HomeMy WebLinkAbout42252-Z %U&F®d'�CpG Town of Southold 1/9/2018
a P.O.Box 1179
a -
co53095 Main Rd
®�,�j®� �10 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39434 Date: 1/9/2018
THIS CERTIFIES that the building AS BUILT DECK
Location of Property: 475 Oakwood Dr., Southold
SCTM#: 473889 Sec/Block/Lot: 70.-13-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/15/2017 pursuant to which Building Permit No. 42252 dated 12/21/2017
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:
"AS BUILT"DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Loeser Credit Shelter Tr
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
tho ' ed Signature
,r,
Wire, TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
far � dao
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#: 42252 Date: 12/21/2017
Permission is hereby granted to:
Loeser Credit Shelter Tr
C/O Barbe Ramon
369 Garden St
East Meadow, NY 11554
To: legalize an "as built" deck addition as applied for.
At premises located at:
475 Oakwood Dr., Southold
SCTM # 473889
Sec/Block/Lot# 70.-13-5
Pursuant to application dated 12/15/2017 and approved by the Building Inspector.
To expire on 6/22/2019.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $628.00
CO -ADDITION TO DWELLING $50.00
Total: $678.00
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, properly 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 J
Date. 12-115-117
.bet
New Construction: Old or Pre-exerting Building: ✓ (check one)
Location of Property: �.5 OA-K h)D Ob �/2ere—,
P Y�
House No. Street Hamlet
Owner or Owners of Property: G/2E—P j yf �ZT�� ` /�U 57—
Suffolk
iSuffolk County Tax Map No 1000, Section o Block /.3 Lot v�
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificat Final Certificate: V (check one)
Fee Submitted: $
Applicant Signature
H yv �v
` �Of SOUly
hod olo
N 0
��y00UNi`1,��
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ FINAL A AI,ly-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE 1 INSPECTOR
r
Condon En&eedng, Poco
New York State Licensed Professional Engineers
1755 Sigsbee Road 631-298-1986
Mattituck,New York 11952 Fax 631-298-2651
condonengi neering.com
November 8, 2017
Mr. Mike Verity
Chief Building Inspector
Southold Town Building Department
53095 Route 25
P.O. Box 1179
Southold, New York 11971
Re: 475 Oakwood Drive
Southold, NY
Dear Mr. Verity:
I inspected the deck on the rear side of the building that is shown in the drawing. I found the
framing and supporting poured concrete footings to be structurally sound.
If you have any questions, please call me at 631-298-1986.
Yours truly,
ii ondon,
.� Sy
r
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION (1ST)
H
-------------------------------------
FOUNDATION (2ND)
z
0
ROUGH FRAMING&
PLUMBING y
0
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INSULATION PER N.Y: •
H
STATE ENERGY CODE
i ✓ --
FINAL
ADDITIONAL COMMENTS
i I'$ cav vVl 'n ✓ %,Aa t
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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,INY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Suryey
Southoldtownny.gov PERMIT NO. Check
Septic Form
I N.Y.S.D.E.C.
Trustees
C.O.Application
20 D [R9:[E0V[EFlood Permit
Examined i D i Single&Separate
Truss Identification Form
DEC 1 5 2017 , Storm-Water Assessment Form
Contact:
Approved i _,20 BUILDING DEPT. Mail to: G Ural 1(V Hal()PS
Disapproved a/c W"N
Phone: ,�j 11, 330 - 7,561
Expiration 20
.
Building Inspector I
APPLICATION FOR BUILDING PERMIT
i
i
Date , 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 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.
i
(Sign ature,of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, 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
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. i
1. Location of land on which proposed work will be done: �DCJTqD L!D /(�y
Lf�S"• 0"W DDS cif?t�� a
House Number Street Hamlet
County Tax Map No. 1000 Section 70 Block /' 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 f�ACe_ b1r�
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work A-5 IS " � ,�-
(Description)
4. Estimated Cost �" �'_sFee°
R(Toybe paid on filing this application)
5. If dwelling, number of dwelling units e 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 -'- '= = Ream' 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 Rear Depth
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
14. Names of Owner of premises Address Phone No.
Name 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 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)
S:
COUNTY OF�
c
6�6z� I tie � being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,on
(S)He is the ' ` e
q:::� e
(Contractor,Agen, 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 wil I be
performed in the manner set forth in the application filed therewith.
Sworn to_before me th'
f OCi day of 20
CEY L. DVVYSignature of Applicant
otary Public NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2_Qlb
SUFFC,
Scott- A. Russell 5T(0)1K N[WA,r]FIEIR-
SUPERVISOR
z
SOUTHOLD TOWN HALL-P.O.Boz 1179
53095 Main Road-SOUTHOLD,NEW'YORK Town 11971 'L,y�Q �a 1 own of Sou th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE IFOILILOWHNG:
YesNo (CHECK ALL THAT APPLY
0 Clearing, grubbing, grading or stripping of land which affects more
.than 5,000 square feet of ground surface.
❑EK Excavation or filling involving more than 200 cubic yards of material
�� within any parcel or any contiguous area.
1:1Lam"L. Site preparation on slopes which exceed 10 feet vertical rise to
^�
400 feet of horizontal distance.
F1Erj�-'Site preparation within 100 feet of wetlands, beach, bluff or coastal
^�-erosion hazard area.
ElL?" E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑E3"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-Infor-mation,-Date-&-County-Tax-Map-Number!--Chapter-236 does-not-apply-io-your--projeci
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. #_ 1000 Date
G
/- �]f, District f r
NAME (m &j e—s Iy La_ r. /��I? 1
Section Block Lot
-3� F0)R MAIL DINka 1)1--P
Contact Information L�`� — -5 /(, — 3 7�Q r'
Reviewed By.
- - - - - - - - - — - - - — - - - — Date /a-/� 0�
Property Address / Location of- Constt-uctlon Work- — — — — — — — — — — — — — — — —
�� Q Ajztjov� � v Approved for proces�tng Building Permit
^� / Stormwater Management Control Plan Not Required
Sy OLID Al% �� f -7 ❑ Stormwater Management Control Plan a Required
(Forward to Engineering Dep,tt(ment for Review)
FORM � SNICP -TOS MAY 2014
1
5URVEY OF PROPERTY N
SITUATE : 50UTHOLD , e �
TOWN : 5OUTHOLD PINE NEG COAD VI/ E
SUFFOLK COUNTY, NY
I .-
SURVEYED 12- 12-2017 x s
SUFFOLK COUNTY TAX #
1000 - 70 - 13 - 5 ANA
CERTIFIED TO W
SND NOW OR FORMERLY OF:
CREDIT SHELTER TRUST Q 5U9AN pAAR HILL
0.00
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N63005 30 _ LO (S�
FE. A
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53,2'. t� 20 a
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0, 70
7_5 �o °
(� a� 14.9 z qrn I
20 rnrn -C
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O 150.00
583005,3011
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SND NOW OR FORMERI-Y OF:
AMY COMlSKY
pH ER STREET
C1IRIST� -
NOTES: "Unouthonzed alteration or addition to a survey
map bearing a licensed land surveyor's seal is a
® MONUMENT FOUND JOHN C. E h LE R5 LAND 5 U RVEYO �' violation of section 72o9, subt division io of the
`_ New York State Education Law"
—X—X— CHAIN LINK FENCE � !/
"Only copies from the original of this survey
❑ STOCKADE FENCE �� marked with an original of the land surveyor's
stamped seal shall be considered to be valid true
copies"
G EAST MAIN STREET N.Y.S. LIC. NO. 50202
"Certifications Indicated hereon slgmff that this
survey was prepared in accordance with the ex–
Area = 15,000 S Ft. RIVERHEAD N.Y. 1 1901 3G9-8288 Fax 3G9-8287 _ isting Code of Practice for Land Surveps adopted
�' by the New York State Association of Professional
Area = 0.344 Acres Land Surveyors Said certifications shall run only
GRAPHICSCALE 111= 301 �eaurvey@optonllne.net to the person for whom the survey is prepared,
�/ !ww and on his behalf to the title company, gnvernmen–
``��YYC6 tal agency and lending institution listed hereon, and
_ to the assignees of the lending Institution Certifica-
17-201 tions are not transferable to additional nstitut ions
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Additional °`
Certification
A fl May Be Required. Z
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