HomeMy WebLinkAbout40934-Z �q�pcuFFU1,��oG� Town of Southold 9/26/2016
P.O.Box 1179
a
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38533 Date: 9/26/2016
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 780 Wunneweta Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-11-15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/11/2016 pursuant to which Building Permit No. 40934 dated 8/24/2016
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"deck and stair addition to an existing one family dwelling as applied for.
The certificate is issued to Decker,Joseph&Maureen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A
Autho ' d ignatu re
suFFa�,� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
v e 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#: 40934 Date: 8/24/2016
Permission is hereby granted to:
Decker, Joseph & Maureen
780 Wunnewetta Rd
Cutchogue, NY 11935
To: as built" deck and stair addition to an existing single family dwelling as applied for.
At premises located at:
780 Wunneweta Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 104.-11-15
Pursuant to application dated 8/11/2016 and approved by the Building Inspector.
To expire on 2/23/2018.
Fees:
CO -ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING-ADDITION OR ALTE ON $784.80
Total: $834.80
uilding Inspector
Form No.G
TOWN Of$OUT[-IOI.D
BUILDING DEPARTMENT
TOWN[-TALL
7'65-1802
ArPi.iCA i
10N.FOR CERTIF ICA T z 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 ofpropertywith 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 Iess than 2/10 of 1%lead.
S. Commercial building,industrial building,multiple residences and.similar buildings and installations,a certificate
of Code Compliance from architect orengineer responsible for the building.
6. Submit Planning Board Approval of completed site pian 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$15.00
Date. 08/09/16
New Construction': Old or Pre-existing-Building:Deck & Stairs(check one)
Location of Property: 780 Wunneweta Road, Cutchogue NY 11935
House No. Street Hamlet
Owner or Owners of Property: Joseph & Maureen Decker
ALSuffolk County Tax Map No 1000,Section - --104 Block 11.5 Lot 229
Subdivision Filed`Map. Lot:,
q2-Permit No. Date of Perinit._ _ Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (/ (check one)
Fee Submitted:$ CS-0
W-4-x� Ay�-App ' ant Signature
September 19, 2016 h n
Town of Southold NEMSCHICK SILVERMAN ARCHITECTS P.C.
Building Department the business of ARCHITECTURE."
Town Hall Annex Building
54375 Route 25
P.O. Box 1179
Southold, NY 11971
Re: Decker Residence
780 Wunneweta Rd
Cutchogue, NY 11935
SCTM # 1000-104-11-15
To Whom It May Concern,
Please be advised, to the best of our knowledge, belief and professional judgement, we hereby certify that the
footings and framing for the existing rear deck and rear stairs were constructed in accordance to the 2010
Residential Building Code of New York State.
Should you require any further information, please contact our office at any time.
Sincerely,
NEMSCHICK SILVERMAN ARCHITECTS P C.
D � u
D
SEP 2 0 206
Raymond Nemschick, AIA BunMINGD�pLD
Principal TOWN OF SOM
160 MAIN STREET• SUITE 200 • SAYVILLE, NEW YORK 11782 • 631 563 2130 telephone • 631 563 2139 facsimile www.ns-arch com
O�� hO��pF SOUTyoI
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TOWN OF,SOUTHOLD BUILDING"DEPT.'
765-1802
INSPECTION , :,,
[ ] FOUNDATION 1 ST , [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] ItOSULATION
[ ] FRAMING /STRAPPING [V-FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE IK I INSPECTOR =
FIELD INSPECTION REPORT I DATE COMMENTS
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STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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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 4 sets of Building PIans
TEL: (631) 765-1802 Planning Board approval
FAX: (631),765-9502 (09
- Survey
So utholdTowp.NorthFork.net PERMIT NO., Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Examined ;20 Flood Permit,Single&Separate
Storm-Water Assessment Form
AUG 1 1 2016 contact:
Approved ,20
Disapproved a/c tctTor
Zac Nicholson
Phone: 631.563.2130 ex. 12
Expiration �-� '20-4-Y
"
APPLICATION FOR BUILDING P/
RMI
August 09 20 16
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
propery-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.
Nemschick Silverman Architects P.C.
(Signature of applicant or name,if a corporation)
160 Main St. Sayville, NY 11782
(Mailing address of applicant)
State whether applicantis owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Architect
Name of owner of premises Joesph and Maureen Decker
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name•and title of corporate officer)
Builder License No.
Plumbers icense No.
Electricians icense No.
Other Trade's Xc
ense No.
1. Location of land on which proposed work will be done:
780 Wunneweta Rd Cutchogue, NY 11935
House Number Street Hamlet
County Tax Map No. 1000 Section 104 Block a-, Lot 13
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 two story dwelling
b. Intended use and occupancy two story dwelling with rear deck
3. Nature of work,(check which applicable):New Building Addition Alteration
Repair Removal Demolition O e
(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 98.1' Rear 100.0' Depth 308.2'
10. Date of Purchase 7/14/65 Name of Former Owner A. H. Sarnowski
11. Zone,-or use district in,'which premises are situated R-40
12.Does proposed construction violate any zoning law,ordinance oftegulation? YES No, x
13'. Will lot be re-graded? YES NO x Will excess.fill be removed-from premises?YES NO x
14,Names of Owner of premises Joseph Decker Address 780 Wunneweta Rd-phone No. 631.734.6482
Name of Architect Nemschick Silverman Arch. P.C. Addressl60 Main St. Sayville, NYPhone No 631.563.2130
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C.PERMITS MAY BE REQUIRED.
b. Is this property within 3'00 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 line's.
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 x
* IF YES,.PROVIDE A COPY.
STATE OF NEW YORK),
SS:
COUNTY OF Ij oI
G.Acr -2Y' lt�l(,1�(32Sv�"� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the ErV_(
(Contract ,Agent,N orporate 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,alI 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
i I*� —day of 20_L(,,
TRACEY L. DWYER
ry Public PUBLIC,STAT
NO.01 DW6306900 3yirnature of Applicant
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2f)
Scott A. Russelltiav%���f
f
SUPERVISOR R M AN A\G]ENUEN T
p� �, ( t� I-�
SOUTHOLD TOWN HALL-P.O-Box 1179 `�`
53095 Main Road-SOUTHOLD,NEWYORK 11971 y C:i �� Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
- -- ------- - ------- - --- --- ---- - - -
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
(CHECK ALL THAT APPLY)
Yes No
E][j A_ Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑F1 B_ Excavation or f illing involving more than 200 cubic yards of material
within any parcel or any contiguous area.
0� C_ Site preparation on slopes which exceed 10 feet vertical rise to
i
100 feet of horizontal distance_
i ❑ D_ Site preparation within 100 feet of wetlands, beach, bluff or coastal ;
erasion hazard area.
❑® E. Site preparation within the one-hundred-year floodplain as depicted
-- = - -- =.
----- -1 - en=F-l�f�ap=-of-any=wat-e-Fc-QursE:-------------------------_--- --_-- ....._ - - :
El R 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
p surfaces-
If
replacement o impervious
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.
S.C_T.M. #: 1000 Date
APPLICANT: (Property Owner,-Design Professional.Agent,Contractor,Other) District
Lo
NAME= Section Block Lot
FOR BU1L D1`G DEPARTMENT USE ON1_IV
Contact Inforant.on
Reviewed By:
— — — — — — — — — — — — — — — — — — Date: " f
lip
Property Address / Location of Construction Work_ -- — — — — — — — — — — — — — —
Approved for processing Building Permit.
Stormwater Management Control Plan Not Required.
Uj Stormwater ivlanagemeni Cooitrol Plan iz,Required.
(Forward to Engineering Department for Review.)
FORM ` SMCP -TOS MAY 2014
OCR :ter
OF -SOUTHOLD' "-PROPERTY RECORD CARD r
OWNER STREET VILLAGE DIST. SUB. 1--'LOT--1% '-.?p,
J-6reb K T, �� ��- 1- h Ali e � -� ��.� O lt/ '1Z-jrj a yet '
FORMER OWNER N E ACR. !-
2d a'
S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS , .- f/ � 2L—
�;"`?1
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
' 4
FARM Acre Value ,Per .Value
Acre '
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD 00
House Plot DEPTH
BULKHEAD
Total DOCK
COLOR
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August 09, 2016
Town of Southold NEMSCHICK SILVERMAN ARCHITECTS P.C.
Building Department the business of ARCHITECTURE."
54375 Route 25
P.O. Box 1179
Southold, NY 11971
Re: Decker Residence
780 Wunneweta Rd
Cutchogue, NY 11935
NSA Project#: 161855
LETTER OF TRANSMITTAL
WE ARE SENDING YOU: ❑Attached ❑ Under separate cover via the following items:
❑ Shop Drawings ❑ Prints ® Plans ❑ Samples ❑Specifications
❑ Product Data ❑ Change Order ❑ Copy of Letter ® Other Check
Item# Qty Date — — Description
I € 4 0,5/09/1 G i Site Plan, Deck Plan, Framing Plan
2 1 08/09/1 6 1C—r heck for C.O.
3 i 1 ! 0810911 6 Application for building permit
4 1 — X08/09/1 6 Application for Certificate of Occupancy
a I
i
THESE ARE TRANSMITTED as checked below
Z For Approval ❑ Reviewed ❑ Resubmit—Copies for Approval
El For Your Use E] No Objection with Revisions Noted ElSubmit_Copies for Distribution
❑As Requested ❑ Rejected ❑ Return—Corrected Prints
❑ For Review and Comment ❑ Revise and Resubmit ❑ For:
Comments:
Please accept the attached paperwork for CO approval of (1) rear deck & (1) rear stairs at the above
stated property. Should you have any questions or require additional information please contact our
office.
Copy to: File From:Zackery Nicholson
Project Manager
160 MAIN STREET • SUITE 200 • SAYVILLE, NEW YORK 11782 9 631 563 2130 telephone • 631 563 2139 facsimile • www.ns-arch.com
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