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Home My WebLink About40689-Z ®�5116F04cpG. Town of Southold 1/11/2017 P.O.Boz 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38750 Date: 12/29/2016 THIS CERTIFIES that the building ACCESSORY Location of Property: 595 Greenfields Ln, Southold SCTM#: 473889 Sec/Block/Lot: 59.4-5.13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/10/2016 pursuant to which Building Permit No. 40689 dated 5/10/2016 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: ACCESSORY SHED AS APPLIED FOR The certificate is issued to Braslow,Robert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ho ' ed Signature a��UFEnt,r�oTOWN OF SOUTHOLD BUILDING DEPARTMENT z 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#: 40689 Date: 5/10/2016 Permission is hereby granted to: Braslow, Robert 595 Greenfields Ln Southold, NY 11971 To: construct an accessory shed as applied for. At premises located at: 595 Greenfields Ln SCTM # 473889 Sec/Block/Lot# 59.4-5.13 Pursuant to application dated 5/10/2016 and approved by the Building Inspector. To expire on 11/9/2017. Fees: ACCESSORY $176.80 CO -ACCESSORY BUILDING $50.00 Total: $226.80 Building Inspector Form No. 6 'ro\N/N 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 property 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 Ocdupancy-T:25 - - 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 sDate. '7/1 )1 (0 New Construction: '5 Old or Pre-existing Building: V (check one) Location of Property: �;C\5 QzmfNCgLV5 LA?� SaLz�,=,LQ House No. Street I Hamlet Owner or Owners of Property: ?4,Lx-3� `13w Suffolk County Tax Map No 1000, Section )-A• Block 04 .00 Lot Q05 -W3 Subdivision —5l'�P��-�12f� Filed Map. �N QjV7 Lot: Permit No. L(o6,9'1 Date of Permit. Applicant: "V l,.bv-) Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ w Applicant Signature yeOf SOblyolo cOUMY,N TOWN, OF SOUTHOLD BUILDING DEPT. 765-1802 NSPECTION. [ FOUNDATION IST , [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE �' INSPECTOR SO(/Tyo qu cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FPUNDATION 2ND [ ] INSULATION [ 'FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: p l/ 4 -- I for DATE INSPECTOR - OE SOUTyo! � o UOUM'1 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [X4 FINAL(SFB) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: "Ama v"a 3 k Q V 5f'��fw�, S�►Ill.!W5 f�, Vt it -tom v AW DATE 1 INSPECTOR �a SOUl coum 9c� TOWN OF-SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] IN �ATICN [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: "P- Q-K L) DATE INSPECTOR DANIEL FALASCO, P.E., P.C. e�af� n 94 STEUBEN BLVD. (516)317-7209 NESCONSET,NEW YORK 11767 dan.falasco@outlook.com November 25 2016 �? D I� Building Department Town of Southold DEC - 9 2016 54375 Main Road Southold, NY 11971 BLDG DEPT. TOWN OF SOUTHOLD Re: Permit#40689 595 Greenfields Lane Sec/Block/Lot# 59-4-5.13 Please be advised that on November 18, 2016 this office inspected the shed at the proposed location. The inspection was determine the adequacy of the 8" diameter piers. t r Based on the field inspection and review of the plans it is determined that the piers are adequate to support the shed and are found to be structurally sound. If you should have any questions, please give me a call. Very truly yours,' Daniel Falasco, P.E. ,4 ode�� i t r •r . 1 x. • 1 1. -- - I' r pp- - o tINOL,ATIC)N nqaa aim • • 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. 0 G �� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 \VV/ Single&Separa'te D Storm-Water Assessment Form 3 20% Contact: Approved ,20 �b Mail to. e,?_MZ31J Disapproved a/c B�Jjj,�'N(; glis C �-�•4C 40 �h W OPhone: (31 9 O,S' S 7 Z Expiration ,20_(�— APPLICATION FOR BUILDING PERMIT Date l ro , 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 coveredby 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) 50(57G�� 141k ' �eu�� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer vt AA- (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 hich proposed,work will,,be•'done: 5a5 C-Aee -"et,05 l 5 4-0)j House Number Street Hamlet County Tax Map No. 1000 Section 59.00 Block ��' 00 Lot 00 rb( Subdivision Gtz4 ck.0S Filed Map No. gal Lot 0 0 g . O l 2. State existing use and occupancy of premises Td intended use and occupancy of proposed construction: a. Existing use and occupancy tVft t b. Intended use and occupancy S} '� �02 x�'�t Woop `Q�= 3. Nature of work (check which applicable): New Building St-Ej) 0, Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost -500 • °" PT i ,P Mg • paid on filing this application) 5. If dwelling, number of dwelling units N/PrW Number of dwelling on each floor If garage, number of cars 6., If business, commercial or mixed occupancy, speci?y gtp,�,;� extent of each type of use. is Yat? � t 7. Dimensions of existing structures, if any: Front '2edf 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 /S�. Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 'Name of Former Owndr 11. Zone or use district in which premises are situated AeSi4eej Ati A(L�CA— 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES NOy 14. Names of Owner of premises o `� ��SAddress 5a5 Gf�eLO �R S Phone No. q 05Y8'7'0— Name ZName 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 NOy * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C:PERMITS MAY BE $SQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO V * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accur'atd.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 v * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O being duly sworn, deposes and says that(s)he is the applicant (Name of indivi ual signing contract)above named, (S)He is the Owofe (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. TPACEY L. DWYEFA Sworn before me this 1`NOWAYr'i.i LIC,STATE OF NEW Y91HR Vtq day of 20 C r0.-01I)MM666 UA W—D IN SUFFOLK WOWY �6�f waskssiuii EVAM JUNs goo L2_46 Publ -Notary ic Signature of Applicant ,�•t2�7r%•- ' Scott A. Russell & STOIKIAWA�C')E)E� ��q SUPERVISOR t ,� } M[A\NA(G�JEI�vJ[)E1��C' SOUTHOLD TOWN HALL-P.O.Box 1179 i 53095 Main Road-SOUTHOLD,NEW YORK 11971 �� JQ`- 'own 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 . ❑" 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. ❑M C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑® D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. 0 E E. Site preparation within the one-hundred-year floodplain as depicted -en-FIRMY MY -of-any wat�r-course: - - - ❑® F. Installation of new or resurfaced impervious surfaces of 1,000 square f eet 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. #: I str Date Distract 5 NAME- t1�,S�w ��.00 r.»► O� OOS I (� n,l Section Block_ Lot 6iYn-urdY �: i C.R fit ILDI�C- DEP:'�RTI�•tt_.NT t;Sli UAL Contact Informatiom 0.5 "721 -9(o5 9172) 7drydwne�wnAri Reviewed B — — — — — — — - - - - - - - - - - — Date Property Address / Location of Construction Work- — — — — — — — — — — — — — — — — (� � ( Approved for processing Building Permit- '-'`' -- 5q �Q�22�` ,»�((�-9 S L ✓ Stormwater Management Control Plan Not Required. ElStormwater Management Control Plan a Required (Forward to Engineering Department for Review) FORM " SMCP -TOS MAY 2014 s ', .;•::tom i _E •': QN, 1 wr � =1e .fit,{°lig fi'migA 4 ,a ry r !� �;�.,� :�.,� _ ,_:� __' ,�-,` -•«,ter :,5��stiaK r,•a, �. _„i��'��7��.�^.�At�•,,i�,:;a,�,ril r'�,j�y�i l �,•.1 � 7� 1'��5y, ,rir,•��,,;r"S:�}`�,;,'+e?'?!F!{'4��,'{�i'"-w`,r "�F t'�y4'�`N�p!%"• � �`�� ':`F�� „v, 1'ti ,.F ,'4,f,tier &q', ui•,! '. ';r.utii��,�;'s'�'��'' 'ik '�";tY�'�'t'.;R 'rk"S{V.4 1! + ' , II ' r'I .14,'• ,1.,,K.�'•t'..�'e 5 fl. c r SURVEYED FUR:- �0A1A.1 LOCATED AT t_�7DC�i��L� , TOWN OF SUFFOLK- COUNTY N.Y. ' LOT Fes- ¢t MAP () � �Cl�/�!1]S jw gas CO. CLK. NO. �03/� � i✓. /0, /9P7-5 SCALE 1" SUFFOLK CO. TAX MAP DATA:- BLDG DIST.f SEC. .G� ° ` � a �oU xa�.a 1139 *ACP lc__ 22d- rim_ BLK. 404C.00 LOT 4.06: 01.3 P 2 l �F1=01t i�►f.If�T`: DEPARTMENT "`T� S�M OFFSETS FROM STRUCTURES I S SINGLE FWLY DNLY TO RELATIVE BOUNDRY LINES, ✓`- � DATE r H.S. REP. ON SURVEY, ARE FOR A ,� �. ` r f' sn- this SPECIFIC USE {�'rILY AND The s a e d s ai a t� �.L s�'�� ,.s��Lt s :mss ' ' ;L�ati'Js"' € '� beets is specie : tv ii, s `i. Erhrna'rfi an 0 SHOULD NOT BE USED FORD�; ; dam? cies and fow ' Sa �tory. � a� lie CONSTRUCTION CSF F€NCES � �' OR OTHER STRUCTURES. , : ci BUre;U 4af W''I'S—k Spy_ Fes• _ � o Z.0 8 i + e5e'.4.5L OA/ raP , ,� �t o -ter Nar C� •3Gmo 'w1c.ACao 7i74� 00 AtutL f.� 88G ' -o�82z ' � WA7L=A .3�i2 civ SURVEYED ca.ED //,Peg 195 3BY T �.ra a � ~f C WILLIAM R SIMMONS JR. 4Aa� P!O BOX 377 K� .4 Y�CT 811.P.�"RC�, JAMFSPORT, L. I., N. Y. 11947 . v �vo7 -".4�su✓ a C7147UAl FILE NO. &/ 7 PAGE 4f-3 GRID DRAWN BY ` i `1 APPROVED AS NOTED DATE- ��®' �� BP.# 4n6M FEE; ( 6 E� ' _. . _w,� •�- =_ - - ItiOT;F. BI!iLDlilC� EP,89TMr_NT AT 765-1802 8 AM TO 4 PM FOR THE FOLL^v'vv;N'G ;NSPCC I IONS: 1. FOUNDATION - TWO REQUIRED r'= FOR POURED CONCRETE L. - ,r 2. ROUGH - FRAMING & PLUMBING 3. INSULATION { 4. FINAL - CONSTRUCTION MUST i IBE COMPLETE FOR C.O. ALL CONSTRUCTION SHALT_ MEET THE ( I ' REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR I ' j DESIGN OR CONST RUCTION ERRORS. ( ! OCCUPANCY 0 1 USE IS UNLAtIvMFUL WITHOUT CE TflCATE OF OCCUPANCY 71i 10 SOP Iv (FP47r) 01 / LocA*►ON : 5q5 C 5aA16tLQ/ NY- etc,. � Z '171•Rrv►Q��1�-2• 1 SvNu��r� ! �rtLl_ ODES OI" AS REQUIRED A r\fr) ��S OF o�SQUT 1 k ' ,.�®,a,.va�A,,,�,,,.,,c,a„m �l.�l�Tl I'.II� •1 'd'Yi I lV LLS