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HomeMy WebLinkAbout41421-Z ��®�OS�FF�t�coG Town of Southold 5/24/2017 P.O.Box 1179 0 'Co" Ze 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38968 Date: 5/24/2017 THIS CERTIFIES that the building DECK Location of Property: 765 Bayberry Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.-15-1.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/3/2017 pursuant to which Building Permit No. 41421 dated 3/15/2017 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: DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Pagoto,Anthony of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED �Ahoed Signature go�ocxcoTOWN OF SOUTHOLD BUILDING DEPARTMENT y x 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#: 41421 Date: 3/15/2017 Permission is hereby granted to: Pagoto, Anthony 765 Bayberry Rd Cutchogue, NY 119352721 To: construct a deck addition to an existing single family dwelling as applied for. At premises located at: 765 Bayberry Rd., Cutchogue SCTM #473889 Sec/Block/Lot# 111.-15-1.6 Pursuant to application dated 3/3/2017 and approved by the Building Inspector. To expire on 9/14/2018. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $416.00 CO -ADDITION TO DWELLING $50.00 Total: $466.00 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: I. 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$15.00 Date. 03Z D 2S New Construction: AEGtL Old or Pre-existing Building: (check one) Location of Property: -7GS dfi-Y61j1-/�h' a 11rCyo&-GAG`- House No. Street Hamlet Owner or Owners of Property: A/V7110 1/Y 7a Suffolk County Tax Map No 1000, Section /f/ Block Lot A -6' Subdivision / Filed Map. Lot: Permit No. d' Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: 1 (check one) Fee Submitted:$ Applicant Signature 1�Y l OE SO//l�olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION /] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICA FINAL) REMARKS: vw S -6 9,vv DATE _3 -1 b4 --V INSPECTOR q SOUIyo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �rWi" S-6fPlle, lz DATE 4 i>Pf 17"' INSPECTOR V44e,.- SO(/jyo cOUM'1,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [Vf FINAL Q itV­ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) REMARKS: V" f S OR DATE INSPECTOR Y� FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) H ------------------------------------ d n � FOUNDATION (2ND) 10 IV K-V z � v ROUGH FRAMING& H e PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE V RC1 S. GAA FINAL ADDITIONAL COMMENTS -t5-i d 9 y �* Z m � z � r H Cq d t�J b H 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 S outholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees ® C.O.Application Flood Permit Examined ,20 Single&Separate R0 fMAR - 3 2017 Storm-Water Assessment Form Contact: ApprovedBUMD,201-7 G DE,M Ivy f s�DDV_,77 �DDV Disapproved a/cT® OuTHOLD Phone: Z_ �7Y Expiration ,20 BuMiidingjnsector APPLICATION FOR BUILDING PERMIT / Date 03/ 0 2 , 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 iri 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) 50a/v1 1//-,6/ /YI/F //f1 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �/!/%f/D/!/�` ^"9,("-0T0 (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. 2 7Z Plumbers,License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 7 9/�Lxa FX)P-y c ,irk 35 House Number Street County Tax Map No. 1000 Section /// Blockr;; , �:,' Lot �� 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 b. Intended use and occupancy 3. Nature of work(check which applicable):New Building ECIC- Addition Alteration Repair Removal. ' Demolition Other Work (Description) 4. Estimated Cost 2 2,000 ( � s V -'(To be.paid on filing this application) E 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'; r' 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 -2;w �s">d'Rear -4P D Depth /Z Height 3° Number of Stories 9. Size of lot: Front 3 92 S2 Rear Z f/ _� Depth /30 10. Date of Purchase Name of Former Owner 11. 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 ��S s�}Yar3/zR•Y'� 14. Names of Owner of premises A:, PF31G-0T0 Address G ,Tcwoc-c f Phone No. C3/ Z3 9 -73 2� Name of Architect =, :.,.;:; Address 41 K// 951- Phone No Name of Contractor S: .S�G���✓S�/ Address - ��4, saWbY/W Phone No. ,S/6 ✓flr� . SouTj�c��� 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 * 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 SUfY- G� SKc C)7) lly"C G ° being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the C'06t/Tx�,qG1-06e— (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. Swo n1 o before me this •o day of MQ20D -�)IA.R x-A1EY L. DWYER 5 ,,�. �'/ /�Li o Notary PubliCO NOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant NO.01 DW6306900 QUALIFII=D IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20� -a Scott A. Russell � SUPERVISOR �vJtA\1�A�G 1E1\M[1EN`]F SOUTHOLD TOWN HALL-P.O.Box 1179 p 53095 Main Road-SOUTHOLD,NEW YORK 11971 �O Town of So u th o l d 1 q� CHAPTER 236 - STORMV6TATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) — — -----------—IDt® --'I FII -�l[�®�I✓�I'—fI ®I; —ANY—®Ii F 0LL0W1N :----- Yes No (CHECK ALL THAT APPLY ®B 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. ❑0 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. ❑® E. Site preparation within the one-hundred-year floodplain as depicted on FIRM Map of any watercourse. 01[fl 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-vith-your Building Permit Application. APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) - S.C.T.M. #: 1000 Date /�� Dutrtct NAME: ,SL�}�j/O/�// S y `-L— / 9310 2A / r, Section Block Lot "„' FOR BUILDING ]DEPAF?"I"MLN`I- O;Li` .: Contact Information: 9K' �l��� � ROL _C'Ll �f.®G-GSE Reviewed By: Q 2 41Y //93-r Dale: Property Address / Location of Construction Work: — — — — — — — — — — — — — — —w — — Approved for processing Building Permit. Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — St Grnl'vVat of TdlSflage„�e,it �Glitf^vl Pi�ii i�RCq urid 9LJ1 (Forward to Engineering Department for Review) FORM ' SMCP- TOS MAY 2014 1 N N JF M ?v C, 8t� LAM ?v SAY LA 1aa'L'rIY " F. PJ86 00 EL. 103.5 �O O r �►�. 1 ND w ND RED A J Q�' NIGEL RCB RT a WILLIAM;oN � a In Y� �� �►•� ' ,.`��.Y � 029557-1 4 4 � � �' � QTR vt- i�`"�•,�O Ws , 1 I Oto 4i cc W10 0 u a , ® Ato � Z ` G pL cut � �.� ,Ww1• w; h ►p b•b » __ t 33=©,. 4� Pfau QL °PascoCf OC6.' •'^ � "tet NCS • ::"� � NF 1 O S gZ�nk 30 00 o t bZ•6S EL 43 cb` Iv c� OT E 44'FO HATIOW TAKEL) Fwm SvkVay PREPARED By .amu SVRTOW 4 HAMO EAMOLERS 4 SueVEYOR.S c �4 ME.DFO@D AiVBtut 5 a T e PLAJ-J AREA PLOT $8,678 Ip4TGHG4�1E , 1•�.�, pL � � DATED 9-6-78L6. -5 G.T. MI. 1000 - III - l� - -_-SCALE. I'° = 30-cr DATC 23" DS"f4GER,2O1S 00 � a M tz , M r 1�. PACrOTO 65 BAY t Sag-y REAM GRAPHIC, SCALE iWASSA u poi wr 30 0 10- 30 60 1,T6WW of 5ou-rHoLr) , 5UFFoL.k Go., N-Y N � X30-0