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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 r INSULATION PER N.Y: • H STATE ENERGY CODE i ✓ -- FINAL ADDITIONAL COMMENTS i I'$ cav vVl 'n ✓ %,Aa t z • �b H d I 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 „ NG FX 1 5 -- N63005 30 _ LO (S� FE. A `CD 0 Z 24.5 _ _ -.-- ...--- 53,2'. t� 20 a AS ALS t RlVEWPY, W 140 rn zo 0, 70 7_5 �o ° (� a� 14.9 z qrn I 20 rnrn -C SN 0 O O v4 0 P O O _ Oit O 150.00 583005,3011 w 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 !! IP) Additional °` Certification A fl May Be Required. Z 00 ON , ili_..:,. 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