The URL can be used to link to this page

Home My WebLink About38955-Z 0'.Oiffij j Town of Southold Annex 10/2/2014 Yt P.O.Box 1179 (OVA '' 54375 Main Road �F}�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37187 Date: 10/2/2014 THIS CERTIFIES that the building DECK Location of Property: 110 Oak Dr, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 104.-5-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/3/2014 pursuant to which Building Permit No. 38955 dated 6/11/2014 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: DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Grossman, Stuart&Grossman,Kathleen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A Signa ure 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#: 38955 Date: 6/11/2014 Permission is hereby granted to: Grossman, Stuart & Grossman, Kathleen 366 Marie Ct East Meadow, NY 11554 To: construct a 19' X 16' deck addition as applied for At premises located at: 110 Oak Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-5-26 Pursuant to application dated 6/3/2014 and approved by the Building Inspector. To expire on 12/11/2015. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $321.60 CO -ADDITION TO DWELLING $50.00 Total: $371.60 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 J%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$15.00 Date. New Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: (l 0 Q op_1�jk House No. Street Hamlet Owner or Owners of Property: ; A*-- Suffolk County Tax Map No 1000, Section Block rJS Lot Z io Subdivision -uKy Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted:$ CL AppIica nature �" z �o��OF SOUT�olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 NSPECTION ZFOVDATION 1 ST [ ] ROUGH PLUMBING r [ ] UNDATION 2ND [ ] INSULATION [ 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 oF sour�o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROU PLUMBING [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING / STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR FIRLD INVE ON REPORT DATE CowzffNTS pomp MMMM= cn to FOUNDATION(IST) � FOUNDATION(IND) o F-) y ROUGH FRAMING& y PLUMBING r Cl7 INSULATION PER N.Y. �, y STATE RNRRGY CODE ' y FINAL 'ail 0- ADD IO . rn 7 . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the followmg,'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. 3A9 Check Septic:Form N.Y.S.D.E.C. Trustees Flood Permit Examined J/ 20 Storm-Water Assessment Form F Contact: a (VlC%G Approved ,20_L Mail to: Disapproved a/c Phone: Expiration 1,L 20 !I( Build ng==Inspector i � i U N _. 1) Ini4 A LIGATION FOR BUILDING PERMIT J u J w _ r______� Date t�— 2- , 20 1 T ;,,; 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 comtrienced"befor'e 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,118 months from,such date.If n9 zoning_ame , ents or other r`egulatio�ns affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension_ ofthe 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 pr fpr removal,or demolition as heroin.described..The applicant agrees to comply with all applicable laws,.ordinances,.building code,hosing code,and,regulations,and to admit authorized inspectors on premises and in building for necessary' inspections. (gigInatdre o app cantor name,if a corporation) Po 3 w2; C_�*Vr.�K L5 3-S (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 51�'w l GlzbS�Mllt�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. Ll S -i3o l-4 Plumbers License No. Electricians License No. Other Trade's License No. - 1. Location of land on which proposed work will be done: ((0 OPCV-- D9_0K 2 \4-b r,( House-Number Street Hamlet County Tax Map No. 1000 Section 1 V4 Block 65 Lot 2b 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 <(4-46 ut �z4y\t 1,,,.t Ap M(OcNCr b. Intended use and occupancy Sfrv��c 3. Nature of work(check which-applicable):New Building ` ,Addition Alteration Repair Removal Demolition Other Work bei (Description) 4 Estimated Cost ; (S(_gm)(_� . Fee (To be paid on filing this application) 5. f dwelling, number of dwelling units 3 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 F 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, ordnance or regulation?YES NO 13. Will lot be re-graded? YES NO Wi11 excess fill be removed from premises?YES ', ,NO- 14. NO 14. Names of,Owner of premises. Address hone No. Name of Architect Address,: Phone No _ I I { Name of Contractor DOUG Address Phone No. L((kS= –?-6- 15 a. Is this property within-100 feet of a tidal wetland ora freshwater wetland? *YES NO L,-' * IF YES, SOUTHOLD TOW14 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 1/ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ,S� Y<�,pj5 M LdMI being duly sworn, deposes and says that{she is the licant (Name of individual signing contract)above named, CON E D.BUN Notary Public,State of New York No.01 SU6185050 (S)He is the 0Qualified in Suffolk County r4 l (Contractor,Agent,Corporate Officer, etc.) Commission Expires WRI-T4'21ZA\3 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 t before me this nG� day of 20 Notary Public re of Applicant Scott A. Russell ��°Sink STO]KI��] WAXIEIR, SUPERVISOR N A( I E AW I E N SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 O , Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPL`n ❑[t A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑[ B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑[, C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. El ETD. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑(" E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the 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. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. *: I OOO Date District NAME: _C?!� `L(, Ci-2- ( 1 Section Block Lot FOR BUILDING DEPT BUMEW USE ONLY Contact Information: FOR wy S 4'+L� y. � �� ^ eleMwne Numherl Reviewed B // rICA -- - - - - - - - - - - - - - - - - - - Date: (o Property Address/ Location of Construction Work: — — — — — — — — — — — — — — — — — Approved for processing Building Permit. �y �� ( llc � Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — C.—ert kV2 ti t`!� ��13 S ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM SMCP-TOS MAY 2014 �p3 og` - � ► �9� 6p\62r2 � OAK o ;200 , f 101 40 0, o W o •t1 ° i 2r 3 20 2/ �9 a W 3 `1 N co LAco _ '�J �a e '--" 5.5046 W +14w Or �oyum SURVEY FOR COLONIAL MORTGAGEE CORP PECONIC TOWN OF SOUTHOLD SUFF CO , N Y GUARANTEED TO COLON14L MORTGAGEE CORP SCALE I" = 40` HOME TITLE GUARANTY CO NOTE VETERANS ADUINISTRATION • = MONUMENT DEC 4, 1962 ELEVATIONS SHOWN THUS Z05 ARE REFERENCED TO AN ASSUMED PROFESS iONAnNGINEE AND DATUM LAND SURVEYOR, N Y S LIC NO 1284" RIVERHEAD, N Y r 2 x 10 1�D 5p&-j) s� b r"M r �ILGO @?'I STiN (b"t) to" btl J J It-to PLAke Z� �-� S� i�- - - - -{ t� ,PSL'J i v iL .; i i o. � /k'r" DATE ` �� B.P. # 2 �I Tttz �y 4th- I FEE: '�''' , BY '�✓�; _ T P F� � � � 5�P3 , Ott�•�Sh _ I � �. a r 2. R� 3. INSULATION F -CONSTRUCTION & ELECTRICAL BE COMPLETE FOR C.O. �T1 Pt c ( �� '(Pio ( c5� *%W*F! tUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NE';hr YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. BAY CREEK BUILDERS JOB �Q°ss r��N' 110 t7 feu D. W. Mcgahan SHEET NO. OF P.O. BOX 602 CALCULATED BY DATE CUTCHOGUE, NEW YORK 11935 (516) 734-6270 CHECKED BY DATE SCALE. PHOOUCT227-1(P&M lrW rRoo0227k1(FWN irEWe *br.,smta Mew mm.ToparMMTOLL FREE 14oka.M