Lic. Ncx 49273 08R1695