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HomeMy WebLinkAbout39212-Z II- u�FQd�OA Town of Southold 9/16/2015 ` cf, t P.O.Box 1179 u' 53095 Main Rd y,�jl �a, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37782 Date: 9/16/2015 THIS CERTIFIES that the building SHED Location of Property: 350 Stirling Woods Ln, Southold SCTM#: 473889 Sec/Block/Lot: 88.-2-15.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/12/2014 pursuant to which Building Permit No. 39212 dated 9/24/2014 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 Cornell, Craig&Cornell,Laryssa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED '-'427 7Ledre , �ufFnt�.. TOWN OF SOUTHOLD '°� cod BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY Ztopfr 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#: 39212 Date: 9/24/2014 Permission is hereby granted to: Cornell, Craig & Cornell, Laryssa 350 Sterling Woods Ln Southold, NY 11971 To: 12' X 12' accessory Shed "as built" as applied for At premises located at: 350 Stirling Woods Ln, Southold SCTM # 473889 Sec/Block/Lot# 88.-2-15.3 Pursuant to application dated 9/12/2014 and approved by the Building Inspector. To expire on 3/25/2016. Fees: AS BUILT -ACCESSORY $315.20 CO -ACCESSORY BUILDING $50.00 Total: $365.20 Building 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,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. \\-. `3,01 New Construction: Old or Pre-existing Building: J (check one) ` Location of Property: � J d S A e r \ I1\ Uoo ,s c n Q Sd J�� House No. reet Hamlet Owner or Owners of Property: C f' �. gS,q Cd r f, Suffolk County Tax Map No 1000, Section Block G a Lot Subdivision .�i-e�`\` ��� Filed Map.lb00 $� Tot: Permit \'. Permit No. 39 ata- Date of Permit. Applicant: CC GCq Gsfn� 1\ Health Dept. Approval: Underwriters Approval: `l Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ - Applicant Signature i f 3 ? Li , - -.- _ 0111,o�OE SOUrt.` ; G op - CUUIVi'1t it TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] I CATION, [ ] FRAMING / STRAPPING [ FINAL J - Qo_ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: rifL&Jc.- 4746,1 .► DATE /ro /rSPECTOR - ' 'el/ l o 2_ - *3c)a/ 2_.1---- ,,,,,,,,,,,,, #' : , �y ,A.,,,$ eOUMY, '' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING /STRAPPING [yrfINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ' / Y ' (0 ® /1A0_< . t � - DATE. S INSPECTOR FIELD I EcON REPORT DATECONIlV�NTS CA9 j 931 FOUNDATION(1ST) • . • . . 1 • , t... ..5 • FOUNDATION(2ND) u o . Oma . rr __ • ROUGH FRAMING& V, y PLUMBING - . • • e E INSULATION PER.N.Y. (./) H STATE ENERGY CODE • - . , • . ;"'s �'C'� � ' �. - . . . ../ r ��a✓i 9/7. 0,/74,,,,,„ 3,-- f.,,,,: re, ' 400„ • • ' ' ADDITioNALCn1V�1�ENTS� Rp 4; coo V . ►s -,).o ' a�� . 1 i'tk 1 a Tc, � 06 ' a3. . . . ; � rn ( ' : . . • C� . ., a� • �\ b • 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 PERMIT NO. (.1 Check Septic Form N.Y.S.D.E.C. Trustees 9k1Flood Permit Examined ,20 Storm-Water Assessment Form Contact: Approved , ,20 /'C Mail to: Disapproved a/c _ Phone: 1(() ) 10 Expiration �?j 20_Lk 4 (L_ c- Building Inspector APPLICATION FOR BUILDING PERMIT Date R1 , 20 \ `I 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. (Sign re of applicant or name,if a corporation) 3SO \e/-\kn (Jailing address of a 'licant)/, AS State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elle: iN h1 err o builder PATE_ f/ 6(p P , # Name of owner of premises CrC%c f Lcr5S� Co r�� ' ` N. -,) B,+ �n ,i,_ (As on the tax roll or latest deed)5-1302 3 /,;I Tu PM I-Ur i r�E If applicant is a corporation, signature of duly authorized officer uL.t_uvdING INSPECTIONS FOUNDATION-TWO REQUIRED (Name and title of corporate officer) g 1 � , f i,v \ OR POURED CONCRETE 1-t I ffi 2 ROUGH FRAMING,PLUMBING, STRAPPING, ELECTRICAL&CAULKING Builders License No. r' !I ''J F j I 3 INSULATION Plumbers License No. � ' 4 FINAL-CONSTRUCTION &ELECTRICAL Electricians License No. s .'a floes ss�U I > (.-a E RTI FIg T MUST BE COMPLETE FOR C.0 �� � ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. n "� F„F ;F-", REQUIREMENTS OF THE CODES OF NEW °.,,u,¢r- U4,/.r„;,) YORK STATE NOT RESPONSIBLE FOR 1. Location of land on which proposed work will be done: \QESIGNI GliR CONSTRUCTION ERRORS Sc House Number Stree Hamlet County Tax Map No. 1000 Section -6 , Block Lot \ .3 Subdivision c't.e U36(• Filed Map No. loam a- Lot c Eli Cbe,e Ce-kkta476;3t6 —u) 26/0 ov(s ' ,g1A. 2:;- State existing use and occupancy of p emises and intende use and occupancy of proposed construction: a. Existing use and occupancy ' Q b. Intended use and occupancy • S�e 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost (lcbO Fee SO (To be paid'on'fi.ling'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. Dimensionsetxisting structures, if any:Front \ �— Rear \ �c Depth I 'Z- P 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 Z Rear ` Z Depth \ ) Height Number of Stories \ 9. Size of lot: Front \a-a• Rear \LAO . . Depth a 10. Date of Purchase AU — 3•C(3e1 Name of Former Owner ?c.----1,\ 11. Zone or use district in which premises are situated R A �. \ 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO Li 13. Will lot be re-graded? YES NO 'Will excess fill be removed from premises?YES NO I I ScO S ),‘,1U,•ohLC.,.e 14.Names of Owner of premisesCrc. �CQ•At \ 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 t * 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) �� 1�-7.'e7.42 4 COUNTY OF SJ�,,�1'3- " :I' r i L5 CCa1 CC �7 re she being duly sworn,deposes and says that( the applicant (Name individual signing contract)above named, (S)He is the (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 day of � �.P 201 . t� LY.L� Nota blic Signature of Applicant N -ine LaRosa b ARY PUBLIC,State of New York No.01 LA6059257 Qualified In Suffolk County_ I• Commission Expires May 29,20 Scott A. Russell � ,4*• SUFF CZ sT(0)RMWA\T]ER SUPERVISOR MANA.GEMHENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of So u th o l d *NI ' CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES 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. ❑O B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. • _►'1 _ _ - - or- o.r. '•n •n sloe which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑I 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. ❑O 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) S.C.T.M. #: 1000 Date tQ�� Disci ict ` NAME Cc c `� CO r in e \` �V 1 5 - liallq Section Block Lot -< --FOB BUII_DI'NG DLPARTN11-'NT LSE ONLY rr Contact Information l0� Reviewed By: - Date: Property Address / Location of Construction Work: Q IE/Approved for processing Building Permit \`n oO�5 L°`n e Stormwater Management Control Plan Not Required Sc ��� Stormwater Management Control Plan 1S Required (Forward to Engineering Department for Review) FORM # SMCP-TOS MAY 2014 9,:(2,&kc, „ - ,,, i ,._,_ it4e /reit"ct;kil , 61/ tj /0 0 ACV Date 1 t11 11 (Al File # 2O l-( 722 TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM Location of Complaint: '" 5-1) S i ekti1U? &)OQ S 4 Smart/OSCTM #433_"'d 2- 15 3 Property Owner: l -i G -I- GA(Z j S 5/i COI'Ng LL Phone Address: 3 SO 5T l PL L.//V , L,U ooIJS .LN. Sou r'4o .J3 NATURE OF COMPLAINT: �. 5A.eciI GV/Lt ( t N0. Peg--- 6- ACTION TAKEN: egips, 6-0,4,44 '. 2 �. Optional: a Complainant: ART)/11 ART)/1101005 '' -a By Phone Mail In Person Address Phone: Report Taken By: Date Date Referred to Code Enforcement: - - - V CODE ENFORCEMENT REPORT ' SITE INSPECTION REPORT/DATE: 1/l t / /' r SjOGZj ro Ciql=�-1 co(Zft1.e (, j / ' g_e)at. CO/ham /it1 oi- Qr� 1_ - A TION/DATE: °AQ-g (uIL-i Vr 5- -' - C tn.sv'vt�c..4- Korl- , -K Com. a. '" ' ts, /u4 30r-cr, g `brig. /4/.2 AA - e?-4A-eALA gurut- 17 -=S:.• 9W ! S or 5'-1/-/Y T cam( „r,., h-1014 _ ..,ei - Fv - Feo ,c. -, S of cit 12 iv fIY - .,. r�.-- . es -0 392. 2 . c)(7-+(,y R N Q,e 4. __/ SURVEY OF PROPERTY a m AT BAYVIEW ' ssJ TOWN OF SOUTHOLD h L...20.47'20.07' ,00 SUFFOLK COUNTY, N.Y. 1 O+ !p �ryel F �qcN* 1000-88-02—P/0 15 s yo r SCALE: 1=40 �� I 0 +s \ JAM 27, 2009 FEB. 3, 2009 i SEPTIC SYSTEM ��4�`� � �I / (4 BEDROOMS) �vv o 8� o`�1'ry1, IF•f I-(000 GAL. PRECAST SEPTIC TANK 04u /he /!� '�� �v ? 2-WITHLEACHING POOLS 6.5'DEEP NS his- \ 9 4 WITH 3'SAND COLLAR(SW)BOTTOM `0 414‘... /tib p \/� 9p0• TO BE 3'MIN47. . ABOVE GROUND WATER / a4 @� ft, , / J Qa Qtl 4°�� + 415:1700,. \ ti 00 Vic+ �, ,� �P gi) 4. 41 y `Q� N P�� 4Nr \ v �( 40 V Ar Q b / o A ',-, y,_ SJyG�t �' '14 ��• R25.00 � 40 L39.32 a � 6 440 / • At • 61 ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM S. I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on the permit to construct. Epp to l J c..1.t.Al.tar,';',Ot, The location of wells and cesspools shown hereon ore �i �1�.2e1T from field observations and or from data obtained from others. 404_,,,,,, 1 ,.,l,. ''1I ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VlOLA770N A :�:,5. LIC. NO. 49618 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW AREA-42,499 REA- 2, 99 SO. C-� j3!7'7. �! •Y7 S. ( . ExcePr AS PEP SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS MC7G/1 Y "n�J a7 (_ «'43� `j,I-'agb aq. (6J1) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P _A, ,;i , 4.:(' SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR I LOT NUMBERS REFER TO FINAL PLAT STANDARD 12 �t 'EET WHOSE SIGNATURE APPEARS HEREON. j SUBDIVISION FOR STERLING HARBOR INC" SOUTH. •, 11971 02-142 ` , ,A •`pg ^ri +•. . w7o '! »: ..� . `may ,r. ...^ 'iiiiiimmoisinmelbh .,....‘'.1, • ��n' ...4411010611111hhh, AdMINIIMailliiiii6b'. ..:' .1**1:41.14-..• -, '. 1 aidill11M1N1MNIIIIMI"lh i 4 1 ...4440 :-.------ - '--7L--:----:-------r---'-"------1 I } Z �_t •74 . i. L...... . , .. Ia��1, " ..AIT . _, _,„._..„.. 1.____, 1 1 t..... ,...._ , , , , , .. Ik ow ro • . _ *... ------111*,"*.,,,--„ .. - • - - - _ . . . ., , 1I I —rb'r""--"'"'--,-----,-L,,_i , , ..i. .. ,, . 1 ...., . ., . . „ . .... ., , , ) -- , . , ..'-.,..•. 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