HomeMy WebLinkAbout37102-Z Town of Southold Annex 8/1/2014
� P.O.Box 1179
54375 Main Road
AL Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37060 Date: 8/1/2014
THIS CERTIFIES that the building SHED
Location of Property: 260 OAK DRIVE CUTCHOGUE,
SCTM#: 473889 Sec/Block/Lot: 104.-5-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/23/2012 pursuant to which Building Permit No. 37102 dated 3/29/2012
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:
ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR
The certificate is issued to SCOTT&STACY BOWE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
9
A o ' ed Si atur
ua"Fft" 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#: 37102 Date: 3/29/2012
Permission is hereby granted to:
SCOTT & STACY BOWE
17 SMITH STREET
ROCKVILLE CENTRE, NY 11570
To: construct a 10' X 14' accessory shed as applied for
At premises located at:
260 OAK DRIVE CUTCHOGUE
SCTM # 473889
Sec/Block/Lot# 104.-5-27
Pursuant to application dated 3/23/2012 and approved by the Building Inspector.
To expire on 9/28/2013.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $156.00
CO -ACCESSORY BUILDING $50.00
Total: $206.00
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:
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 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
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
Date. �// -Z
New Construction. ✓ Old or Pre-existing Building: (check one)
Location of Property: �/Z
House No. Street Hamlet
Owner or Owners of Property: -z-
Suffolk
Suffolk County Tax Map No 1000, Section Block Lot v
Subdivision Filed Map. Lot:
Permit No. �� Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: _c/ (check one
Fee Submitted: $
Applicant Signature
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTIO
[ ] FOUNDATION 1 ST [ ] ROU PLUMBING
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOL,ATIO [ ] CAULKING
REMARKS: c
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DATE INSPECTOR 7 2s:. ZA
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I FOUNDATION IST ROU P ING
FOUNDATION 2ND IN 0
FRAMING / STRAPPING I L i,
FIREPLACE & CHIMNEY FIRE INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
DAT INSPECTOR
DAT, Ca1VIl TS.
+OTJ A OI+1(lST).
1N �MMMMw1rlMwtKwr !l0 .. ,v
FOUNDATION(2ND) �
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ROUGH FRA G& �
PLUMING
INSM.A.TION P9P,N.X.
STATE EM MGY CODE
FINAL
ADDITIONAL.CO1OONTS
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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. ?710.2 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application
Flood Permit
Examined 20 Single& Separate
Storm-Water Assessment Form
Contact:
Approved_ 20 Mail to: /_j Ste'?/TIS _<r-
Disapproved
%Disapproved a/c
Phone:
Expiration ,20-3
!TOWN
a0DEPT,.
Building Inspector
MAR PPLICATION FOR BUILDING PERMIT
Date '�j�/ , 20 /2!
BLINSTRUCTIONS — �
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)
i tddress sof applicants
hoc
State whether applicant is owner, lessee, agent, architect, engineer, generalfcontracr e�lectr}cian, r_or builder
F. - 1.�LIENT AT
TQ 4 PM FOR THF=
ECTIONS:�,
Name of owner of premises 40W e, 1 T'NF�'L?EOUIIRMED
As on the tax roll or last deed
If applicant is a corporation, signature of duly authorized officer S E-ECTRICAL&CQt�q�l(�i
3. A UL6T!;;N
(Name and title of corporate 4. Fil%°L, CONSTRUCTION&ELFAV
M11-ST BE COMPLETE FOR C.O.
Builders License No. USE IS I INII Al/1/F 1 ALL 4NSTRUCTION SHALL MEE ;
TF�
Plumbers License No. RE( IREMENTS OF TF�E'CODE,9�Qg til
Electricians License No. �` (_ 'ATE YOy STATE. NOTRESPONS1ftjtq �
Other Trade's License No. DEWN OR CQNSTRUQT10,kq
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1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section 1 Block 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
b. Intended use and occupancyi
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 OFU !
��.yL./P� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.BUNCH
Notary Public,State of New York
No.01 BU6185050
(S)He is the o ualitied in Suffolk County ,
(Contractor, Agent, Corporate Officer, etc.) commission Expires April 14, _
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 statementsKcontained 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 before me th'
day ofXVj/ ' 20
�-j�" )
Notary Pubh�c Signature of Applicant
i
oak Town of Southold
Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.0 T.M.# THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
�.�t11
STORM WATER,QRADINOr DRAINAGE AND EROSION CONTROL PLAN '
�k cct S"n -Blom— t CERTIFIED BY A D SIGN PlitornsioNAL iN—TA STATE OF NEW YORK. II
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No
C I
a. What is the Total Area of the Project Parcels?
(Include Total Area of all Parcels located within Will this Project Retain AI Storm Water Run-off
the Scope of Work for Proposed Construction) ' Generated by a Two(2")Inch Rainfall on Site?
b• What is the Total Area of Land Clearing (�F > (This Item will include all run-off created by site
9 clearing and/or construction activities as well as an
and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of
construction activity? F. impervious surfaces.)
)
PROVIDE BRIEF PROJECT DESCRdPTZON tPro+aide AddNanl Pages as Needed) 2 Does the Site Plan and/or Survey Show All Proposed
Drainage Structures Indicating Size&Location?This / a
Item shall include all Proposed Grade Changes and L
Slopes Controlling Surface Water Flow. I
3 Does the Site Plan and/or Survey describe the erosion
Q x and sediment control practices that will be used to ZEI
control site erosion and storm water discharges. This i
item must be maintained throughout the Entire
Construction Period. i
4 Will this Project Require any Land Filling,Grading or
Excavation where there is a change to the Natural
Existing Grade Involving more than 200 Cubic Yards
of Material within any Parcell E]
Will this Application Require Land Disturbing Activities /
Encompassing an Area in Excess of Five Thousand ❑ L/
(5,000 S.F.)Square Feet of Ground Surface?
6 Is there a Natural Water Course Running through the
Site? Is this Project within the Trustees jurisdiction /
General DEC SWPPP Regulremerrts: or within One Hundred(109)feet of a Wetland or
Submission of a SWPPP is required for art Constriction activitles involving soil Beach?
disturbances of orle(1)or more acres, including disturbances of less than one acre that l Will there be Site preparation on Existing Grade Slopes
are part of a larger common plan that will ultimately disturb one or more acres of land;
including Constriction activities involving soil disturbances of less than one(1)acre where Exceed Fifteen(15)feet of Vertical Rise to
the DEC has determined that a SPDES permit is required for storm water discharges. One Hundred(100')of Horizontal Distance?
(SWPPPb Shall meet the Minimum Requirements of the SP
DES General Permit 8 Will Driveways,Parking Areas or other Impervious
Tor Storm water Discharges frored p Construction sub activity-permit No.GP-0111-Dei.) Surfaces be Sloped to Direct Storm-Water Run-Off
1.The SWPPP shall be prepared prior to the submittal of the Not.The NOI shall be into and/or in the direction of a Town right-of-way? l
subrnitted to the Department prior to the commencement of constriction activity.
zl
2 The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material,
required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any i
constructed to reduce the pollutants in storm water discharges and to assure item Within the Town Right-of-Way or Road Shoulder
compliance with On terms and condttons of this permit In addition,the SWPPP shall
identify polandal sources of pollution which may reasonably be expected to affect the Area?(This Item will NOT Include tlw taunt ion of prIV"W Apnats)
quality orstorm water discharges. NOTE: N Any Answer to Questions One though Nine Is Answered with a Check Mak
9.All SWPPPa that require the postsonstniction storm water management practice in a Box and the conatruuaon site disturbance is between%M S.F.f1,1 Mac in area, i
component shall be prepared by a qualified Design Professional Licensed in New York a Storm-water;Grading,Drainage'&Erosion Control Plan is Required by the Town of j
that Is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submk*. d for Review Prior to Issuance of Any Building Permit.
SNOTE: A aura Mark(,h and/or Anwar for aach Question Is wgirrm for a 0=0010 Appikeieon)
STATE OF NEW YORK, CONNIE D. BUNCH
COUNTY OF...........................................SS
Notary Public:,State of New York '
No.01 BU6185050
Qualified In Suffolk County -/L/
That I,.. ......l�'T .. ,o`s c being duly sworn,deposes y�.�,�,,,a,. 0 tt
(Name of indlvldisil slgritng Diiaiinerrij •. tAf �lltl$rnPrOr.Pe mit, t
And that he/she is the ..................................:...... .
.......................................... . ... .........................
i
(Owner.Coritradar.Agent.Corporate O�icor�ex.) ........................................... ;
Owner and/or representative of the 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 herewith.
Swum to before me this;r
.......... • ...
Notary ....... day of...... .... ..... ,20)....� '......
Public: t•�
5��;..........................
(signature of Applicant) I
FORM - 06110
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to tt+ls survpy is a violation of ! / 1 N 7� �„�� (A ILI L N
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Education law 3} J {\ <irlCa "of thte survey Primpp not beterht
the land surveyors k*&d aeef or
.mbL,gsndseal shall riot baCC Ms,- �I Mn{n lir s valid true Capp - t �'-- ' , AJ�
,,,pranteet,Indic �Indicated Itersen e*11141 / '~'�Jtl
nn'y to the person tar whm ifw lllln syL 5 .11(�
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• New England Series
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` Size T-1-11 Vinyl Size T-1-11 Vinyl
8 X 8 2450 2795 112 X 14 4095 4690
8 X 12 2995 3450 12 X 18 4960 5695
8 X 16 3450 3965 12 X 24 6050 6945
10 X 12 3395 3880 12 X 30 7235 8310
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Shown with optional transom windows,
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10 X 24 5250 5975 14 X 28 8785 1005
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Size T-1-11 Vinyl Size T-1-11 Vinyl
8 X 8 2450 2795 12 X 14 4350 4995
8 X 12 3095 3595 112 X 18 5095 5850
8 X 16 3579 4095 12 X 24 6395 7375
10 X 12 3525 4025 12 X 30 7585 8695
T
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Shown with optional Shutters 10 X 20 5050 5795 14 X 20 N/A N/A
10 X 24 5580 6395 114 X 28 N/A N/A
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Size T-1-11 Vinyl .Size T-1-11 Vin l
- 8 X 8 N/A N/A "12 X 14 4165 4795
8 X 12 3195 3675 12 X 18 4865 5595
8 X 16 . 3695 4250 12 X 24 5890 6750
10 X 12 3499 4025 X 3U 6930 7980
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Shown with optional Antique Hindges 10 X 16 4050 4665 12X 36 7795 8995
10 X 20 4650 5340 4 X 20, 6495 7450
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Standard Features
notes
Shingles 30 Year Architectural
Roof 2x4, 16"O.C., 1/2"CDX Plywood
Vents Aluminum Gable Vents
Walls 2x4, 16"On Center ,004
Overhang 6"On All Four Sides
Siding 5/8"Duratemp, Vinyl Over 1/2"Plywood
Door Hand Made Wood
Hinges Black Powder Coated or Painted
Window Trim Shutters or Boxed Trim
Shutters Vinyl Louver or Raised Panel
Trim Miratec
Corners Miratec
.Flooring 5/8"5 Ply Pressure Treated Plywood
Sub Floor 2x4 Pressure Treated 16"O.C.
Foundation Pressure Treated 4x4s
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