HomeMy WebLinkAbout39166-Z T 9/16/2014
Town
f �>r.¢ Town of Southold Annex
{ � P.O. Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37148 Date: 9/15/2014
THIS CERTIFIES that the building SHED
Location of Property: 35995 Route 25, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 97.-1-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/29/2014 pursuant to which Building Permit No. 39166 dated 9/9/2014
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"ACCESSORY SHED AS APPLIED FOR
The certificate is issued to Macnish, Elizabeth&Macnish,Mark
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39166 09-11-2014
PLUMBERS CERTIFICATION DATED
v
Autho ' ign re
TOWN OF SOUTHOLD
F*0-09 I
BUILDING DEPARTMENT
`Y
� 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#: 39166 Date: 9/9/2014
Permission is hereby granted to:
Macnish, Elizabeth & Macnish, Mark
35995 Route 25
Cutchogue, NY 11935
To: construct "as built" accessory shed as applied for
At premises located at:
35995 Route 25, Cutchogue
SCTM #473889
Sec/Block/Lot# 97.-1-21
Pursuant to application dated 8/29/2014 and approved by the Building Inspector.
To expire on 3/10/2016.
Fees:
AS BUILT -ACCESSORY $355.20
ELECTRIC $90.00
CO -ACCESSORY BUILDING $50.00
Total: $495.20
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 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
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3.3-0 Jam_' rr A Ao G-uc_
House No. Street Hamlet
Owner or Owners of Property: 1:6/ 7 A 6.0 7 f4 WAC w/f/)
Suffolk County Tax Map No 1000, Section Block Lot f
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: $
icant Signature
z a��
o�*V SO(/l�o
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1179 042
Southold,NY 11971-0959 • �Q roper.riche rt(D-town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Macnish
Address: 35995 rt 25 City: Cutchogue St: NY Zip: 11935
Building Permit#: 39116 Section: 97 Block: 1 Lot: 21
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment: AS BUILT----ELECTRICAL SURVEY-----NO VISUAL DEFECTS----accessory she(
Notes:
Inspector Signature: Date: Sept 11 2014
81-Cert Electrical Compliance Form.xls
OF SO�jyo�
• �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUG MOING
[ ] FOUNDATION 2ND [ ] 1 rdLATION
[ ]
FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
( ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] CAULKING
REMARKS:
DATE INSPECTOR
FIELD N REPORT DATE COMMENTS
FOUNDATION(1ST) 5
FOUNDATION(2ND) T-.
ROUGH FRA11 WQ& y'
PLUMING
u,.
INSULATION PER N.Y. �
STATE ENERGY CODE
FINAL
ADD ION COMMENTS 7s
J1
v
o
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. jq& Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined /q,20) Single&Separate
Storm-Water Assessment Form
�i Contact:
Approved I/q ,20 / Mail to:
Disapproved a/c
Phone:
Expiration ,20
l
FA:
B_uilding Inspector
J L� ? ��?� ? ICATION FOR BUILDING PERMIT
Date d fil , 20
i 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 c de,and regulations,and to admit
authorized inspectors on premises and in building for necessary inspections. /
6
(Signature of applicant or name,if a corporation)
J�671� tue--21-5 I)UL, 5ouTl4vcn
(Mailing addresg of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Cow—( fz y�c-f-69 .
Name of owner of premises _CtL/ Z/ /f Cif 01 f2-'
(As on the tax roll or latest deed)
If appli 7s a corporation, signature,of duly authorized officer
and title of corporate officer)
Builders License No. /�7�f"— 7-1
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Lo atie of land on which proposed work will be done:
S �f m14.1,,?) v BCW(_')L/—U(-,—
House Number Street Hamlet
County Tax Map No. 1000 Section 7 Block I 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 j !wd-l G PA M i e`f e(,�j 0 [tom C
b. Intended use and occupancy 5"l A rt C C—ff?! ii Y (2 0 /t2 i o C,-�
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work 5%-pro R 1)19 Cf//us''
(Description)
4. Estimated Cost V oy 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.
r
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 14.1, Number of Stories )
9. Size of lot: Front Rear ?f Depth ;2 Yd
10. Date of Purchase &A; wY`' Name of Former Owner CHL'1cy&,'t0
11. Zone or use district in which premises are situated f YZ
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO L.
13. Will lot be re-graded?YES NO✓ Will excess fill be removed from premises? YES NO
14.Names of Owner of premises 07 0't r' dress 509 M �� Phone No.
Name of Architect klw lir Address Phone No
Name of Contractor er2,CPU�- 0OV Address 347.1' WL-Vf PGS" 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 )
��
f d tz 7Uoe,Lee-z.1Gtr 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
_
(S)He is the Lu " 1 &—#I C."76AJNo.01BU6185050
(Contractor,Agent,Corporate Officer, etc.) ouamfiedin guffelkGedntY
Commission Expires April 14,2__._
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 before me this
oZG,-Iok_day of 20
ONNIE D. BU CH
Notary Public Notary Public,State of New Yor!� ignature of Applicant
No.01 BU618505,)
Qualified in Suffolk 0£4;-"-:-'y
Commission Expiros ApJ1 .4 OIL
Scott A. Russell
SUPERVISOR z MA NA\(G IE LENT
SOUTHOLDTOWN HALL-P.O.Box 1179 0' "own of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971
CHAPTER 236 - STORMWATER MANAGEMENT- WORK SHEET
(TO BE COMPLETED BY THE APPLICANT )
----------._....-
i DOES THIS PROJECT INVOM ANY UF ILHE
(CHECK ALL THAT APPLY)
Yes No /
t
[:]IR"A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
t ' ❑ B. Excavation or f illing involving more than 200 cubic yards of material ;
within any parcel or any contiguous area.
EI c:. Site preparation on slopes which exceed 10 feet vertical rise to
10.0 feet of horizontal distance.
❑ . Site preparation within 100 feet of wetlands, beach, bluff or coastal l
erosion hazard area.
t I E. Site preparation within the one-hundred-year floodplain as depicted
�,/ on FIRM Map of any watercourse.
Installation of new -or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management l
t Control Plan was received by the Town and the proposal includes
1
in-kind replacement of impervious surfaces.
If you answered NO to all of th questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check list Form to the Building Department with your Building Permit Application.
- -----=— --- —=-- ---- --- -- S:C_T.M. )000 Date
APPLICANT_ (property owner,Design ProfessionaL Agent,Contractor,Other) District
Irict
fill
NAME: Ant Section Block Lot
t, • - .. .
FOR BUILDING DEPARTMENT L'_.E 0,
Contact Information: l
okp�r.ma.t
Reviewed By
Date:
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
Approved for processing Building Permit_ — — —
Stormwater Management Control Plan Not Required.
F] Stormwater Management Control Plan is Required.
(Forward io Engineering Department for Review.)
FORM - SMCP- TOS MAY 2014
TOWN OF SOUTHOLD PROPERTY RECORD CARD
A0 0 a, - i--2f"l Z
OWNER STREET 7 5 VILLAGE DIST. SUB. LOT
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(!E5 / SEAS. VL. FARM COMM. CB. MICS. MktValue `
LAND IMP. TOTAL DATE REMARKS
3 66 4, 0 i +2. t Garza s c4.
Ir 00 7000 by 3 Z/03 nuc ! Al,-:m Q 24: " Cc
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NEW I NORMAL BELOW ABOVE
FARM Acre Value Per I Vclue
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Tillable j FRONTAGE ON WATER
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Meadowland DEPTH •+
Howt%PJ4 BULKHEAD
Total DOCK
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N x,05 SCDHS REF., R10-03-0070 SURVEY OF PROPERTY
Coe A T CUTCHOG UE
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TOWN OF SO UTHOLD
5 SUFFOLK COUNTY, N. Y.
�`' 1k9 1000-9'7-01 21
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ANY AL TERA 17ON OR ADDI AON TO 1HIS SURVEY IS A VOILA 71ON �'G� CONIC MORS, P.C.
OF SECnON 7209OIF THE NEW YORK STATE EDUCA77ON LAW. (631) 765-5020 FAX (631) 765-1797
EXCEPT AS PER SEC77ON 7209-SUBDIWSON z ALL CERAFlCAflANS P.O. BOX 909
HEREON ARE VAUD FAR 1HIS MAP AND COPIES 1HEREOF ONLY IF
SAID ANAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURWYOIR 1230 TRA WLER STREET O;?_2 Up2
WfOSE S7GNAIURE APPEARS HEREON. SOUTHOLD, N.Y. 11971
7 8 9 10 II 12 13 14 15 1 G 17
155UE5/ REVISIONS
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HOUSE. 1 ,C95.2 S.F. \\ REMOVED
HOUSE PORCH: 441 .8 S.F.
HOUSE DECK: 24 1 .3 5.F, \ EPC� r
METAL SHED: 8I .8 S.F. , COVER s� \
NT
NEW SHED: 194,4 S.F. \ co
o
TOTAL: 2,654.4 S.F. \\ MISTING \\ •
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LOT COVERAGE: 13.5% \ E GRAVEL �,o \\Toch 1G"O.C.
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1��0'L �%O \ DECK -t` \ ��
1 jx '`� \'\ ��° pyo \ \ =1 I1=1 I 77 1=1 1=1 1=1I 1=1I 1=111=t I1=1 I1=1 1=1 1=1 1=111=1111=1 I1=1
BASED ON SURVEY OF PROPERTY O \ z�' \
AT CUTCHOGUE �� 01-- \ ir■�'■'i
TOWN OF SOUTHOLD G�'o c� 5 EC T I ON19
SUFFOLK COUNTY, N.Y.
1000-97-01-2 1 \\ Q G \ SCALE: 114"=I'01'
5EPT.4, 2003
AUG. 07, 2014 \\ �� MON
SURVEY BY: WALL •
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PECONIC SURVEYORS, P.C. QI/ �'� \ '
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AREA= 19,230 5Q.FT. Q ' \ 50
� c2014
ALL RIGHTS RESERVED
THE5E PLAN5 ARE AN Of
PIPE .i l.2a6'jc\� (� p ?. �I SERV CE AND ARE THEI PROPERTY OF=
THE ARCHITECT.BE PROSECUTEDINFRINGEMENTS NULL
5ITE PLAN
SCALE: 1"=30-0"
•
DATE 1/� C 3 �( '�■■�
FEE .. . �C
NOTIFY EUILDI'lu NT AT
765-1802 8 Ald TO AR THE
FOLLOWING INSPE'- ZCLIENT/OWNER
1. FOUNDATION-"1' `.IRED wdk
Co?
FOR POURED
2. ROUGH-FRAMING, F'_
STRAPPING, ELECTI?:..AL &CAULKING
3. INSULATION
4. FINAL-CONSTRUCTION &ELECTRICAL ~
MUST BE COMPLETE r h C 0
ALL CONSTRUCTION S,- `."">-_-HE
12 RFCUIREMENTS OF TFl, NEW
Y MACNISN RESIDENCE
6
'ARK STATE. NOT REST - ;R
I DESIGN OR CONSTRUC ,,,� c�;;;uRS r�
35995 MAIN ROAD
12 ,-� CUTCHOGUE, NY
PRE-FABRICATED 15
GREENHOU5E
STRUCTURE. 9
❑ ❑ ❑ ❑ 12
U N Lr��."r , ~ PROJECT TITLE
5NED C
u •
R.P..T1E ON GRADE IT IS A VIOLATION-OF T fE
FOUNDATION. LAIN FOR ANY PERSON, �
UNLESS ACTING UNDER THE I�I
G'kG"P.T. GNG"P.T. DIRECTION OF A LICENSED w DRAWING TITLE
RAILROAD TIES. ARCH :EECT,TO ALTER ANY
RAILROAD TIE5. ITEitI OIb THIS 1` ;t'I1NO IN
AIkYVV .Ya ASG; A..-I"HORIZED '"' 51TE PLAN
A T I O N 5 1 D E E L E V A T I O N ALTS~D,SES, ��'',% N� � ELEVAT1oN5
FRONT ELEV 1sT = I- E
;; Se I.,.,1 ACCOWDAMCE r■M SECTION
SCALE: 1!4"=I O" SCALE; 1/4"=I'O"
g 1014 �
P�01 ARC�1/T� � PRINT DATE SCALE
august 25, 2014 A5 NOTED
* 155UE
DRA\MNG NO.
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REF, NO.