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HomeMy WebLinkAbout37305-Z Town of Southold Annex 10/28/2014 P.O.Box 1179 54375 Main Road ) Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37236 Date: 10/28/2014 THIS CERTIFIES that the building OTHER Location of Property: 800 Sterling Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 104.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this otficed dated 6/11/2012 pursuant to which Building Permit No. 37305 dated 6/19/2012 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 outdoor shower with stall as applied for. The certificate is issued to Hobbs,H&D Iry Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth ' Sigriature ==moi TOWN OF SOUTHOLD BUILDING DEPARTMENT K 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#: 37305 Date: 6/19/2012 Permission is hereby granted to: Hobbs, Diane & Hobbs, Henry 74 Argyle Rd Albertson, NY 11507 To: construct an outdoor shower per DEC &Trustees approval At premises located at: 800 Sterling Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 104.4-9 Pursuant to application dated 6/11/2012 and approved by the Building Inspector. To expire on 12/19/2013. Fees: ALTERATION OF ACCESSORY BUILDINGS $100.00 CO -ACCESSORY BUILDING $50.00 Total: $150.00 - 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. Svt!orn statement from plumber certifying that the solder used in system contains less than 2110 of 1% lead. 5. Commercial building,industrial building,multiple residenoes 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-coTnforming uses,or buildings and "pre-existing"land usest 1. Accurate survey of property showing all property lines,streets,building.and unusual natural or topographic features. 2_ A properly spmpleted 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. Certifcaie of Occupancy- New dwelling$50.00, Additions to dwelling$50.00,Alterations to dwelling$50.00`, E 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. Tune // 2oiz- New Construction: Old or Pre-existing Building: ' check one Location of Property: bo House No. Scho v e ++11 /tr'eet Ha let Own€r or Owners of Property= tor, H e h r�/ Hobbs Suffolk County Tax Map No 1000,Section jay Block,_ Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: � Underwriters Approval: Planning Board Approval: Request for: Temporary tif Cercate Final Certificate:D cater (check one) Fee Submitted: $ SO`s Applicant Signature 30 7 1p �N Mot vo 1 1014,15 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL ION [ ] FRAMING /STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 7///11-3 INSPECTOR Il�I hEC N WORTDATE COMMENTS hl FOUNDATION(1ST) c� V FOUNDATION(2ND) 40 �z o ROUGH FRAMING& PLUMBING ti INSULATION PER N.Y. H STATE ENERGY CODE elz FINAL ADDITIONAL COMMENTS 0 �z m 0 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) 765-95022 Survey 3 SoutholdTown.NorthFork.net PERMIT NO. 3 Check Septic Form N.Y.S.D.E.C. Trustees D E C E D V E C.O.Application Flood Permit Examined t' 20fV, Single&Separate JUN 11 2012 Storm-Water Assessment Form Contact: Approved Approved ( 20 1 BLDG.DEPT. Mail to: TOWN OF SOUTHOLD Disapproved a/c Phone: Expiration �� 20/ 5 Building Inspector APPLICATION FOR BUILDING PERMIT Date I , 20 /2.- INSTRUCTIONS 0JZINSTRUCTIONS 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) �Qb APP Ibg�a�dK wppl t> State whether applicant is owner, lessee, agent, architect, engineer, genD2dco� d lac tri is Zp"er or builder B v,�6� 1 9 lam. W L- ` _P,4kT1 nw N T AIT 705 18��2 8 Name of owner of premises ANl TO 4 PM FOR ThE (As on the tax rolllorFAt@N -TIMO REQUWJ If applicant is a corporation, signature of duly authorized officer FOR PQURED CONICRETE I ROUGH•FRAMING,PLUMBING, ame and title of cor or of c ! STRAPPING,ELECTRICAL 6 CAULKIN p - � AINSULATION Builders License No. -fg D 4. FINAL-CONSTRUCTION 8 ELECTRICAL ��� MPI_-� ' ; ' i T r Plumbers License No. MUST BE COMPLETE FOR C.O. - ALL CONSTRUCTION SHALL MEET THE Electricians License No. .— REQUIREMENTS OF THE CODES OF NEW Other Trade's License No. YORK STATE. NOT RESPONSIBLE FOR. 1. Location of land on which proposed wol!A will be done: DESIGN OR GONSTRUCTIOK ERApft FDO House Number 'Street N ORM WATER`RUNOFF PURSUANT i" CHAPR 46 County Tax Map No. 1000 Section Block 2/ OF THE mw� c 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 occupancy dej 'a e. 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition they Work 4. Estimated Cost ' da`t� 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 structuZany: Rear Depth Height iDimensions of same structus or additions: Front Rear Depth Number of Stories 8. Dimensions of entire new construction: Front 5' Rear Depth 'y Height 6 ' a" Number of Stories�A11A 9. Size of lot: Front / Rear Depth 10. Date of Purchase 4. 1� / 99 Name of Former Owner Kell T-I l wol-- 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X 13. Will lot be re-graded? YES NO_X_Will excess fill be removed from premises? YES NO-,X 14. Names of Owner of premises D i4ne.An, Nob►zs Address 80oA�bh a l��_ Phone No. 93 7 Name of Architect A/Jn -r 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.Trustee's b. Is this property within 300 feet of a tidal wetland? * YES NO DE cgtr,j+ 1 ,N738•o3861CA000Q * 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 cotvenants'and restrictions with respect to this property? * YES NO X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF SU � being duly sworn, deposes and says that(s)he is the applicant (Name of individu " o a ' bove'named, 41i !tsl ' CONNIE D.BUNCH t iVii?,r,; � `! " Notary Public,State of New York (S)He is the 40,1TA No.o1BU6185050 (f-';orrtrgg(or„Agetrt, Corporate Officer, etc.) Qualified in,Suffolk County Commission Expires April 14,2C1 of said owner or ov.*wl, t1::io diiloiih&fie&i6�e orm or have performed the said work and to make and file this application; that all statemeM*(3AUn­W8:rinAisj ' 1ka sue to the best of his knowledge and belief,and that the work will be performed in the m9t'Mel-40te' t t el 6 ti .�hled therewith. n0.4149 RAIU Sworn,lo before me this 44 day of Ui�Q _ 20_1 4 �, r `-'per-may_ otary Pu>71i ”" Signature of Applicant ar James F.King,President �o���f soTown Hall Annex y�lO Bob Ghosio,Jr.,Vice-President 54375 Main RoadP.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer Q Michael.J.Domino Oly ,�aTelephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7790A Date of Receipt of Application: April 27, 2012 Applicant: Diane & Henry Hobbs SCTM#: 104-4-9 Project Location: 800 Sterling Rd., Cutchogue Date of Resolution/Issuance: May 16, 20.12.-. Date of Expiration: May 16, 2014 Reviewed by: Board of Trustees Project Description: To construct a 4'X 5' free-standing outdoor shower with appropriate drywell. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the application received on April 27, 2012 and as depicted on the site plan stamped approved on May 16, 2012. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. JamjFwKing, Presi nt Board of Trustees John M. Bredemeyer III,President ��OF SOUjy� Town Hall Annex Michael J. Domino,Vice-President h0 lQ 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Charles J. Sanders,Trustee Telephone(631) 765-1892 Iy�DUNTY,�c� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1055C Date: October 8, 2014 THIS CERTIFIES that the construction of a 4'x5' free-standing outdoor shower with appropriate drywell At 800 Sterling Road, Cutchogue,New York Suffolk County Tax Map# 104-4-9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 27, 2012 pursuant to which Trustees Administrative Permit#7790A Dated May 16, 2012,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 4'x5' free-standing outdoor shower with appropriate drywell. The certificate is issued to DIANE & HENRY HOBBS owners of the aforesaid property. OU w��Z Authorized Signature I17) i I!` OCT 27 20114 7, NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-03865(90001 . 0 March 25 2009 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the En onmental March 25,2014 Conservation Law TYPE OF PERMIT ■New ❑Renewal ❑Modification O Permit to Construct ❑Permit to Operate ❑ Article 15,Title 5:Protection of Waters ❑ 6NYCRR 608:Water Quality ❑ Article 27,Title 7;6NYCRR 360: Cartification Solid Waste Marmont ❑ Article 15,Title 15:Water Supply ❑ Article 17,Titles 7,8:SPDES Q :Article 2T,Tide 8;6NYCRR 373: ❑ Article 15,Title 15:Water Transport Hazardous Waste Managarnerd ❑ Article 19:Air Pollution Control O Article 15,Title 15:Long Island Welts ❑ Article 34:Coastal Erosion O Article 23,Title 27:Mined Land Management O Article 15,Title 27:Wild,Scenic and Reclamation Ramal Rivers t7 Article 36:Floodplain Management Article 24:Freshwater Wetlands 0 Articles 1,3,17,19,27,37; 0 Article 25:Trial wetlands 6NYCRR 380.Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER HenryHobbs 631 734-2907 ADDRESS OF PERMITTEE 800 Sterling Road, Cutchogue, NY 11935 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Catherine Mesiano,Inc., 12 Mill Pond Lane,EastMorid>es NY 11940-1222 631 878-8951 NAME AND ADDRESS OF PMECT/FAGILITY - Hobbs _ 8Q9 Sterlin Road, Cut ue _- COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold FW#SO-55 E:713.8 N:4543.6 DESCRIPTION OF AUTHORIZED ACTIVITY Construct second floor addition and expand front porch. in addition, install two new dry wells,one in the northeast comer of property`and the other in the northwest comer of property. All work must be in accordance to the attached plan prepared by Nathan Taft Corwin III, last revised 2126/09 and stamped NYSDEC a roved 3/25/09. By acceptance of flus permit,the permittee agrees that the permit is contingent upon.strict compliance With the ECL; all applicable regulations, the Genera!Conditions specified (see page 2&3) and any Special Conditions included as pattof this permit. PERM ITA. >�tlNISTRAT : ADDRESS Region 1 Headquarters John . ieland M SUNY ny Brook, Circle Road, Ston'` Brook, NY 11790-3409 T �` !G RE DATE Page 1 of 4 March 26,:2009 SUNY @ Stony Brook 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631)444-0365•Fax: (631)444-0360 Alexander B.Grannis Commissioner PERMIT MODIFICATION July 7, 2010 Mr. Henry Hobbs 800 Sterling Rd. Cutchogue, N.Y. 11935 Re: Permit#1-4738-03865/00001 Bear Mr. Hobbs: The Department of Environmental Conservation (DEC) has reviewed your request to modify.the above referenced permit in accordance with the Uniform Procedures Regulations(6NYCRR Part 621). It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is hereby modified to authorize: Terrace the property, extend the patio and Install an outdoor shower with a drywell. All work must be done according to the plan prepared by Hobbs dated 6/15/10 and stamped NYSOEC approved on 7/7/10. Conditions 3 and 4 have been modified and conditions 11 and 12 have been added as follows: 3-Prior to commencement of any construction activities, a continuous row of straw bales shall be staked end to end downslope of any areas of ground disturbance. 4-Straw bales shall be entrenched two to four inches into the ground. 11-The bales shall be maintained, repaired and replaced as often as necessary to ensure proper function, until all disturbed areas are permanently vegetated. The average useful life of a bale is approximately 3-4 months. Sediments trapped by the bales shall be removed to an approved upland location before the bales themselves are removed. 12-Shower wastewater disposal: Waste from the new outdoor shower shall be directed to a drywell located at any point above the 12 foot contour line as shown on the approved plans. 4years of stewardship 1970-2010 This letter is a modification to the original permit and must be available at the job site whenever authorized work is in progress. All oth t rms a conditions remain s written in the original permit. c re , hn a e by Pe Admi ' cc: BOH, File [Type text] r 800 Sterling Road Cutchogue, New York 11935 June 11,2012 Town of Southold, Building Department P.O. Box 1179 Southold, New York 11979 Re: Outdoor Shower Permit Application Dear Connie, Enclosed please find our DEC permit for an outdoor shower. I applied to the Building Department this morning, but was missing this permit. Thank you for your kind attention to this matter. Sincerely, Diane Hobbs �pF soy Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 4n 20, BUILDING DEPARTMENT TOWN OF SOUTHOLD July 12, 2013 Diane & Henry Hobbs 74 Argyle Rd Albertson NY 11507 Re: 800 Sterling Rd, Cutchogue TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) &&rustees Certificate Of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37305 — Outdoor Shower Each of the 4 posts are approximately 6"2". 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