HomeMy WebLinkAbout40384-Z Town of Southold 1/14/2016
P.O.Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 38053 Date: 1/14/2016
THIS CERTIFIES that the building AS BUILT ADDITION
Location of Property: 235 Fawn Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-4-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/28/2015 pursuant to which Building Permit No. 40384 dated 1/4/2016
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"RAISED PATIO ADDITION WITH PERGOLA TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR
The certificate is issued to Zwerlein,Peter
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut Si ature
TOWN OF SOUTHOLD
4'3BUILDING 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#: 40384 Date: 1/4/2016
Permission is hereby granted to:
Zwerlein, Peter
235 Fawn Ln
Cutchogue, NY 11935
To: As-built raised patio addition with pergola as applied for. Additional certification may
be required.
At premises located at:
235 Fawn Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-4-22
Pursuant to application dated 12/28/2015 and approved by the Building Inspector.
To expire on 7/5/2017.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $994.40
CO -ADDITION TO DWELLING $50.00
Total: $1,044.40
r
Bui :•^-'� - . -ctor
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 electncal installation from Board of Fire Underwnters.
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. I -
New Construction: V Old or Pre-existing Building: (check one)
Location of Property: 2 5 t':u lA\)y) C.1A-41)55tA-e
House No Street Hamlet
r
Owner or Owners of Property: AyeAget 4-__
Suffolk County Tax Map No 1000, Section /v Block 7 Lot 7 L
Subdivision / zz Filed Map. Lot.
Permit No. VO J Date of Permit. Applicant.
Health Dept. Approval. Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: _ (check one)
61)
Fee Submitted: $ 50'
App nt Signature
im
1/1
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH P BING
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE // INSPECTOR "
CO S �* / .'
FIELD INSPEG"I'�ON REPORT DATE . r.,� ••,,•-s. -.>W+, h
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FOUNDATION(1ST) , • • e
•
FOUNDATION(2ND) - ' , •__ .74
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ROUGH FRAMING& .. • . " •• -•-
PLUMBING 1
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INSULATION PES N.Y. - . " . . • • y
STATE ENERGY CODE , .
•
FINAL
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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 . sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFoHi.net PERMIT NO. Li-03Ni Check
Septic Form
NYSDE.0
Trustees
C 0 Application
Flood Permit
Examined 1 20 -
Single& Separate
Storm-Water Assessment Form
Contact:
Approved ) I+ ,20 I� Mail to.
Disapproved a/c
j r- .
Phone
J J Rn
I \ Its• ^} 111
t i • •
. Buil Itlsp= tor •
I
DEC 28 2015
APPLICATION FOR BUILDING PERMIT
BLUE. DEPT ___
TOWN : Cn��T,-ic`B Date �E6 18Ga2. 4 _ , 20 IS
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, ising co , and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections
. 1 fla/ YL
( i.g ture of applicant or name, if a corporation)
13.5. F-1444 L 4.I
rcadetide, NY /1935
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Pere2- L (._ic 2/AJ .E).3
(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
23C Rekhiki (}W c.- i c-4oGuE
House Number Street. Hamlet
>it,i-. '4,0 AiiABIII,' - „.7
County Tax Map No. 1000 Section 10 3 B'likVii 4 iss? :n+ta,;a yi,,(0, Lot 2'2—
.:cuo,,uty,:iG.Ottdcrl4i0rU c,' \
0S t t.,t? ;=iii,;>:j nc;ic'rnrI,0:'
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 ( i OE1sTtA-t
b. Intended use and occupancy R-E3i DENTIML
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work a. -ist) PMto 4 Plaza oLA ( a-)
` (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 Rear Depth -
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 Rear Depth
.Height Number of Stories
• 9.. Size of lot: Front 104 Rear 100 ' Depth 1;2-7
10 Date of Purchase Z Name of Former Owner PI 5cA 1ELL
I I 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 NO
f-Ter2_4 ue 235 FA-m.1 LAKJE
14. Names of Owner of premises ee.Leir4 Address ctaca-ioc,ue Phone No. 631-1o7- I6S-G.
Name of Architect WM, 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 ✓
* 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.0 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 starey,-to scale, witli'accurate'fO nidation plan and distances to property lines
17. If elevation at any„point,on,.p operty,tstat:10,9et 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�nOF )
0102 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the 0tAii.1CD2—
(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
2r day of Drterober 20Ir
E to � �C6
BARBARA DIACHUN �
Notary Public Notary Public, State of New York Sir ature of Applicant
No 01D14635190-Suffolk County
Commission Expires Oct.31,20)g
:
,,,,,,,s,, kj
Scott A. Russell ;,•'\,op, ST
V �O)J[bl��l[���A\'7C'JEJ[�
SUPERVISOR MA\ G
iA\GJEI��1[JE1�T
SOUTHOLD TOWN HALL-P.O.Box 1179 z I
53095 Main Road-SOUTHOLD,NEW YORK 11971 ,: Town of Southold
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CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )1'
DOES THIS PROJECT INVOLVE ANY OF THE di
Yes No (CHECK ALL THAT APPLY) iii:
'
OM/A.
Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface. r< ;
❑[ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area. `' '
1.��.
11,
❑d C. Site preparation on slopes which exceed 10 feet verttical rise to
100 feet of horizontal distance. 1{`
lg�
og D. Site preparation within 100 feet of wetlands, beach; bluff or coastal
erosion hazard area. lei .
OM E. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse. i
❑Eli F. Installation of new or resurfaced impervious surfaces of 1,000 square
t,, .
:M
feet or more, unless prior approval of a Stormwater: anagement
I�,
Control Plan was received by the Town and the prd';osal includes
10
in-kind replacement of impervious surfaces.
* If you answered NO to all of the questions above, STOP! Complete the Applicant sectiofr elow with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does*apply to your project.
3+1+
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 Owne Design Profe Tonal,Agent,Contractor,Other) Sr T.M. a: 1000 l
r Date:
District _
NAME: eW LI.1.4 103Z
'. L 1L-14-i‘
Section Block OA
t-;,x
65.6
1 *'FOR BUILDING DEPARTMENT USE ONLY***
Contact Information 631-1o7-165 6
(Telephone 1lumhei) j
Reviewed By:-°--1.)•(\,& -,2 a
II
Wit.: h).-(9,8--15--
Property Address/Location of Construction Work IA
Ai
,�' Approved for processii g Building Permit.
,
23S �hnhl l.Arrll� �
Stormwater Management Control Plan Not Required.
W?c.HoGJE, I I w.y. Q3S 1;
Y 1 ❑ Stormwater Management Control Plan is Required.
t,,l
(Forward to Engineering Department for Review.)
FORM $ SMCP-TOS MAY 2014
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Map of Lot 44
- "Map of Moose Cove"
Map Number 3230
Situated at Cutchogue
Town of Southold, Suffolk County, New York
District 1000 Section 103 Block 4 Lot 22
ANTHONY ABRUZZO R.L.S
REGISTERED LAND SURVEYOR
. 1500 Hortons Lane %
Certified To: 0 �'` • Southold, N
�� N�� �_ New York 11971
Peter and Leslie A. jwerleinrf''J•�.l1`� ••: �i (631) 765-6242
First American Title Insurance Company t.'4�` ;� •.• SURVEYED: July 2Q2002
Title Number: 65651782 5344467
* ;izFl;',- *
/ /• ile t, 'Waslin5tonMutual Bank kA. ,r / /.
1".______
,•.Wecn •'' .Sr,,e: 1" = I File o. 2622
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RETAIN STORM WATER RUNOFF A-ddiWono., t
PURSUANT TO CHAPTER 236
OF THE TOWN CODE. ctr--h--6c t hof may
PP OVED AS NOTED \oe, r t-cre� ,
DATE: #B.P.# 63g
of
FEE: a BY: I
NOTIFY BUILDING DEPARTM " ',
765-1802 8 AM TO 4 PM FOR THE
FO'._L OWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED Z\AtEliP
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHP.".L MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESP OI'S:BLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
401ITHOLITTOWN ZBA
SOUTHOLDTO,1.'1TWEE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ - - - -
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OCCUPANCY OR
I
USE IS UNLAWFUL
WITHOUT CERTIi- .;ATF 1 1
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OF OCCUPANCY
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i ELEVATION DETAIL
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arm- •n �lc U!.-- -1 1
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-�IENINE% MI - CONCRETE BRIDGE FOOTINGS
K„ 'tom.:;,— �-.-,_
�i MIMI. I 1 TO 36"BELOW GRADE
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IT IS A VIOLATION OF THE I/ I "/ '"--II . e6` tc'\
LAW FCR ANY PERSON, it "
Uc i'.€� ACTING CTIN 7 UNDER NES. - c �' , 9
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�'.s'':Ei3TFCT,TO ALTER ANY �'� '�'\gyp
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Revision ; Scale. Landscape Plan. Landscape Design by: Dave Cichanowicz
c . . ., .
Date� 1 01 Zwii, r14
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