HomeMy WebLinkAbout39866-ZNo: 37615
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 285 N Oakwood Dr, Laurel
Date:
6/19/2015
6/19/2015
SCTM #: 473889 Sec/Block/Lot: 127.-7-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/10/2015 pursuant to which Building Permit No. 39866 dated 6/11/2015
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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Buthorn, Dorothy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut ed gnature
�o�S�FEot,r�vTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y� TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
?Jpl � 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 #: 39866 Date: 6/11/2015
Permission is hereby granted to:
Buthorn, Dorothy
285 N Oakwood Dr
Laurel. NY 11948
To: "As built" deck addition to existing one -family dwelling as appiled for. Additional
certification will be required.
At premises located at:
285 N Oakwood Dr. Laurel
SCTM # 473889
Sec/Block/Lot # 127.-7-18
Pursuant to application dated
To expire on 12/10/2016.
Fees:
6/10/2015 and approved by the Building Inspector.
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $572.80
CO - ADDITION TO DWELLING $50.00
Total: $622.80
Builds nspector
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 11/o 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 - $100.00
-3-- -Copy of Certificate'bf Occupancy -'$:25 "
------------- -.---------- ............ ...
-
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. (0 —`
New Construction: nn Old or Pre-existing Building: n (check one)
Location of Property: o� ��J N d A6W n i�-G1 r -d
House No. Street Hamlet
Owner or Owners of Property: - �d 4J" tin
Suffolk County Tax Map No 1000, Section ''� Block -7 Lot
Subdivision 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: S
U
Applicant Signa ure
3Y8
OF SOUryo!
y ` �
cOUNI`I,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION-.'
[ ] FOUNDATION 1 ST
[ ] ROUGH PLUMBING .
[ ] FOUNDATION 2ND
[ ] INS ATION
[ ] FRAMING/ STRAPPING
[ FINAL
[ ] FIREPLACE A CHIMNEY
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION
[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH)
[ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION
[ ] CAULKING
RRMARI[C. -
-DATE INSPECTOR
FIELD iNSPEmoN IMP09T DATE
FQUNDArftON (1ST)
70 S
00
FOUNDATION (2ND)
ROUGH F:[tANt C &
PLUMBING
o
U y
H
INSULATION PES N. Y.
STATE ENERGY G0DE
CH
FJNAL
rn
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined Uloh5,20
Approved [16 20/
Disapproved a/c
Expiration log 1 20
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
PERMIT NO. 3qql (
4 sets of Building Plans
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:
-- ui mg nspec or
APPLICATION FOR BUILDING PERMIT
JUN 1 0 2015 1 0Date 5 J^2 IC� 20 t�;
INSTRUCTIONS
E3LDG D'FP1
ThisT& • lc r mpletely 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)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
F (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.
on of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section 01—? Block % Lot 1
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
Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work—,';Z,>e.c. -
(Description)
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Fee
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
VA
Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Depth
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, ordinance or regulation? YES NO
13. Will lot be re -graded? YES NO Will excess fill be removed from premises? YES_
14
Names of Owner of premises Address Phone No.
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.
Rear
NO
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.
TRACEY L. DWYER
STATE OF NEW YORK) NOTARY PUBLIC, STATE OF NEW YORK
S S : NO. 01 DW6306900
COUNTY OF sQWoj k , QUALIFIED IN SUFFOLK COUNTY
2 1 COMMISSION EXPIRES JUNE 30, 2d1$
being duly sworn, deposes and says that (s)he is the applicant
(Name of i dividual signing contract) above named,
(S)He is the OW n -f E
(Contractor, Agent, 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.
Sworn to before me this j
ld� day of une- 20 15
Notary Public
Si ature of Applicant
Scott A., Russell Z3�°SuFFQ/-�� ST�O�1KIM[WA\T]EIR,
SUPERVISOR o z IOWA NAG]EAMUENT
SOUTHOLD TOWN HALL - P. O. Box 1179 Q m
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)
DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes NO (CHECK ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑EL B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑ V5 C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ M D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
El E. Site preparation within the one -hundred -year floodplain as depicted
on FIRM Map of any watercourse.
❑KF. 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)
NAME:
us�awrel
Contact Information:
rrlcph— NumGcrl
Property Address / Location of Construction Work:
a$S NJ) 50i S, n*V__4_Uo05>
1 _t -'A ISL. NI l 1gLiI�
FORM 4 SMCP - TOS MAY 2014
S.C.T.M. #:
1000
District
( A
Date:
Section
Block Lot
17OR BUILD14G DEPARTMENT USE 0.NLY `•+'
4
Reviewed By:
Date: `D
/I
-----------------
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
❑Stormwater Management Control Plan is Required.
(Forward to Engineering Department for Review.)
APPLICANT:
(Property Owner, Design Professional, Agent, Contractor, Other)
NAME:
Tcicylmne Nunibcr.
S.C.T.M. #: 1000CHAPTER
Tti
Section Block Lot
�OSIiFr{��f
v
°
of
236
Stormwater Management Control Plan CHECK LIST
S M C P - Plan Requirements: Provide ONE copy of the Building Permit Application.
* The applicant must provide a Complete Explanation and/or Reason for not providing
all Information that has been Required by the following Checklist!
Date:
1. A Site Plan drawn to scale Not Less that 60' to the inch MUSTIf
show all of the following items:
YES NO NA
You answered No or NA to any Item, Please Provide Justification Here!
If you need additional room for explanations, Please Provide additional Paper.
a. Location & Description of Property Boundaries
000
b. Total Site Acreage.
c. Existing - Natural & Man Made Features within 500 L.F.
of the Site Boundary as required by § 236-17(0)(2).
d. Test Hole Data Indicating Soil Characteristics & Depth to Ground Water.
000
e. Limits of Clearing & Area of Proposed Land Disturbance.
f. Existing & Proposed Contours of the Site (Minimum2'Intervals)
g. Location of all existing & proposed structures, roads,
driveways, sidewalks, drainage improvements & utilities.
h. Spot Grades & Finish Floor Elevations for all existing &
proposed structures.
1. Location of proposed Swimming Pool and discharge ring.
�0O
j. Location of proposed Soil Stockpile Area(s).
00�
k. Location of proposed Construction Entrance/Staging Area(s).
000
I. Location of proposed concrete washout area(s).
00�
M. Location of all proposed erosion & sediment control measures.
000
2. Stormwater Management Control Plan must include Calculations showing
that the stormwater improvements are sized to capture, store, and infiltrate
on-site the run-off from all impervious surfaces generated by a two (21 inch
rainfall / storm event.
0�0
3. Details & Sectional Drawings for Stormwater practices are required for approval.
Items requiring details shall include but not be limited to:
a. Erosion & Sediment Controls.
b. Construction Entrance & Site Access.
c. Inlet Drainage Structures (e.g. catch basins, trench drains, etc.)
d. Leaching Structures (e.g. infiltration basins, swales, etc.)
DEI'AR"1-i4,IEN"I' USE ONLY
Additional Information is Required.
Reviewed & Stormwater Management Control Plan is Not Complete.
Approved By: —————————————————————————
! Stormwater Management Control Plan is Complete.
Date: ! SMCP has been approved by the Engineering Department.
FORM * SWCP Check List - TOS MAY 2014
REAR WALL OF HOUSE
I"x G" decking PT*
2" x 12°5 5tringer5 28
set on conc. ad 2" x 8°5 at I G" OC -5.
GRADE VARIES WOOD DECK 2° x 8°LEDGER AT WALL
a ROVED AS NOTED
2'X 8"5 bolted to 4° x 4" P05T5 E: b J �.F. # J 967 & -a
n 4° x ° P05T5 5ET IN CONCRETE W. 5TEEL 5TRAK�jTIFY BUILD:NG DEPARTMENT AT v
GRADE VARIES PM N
3�D� 4802 8 AM TO 4 , FOR THE °
1 765-
I FOLLOWING INSPECTIONS: z
1FOU27
w C �FOUNDATION - Tk�:O REQUIRED O
oR POURED CONCRETE
�K 2
bection of De UGH - FR.AIMING & PLUMBING o
W N ;ULAl ION
AOO I 4. FINAL -CONSTRUCTION MUST
BE COMPLETE `:C ;
ALL CONSTRUC T I^N SHALL MEET THE
REQUIRENiEdTS OF THE CODES OF NEW
REAR WALL OF HOUSE Y' ' NOT RESPONSIBLE FOR 25
D ION OR NOT
ERRORS. SATE PLAN
21.211 C PLY WITH ALL CODES OF scale: a5 shown
I"x G" decking PTD.
RK ;TATE &TOWN CODES SCALE: FEET
ASR UIRED AND CONDITIONS OF o to z 02o so ao So
man
2" x
woo
x 65 bolted to 4" x 4" P05T5
J
Plan of Deck.
SITE PLAN
scale: a5 shown _
S.C. Tax No.1000 - 1.27 - 7 - 18
STATE: New York
COUNTY: Suffolk
MUNICIPALITY: Town of Southold
CON5TRUCTION TYPE: Residential
ETAIN S 1.ORM WATER RUNOFF
URSUANT TO CHAPTER 236
F THE T WN CODE.
UPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
200.0' N, G90 06 40" E
. 12'-2' F
Z
200.0' 5. G90 0640" W
Exterior Deck
1 1/2 5tory
rame House # 285
17—
L -
7—
L ---
w
0
0
PECONIC BAY BLVD.
@ 285' North Oakwood Road
Laurel, New York I 1948
Owner: Dorothy 6uthorn
Architect'
Geoffrey Freeman Archltect5
5G 1 Broadway 51xth Floor
New York New York 10012
Tel: 212 219 9044
Fax: 212 219 9790
Exterior Deck
285 North Oakwood Road
Laurel
New York 11948
Dorothy 6uthorn
^" ftd Geoffrey Freeman kaitect5
56 I Broadway 51xth Floor
New York, New York 10012
Tel: 212.219.9044
Fax: 212.219,9790
Cell Ph: 917.902.8158
COVER 5HEET
Nte:GY8l2015
Frojrd No: 1555
DRAWING BY: FZ
CHI. BY: GF
DWG N0:
A-000.00