HomeMy WebLinkAbout39372-Z o� p �c Town of Southold Annex 11/25/2014
oG� P.O. Box 1179
54375 Main Road
Southold,New York 11971
�yol * ,dao
CERTIFICATE OF OCCUPANCY
No: 37291 Date: 11/25/2014
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 850 Major Pond Rd, Orient,
SCTM#: 473889 Sec/Block/Lot: 26.-2-39.11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/6/2014 pursuant to which Building Permit No. 39372 dated 11/18/2014
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"DECK ADDITIONS TO AN EXISTING ONE-FAMILY DWELLING AS APPLIED FOR
The certificate is issued to TEF Profit Sharing Plan&Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
�6/oriz Si ature
TOWN OF SOUTHOLD
o� BUILDING DEPARTMENT
p TOWN CLERK'S OFFICE
'�' •' 'V SOUTHOLD, NY
q�dl * baa
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#: 39372 Date: 11/18/2014
Permission is hereby granted to:
TEF Profit Sharing Plan & Trt
C/O Thomas E Foster
411 W End Ave #10Q
New York, NY 100245719
To: As built deck additions to an existing single family dwelling as applied for.
At premises located at:
850 Major Pond Rd, Orient
SCTM # 473889
Sec/Block/Lot# 26.-2-39.11
Pursuant to application dated 11/6/2014 and approved by the Building Inspector.
To expire on 5/19/2016.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $970.40
CO -ADDITION TO DWELLING $50.00
$1,020.40
/ 1
�-Buil g Inspector---- -
SO(/lyOlo
TOWN-OF SOUTHOLD BUILDING.DEPT.
765-1802
INSPECTION
[ ] FOUNDATION '1ST' [ ] ROU PLUMBING
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ]
FRAMING / STRAPPING P FINAL
[ ] FIREPLACE A CHIMNEY [ J] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMAR S:
�J
L
D `
ATE INSPECTOR
DIESEL ARCHITECTURE, PLLC BBB
DESIGNER & SPACE PLANNER
• RESIDENTIAL • COMMERCIAL • RETAIL
November 24, 2014
Dwelling_Location:
850 Majors Pond Path
Orient,NY
S.C.T.M. # 1000-26-2-39.11
To whom it may concern at the Town of Southold Building Department:
Please be advised that on October 27th, 2014, I performed a visual inspection at
the above referenced dwelling. The purpose of the inspection was to verify that the
existing exterior rear&side decks at ground level, previously completed, were NYS
Building Code compliant. My office also produced an"As-Built"floor plan drawing of
the decks.
Please note that some areas below the decking were inaccessible for inspection.
To the best of my knowledge&ability,the decks as depicted in drawing sheet A-
1 (of 1), dated 11/5/14, are compliant with the NYS Building Code&NYS Fire
Prevention Code in effect at the time of construction.
If you have any questions, feel free to contact my office any time.
Regards-
O�
c
1
Diego Steisel, R.A.
Diesel Architecture, s
I,9 0304 -�0 D
TF
OF N
Nov 2 4 2014
BLDG.DEPT.
TOWN OFSOUTHOLD
Page 1 of 1
3 Pearl Avenue, Holtsville,NY 11742
Email: dsteiselna,optonline.net
Phone: (631) 816-5518
Fax: (631)475-2950
www.DIESELarchitecture.ypweb.com
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: S [) M(a ' D R f o Eo f.d �jg, P of
House No. D n Street HHa`m?et
Owner or Owners of Property: TE T 1�(�T 1
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. 'j r} �/ Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
Q'd
FIELD r;spEcrxON imi ogir DATE COMMENTS
FOUNDATION(1ST)
FOUNDATION(ZND)
ML
tz
ROUGH FItOM0& H
PLUMBING
C
lD
INSULATION PER N.Y. H
STATE ENERGY CODE
If
4z
FINAL
ADDZT Old: . .CtMMILNTS"
-II o o G b
-to
m
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 2 Survey
SoutholdTown.NorthFork.net PERMIT NO'. '7 � Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
M Flood Permit
Examined 20 D Single&Separate
Storm-Water Assessment Form
NOV "6 2014 ontact:
Approved 20 Mail to:
Disapproved a/c BLDG.DEPT.
TO MDI OF SOUTHOLD. 631-
Phone:
Expiration 20
Buildi g Inspec —
APPLICATION FOR BUILDING PERMIT .
Date ► `►CSU, , 20 1 L(
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.
i 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 repevatVr demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building e, h o u s i code, ulations,and to admit
authorized inspectors on premises and in building for necessary inspecti S.
(Signature of applicant or name,if a corporation)
�at, &7 3 O c &,-A, kU] 19 S--�L
(Mailing address of applicant)
State whether applicant is owner, lessee, a ent, architect, engineer, general contractor, electrician, plumber or builder
cmc.! riR� 5�2.e.
Name of owner of premises F— Yco_n _a4l l Cvv S
(As on the tax roll orl latest deed)
If applicant is a corporation;signature of duly authorized officer
(Name,and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whic4 props rck wi I be,done:
19 -4House Number Str et Hamlet
County Tax Map No. 1000 Section �0 10 Block � Lot
39 - 11
Subdivision Filed Map No. Lot X
2. State existing use and occupancy of premises nd in nded se and occupancy of proposed construction:
a. Existing use and occupancy.
b. Intended use and occupancy vi
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
ll IIy�4,� (Description)
4.' Estimated Cost 'C d� T f icr 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- [etying'structures, if any: Front 6 g Rear-�jG Depth G
Height . Number of Stories Z
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 r Number of Stories I
9. Size of lot: Front Rear Depth l
10. Date of Purchase a Q ame of Former Owner stv i -4
11. Zone or use district in which premises are situated IQ, i �✓�
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOLO
13. Will lot be re-graded? YES NO )�Will excess fill be removed from premises? YES NO
rr (9i(CZA,
14. Names of Owner of premises Ttio�Ls..fT'S+-e/1-Address��k 3 Phone No. 30 I 5-01
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 NOS
* IF YES, D.E.C. PERMITS`MAYBE REQUIRED.
16. Provide survey, to scaleswith'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 ) 1
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.01BU6185050
in Suffolk eourioy o& F
(Contractor,Agent, Corporate Officer, etc.) ua ie U Le
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.
S orn to before me this
day ofL20
�--P
Notary Public (Signature of Ap licant
Scott A. Russell Jd°SUFFQk ST(DRIMMAXIER,
SUPERVISOR 1\M[A NA\,G 1E1\M11EN T
a
SOUTHOLD TOWN HALL-P.O.Box 1179 p
53095 Main Road-SOUTHOLD,NEW YORK 11971 ti Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
-
_._.-
_-...__._. ...... ........-.. _ _. ....... ..._. .. .._ .......... .
' DOES TMS PROJECT INVOLVE ANY OF THE FOLLOWING:
j (CHECK ALL THAT APPLY) t
Yes No
Elin 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 t
within any parcel or any contiguous area.
F-1 Fxf r Site preparation on slopes ch exceed 10 feet vertical rise to
100 feet of horizontal distance.
El[4 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
El OT E. Site preparation within the one-hundred-year floodplain as depicted
on 1~IRM..Map of any watercourse.
4
E][A l~: Installation of new o1=-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 .imp.ervious.sur.f.aces.. _.._......_._..._..
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.
S.C.T.M. �: 1000 39 �l ate:
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) District
NAME:
S Ifo5 iZ I (/04; /cf
(e—) a tion Block Lot
FOR BUILDING DEPARTINMENT USIE ONLY "';
Contact Information:
ff kVh-vY l xr,
Review d By:
- - — — — .- - — — — — — — — — — — —
Date:
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — —
C,� Approved for processing Building Permit.
V Stormwater Management Control Plan Not Required.
L Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review.)
FORM SMCP - TOS MAY 2014
TO 'N O�-SOUTHOLD PttOPERTV RECORD CAk
OWNER' STREET 'Z-5o VILLAGE DfST'` SUB: LOT.
J ,,(*AbAfir,
4
FORMER OWN R J N E' ACR:
W, I(ate
1
S N/ TYPE OF BUILDING
RES. SEAS. VL. .FARM COMM. CB. MICS. Mkt Value ,�: }I� ;
,I'O. '
-LAND` IMP. TOTAL DATE REMARKS
f, C ! Z: kkn
a
r
00V l Qr 3 7 6 90 1
44
CJCJ � ���Y�. 'U � V T C�1 ;- �� �b �Gt�'/,7/��. a ..op'C�p� Ir. l✓ .
.�f� _mac, 3°5: 0 6 a
D D �
� de� 5(noo a-cp,3'DQ y 72-
;-Tillable FRONTAGE ON WATER
'Woodland FRONTAGE ON ROAD
`Meadowland DEPTH
House Plot BULKHEAD
Tota I
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A,
4 � ^ �r
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Exteron �` 43 �'� r .7
L Extension r r
t Extensioyn b,v.
Foundation P Bath. _ v Dinette ,. a
Of
InY Basement i Floors K, -�
Ext. Wails d Interior Finish S- LR. i
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Type Roof (�/ Rooms 1 st Floor BR.
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'Dormer Driveway
Total
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N SURVEY OF PROPERTY
A T ORIENT .
r TO WN OF SO UTHOLD
SUFFOLK COUNTY, N. Y.
1000-26-02-39.11
SCALE.- 1'==Wv
MARCH 15, 2012
ROWE DRIVE
EDGE OF PAVEMENT
FE
0.XS
0.8'E 58871'50"E210.00' (HIT)N
MON
(BROKEN) ` WOOD FENCE
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f\ O x N
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XIX--X-_X—X__X— � FE
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5•N N8871'50"W 116.50'
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LOT 8
CERTIFIED TO:
TEF PROFIT SHARING PLAN AND TRUST 0 �W,
FIRST AMERICAN TITLE INSURANCE COMPANY
REA 1.
LOT NUMBERS REFER TO MAP OF WILLOW TERRACE,
SECTION ONE" FILED IN THE SUFFOLK COUNTY CLERK'S " -
OFFICE ON NOVEMBER 28, 1969 AS FILE NO. 5407. <,. 3' ya '`r' �1
YS. L/C. N0. 49618
ANY ALTERATION OR ADDI 770N TO THIS SURVEY IS A VIOLA77ON ��/ ORS, P.C.
OF SEC77ON 72090F THE NEW YORK STATE EDUCAT70N LAW.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS (631 5 020 FAX (631) 765-1797
P.0. BOX 909
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SAID MAP OR COPIES BEAR THE IMPRESSED. SEAL OF THE SURVEYOR 1230 TRA VELER STREE Tq�_135
WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 1
t d
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APrr`t10 t`!4 )iLAPS
DATE: l,ll�/)_ Ei.f ARCH I TCGTURE, FLLG
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EX15TINO CELLARI QT..EQUIREMENTS OF THE ODDS OF NCIH
EXIST. 2 x 8 D.J. ( 9'ORK STATE. NOT RES OI'JIBL E FOR
I ®ESIGN OR COIvSTRUCIONERRORS. FROJEGT TITLE:
11 11 I
I I I I I I I iI N OCCUPANCY 0,
UNL05TER RE51 PENCEUSE IS � I-
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I OF OCCUPAN16Y
ROAE DRIVE �-� -� - _ _ _ - _ _ - - _ _ _ _
I �
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i
I I I X50 MAJ®RS �®N R�.
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PURSUANT CTOICHAPTER 236
c� CF THE T M 111 CODE.
x x
\\V- — - - - - - - - - - - - I BEAL', ANn5(GNATU.REr�F
LINE OF EXISTING L' �� L�, (� v I r < TOWN CGCES
Z X DECKS 8 STEPS
ABOVE. - - - - - - - - - - - - - - - - - - A) REQUIRED ', ' 9f�3C�LrT�C+fidS0F
x
m x
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x !� 'T F C�
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\ ISGALE: I/4"= I'-0"
EXISTING I7EG< * `
TO E3E LEG AL I ZEE;) 1x sT ��30
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f �J Issues and Revisions
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\ - II/5/14 EXISTING GONDITIONS
-IN �
\ I EX15TINO RNELLING
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EXISTING
0KI) x 0 JJ PECK
6
®/ \ 21'- 1/2° N EXISTING I 0 DN 3 R
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I DVlELLiNG , 1-21mProject No. 14-128
x 2 2 I4._b.. _ =N
EXISTING DECKX
ii
x TO 5E LEGALIZE SCTM #: 1000-26-2-5cl.5
m (626 5.F.)
DN2R
x I "
g I EXE TING �`, Drawing Title: PLOT PLAN,
GE LAR j' EXISTING DEGK FR4MINC PLAN,
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x ' 45-10u I-2 Scale: AS NOTED
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X _
x x x X X x X_J
— — — — — — -- — cDate: 10/2"1/14
cnr
N 88 n° 21 '30" N 116.50' -
± 47'-O°
51TE INFORMATION DERIVED FROM SURVEY PREPARED BY:
PEGONIG SURVEYORS, PG A � l
P.O.,BOX q0q, 1230 TRAVELER 5T., SOUTHOLD, NY.
�� PLAN
LICENSE # 4c'160, TEL: (631) 765-5020 ���� �LOOR �����
PLSURVEY DATED MARCH 15, 2012. PrOj. North
C)L!5,C.;ALE: I"= 20'-0" SGALE: 1/4"= I'-O"
DO NOT SCALE FRINT5