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HomeMy WebLinkAbout38772-Z (1600 Town of Southold Annex 5/27/2014 P.O.Box 1179 54375 Main Road � , Southold, New York 11971 o CERTIFICATE OF OCCUPANCY No: 36941 Date: 5/27/2014 THIS CERTIFIES that the building SHED Location of Property: 850 CR 48, Greenport, SCTM#: 473889 Sec/Block/Lot: 34.4-1.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/31/2014 pursuant to which Building Permit No. 38772 dated 4/8/2014 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: ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR The certificate is issued to Gwiazda, John&Hooper,Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED e- oriz Signa ure * TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY l � 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#: 38772 Date: 4/8/2014 Permission is hereby granted to: Gwiazda, John & Hooper, Deborah PO BOX 185 Greenport, NY 119440185 To: 160 square foot accessory shed in the required rear yard as applied for. At premises located at: 850 CR 48, Greenport SCTM # 473889 Sec/Block/Lot# 34.-4-1.1 Pursuant to application dated 3/31/2014 and approved by the Building Inspector. To expire on 10/8/2015. Fees: ACCESSORY $164.00 CO -ACCESSORY BUILDING $50.00 Total: $214.00 ui ing I ector 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 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 1. 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 p , l Date. ma,\,(...t-, S` 'L° `1 New Construction: Old or Pre-existing Building: (check one) Location of Property: �� &- ,(\S ®� _ `t S 8 House No. \- , (��, Streett� Hamlet Owner or Owners of Property: �v`'\ `-' t o_'1_,&L_ Suffolk County Tax Map No 1000, Section -:3q Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: t (check one) Fee Submitted: $ Qff Ql� pplica Signature S0I/jyo6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH G. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [r ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) n �r�V REMARKS: DATE l 4INSPECTOR r Of SOpr�olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ >] ROUG LUMBING FOUNDATION 2ND [ ULATION FRAMING / STRAPPING [ NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: co L) 1014 N-V�2 DATE / INSPECTOR FIELD RSPEN RF1'ORT DATE CONZIENTS FOUNDATION(1ST) � CJS FOUNDATION(2ND) Q W MO ROUGH F[IANY(NQ& , PLUMBING � • c INSULATION PER N.Y. STATE ENERGY CODE AV FINAL ADDITIONAL C6NIlItNTS �1 i • i ' �o e 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 8��� Survey SoutholdTown.NorthFork.net PERMIT NO. 3 Check Septic Form N.Y.S.D.E.C. Trustees �/ Flood Permit Examined `� ,20_ (` �j i �, � .� � �� � Storm-Water Assessment Form Contact: Approved �( ,20 MAR 3 1 2014 Mail to: .J Disapproved a/c � T. Phone: l7� Expiration 4 cil ,20= T0OF YIIT,I t ding I spector APPLICATION FOR BUILDING PERMIT Date MQJ N& , 20_1 L4- 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. gnature of a plicant or nam"a a corporation)6 (Mailing a dress of applicant 0t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises a—L (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 will be done: "c House Number Street �Hamlet 14 County Tax Map No. 1000 Section ,' Block L_� Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and int nded use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy R ce' S�C4 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost � �, gyp,� 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 161 Rear 6 Depth (� Height IT Number of Stories 1 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 'C Will excess fill be removed from premises? YES—�NO 'X '0 A �,rr� -Q 1 O OX l K �PJe No 71 j '�Pe)?� 14.Names of Owner of premt es Address. 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 `70 * 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 —7-- * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duiy;slworn,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 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. 1 Swor before me t1_�/' t t —1 r hi day of 20 10 TOTH V1 MM Notary ublic rypa 1 1 Signature of Applicant Qualified in Suffolk County Commission Exp'�res lulu 28,2 SUFFQ Scott A. Russell °° Ir James A. Richter, R.A. SUPERVISOR Michael M. Collins P.E. SOUTHOLD TOWN HALL-P.O.Box 1179 p 53095 Main Road-SOUTHOLD,NEW YORK 11971 Telephone#: (631)-765-1560 Fax#: (631)-765-9015 MICHAEL.COLLINS@TOWN.SOUTHOLD.NY.USJAMIE.RICHTER@TOWN.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,Agen Contractor,Other) PROPERTY OWNER: (If Different from Applicant) NAME: JO k n �/y Gt NAME: ADDRESS: s b coliv-4" 49 ADDRESS: m Telephone Number: J+6 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 11"Envelope& Appropriate Postage. DATE: Property Address / Location of Construction Work: v, SCTM *: 1000 District 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 Stor Review Ch list. If No or NA are Indicated, Justification is Required. **** OR ENN EPARTMENT USE ONLY **** Reviewed By: Date: Z7 AppVved:Addation Required: 160 54-- 14MD �tu►m cs CHAPTER 236 STORMWATER MANAGEMENT CONTROL PLAN CHECK LIST a DATE: ? CJD 1 APPLICANT: (PropertyOwner,Design Professional,Agent,Contractor.Other) J S' NAME: 6 N'IV l9'P C W l+ d ' S C T M #: 1000 Telephone Number: 540 �&b ('0860' District Section Block Lot 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) 1. A Site Plan drawn to scale Not Less that 60'to the inch MUST ___ �1 If You answered No or NA to any Item,Please Provide Justification Herel show all of the following items: YES NA If you need additional room for explanations, Please Provide additional Paper. a. Location & Description of Property Boundaries b. Total Site Acreage. c. Existing- Natural & Man Made Features within 500 L.F. of the Site Boundary as required by§236-17(C)(2). d. Test Hole Data Indicating Soil Characteristics&Depth to Ground Water. O e. Limits of Clearing& Area of Proposed Land Disturbance. f. Existing& Proposed Contours of the Site (Minimum 7lntervals) g. Location of all existing& proposed structures, roads, , driveways, sidewalks,drainage improvements& utilities. h. Spot Grades& Finish Floor Elevations for all existing& proposed structures. 1. Location of proposed Swimming Pool and discharge ring. j. Location of proposed Soil Stockpile Area(s). k. Location of proposed Construction Entrance/Staging Area(s). I. Location of proposed concrete washout area(s). 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 O on-site the run-off from all impervious surfaces generated by a two(21 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. c. Inlet Drainage Structures (e.g.catch basins,trench drains,etc.) d. Leaching Structures (e.g.infiltration basins,swales,etc.) FORM * SWCP Check List-TOS JAN 2014 3 1 1 + < l- t 1 t - .V. r� •" � t � wry .�- A. �F - sk, .� O �' •��. � "� "fit K,FL As S.73`.ZS•QO Y✓ A unOO�oio ASRr7ARIOM OR ADWnor ! 111A YP o FFaRDPE�T•Y O SNq SUtVrr IS A VtpurlON w _ i.; SCr1on.rW M iW NCW ROOK STATI .. fe r,Om'mw. SUF<'tiEYE" FUF�: _ ms[TOKYO MA.NOT OR suxvnoK•s INKOD SML OR Ir �=":.-N •SMI.$HALL LJ7 a CONSOMVALID TRUI Cdr- AT OUAOANrttt otdGr.O XEKSOM SIIALI Wn •. - ' �'� . ONOR To zm kSO.V foK WAON 1115 SIIRVN (/..`, A, /�/�7,* �� Al IS'MnAUD.A:.D ON HIS t+lA1f CO rNs /REE'v11:20 ! 1 / AUE COMAirr:�ysytlSOOu AGHOCy/VO I ,.. Iso as sarrLRIOM LISIM 1KaCf1.NO .. ..- _ TO 3K aS'J:WB W 7110 1lAID•16 OWf/4 _ ": _ - V•r: .Vk4x*i pNWOOSS Kt A01 TKAMW4AO! ' ,�. 'Guarcrh7�e�'do f�c, .� Sco le ; ,540 !. _ /" T /e `/nsGUYflo�te "Ccovn Ari ail ,: rv: n�ahutrte`�� fhc of L6P¢�il vii y Y aok .;;...:. r:.. :as su✓�cc�e /Vavaber 3 `/977'- 3 :.•C. /' (' j _.; / - r : /�a�eri��k t�arr�7�.ru� ��,°�? � } `tQ Bock" ,-Lo _ � �i�: i'a ... � .�:.. .. �� .. ._. .L►' ``...�.Ss �' i'..tti{.`.r..11S.'- �� a0. �`�Ji .� �Y .:. -' Z` '-ti: -WN STORM WATER RUN ff+ COIV'PLi WITH ALL CODES OF PURSUANT TO CHAPTER 239C NEW NEW YO ^ " & TOWN CODES OF THE TOWN CODE. U E UNI.AWF QKbITIONS OF ry WNIB� Standa, .. TZM IF>�� ' OLD NPLANNI BOARD OF,, OCCUPANCY Compri-re our quality; service &prices �' before you bu, $a shed SFceds Gaze �{,�, PLa�seis 456 Route 2514,Mt. Siriai, NY 11766to �fi (631)_474-3500 PLUMBING ALL PLllMBINGWASTE', bEJ, ;. " ' TR LINE NEE E9RE31YER1N 'E� F1JII..:NT AS VvT I PPS'-Fb� TRE ry cLL` �• �� � �' � Y��' (/''��}� 0 eai Shir�l ggy# � e 4 ... s ff fi F X g 2 �, .,. DA! 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Keeps it-s paini L t least.twice=as.long r"�lon-t show dents or`hammer marks.. , ardens'.s Also Offers Maintenance Free 4" 1Qutch -Lap Vinyl�Siding available din 10. s V Two Aluminum Double"Hung Windows included plus standard featureslisted above �7 I ..r4 1 8'x12' WORKSHOP0'x16' WORKSHOP • Buckskin Wood Siding•Weatherwood Shingles • Christiana Gray Wood Siding •White Permatrim • Optional Steel Door • Dual Black Shingles •White Permatrim • Green Shutters • Metal Corners • Gray Shutters • Metal Corners Y tP-- a 12'X16' WORKSHOP : 8'x12' WORKSHOP • Silver Mist Vinyl Siding • Black Architectural Shingles • Red Cedar Siding •White Trim • Black Shutters • Rustic Black Architectural Shingles