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HomeMy WebLinkAbout38588-Z ~y Town of Southold Annex 1/2/2014 P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36679 Date: 1/2/2014 THIS CERTIFIES that the building RAMP Location of Property: 885 Little Neck Rd, Cutchogue, SCTM 473889 Sec/Block/Lot: 97.-8-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/9/2013 pursuant to which Building Permit No. 38588 dated 12/23/2013 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" HANDICAP RAMP AS APPLIED FOR The certificate is issued to Embrey, Catherine - (OWNER) - of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth Sigt 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 38588 Date: 12/23/2013 Permission is hereby granted to: Embrey, Catherine 89 Heartside Dr Mt. Sinai, NY 11766 To: "As Built" Handicap Ramp as applied for At premises located at: 885 Little Neck Rd, Cutchogue SCTM # 473889 Sec/Block/Lot # 97.-8-4 Pursuant to application dated 12/9/2013 and approved by the Building Inspector. To expire on 12/23/2014. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO - ADDITION TO DWELLING $50.00 Total: $450:00 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: A. For new building or new use: I . 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 I% 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. B. 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I . 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~~./.00O'~~JJ~~//~~~/nM //~n , Date. </J~y-C.e_ 07c./3 New Construction: Old or Pre-existing Building: (check one) Location of Property: ~ 8 5 Z t -f~l l e (JQ C-k ~ o rnis House No. Street Hamlet Owner or Owners of Property:. M - Cctthe ( 1 oL ~rm bcc q Suffolk County Tax Map No 1000, Section 00 _ Block 10 Lot 1400 U Subdivision Filed Map. Lot: Permit No. Date of Permit._ Applicant:_ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ l~ `x~6pplicant ignaturc / x,15 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: L z DATE INSPECTOR ~77 -Z FDELD NREPORT DATE COMMENTS ClX) ~ro FOUNDATION (1ST) ~Q ?lS FOUNDATION (2ND) ~O ROUGH FRAMMO & PLUMBING fi AZ% 71 INSULATION PER N. Y. STATE ENERGY CODE O ' r FINAL ADDITIONAL COMMENTS 63 7z) 0 `O z m X n m z ix t TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL ~Q-Board of Health SOUTHOLD, NY 11971 Aa ._4 sets of Building Plans d\ 'orl(" TEL: (631) 765-1802 as .DPlanning Board approval FAX: (631) 765-9502 .Survey SoutholdTown.NorthFork. net PERMIT NO. Check ~FjD fi S© 1~ Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined ,201_ Single & Separate Storm-Water Assessment Form Contact: Approved I 20 Mail to: Disapproved a/c Phone: ~Ilp - 3~S" O'((pp Expiration ~20 Buirding Inspector APPLICATION FOR BUILDING PERMIT Date acom 2i' , 201 _3 INSTRUCTIONS 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a 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 0~\. (1Q -OAQ k r-\,9_ b , (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. I . Location of I on which proposed w wi 1 be don House Number Street amlet County Tax Map No. 1000 Section q. Block a Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy t- b nt ded use and occupancy W'\Q~1 CL <0. rn 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 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 Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. 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 Address Phone No. Name of Architect Address Phone No Name of Contractor 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 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ~JGG~ L 6) Lejc~Q being duly sworn, deposes and says that (s)he is the applicarg ^ (Name of ndividu signing cAU ract) above named, r ~°v c o .~3 Div (S)He is the z ° ° _ (Contractor, gen Corporate Officer, etc.) o O O w 0 p a v ~ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tji&A Ig on; that all statements contained in this application are true to the best of his knowledge and belief; and that the work Vibe D g performed in the manner set forth in the application filed therewith. Q a z 0) E Sworn to before me this o C a u° Y~ day of AEC 20 Z ~d v Notary Public S' nature of Applicant EUQ 'NAwS ROAD ANY ALTERA77ON OR ADDIT70N TO THIS SURVEY IS A VIOLATION OF SECTION 72090E THE NEW YORK STATE EDUCA77ON LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER77FICA77ONS K HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR SURVEY OF PROPERTY • WHOSE SIGNATURE APPEARS HEREON. AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. N/01'F 1000-97-06-04 ARTHUR WILLIAM SHERRARD & MARY ANN SHERRARD SCALE.' 1'=20' MAY 21, 2013 N89'S9'307E I FE 150.00' k 0.3N CHAIN LINK FENCE 1'N PIPE PIPE PE 1.3'F k m ~ 4 i I no ~ pT T p k N ~ p a0 52.9' 20.1 k O N m (N VI z O k O c I ms N Q WATER A ' 6.0' p ~n C uY" Z~l g X W / 'rn ~j p k I o UTILITY POLE l x p o g 14.4' CONCRETE CURB g NU00 RAMP GRAVEL N 4 N I O x CONCRETE CURB ~ of NI{R D TO: PIPE S89'L•930"W 150.00 BROKEN 9'E c~Pu"a•1•rn ERINE EMBREY MON N" Y ATIONAL TITLE INSURANCE COMPANY elf N/0/r DONALD JANTZEN 9 LIC. NO. 49618 j_g? ECONIC NMEYORS, P.C. (631) 765-5020 FAX (631) 765-1797 P. 0. BOX 909 AREA=15,000 SQ. FT. 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 13-165 REVISIONS w~14, N, 3 6'-3Yz° EXISTING 'XA u) 4 w i CONC. PIER 2XA DI 9X6 DI i Vun / Vun V n un un u i nip nn nn ti nn nn ui m 4'6'-111h 6'- 6'-10V-f 6'-11 V's" 6'-5" c C "z 'Jw~y ~ ~ o p Four FOUNDATION PLAN u w ~Q SID SCALE: 1/4" = V 9 4 i d I h ~9" I~ ,K 6'-5.. a ,EXISTING w O d az H w O z F- U O N DEa r t+ V] 5/4%fi DECKING p Q~ - - DO) L O ND N O U d- ~ 5/4X DECKING I ~ 5/4%6 1 M m I 5/4%6 DECKING 1 I~ 25'-7' R 25'-7 6'-5" , 65-I3i FL FLOOR PLAN I71 FOLI_UI°d'I c SCALE: 1/4" = V 1 FOUNDAI II h, F Foe Pour= o > z R GH- nr, O ~z TRAPPNC, EL Giv..,- _ _K NGG~ji Y LU 3, INSULATION lyi W 4 FINAL - CONSTR X111 - =CI,PI AL z O z% MUST BE COMP ETC - I> _ 04 LL CONSTRUC OPI SI W U 04 EOUIREM Snf li l RK ST _ PRi' R J V SCOPE OF SUBMITTAL: p„ I D OR OJpIF..,: Enw IN MV PROFFESSIONAL OPINION, THIS CONSTRUCTION FE- IE2 6 D W m 2X6 Dl 16"OC 2 ED 16"OC ] b Ifi O 2X6 GIRDER OCCURtD PRIOR IU IHE BUILDING CUUt IHAN(A Ut xxe ieac r___Tl_D b11 _ DBL. 2X6'GIRDER JANUARY 2003. THESE PLANS ARE NOT A CERTIFICATION OF EXISTING AS-BUILT STRUCTURE COMPONENTS. CONIC PIER CERTAIN COMPONENTS OF STRUCTURE COULD NOT BE EXAMINED THROUGH A ONE TIME VISUAL INSPECTION. -.4 V DRAWN. MN/MS SCALE: 1/4"=1'-0° y. JOB 4. Dn..b. 03, 2013 SHEETNIMBER: CR CROSS SECTION - A-I SCALE: 1/4" = 1'