HomeMy WebLinkAbout38603-Z ,r0sU�FOl,�eee. Town of Southold 4/8/2016
P.O.Box 1179
d' ? 53095 Main Rd
Southold,New York 11971
#
CERTIFICATE OF OCCUPANCY
No: 38212 Date: 4/8/2016
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 23195 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.-1-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/13/2013 pursuant to which Building Permit No. 38603 dated 12/31/2013
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:
ALTERATIONS INCLUDING FRONT PORCH TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR
The certificate is issued to Carnation Properties Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut,. '. Si ture
'orFoL- TOWN OF SOUTHOLD
oG BUILDING DEPARTMENT
xN '
TOWN CLERK'S OFFICE
•o + 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#: 38603 Date: 12/31/2013
Permission is hereby granted to:
Carnation Properties Inc
PO BOX 419
Garden City, NY 11530
To: construct alterations to an existing dwelling, to include window &front porch
replacement as applied for
At premises located at:
23195 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.-1-10.1
Pursuant to application dated 12/13/2013 and approved by the Building Inspector.
To expire on 7/2/2015.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $284.00
CO -ADDITION TO DWELLING $50.00
Total: $334.00
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. 124(3/l3
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: MA-1 d (Ka C 4.f-
House No.
�� /� Street Hamlet
/ ��n
Owner or Owners of Property: C�l -T, �`' Pr"rev-+...,S
Suffolk County Tax Map No 1000, Section ( 0 5 Block I Lot I 0-
Subdivision
-Subdivision 14" Filed Map. Lot:
Permit No. 3 vv 0-3 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: f1/417k
Request for: Temporary Certificate _ Final Certificate: (check one)
Fee Submitted: $ 50
//04-4,
Applicant Signature
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TOWN OF=SOUTHOLD BUILDING DEPT.
765-1802
--_
> *1SPECTION ' . .
[ FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ]1‘ NDATION 2ND
[ ] INSULATION
[ RAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION -
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOL ION [ ] CAULKING
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REMARKS: / 'w
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DATE �`t' i INSPECTOR _%
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,�O��OF SO(/T�olo\
7COUNTI,*17"
TOWN,OF SOUTHOLD. BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] 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
EY;D 1N$PE N 3�PipI2� DATE \
FT
O W COA' GPITS.
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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 D D:�' t e�
SOUTHOLD,NY 11971 4 sets of Building Plans ✓
TEL: (631) 765-1802 Planning Board approval_D aa DDr'tWA)
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. '3 X03 Check
Septic Form
N.Y.S.D.E.C.
Trustees
/ Flood Permit _
Examined /2/37,20 13 Storm-Water Assessment Form
6 Contact:
Approved /.3f,20 (3 Mail to:
Disapproved a/c
Phone:
Expiration k:/c3/ ,20 15
PCP--
\UELCHn Building Inspector
DEC 13 2013
APPLICATION FOR BUILDING PERMIT
L-1)
Date /V/3/4 , 20/3
BLDG DEPT INSTRUCTIONS
TOWN OF`iOUTHOLD
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.
Q
ignature of applicant or name,if a corporation)
STS Reyod,i DRiuc SOIL/ci N
(Mailing address of applicant) q?7i
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
CCPCCoe-, riati-G i c:
Name of owner of premises CA,-„h.-r► 0 ?r.re rtt
(As on the tax roll or latest deed)
If a•(licant is a cor oration nature of duly authorized officer
OM-1 1.4 ey-
/ (Name and title of corporate officer)
Builders License No.
Plumbers License No. "VA
Electricians License No. AVA"
Other Trade's License No.
I. Location of land on which proposed work will be done:
2.3 t 1s MA-1 ¢Zug at-t. 0 13
House Number Street Hamlet
County Tax Map No. 1000 Section t ti 9 Block 1 Lot lo-
Subdivision .,.�ifoug 1 Lot
nee: i aA$ iO.c44
India f91MOW
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 51 ^1`i k. F fi vA i Pg.(va-rt. i2 esu
b. Intended use and occupancy dine
3. Nature of work(check which applicable);New Building Addition Alteration )C
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 45-1-500-`-f-- 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.Nor /c45 wess
7. Dimensions of existing structures, if any: Front 3 L_ Rear 3.. Depth `fs
Height Number of Stories 2.
Dimensions of same structure with alterations or additions: Front 3 Z Rear 3 z.
Depth Height 2.0 Number of Stories -... \
No CHe-.es-s - No N C.�s�ssnuc T� N . �`'' w r iJocs'.a s A-No (Le,rsu,�_r Po rt- -( Cetts-•r-r;0 )
8. Dimensions of entire new construction: Front -. Rear 3 Z Depth S
Height Zis Number of Stories CNo
9. Size of lot: Front 3 � Rear Depth e S3 S'3 A-cRes
QQ I
10. Date of Purchase 11 f I" ( l I e 6 Name of Former Owner IJ - r°a T--r r-}-o r�
11. Zone or use district in which premises are situated A I C
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO�Q
13. Will lot be re-graded? YES NO')Q Will excess fill be removed from premises? YES NO
14.Names of Owner of premises Address Phone No.
Name of Architect 0-bit r CA.‘,Nr.1 Address C.a"(ta Ks Si. Phone No
Name of Contractorddress(o.6';, '64 l Phone No. 165 31 sl
ST_ f-tar s N Y [‘ccs
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 ) 1
* 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 )
-ThIA,L , } ( e e'n being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Ca-60 4 r or-c--roµ--
(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 .efore me 'is
day of '402,1>' f 20 l3 r ,
jActi4Q___
Notary Pus isSignature of Applicant
LINDA P.RAND0LPH' ,
y NOTARY PUBLIC,statmeNiw
No.01 RA614961*
OMAN in Suffolk.
+OOMMON l+Spins.ouIy
James A. Richter R.A.
Scott A. Russell .s o, '��� ,
SUPERVISOR , i Michael M. Collins, P.E.
SOUTHOLD TOWN HALL-P.O.Box 1179 : 0 ,: 53095 Main Road.-SOUTHOLD,NEW YORK 11971
Telephone#: (631)-765-1560 = .•• _[[ f��r,
MICHAELCOLLINS@TOWN.SOUTHOLD.NY.US •�'•.,�- * ,,•'•'• JAMIE.RIa! . i�[�y of. OLs k
Office of the Engineer
Town of Southold DEC 2 ^ 2013
BLDG.DEPT.
STORMWATER MANAGEMENT CONTROL PLAN ' • s ' CO �_ t c `•
(TO BE COMPLETED BY THE APPLICANT}
•
TO: . ENGINEERING DEPARTMENT PLEASE ATTACH TILE FOLLO&YING DOCNIlFVWS.or INFORIMATION.•
FROM: BUILDING DEPARTMENT ❑ Copy of completed Application for
Building Permit
DATE: i-+ / 5113
❑ Stormwater Management Control Plan
APPLICANT: RCtc.in wk ComsS.
❑ Completed Chapter 236 Stormwater
• S C.T_M.': (O o o /0 4 I •
Review Checklist
PROPERTY ADDRESS Z 31 o v Ck -c o w c '
BRIEF PROJECT DESCRIPTION t -
fie b,,td &ek+t..,-1 P o,.L.,1 - 1.1o c , v- bu-t I J
-co.* fir,...A, 6141,.1 is h(...{W Pl-rt t sir-) (�es`�s Pa - _ To H O L,q u.p fora,
C�c-cke.v tn4
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ROPC .D Cb tc Is OT '8S n�'tAL - gibAi IC #t - Pavisto deemeal
ORE►4 a RING DEPARTMENT USE ONLY
Reviewed By: •/ 1.4 ' Date 12/Z V/3
Approv:
Additio . Information Required j
.
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, .:, ,, CHAPTER DATE:
' Zvi; ER 236
,s `'`f` .1,,'t! APPLICANT:
.4o' .. , Stormw�rater Review Checklist S.C.T.M.#:
PHYSICAL ADDRESS:
Stormwater Management Control Plan Requirements Yes No NA If No or NA,Please Provide Additional Informa
1. Plan drawn to scale of not less than 60 feet to the inch showing: ti o n
a. location and description of property.boundaries CN,'- us`W'dckr f fte' Ig Retf-�P 1�e--A-
b. total site acreage `` r. ., `
c. existing and natural and man -made features on and within 500 feet S3 4-c R.t''
of the site boundary as required in§236-17(C)(2).
d. test hole data indicating soil characteristics and the depth to water
e. proposed limits of clearing and the total area of proposed land
disturbance
f. existing and proposed contours of the site G�
(minimum 2' interval) a"?...
g. Iocation of all existing and proposed structures,roads, driveways, -.
sidewalks drain;:e im•rovements and utilities
h, spot grade and finished floor elevations for existing and proposed
structures -
i, location of the swimming pool discharge ring /�o 'a ��
j. location of proposed soil stockpile area(s) ‹s' -
k. location of the proposed Construction entrance/stagingc'-
areas
A
1. location of the proposed.concrete washout area
m. location of all proposed erosion and sediment control measures -t.....
2. Plan includes calculations showing that the stormwater improvements2
are sized to capture,store and infiltrate on-site the runoff from all
J..ervious surfaces :enerated b a two-inch rainfall `r
r
3. Detail drawings(required for elan_aynrn
vala provided for:
a. erosion and sediment controls . •
b. construction entrance ,
c, inlet structures(e.g. catch basins,trench drains,etc.) i-)15 T 1 Nrt-W-,
_1 d. leaching structures(e.g. infiltration basins,swales,etc.)
•
-' J . REVISED 7/24/2013
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