HomeMy WebLinkAbout39218-Z v�.
. Town of Southold Annex 11/12/2014
�o P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37267 Date: 11/12/2014
THIS CERTIFIES that the building DECK
Location of Property: 3020 Moores Ln, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 116.4-8.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/15/2014 pursuant to which Building Permit No. 39218 dated 9/26/2014
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 an existing one family dwelling as applied for.
The certificate is issued to Cope,Roger&Cope,Kathleen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Auth Si ature
Z : TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
{i; SOUTHOLD, NY
�S�ev 0"' r
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#: 39218 Date: 9/26/2014
Permission is hereby granted to:
Cope, Roger& Cope, Kathleen
139 Seabreeze Dr
Naples, FL 34108
To: Construction of a deck addition to an existing single family dwelling as applied for.
At premises located at:
3020 Moores Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 116.-1-8.4
Pursuant to application dated 9/15/2014 and approved by the Building Inspector.
To expire on 3/27/2016.
Fees:
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $816.00
CO -ADDITION TO DWELLING $50.00
Total: $866.00
B u i I d i n Inspe -
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. IF —115-" I
New Construction: 2 Old or Pre-existing Building: (check one)
Location of Property: 3a� M 0°mss
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot �'-
Subdivision Filed Map. Lot:
Permit No. q21 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signat
i
�o��,oF so�ryo�
TOW OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
JRAFMUNDATION1 ST [ ] ROUGH PLUMBING
UNDATION 2ND [ ] INSULATION
ING /STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VI TION _ [ ] CAULKING
REMARKS:UC2.
DATE Q INSPECTO
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I FOUNDATION I ST ROU "LUMBING
FOUNDATION 2ND ] I ULATION
FRAMING /STRAPPING F YIN A L
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION ] CAULKING
REMARKS: A
C;!o
A lOf-?-- 77
DATE INSPECTOR
r
t_ d 4 5wd�ew' W SECB
PROFESSIONAL ENGINEER
1725 HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971
TEL:631.765.2954 • FAX:631.614.3516 • e-mail:joseph@fischetti.com
Date: 6 November 2014
Reference: BP #39218
Building Inspector
Town of Southold
Main Road
Southold, NY 11971
Dear Sir,
I inspected the installation of the concrete footings for the deck for the above referenced
Building Permit.
I certify to the best of my knowledge that the footings were installed in accordance with New
York State Building Codes.
N `
,L
NOV
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Da 0 BOARD CERTIFIED IN STRUCTURAL ENGINEERING
1; ! 1 0 • � • 1 1'
MM.5
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PLUMING
1 .STATE ENERGY CODE
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Y
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 rE.R ►4 N44---- r Check
I Septic Form
N.Y.S.D.E.C.
Trustees
i ! C.O.Application
SEP 15 2014 %' " Flood Permit
Examined ,20 ^_!� Single&Separate
Storm-Water Assessment Form
- Contact:
Approved 20 Mail to:
Disapproved a/c
Phone: 22
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date `'j , 20 i`rt
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.
f to c 11,�, 1 P rn� 1 Nt
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether)applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(4 -1'('2u,( CoAj 4x�c A--J C_
Ili
Name of owner of premises 9 0.ye2 Cpp4,
(As on the tax roll or latest deed)
f, plic is a orati , ignature of duly authorized officer
. I
ame and title o , g orate officer
Builders(
No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
JO) 0 OCAe-5 LL—nC_ ►0 y
House Number Street Ham et f
County Tax Map No. 1000 Section ( 16 Block � ) Lot g r 7
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and oLs,
upancy of proposed construction:
a. Existing use and occupancy S,�f ��;�,, i J u VVI
b. Intended use and occupancy w ✓yi
3. Nature of work(check which applicable):New Building Addition k-"" Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 2 0, 00c), 00 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 j
9. Size of lot: Front 3-3 : Y3 Rear a � Depth /-/S-0 i i dt'5
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 L'
13. Will lot be re-graded? YES NO Will excess fill be removed from premises?YES NO
CI{clk� �e
14.Names of Owner of premises Address 32�b Yt7o*es La, Phone No. 01-33Y-3601
Name of Architect Address Phone No
Name of Contractor Address Phone No�NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS 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 )
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 No.01 BU6185050
Q,,Alifiad0RS1,ff,,IkCounb1 -
(Contractor,Agent,Corporate Officer, etc.) 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.
Sworg P before me this
It) day of 204
Notary Public Signature f pplicant
Scott A. Russell
SUPERVISOR -
[A\1 A\(G�)E 1EN`]F
� � ��
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 gown of Sou tho l d
CHAPTER 236 - STORMWATER MANAGEMENT-WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOFS THIS PROJECT
(CMCK ALL THAT APPLY) !
YesNo
t
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
j E 13. Excavation or f illing involving more than 200 cubic yards of material
Q[� within any parcel or any contiguous area..
C. Site preparation on slopes which exceed 10 feet vertical rise to
10.0 feet of horizontal distance.
{ Q[ et of wetlands, beach, bluff or coastal
D. Site preparation within 100 fe
erosion hazard area.
e-hundred- year f lood lain as depicted
R Q E. Site preparation within the on y P
't on FIRM Map of any watercourse.
of new -or resurfaced impervious surfaces of 1,000 square .
❑[M/F. Installation �
feet or more, unless prior approval of a Stormwater Management
t Control Plan was received by the Town and the proposal includes
t
' 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 Cbeck List Form to the Building Department with your Building Permit Application.
- —----=— —-- =-- - ---_ __
U atcS.C.T.M. 1000
APPLICANT- (Property Owner,DesimProfesiona,Ag Other) Dinrict
WNE /J&_0 ZVL- /
y
��
�t Section Block Lot
FOR BUILDING DEPARTIIL-'NT USE O, L ""
Contact Information: &,31
Y —
rz,,vmz rv.me,.t
- Reviewed By:
Date all
Property Address / Location of Construction Work: — — — — — — — — - — _/— — —
2 Approved for processing Building Permit-
C)�D t�j)y( — _ Stormwater Management Control Plan Not Required.
l�tilA�Oe Q Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
FORM - SMCP -TOS MAY 2014
Division of Environmental Permits, Region 1
SUNY @ Stony Brook 50 Circle Road, Stony Brook, NY 11790-3409
Phone: (631)444-0365 • Fax: (631)444-0360 _
NO PERMIT NECESSARY
March 19, 20( --- -
9
Ro er Coe
P
PO Box 54
Cutchogue, NY 11935-0054 ! P 5
Re: UPA #1-4738-04318/00001
Facility— 3020 Moores Lane SCTM#1000-116-1-8.4
Cutchogue (Downs Creek)
Dear Mr. Cope:
The Department of Environmental Conservation (DEC) has completed a review of your
proposal to construct a swimming pool and deck accessory to an existing dwelling
located more than 75 feet from tidal wetland boundaries, as shown on the survey
prepared by John T. Metzger dated 10/30/13 and plan prepared by C2C Design dated
12/20/13.
Based on the information you submitted, DEC has determined that the project is listed
in the Tidal Wetlands Land Use Regulations (6NYCRR Part 661.5#50) as a use not
requiring a permit. Therefore, no permit is required under the Tidal Wetlands Act
(Article 25) of the Environmental Conservation Law and the application fee check is
returned herewith (to North Fork Pool Care).
Be advised, any additional work or modification to the project as described, may require
DEC authorization. Please contact this office if such activities are contemplated.
Please note that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies or local municipalities.
Sincerely,
Laura Scovazzo "
Deputy Permit Administrator
cc: North Fork Pool Care Inc.
BOH-TW
File
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET VILLAGE DIST. SUB. LOT
"'
F MER W ER t N E -10 ACR. _
y
to S W TYPE OF BUILDING
i
RES. EAS:. VL. FARM COMM.
LAND IMP. TOTAL DATE REMARKS
100 6 ( 060
1. t
4/090 j Q50?- r4Dttl
e a�
0-no 31600 7 Ada8 4) �WL
FRONTAGE ON WATER TILLABLE I '8eacc*'aPC
FRONTAGE ON ROAD s WOODLAND �� too
C114 10 i
DEPTH MEADOWLAND 400
BULKHEAD HOUSE/LOT y ��
TOTAL
5 7° ,
1
}
jlp
9
COLOR
A F
.a N3 F r 2to
TRIM
4! isf _8
7 f �Va ° --
1
" l
M 'dg- 3 k Foundation Bath Dinette
. , • 3
Extensron 3t ( � / Basement ias Floors --~ Kit.
OA k f i
Extension �c�� Ext. Walls �e Interior Finish t,ec L.R. 1
50
s -
Extension O X j' , 3 $ Fire dace Heat Oil Fq D.R.
Patio Woodstove BR.
Porch's ° 5a�} - �- Dormer Fin. B.
Deck's /4 57 q
{ 2 t1 jc 3 �.
a Attic e.s
Breezeway Rooms 1st Floor
Garage ;L 5,= so Driveway Rooms 2nd Floor
�'rfyr
` SURVEY OF PROPERTY
AT CUTC10GUE
N :TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-116-01-8.4
SCAM % 1'=40'
OCTOW'R 3a 2013
N/0/F' BARBARA A. TYREE
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LAND
S. LIC. NO. 49618
ANY AL 1ERA71ON OR ADD/77ON TO THIS SURVEY IS A KOLA 7)ON 1AECONIC kOWYORS, PC.
� OF SEC7WN 7209OF 7HE NEW YORK STATE EDUCAI7AN LAW. (631) 765-5020 FAX (fi31) 765-1797
AREAX2.7�+�+� AVf1G� EXCEPT AS PER SEC77ON 7209-SUMWSON 2. ALL CER7TFICA77ONs P.O. BOX 909
HEREON ARE VALID FAR THIS MAP AND COPIES THEREOF ONLY IF
TO T1E LIDS n=MONUMENT SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET p
/ =WETLAND FLAG DOSE SGNAnM APPEARS HEREON. !SOUTHOLD, N.Y. 11971 13'-,280
_ t
A P P R 0 'ED Asa:` N0TE0
DATE.
P. ; _ - .,
OTI Y BUiLDIP1.'. TMENT AT
i7 7 1I _._ ____.__..._._ __..765-1802 8 MST'G lc FOR THE.
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O ��� FIOR PO RED C''- t' M i '
5 7, ROUGH Fi Mvx,.(-' & , LU( f ��G
3. INSULAT ON
4. FINAL - CONS T RUC-'!C MUST
BE COMPLETE FOR 0. r
t t ALL CONSTRUCTION S I i;';L L MEET THE
,ODES F NEW
3 t— Ott YORKi STA ET NOT R �f CNS BLE FOR
R
DESIGN 0 CONSTRUCTION ERRORS.
cO'NPu� ALL CODES OF
��� & TOWN CODES
NEW YORK S F
AS REQUIRED A
S0. 'MOLD TOW ZBA
', ,,.IN PLANNING BOARD
SOuT'� . . _ N TRUE i EES
_ . N.Y.S. EC
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
I _ �
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JOSEPH FISCHETTI, PE
PROFESSIONAL ENGINEER �. 1 APPROVED BY:
SCALE: DRAWN BYE *.
1725�+7��.SART RIS f PO OX 1510
SL,�U f HOLD, NY l� J 2 DATE: p '�p REVISED
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JOSEPH FISCHETTII PE �F1SCIyF O SCALE: APPROVED BY: DRAWN BY
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PROFESSIONAL ENGINEER �r 'C.. * REVISED
1725 H1 )C RT HD 1 P��a. �DOX 616 DATE: � ��
,SVUTH3 D, NY -11 1
63-J-735-2954 ;O
�ON DRAWING NUMBER