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Home My WebLink About39448-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 1/8/2015 No: 37358 Date: 1/8/2015 THIS CERTIFIES that the building SHED Location of Property: 790 Uhl Ln, Orient, SCTM #: 473889 Sec/Block/Lot: 15.-5-24.15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/12/2014 pursuant to which Building Permit No. 39448 dated 12/29/2014 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 Scialabba, Sarina (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut rized Signature (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 39448 Date: 12/29/2014 Permission is hereby granted to: Scialabba, Sarina 157 Garrield PI Apt 2 Brooklyn, NY 11215 To: "As built" shed as applied for. At premises located at: 790 Uhl Ln, Orient SCTM # 473889 Sec/Block/Lot # 15.-5-24.15 Pursuant to application dated 12/12/2014 and approved by the Building Inspector. To expire on 6/29/2016. Fees: AS BUILT - ACCESSORY $360.00 CO - ACCESSORY BUILDING $50.00 Total: $410.00 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 #: 39448 Date: 12/29/2014 Permission is hereby granted to: Scialabba, Sarina 157 Garrield PI Apt 2 Brooklyn, NY 11215 To: "As built" shed as applied for. At premises located at: 790 Uhl Ln, Orient SCTM # 473889 Sec/Block/Lot # 15.-5-24.15 Pursuant to application dated 12/12/2014 and approved by the Building Inspector. To expire on 6/29/2016. Fees: AS BUILT - ACCESSORY $360.00 CO - ACCESSORY BUILDING $50.00 Total: $410.00 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. 12.12. 1 Ave. QutLT 5NED New Construction: Old or Pre-existing Building: ✓ (check one) Location of Property: "�V U AA ` LL N E7, o (-,\ eli House No. ,�, n Street Hamlet RF— � Owner or Owners of Property: 'S 11-1 N Ci R{2 -P4 g 6 6 Suffolk County Tax Map No 1000, Section Jr Block L) —Lot -21- 1.5 - Subdivision 5Subdivision &M. "iii"IE r Filed Map. 601 COO Lot: 1 �S Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ r Applicant Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Z- tZ , 20 Approved L Z, 20 Disapproved a/c PERMIT NO. (1 4`'J , I i, 5 I G -.n u" -L7► --e- 4 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans i L* Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O.. Application Flood Permit _ Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone: TION FOR BUILDING PERMIT INSTRUCTIONS Date \2- 1?— ,20 14 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 orname �i5�orporatiorQ &4o "`��QC5 (Mailing address of applicant) N ` g -44 State whether applicant ' own r, ssee agen rchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 1 N -Pk (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. Plumbers License No. _ Electricians License No._ Other Trade's License No. 1. Location of land on which proposed work will be done: tj I:—:- 4 2V e�.r T_ House Number Street Hamlet County Tax Map No. 1000 Section I T Block 5 Lot 2A • l s- Subdivision=�6—N j Filed Map No. Lot 1 V C- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 6 e c G S So !S . C Ct_O'i�N b. Intended use and occupancy ejee jNc, 3. Nature of work (check which applicable): New Building Addition Alteration Repair _Removal Demolition Other Work 10 X 2-c c- cc.. �, (Description) 4. Estimated Cost_ 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 &C> Height Number of Stories_ Rear Depth 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 9. Size of lot: Front_ -, Rear 2 ( I , ":1-4 Depth 22 2-> 10. Date of Purchase Name of Former Owner �A G k-� � 11. Zone or use district in which premises are situated to 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓ 13. Will lot be re -graded? YES NOV Will excess fill be removed from premises? YES NO 14. Names of Owner of premisess- S� tahb ,::7 Address ?-d• (fey Phone No. 631 2 35 - 3-t S t-; 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 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, (S)He is the Corporate Officer, etc.) 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. Swn before me this day of J) j? C 20 _LW VIM T_ Notary Public Notary Public Stag of New York Signature of Applicant No. Ol`f061 0696 Qualified in Suffolk Own Commission Commission Expires July 28,2 Scott A. Russell S�[�(�)]E�.IAv1 WA`7C']E]E� f� SUPERVISOR \011ENT SOUTHOLD TOWN HALL- P. O. Box 1179 p 53095 Main Road - SOUTHOLD, NEW YORK 11971' - 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 F'OUOWING: (CHECK ALL THAT APPLY) 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. 100 feet of horizontal distance. ❑D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑Ef"E. Site preparation within the one -hundred -year floodplain as depicted on FIRM Map of any watercourse. ❑QEF. 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. S.C.T.M . 1000 Date-. APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) District NAME: �.._�_ _ .......... ----__ _.._._..._._ Section Block Lot Contact Information: Property Address 1 Location of Construction Work: ''t. Il_1?i a Jt_l' R")' "!E..{J 1` LCL; "N'' I Pevicnved By: Da', e: Y !i€ r.rP:,Wd fa;- proce:):�mrl Bu Il:ling Permit. tc rrt;•nai::r'tijdn ;;eiwnl Contras 'Plan Via. Required Mat € a€ r M 1 €110€ lt-n ttr_cl i. r TOWN OF SOUTHOLD PROPERTY NWWD CARD" E STREET VILLAGE DIST. SUB. LOT- flRMER OWNER t N E ACR. TYPE OF BUILDING S W 46 G 116 W I Ir RES. 0 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS lli �a% ' s' s /1. /At. 'jkiwo f 40 - 1; - . 11 ; /_7 I 276D/ ;: a f epk WS I Iri ( l r� I- 3)per R : aIfax, 13 P �k 3xPj os7 'c( 7 Tillable FRONTAGE RONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPT House Plot BULKHEAD Total pea,t �a P. l f• a S.C.T.M. NO. DISTRICT: 1000 SECTION: 15 BLOCK: 5 LOT(S): 24.15 APPROVED AS tiOTED DATE: Z S.P. # FEE: P.Y. NOTI UILDING rL,'E"ARTMENT AT 765-1802 8 AIM TO rk Pi, FORT I_ TIONS: 1. FOUNDATION - TWO REQUIRE UHL LANE FOR POURED PT� N71`33'50"E 210. O'ROUGH - FRA'NflNG & PLUMBING OONC. CURE NSULATIO r0, U.P.16 U.Pf6 R C 110th MUS MON. ELEC. 0 METER ALL CODES C NEW YOPX STA -i ,L' & TOWN CO AS QUIRED Q n SQIi i I-Ir?;yTi `it!i' T I i. �cc WELL BE COM L"' 9W' -i u.� ,. ALL CONST UCTION S}k� E T THE REQUIREM TS OF TI��'OD S F NEW ASPHALT D'VEwAY i YORK STAT . NOT RESPO I.E FOR DESIGN OR 0ONSTRUCTI E ROBS, L 1 1/2 STY: FRM / SII ° GATE ° 50.4' loa'.. CONC. PAO FRM.� (� SHED ° 0 co ° �r INGRDIIND POOL O LOT 166h 10'2' 4' PICKET FENCE FRN. SHED zo V: _ LOT 165 "� U) n )CCUPANCYTI15"O"W LOT 164 ISE IS UNLAWFUL I 211.74° LOT 173 RRWATER RUNOFF VITHOUT CERTIFICATE I RETAIN E )F OCCUPANCY PURSUANT OF THE OWN GQE. TER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 44,125.91 SQ.FT. or 1.01 ACRES ELEVATION DATUM: - -------- UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA7701V LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND DN HIS BEHALF TO THE TIRE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TUT70N LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 165 CERTIFIED TO: LESLIE KOCH; MAP OF: ORIENT BY THE SEA SECTION THREE DOUGLAS GRAY; FILED: OCTOBER 16, 1974 No.6160 FIDELITY NATIONAL TITLE INSURANCE COMPANY, SITUATED AT: ORIENT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE B 14-176 SCALE: 1 „=.30B DATE: NOV. 26, 2014 PHONE (631)298-1588 FAX (631) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the record. of Robert J. Hennessy k Kenneth M. lfoychuk ->peciat instructions: Is this how you want your shed to look?Yes PRICE AMOUNT NOTICE - TO -AU. CUSTOMERS Options'; BEFORE YOU' MAKE YOUR PURCHASE! V ' - k-- 33 ) If site is not prepared property and driver must prepare site, there Will be an additional charge . •'If site is inaccessible to our truck and we must return with shipment, )4 UP to 10% transportation cost will be charged. • Can we drive directly to the location you've chosen for your shipment? • Are there any overhead obstructions lower than 121? • You the customer are responsible for any building permits and �t c boundary lines! • we're going into your yard at your request, therefore we do not "acement! of Shed. Our drivers must assume wha even by Person(s) present, in accordance with the I event no: one is present, we do not assume resp Ter for misplacement of shed. Any relocation wily yer's expense. food. when it is exposed to the elements has a ter ncy n m for oble please , `t: 7 -7 114111h11111j01=11L;, SITE PLAN YOUR YARD SITE PLAN YOUR YARD �6 161, �r Tax Is this how you warp your shed to look? Yes Lj Subtotal Ll� ' Deposit PRICE AMOUNT BALANCE DUE ;a P`1�Q �" a. NOTICE — TO ALLCUSTOMERS Options: �.. ax« BEFORE YOU MAKE YOUR PURCHASE! y . • If site is not prepared properly and driver must prepare site, there 4 will be an additional charge. • If site is inaccessible to our truck and we must return with shipment, up to 10% transportation cost will be charged • Can we drive directly to the location you've chosen for your shipment? , .�--- • Are there any overhead obstructions lower than i 2'? • You the customer are responsible for any building permits and 0 F- y W a 3 aet boundary lined • We're going into your yard at your request, therefore we do not accept any responsibility for damages which occur! • • Placement of Shed. Our drivers must assumewhatever ctio given by person(s) present, in accordance with the u in event no one is present, we do not assume res ever for misplacement of shed. Any relocation will buyer's expense. • Wood. when it is exposed to the elements has a to ncy n and expand. Because of this, we cannot accept respon for l�0WAC P L. chipping cracking, minor warping, etc. If there is a proble please let us know. f �•'''" r / } SITE PLAN YOUR YARD �6 161, �r t Signature Make Check Payable to North Fork Wood Design Tax Subtotal Ll� ' Deposit Lf CTI.) BALANCE DUE ;a P`1�Q f t Signature Make Check Payable to North Fork Wood Design �rr yr r �` LL ¢ LL T III*' i r. "f t ib` � .r .- � iI -ami 'i' E w9 - ei•. � �h� �� ` s w, w _ ..e. y�y ! Y w✓' ... �� Ab ate, . w % o- i ill 4 4" i0verhang on ai -cur sides el'.^iinetes srde:v- i s}reakir.c t,crni water r;_ noff, -V irtenance Free aluminurn drill edge or painted woca cor-hers 2 Aiurnir rm Jalousie waiccwS screens shutters, or choose optional windows, :,ustom p!acement at n) additional ct-,arge. Latax`acrylic exterior paint in your choice of 13 colors or clear seaied STANDARD FEATURES 225 lis. 20 Y'ea� a:raran'ee asphalt self-sealing shingles in yor,r choice of c colors 1-1 1 Fir Siding or cnoose OpUona' Horizont a. VVct;d Siding or Vinyl Siding Plywood roof sheathinc:, ply piywuuu nuut, :)t-uuIcu with rind shank nails Jacks & headers in all door framing to meet all Statc and 2" x 4" , ruble gusset ed roof trusses for unr^d?e'^eci strength C! 24" O.C. Firished soffits for t,eauiy a,,d v:eath( Iig" tness End `Dents both ends provide proper ventilation Full 2x4 Kiln dried stud walls Galv. Hurricane Clips (Typ.) Puil 2x4 sili plates or, all four sides PRESSURE TRLATED 4x4 foundation Hearns NOTA;: SKIED IS TO BE TIED DOWN TO GALVANIZED STEEL "IRON ROOT" DOUBLE HEAD, DOUBLE HELIX EARTH ANCHORS AT ALL CORNERS OF FOUR CORNERS, AS MANUFACTURED BY TIE DOWN ENGINEERING OF ATLANTA, GEORGIA, ATTACHED TO BOTTOM OF FOOTINGS & PERIMETER. TIMBER SUPPORT TIMBERS. DETAILS APPLY TO ALL 0u117T-%Q r ►n Tn I') V'r 11M -Nr nv nn Mr r rYkT!`-