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HomeMy WebLinkAbout38703-Z y1IFOt Town of Southold Annex 3/10/2014 Qle~jjlo 'I P.O. Box 1179 aaa 54375 Main Road p Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36794 Date: 3/10/2014 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 275 Baldwin PI, Cutchogue, SCTM 473889 Sec/Block/Lot: 101-10-2.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/6/2014 pursuant to which Building Permit No. 38703 dated 3/6/2014 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" deck addition to an existing one family dwelling as applied for The certificate is issued to Sirico, Michael & Reid, Vera Ann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho Signature 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 38703 Date: 3/6/2014 Permission is hereby granted to: Sirico, Michael & Reid, Vera Ann 275 Baldwin PI Cutchogue, NY 11935 To: "As built" deck addition to an existing one family dwelling as applied for. At premises located at: 275 Baldwin PI, Cutchogue SCTM # 473889 Sec/Block/Lot # 101-10-2.2 Pursuant to application dated 3/6/2014 and approved by the Building Inspector. To expire on 9/5/2015. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $912.00 CO - ADDITION TO DWELLING $50.00 L $962.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FORCERTIFICATE 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 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 1% 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 $15.00 Date. Ci 1i o 4 / L New Construction: Old or Pre-existing Building: (check one) Location of Property: ;.7S t3a(~w,n OLaL-p CcAn v,e House No. Street Hamlet Owner or Owners of Property: M -t CINc,f Sin ( C-0 Suffolk County Tax Map No 1000, Section t Block t p Lot. a 1 Subdivision Filed Map. G a.IH 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: $ Applicant Signature y~OFSOUryo* TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ =ATION [ ] FRAMING/ STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRICTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLA ON [ ] CAULKING REMARKS: DATE D3 o INSPECTOR G~ 0310712014 14:23 HICKHAM BRESSLER f AX)631298 8565 P.0031004 NEMSCHICK SILVERMAN ARCHITECTS P.C. the business of ARCHITECTURE." March 6, 2094 Re: Moo 275 Baldwin Place Cutchogue, NY 911935 Section: 903 Block: 90 Lot- 2.2 To whom it may concern, To the beat of our proilasslonal knowledge the foundations and tlaming, as noted on Nemschlck Sllvennan Architects drawings dated 3)03/94, conform to the New York State budding code. Ray Nemschick, AIA Principal NEMSCHICK SILVERMAN ARCHITECTS P.C. vk A ' 17 02?06 a' aF~~ ~C `j~f iI 0,` N J, MAR -7 1 2014 33105 MAIN ROAD • CUTCHOOUE, NEW YORK 11935 • 531 7347007misphons • 831 734 7347 1scsimlle • www.ns-amh.com MaRjC=RZPMtT DATE eimwyrs olk W FOWMAnON (iST) O W~ . POCflMATION (2ND) ~o ItovGH=C, & PLtMIN P- -b7. WSW ATWN P99 N. X. STATE MM.Gy CODE el-o L4r FHVAL 1 ADDITIONAL COMMENTS .S" ' r . O 0 ~z ~x TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 26703 0Z Check Septic Form N.Y.S.D.E.C. Trustees 1 Flood Permit Examined 7 , 20-1 Storm-Water Assessment Form Contact: Approved, 20# Mail to: Disapproved a/c Phone: to31'11-wt~G3 i Expiration 20..-~ Building Inspector MAR ' 5 2014 PLICATION FOR BUILDING PERMIT 1 Date 63 / 0A I 20--Lq L 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 o p licant or name, if a corporation) 9~s mould.)+h A- Clk~06k'P (Mailing address of applicant) State whether applicant is caner, essee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises VY, i (_0 (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. N 1. Locatio latA on which proposgd work will be done- ;_I kE>auv1t'n ,l.ack C .~c-(no~u House Number Street Hamlet County Tax Map No. 1000 Section 3 Block l O Lot a Subdivision Filed Map No. qa.)"A Lot i 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy A rr v - s•S~s ji k, b. Intended use and occupancy cv.A~s,d < A e cla- 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Z (Description) 4. Estimated Cost SO U . O 0 Fee -.115-00 (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 ^!ia 8. Dimensions of entire new construction: Front Rear N pt Depth " C (q Height Number of Stories 9. Size of lot: Front 7.5 9 • cl t Rear a 5 cA- ct Depth 335. X 10. Date of Purchase ci / q rb\ Name of Former Owner c ~w o r~ W a n ~1y 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO-y- X 13. Will lot be re-graded? YES_NO4Will excess fill be removed from premises? YES- NO 14. Names of Owner of premises fhic~nae J .S i ^K4Pddress a Z Bu ~w 114 Pl- Phone No. 63I' s-)I - NH03 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 'Al * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OFJI/~~~ LAC) cc M ( L&Ck `0 ( ( l U being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ra v WT v- Y (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 efore me this day of W~~, f Not GcGL Signa of Applicant Notary Public, State of New York No. of GL4879505 Qualified in Suffolk ou8nt~, Commission Expir ~1 ~osuFeq~ Scott A. Russell James A. Richter, R.A. SUPERVISOR Michael M. Collins, P.E. SOUTHOLD TOWN HALL - P. O. Box 1179 53095 Main Road- SOUTHOLD, NEW YORK 11971 Telephone (631) - 765 -1560 Fax (631) - 765 - 9015 MICHAEL.COLLINS®TOWN.SOUTHOLD.NY.US JAMIE.RICHTERQTOWN.SOUTHOLD.NY.US Office of the Engineer Town of Southold STORMWATER MANAGEMENT CONTROL PLAN REVIEW COVER SHEET (TO BE COMPLETED BY THE APPLICANT) PLEASE NOTE: All Contact & Project Information Requested by this FORM is Nessary for a Complete Application. APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) PROPERTY OWNER: (if Different from Applicant) NAME: ^fv,\ Ir6p_\ S n t C'J NAME: ADDRESS: aZ $ P"'u W ih ADDRESS: C'%"in -\-A . Telephone Number: (c3o1' $Z 1' Nti03 Telephone Number: Completed Applications can be picked up at the Engineering Department after being notified by the Department, or; it can be Mailed to the Applicant with the submission of a Self Addressed 8.5' x I I" Envelope & Appropriate Postage. DATE: p 3 0 >r Property Address / Location of Construction Work: BcAA ,tom L CLktO oalue SCTM#: 1000 Distrct i Section Block Lot Required Documents for Stormwater Review: Copy of Complete Building Permit Application. Stormwater Management Control Plan. (2 Sets) Note: SMCP's are required whenever Grading or Excavations exceed 5,000 S.F, when New Impervious Surfaces are created, and/or when existing Roof Systems, Driveways, Patios or other Impervious Surfaces are Re-Surfaced. De Minimis Projects will NOT be Subject to the Submission of a SMCP During the Stormwater Review! Note: These Projects would be Limited to Interior Renovations, Replacement of exterior Doors & Windows, Deck Construction with Loose Fit Decking, Installation and/or Modification of Mechanical Systems or other similar Work. A Complete Description of the Scope of Work Proposed under the Building Permit Application. A Completed Stormw ter Review Checklist. If No or NA are Indicated, Justification is Required. FOR 1NG DEPARTMENT USE ONLY Reviewed By: Date: 3 .S App ove Additional Information Requited: ,DSUFFCtIr CHAPTER 236 ~ 4 STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST in ya. m DATE: L-~ APPLICANT: (roperty Ow ,Design Professional, Agent, Contractor. Other) { O ~q"' NAME: - S ~ PLO u. ad y S C T M . 1000 Telephone Number: &-3i-9_1t-4 y 0,3 District Section Block L.ot S M C P - Plan Requirements: The applicant must provide a Complete Explanation and/or validation of all Information Required by this Checklist if it has not been provided! I. A Site Plan drawn to scale Not Less that 60' to the inch MUST If You answered No or NA to any Item, Please Provide Justification Here! YE NO NA show all of the following items: If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries b. Total Site Acreage. 77 c. Existing - Natural & Man Made Features within 500 L.F. of the Site Boundary as required by § 236-17C92i. V d. Test Hole Data Indicating Soil Characteristics & Depth to Ground Water. i e. Limits of Clearing & Area of Proposed Land Disturbance. f. Existing & Proposed Contour's of the Site (Minimum Z Intervals) g. Location of all existing & proposed structures, roads, driveways, sidewalks, drainage improvements & utilities. h. Spot Grades & Finish Floor Elevations for all existing & proposed structures. ` I. Location of proposed Swimming Pool and discharge ring. j. Location of Proposed Soil Stockpile Area(s). v k. Location of proposed Construction Entrance/Staging Area(s). V 1. Location of proposed concrete washout area(s). V M. Location of all proposed erosion & sediment control measures. 2. Stormwater Management Control Plan must include Calculations showing that the stormwater improvements are sized to capture, store, and infiltrate onsite the run-off from all impervious surfaces generated by a two (2'9 inch rainfall / storm event. 3. Details & Sectional Drawings for stormwater practices are required for approval. Items requiring details shall include but not be limited to: a. Erosion & Sediment Controls. b. Construction Entrance & Site Access. V c. Inlet Drainage Str'Uctures (e.g. catch basins, trench drains, etc.) d. Leaching StFUCtUI'CS (e.g. infiltration basins, swales, etc. ? FORM ' SWCP Check List - TOS JAN 2014 i SURVEY OF LOT 2 MAF OF MINOR SUBD 1 V 151 ON ON FROFERTY ° N SURVEYED FOR MARION ROBINS FILED MAY 26, 1992, FILE No. 9224 51TUATE: EAST CUTGHOGUE W E TOWN: SOUTHOLD SUFFOLK COUNTY, NY S SURVEYED 10-II-2005 SUFFOLK COUNTY TAX # 1000-103-10-2.2 CEtTTHqED TO: RHHcbaelJ.Sirico Lot I Vera.4mAdd S84054,20 11E 259.90' 1 , I shed / 2 I 1 42% I 010 1 112 5 f xx'1y~y''(1 C) I ° N Lion) _ (Dorn under a x 2nd Fl'.- 1 M ° - - OVBfhgn _ 0 I M z°' yx I 17" O-° .BSI O m x 0 °1 v I ° I I b x x _1 I ° Lot 2 L .,..,.,1..~, nI I ,.nL rr IW n,. \ I M I a 6 1 I- m' wood 1 I -______-____n_ lop' ii decks steps Lot 3 I ---13 /rl~ 2 Story - Frame - - o House 7 1 ' I 1 O \ , 1 1 rr 0 to I °m 1 I p0 \ I 1 I I O \ 1 , Y f I 1 - I I O I Q 1 14' I v, I I p I t~ i~ 1 O r^ N 1 I vI 0 N84°54'20"W , woo r d ' In 1 . ..o o. wood 259.90 i -'post Baldwin ace Of IN o NOTE5: f•„~ ' p PIPE FOUND ~ 11 2 Ill I I k, '[114 LAN AREA = 81,118 5.F. OR 2.00 Acres JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 GRAPHIG SCALE 111 = 40' RIVERHEAD, N.Y. 11901 - 369-8288 Fax 369-8287 REF.Z:\pros\04\04-288b .pro - - _ it LINE OF EXISTING HaSE 40,x" 61Z0" 61-0" 7 APPPP~iOVED AS NOTED CONCRETE HAUNCH FTC. - DECKING 5HALL BE _ 4X45T EP5 IJ - - - - - - DATE: (TYPJ 5/4" X 6" TREX POSTS (TYPJ ~.~/Z BY.~ FEE. - LDING DEPARTMENT AT ON 765-1802 8 AM TO 4 PM FOR THE FOL OWI G INSPECTIONS: u uk a uk u n II I II I I 1. F UND TION - TWO REQUIRED F DR POURED CONCRETE 2. UG - FRAMING d PLUMBING kll n~o nro u<q 3.= SULA ION N N 4. NAL -CONSTRUCTION MUST N I N h COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE II TREATED li TREATED II TREATED II TREATED II 1REATED II 2X6 F.J. 2X6 F.J. 2X6 F.J. 2X6 F.J. 2X6 F.J. RE UIRE ENTS OF THE CODES OF NEW ® 16 O.G. ,pI ® I6 O.G. I ® 06 O.G. 11 I 0l6"O.C. I ® l6"O.C. 77 YO R< STATE. NOT RESPONSIBLE FOR " II NII -3 11 GN _ CONSTRUCTION ERRORS. III ~ a I ~ : H ALL CODES OF ryll II II II II 4X4 P05 75 (TYP) II COMPLY WIT ON I2'O.G. X.36"DP NEW R STATE & TOWN CODES `ICI 11' IIN fK IIN PaRED GON~CRETE u ry ASR LIIR D ANO-eoNOMONS OF I FG17nNG (IYPJ n ~I III I, Ih I II S D ~ ~ soa~~c>iosr~s N Y S DEi- EXI5T PORCH OCCUPANCY OR PosrS. (TrnJ EXl5TING PORCH USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY MTE 66GPILXI * REG mY tQ EX15TINO r~ECK PLAN Al _ n SCALE = 1/4"=11-0" LINE OF ~,6Y III` EX15TlNG HaSE y©9 * 10 Nemschick Silverman Architects N G[I6CO P3/0"4 13-17M ns5amnn voce CUTCM0GUE-1Y 160 MAIN STREET, SUITE 200 /A..\ SAYVILLE, NEW YORK 11782 C61RCf: SCigN ROOT LOTA-1 1 1000 105 10 22 PW%: 6315632130 Fez: 6315632139 E