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Home My WebLink About39913-Zo� cufFQt�� Town of Southold P.O. Box 1179 t 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 7/2/2015 No: 37639 Date: 7/2/2015 THIS CERTIFIES that the building ACCESSORY Location of Property: 450 Castle Hill Rd, Cutchogue SCTM #: 473889 Sec/Block/Lot: 72.4-1.8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/25/2015 pursuant to which Building Permit No. 39913 dated 7/1/2015 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" accessory shed/poolhouse as applied for. The certificate is issued to Shatswell Properties Inc 5 of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39913 3/26/2014 PLUMBERS CERTIFICATION DATED Auth ' d Si ature a C* Permit #: 39913 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) Permission is hereby granted to: Shatswell Properties Inc Attn: Roger F Vorce 1479 Blue Jav Wav Los Angeles. CA 900691212 Date: 7/1/2015 To: "As built" accessory shed/poolhouse as applied for. Additional certification will be required. At premises located at: 450 Castle Hill Rd, Cutchogue SCTM # 473889 Sec/Block/Lot # 72.-1-1.8 Pursuant to application dated 6/25/2015 and approved by the Building Inspector. To expire on Fees 12/30/2016. AS BUILT - ACCESSORY $320.00 CO - ACCESSORY BUILDING $50.00 Total: $370.00 cv I--,' Bui ng 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. 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, A 'two accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-exist= - Build=) - $100.00 -3 Copy -o - - ertificate=of 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. -2, 1 New Construction: Old or Pre-existing Building: As 13L,, + (check one) Location of Property: �! SO cc, 'A , �k � � u1�-C�i �U�C�US - -e- House No. \ lStreet Tiamlet Owner or Owners of Property: Ing' �, \ ��U��-'ac :T Suffolk County Tax Map No 1000, Section % 2 Block j Lot 6 p Subdivision Filed Map. Lot: 1 � Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 pF SOUj�o� y�DUNTI BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rt(aD_town.soLitho Id. ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE Issued To: Roger Vorce SITE LOCATION Address: 450 Castle Hill Rd City: Cutchogue St: NY Zip: 11935 Building Permit #: 3 OR 13 46-3541 Section: 72 Block: 1 Lot: 1.8 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Good Ground Electric Inc License No: 4233-e SITE DETAILS Office Use Only Residential X Indoor Basement Commerical Outdoor X 1st Floor New Renovation'' 2nd Floor Addition Survey X. Attic INVENTORY Service Only Pool X Hot Tub Garage Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" inground swimming pool and pool house to include, pool- bonding, 1 -pump, time clock, 2 -switches, gas heater, 1 -pool light, 1-GFCI. ------POOL HOUSE, 3 -switches, 1 -ceiling light, 1-recpticle, 2 -outside wall lights Notes: 1-GFCI.---NO VISUAL DEFECTS ---- Inspector Signature: Date: March 26 2014 81 -Cert Electrical Compliance Form.xls FIELD V64C '?QNIfE OP -'S FOU�WWN (IST) AAS COMM�,NTS --1---�TT��T�i�w�T�T�T��i��r�� i.-OWi\Yi 1014 (2ND) V' \ � ROUGH rRAN=CF & PLUMBING 0 H H INSULATION PEA N. Y. STATE ENERGY COPE FINAL lwn�c--E U6 zL 41a �z m 0% d e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 � C SoutholdTown.NorthFork.net PERMIT NO. Examined , 20 Approved , 20 Disapproved a/c Exp 20 is I Jt1N 2 5 2015 Board of Health --)ets of Building Plans Planning Board approval Su ey C�,,. Check Septic Form N.Y.S.D.E.C. Fr ees O Application Flood Permit Single & Separate arm -Water Assessment Form Contact: Mail to: Phone: 5/b an, —0 ,-7 —7 B Inspector APPLICATION FOR BUILDING PERMIT Date 61-2311C , 20 !� 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. (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 If applic �corp do , st ignature of du (Name and title of corporate offs Builders License No. 1 -7L -{,2:7 - Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which House Number Street County Tax Map No. 1000 Section (As on the tax roll or latest deed) •ized officer will be done: Hamlet Z 9.1b10k,I `<:?;'��'� ; f Lot 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 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost \24 vdo Fee 5. If dwelling, number of dwelling units If garage, number of cars (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. I r Dimensions of existing structures, if any: Front M ` Rear a Depth I o— O Height ii`— (.`` Number of Stories .:i_ Dimensions of same structure with alterations or additions: Front %111 _e_ Rear Depth Height' Number of Stories Dimensions of entire new construction: Front Rear , G -11—e D;e`pth Height Number of Stories 9. Size of lot: Front % Rear 1961/ -77 Depth yi-/ % 04!� - 10. Date of Purchase l Name of Former Owner 2 11. Zone or use district in which premises are situatedt4_\ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-�z 13. Will lot be re -graded? YES NO Will excess fill be removed from premises? YES NO S� , l y7�t G. �'S�l 14. Names of Owner of premises wz f-dds �0/1 Phone No.�1a'65Z Name of Architect Address Phone No Name of Contractor Qs -v, U:,-- Address�L?,q.,,I).tP,-wuvte..'VQPlioneNo. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES v-" NGI * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES v -'NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. C,, 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—IZ--- * 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 , 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 a5f h day of a )y)e 20_15_ JA"- C-4 f��,)UaAgA Notary Public TRACEY L. DWYER NOTARY PUBLIC, STATE OF NEW YORK NO. 01 DW6306900 QUAUFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, 293 Signature of Applicant r i r1,m STORN[WATJER Scott A. Russell sUPERvl<s®R o ( 1�/][A\NA\cG]EIMUENT SOUTHOLD TOWN HALL - P. O. Box 1179 uOy 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 )FOLLOWING: (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. ❑eC_ Site preparation on slopes which exceed 10 feet vertical rise to ❑ [d100 feet of horizontal distance. l). Site preparation within 100 feet of wetlands, beach, bluff or coastal ❑ [derosion hazard area. E. Site preparation within the one -hundred -year floodplain as depicted on FIRM Map of any watercourse. ❑ F. 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:w 25 Tvtc _ ci Contact Information S.C.T.M. 1000 Date_ District _72. / 1 z3 �� Section Block Lot :k:�:�:, .�cR.13c,► Dior DEI�AI>-r r�l)��-r 1�1=. t;�� .,, . �:. �e �'t' /� Reviewed By:' " Date: 'roperty Address / Location of Construction Work: — — — — — — — — a — — — — — — — — A n C� v ❑ Approved for processing en BuildingControl Permit. — — — `� tv� ry �'ovr}(, ncy''e— Stormwater Management Control Plan Not Required. ®Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM " SMCP - TOS MAY 2014 EM 0 051- �QF iq AQ IWN GALIACHER LAND SURVEYOR 59 FLORENCE DRIVE MANORVILLE; N.Y. 11949 (631)874-0400 Tr.qvt-.r-P PC, 10/7'q N6s-20' -- ---- SOLI/7(l tie fit, e C R1017 Of mars 117ar 194.77,-77,7 14, 2194 19h Water mak ark I SURVEY OF PROPE'i;- I f - SITUATE . CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCTM# 1000-72-1-1.8 AREA = 76,198 sq ft or 1.8 acres [to ordinary high water mark] Notes : Suffolk county health department WOOCI btijkl7eacl reference # R10-14-0052 /bottom 0. Septic system locations as per installer b1tiff tP !! !� JUN -5 2015 top Of bluff 0 01 CD n. En 14 chain link composite fence deck on grade in: �:groiizd frame T., ro 8 shed wood wood deck 1.7W 41.3' -- —t . & V4 steps - g* Cr 61 story frame, 0 house well 10.0% 20.0' a. enclosed sun -room o .47 10.011' 20.0. 41.3' 51 so." wood IIF Wo 0 Sto to a. tic CD le= tan, k '01 p0a, ngt 55.8' 3'w —2.2'e 00 Cn 1 Q1 G uzz ------ / ofl & s6he' 8.77' Y. S51123130"W — — driveway 25' right -way 182.00, — — — — — — — — — — of j OREGON ROAD o 2 now or formerly carolyn ricc! J t A 051- �QF iq AQ IWN GALIACHER LAND SURVEYOR 59 FLORENCE DRIVE MANORVILLE; N.Y. 11949 (631)874-0400 Tr.qvt-.r-P PC, 10/7'q N6s-20' -- ---- SOLI/7(l tie fit, e C R1017 Of mars 117ar 194.77,-77,7 14, 2194 19h Water mak ark I SURVEY OF PROPE'i;- I f - SITUATE . CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCTM# 1000-72-1-1.8 AREA = 76,198 sq ft or 1.8 acres [to ordinary high water mark] Notes : Suffolk county health department WOOCI btijkl7eacl reference # R10-14-0052 /bottom 0. Septic system locations as per installer b1tiff tP !! !� JUN -5 2015 top Of bluff 0 01 CD n. En 14 chain link composite fence deck on grade in: �:groiizd frame T., ro 8 shed wood wood deck 1.7W 41.3' -- —t . & V4 steps - g* Cr 61 story frame, 0 house well 10.0% 20.0' a. enclosed sun -room o .47 10.011' 20.0. 41.3' 51 so." wood IIF Wo 0 Sto to a. tic CD le= tan, k '01 p0a, ngt 55.8' 3'w —2.2'e 00 Cn 1 Q1 G uzz ------ / ofl & s6he' 8.77' Y. S51123130"W — — driveway 25' right -way 182.00, — — — — — — — — — — of OREGON ROAD o 2 now or formerly carolyn ricc! A cr 71. 0) pyo C) C) 0 F. i - I LQ Cl Z) x :�!- Z) =r C. M 0 n re3 a M )> REVISED : MARCH 4, 2015 (upgraded septic system) SURVEYED: MARCH 14, 2014 F" 8.77' Y. '-7� OREGON ROAD 2 A pyo C) C) 0 F. i - I Cl Z) x :�!- Z) =r C. M 0 n re3 a C0 REVISED : MARCH 4, 2015 (upgraded septic system) SURVEYED: MARCH 14, 2014 OCCUP USE IS WITHOI OF OCC V DATE: 14- 1987 - SVn e For. Roy, \'o cc. f-- Ncy OR NLAWFUL. � I L -- r CERTIFICATE 1PANCY D ASN®T LP. # 31'13 � ?JgY `flA_� l l-- as FEE: _ Sdj NOTIFY BUIL---D€-RAR ;:;:;Ni 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - RAMING &PLUMBING 3. INSULATI 4. FINAL, - C NSTRUCTION MUST BE COMP. TE FOR C.O. ALL CONSTROCTION SHALL M T REQUIREMENTS OF THE CO 0 EW YORK STATE! NOT RESP NS _E FOR c� , DESIGN OR CQNSTR I ERRORS. COIVIPL Y WITH A NEW YORK STATE AS REQUIt' ED AND . CODES OF TOWN CODES ONDITIONS OF �'asctia.. Ajdtworlecl cer+h ''ca -h m Are RETAIN STORM WATER RU OFA i-=Ass��m— ._. Concre4e PURSUANT TO CHAPTER 2 ' . ! i OF THE TOWN CODE. Rejoks "A e -x.0