HomeMy WebLinkAbout34988-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34072 Date: 11/16/09
THIS CERTIFIES that the building ACCY SHED
Location of Property: 1105 AUGUST LA GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 53 Block 4 Lot 44.20
Subdivision Filed Map No Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 2009 pursuant to which
Building Permit No_ 34988-Z dated SEPTEMBER 10, 2009
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 THOMAS J & MARYANN BYRNES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
P
&Ie
uthorized Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34988 Z Date SEPTEMBER 10, 2009
Permission is hereby granted to:
THOMAS J & MARYANN BYRNES
'� T nn-r CT I tS
NOR mvR0R-T TT*_11 n&n
for
12X16 ACCY SHED IN REQUIRED REAR YARD AS APPLIED FOR.
at premises located at 1105 AUGUST LA GREENPORT
County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044 . 020
pursuant to application dated SEPTEMBER 9, 2009 and approved by the
Building Inspector to expire on MARCH 10, 2011 .
Fee $ 100 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALT.
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•fi-om 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:
i, Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
.2. A properly completed application and colisent'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 S25.00,Additions to dwelling$25.00, Alterations to dwelling$25.00,
Swimming pool$25,00,Accessory building$25.00,.Additions to accessory building$25.00,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- $56.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15:00 Q
Date.
New Constriiction:- Old or Pre-existing Building: (check one)
Location of Property: tA 6 j. -S-^hp p Y
Flouse No. U Street
�� . Hamlet
Owner or Owners of Property: MC. }- OL
Suffolk County"Tax Map No 1000, Section QS3,.oD Block_ O C4 , D D Lot .D.L/e-1;eta z)
Subdivision ,per Filed Map. 9/O 7 Lot:
Permit No. J? 1� / 6 1�Date of Permit. 9 /O g Applicant: 71 o pff ct S �3 y k-p,,e 5
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
.Request for: Temporary Certificate Final Certificate:_� (check one)
Fee Submitted: $ C;�S
,0
/3 C �� o� F Applicant S• nature
OF SOl/lyolo
cou Nct�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUL TION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
f"'i
A
REMARKS: -- -f
no-1
s
K
DATE / �� INSPECTOR
OF SOUTyolo
YL # #
couril
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [�X FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
L
DATE
�r INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS �n j
s �
S
FOUNDATION(IST)
FOUNDATION(2ND)
z
0
ROUGH FRAMING& �) y
PLUMBING
x
INSULATION PER N.Y.
STATE ENERGY CODE
09
— �✓ a
,'
FINAL
ADDITIONAL COMMENTS
.5
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TOWN Off'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 Plan&hC O C,\�,>S e--
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 r- Survey
SoutholdTown.NorthFork.net PERMIT NO. Q Check
Septic Form
N.Y.S.D.E.C.
Trustees
G Flood Permit
Examined 0 120 D + Storm-Water Assessment Form
Contact:
Approved 1 ,20 Mail to:
Disapproved a/c 2
} Phone:4l ( � J g
Expiration ,20 1
v
D E C E � U Building Inspector
APPLICATION FOR BUILDING PERMIT
SEP 9 2009
Date , 20
BLDG.DEPT. INSTRUCTIONS
TOWN OF SOUTHOLD
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,Courity, 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.
(Signatur f app cant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0 Lj V,
I�I bName of owner of premises h Q 5 y rn-e 5 T4 n r h 2 5
(As on the tax roll or latest died)
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.
1. Location of land on which proposed work will be done:
l D CA 1?14 eo �7z
House Number Street Ha Inlet
County Tax Map No. 1000 Section 0,5j .%D Block 0 4 - 0 0 Lot Q p 10
Subdivision Filed Map No. ( 0� 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- ej Yu -��
3. Nature of work(check which applicable): New Buildirig �� Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost—� 00 y 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 Reai
Depth Height Number of Stories,
8. Dimensions of entire new construction: Front Rear Depth
Height 101511
Number of Stories
9. Size of lot: Front /56 f-C. Rear / 7J 7 Depth a S1 _.-..
10. Date of Purchase yl I D 9 Name of Former Owner 3 e /it Sjrro Ta .P►="el?PS 41-
GIN
11. Zone or use district in which premises are situated �iDIV
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-X—
13. Will lot be re-graded? YES NO_b(_Will excess fill be removed from premises? YES NO_C
14. Names of Owner of premises l��or�osdl�ar�&0 kA7dress/�o•!`f��yuS7��.tc, Phone No.e -'/
Name of Architect Address Phone No
Name of Contractor(rAnyf!2(,0 Corn eye Address -/F)a►v eblexJc ,PtPhone No. 7 90 - /l003
l(y rrr I o e/i ll et N Y
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO a
* 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 -Ik
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF k (C
�n�y7 r&W being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ) O Lyl
(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.
Sworn before me this
day oL 20 �.
VICKI TOTW
MR. to ofi New York
Notary Public No.01T06190696 Sign re of AXIicant
Qualified in Suffolk County
Commission Expires July 28,20_
FED � Town= of Sou#hold
� Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
O1 PROPERTY LOCATION: s.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
,p�#ArSTORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN.
District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
--------------
Item Number. .'(NOTE: A Check Mark(4)for each Question is Required for a Complete Application) Yes No .
————————————————————————————————————————————————— —
Will this Project Retain All Storm-Water Run-Off Generated by a,Two(21)Inch Rainfall on Site? J
(This item will include all run-off created by site clearing and/or construction activities as well as all Site
Improvements and the permanent creation of impervious surfaces.) _
2 Does the Site'Plan and/or Survey Show All Proposed.Drainage Structures Indicating Size&Location?
This Item shall include all Proposed Grade Changes and Slopes,Controlling Surface WaterFlow!
$ Will-this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural ❑
Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel?
Q Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of a
Five Thousand(5,000)Square Feet of Ground Surface?
5 Is there a Natural Water Course Running through the Site? ❑ /
Is this Project within the Trustees jurisdiction or within'One Hundred(100')feet of a Wetland or Beach? Y
6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to ❑
One Hundred(100'.)of Horizontal Distance?
7. Will Driveways,Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off
into and/or in the direction of a Town right-of-way?
$ Will this Project Require the Placement of Material;Removal of Vegetation and/or the Construction of, ✓
any Item Within the Town Right-of-Way or Road Shoulder Area? a _
(This item will NOT include the Installation of Driveway Aprons.)'
9 Will this Project Require Site.Preparation within the One Hundred(100)Year Floodplain of any Watercourse?
NOTE: If Any Answer to Questions One through Nine is•Answered with a Check Markin the Box, a Storm-Water,Grading,
Drainage&Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl
———————— —————— ' ____
EXEMPTION: ---------------------- Yes
Does this project meet the minimum standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question,a Storm-Water,Grading,Drainage&Erosion Control Plan is NOT Requiredi
——— ——— ———————— ——————————
STATE OF NEW YORK,
COUNTY OF pp QQ II
.............`.�...SS
That.I,.... .Q .�C. ....: .:........�
..........being duly sworn,deposes and says that he/she is the applicant for Pennit,
(Name of individual signing Do enl)
And that he/she is the ................................................
t}•''•:•........................................................................................................
(Owner,Contractor,Agent,Corporate Officer,etc.)
Owner and/or representative of the Owner of Owners,and is duly authorized to perform or have performed the said work and to
snake 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 herewith.
Sworn to before ine this;
....... of....... ..................... 20 J
Gam- VICKI TOTH
�\ Notary Public: r � N owle .
\ (Signature of p licant
i8 in Suffolk Coun )
Av, i e,
PNI
c..>2" B T Lo-r- zg
i
44- I z
4o it
17$.00
THE LOCATION OFWELLS,WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FROM
OTHERS,
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il1'(rt.'.,,i�d.'.. 'P .. gib.✓:•�•:,',,.!I '•A4i:N,;d,'�•^.t:a49 Dtlt�rCltlli�l0 ..
Wit:ST,15LP;tut/i _•:inn .., Y,/ _• IIiU��li�ri:?. �„.
:,�•�,'".:r,.,e�,i',1' ,, .L�,1.1)Ia - jLtiT;:il::'r.lJllty I
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;�Opf.Of'•i-al,n Surviref,
1 Or?rf'rb.P\rp.•f(v•iUigtri
Unauthorized alteration or addition to this documents a oblation of Section 7200 SURVEY OF:of lha New York State Education Law.
COn his be to th indicated hereon shalCompany.
tin only to ntal Agency
for whom It Is /v V�� � ��� �
and on his be to the Tllle Com➢an,Governmental A tint and Lendingri'h,/'
Institution listed hereon,and to the assignees of the lending nsldulions or subse•
quent owners �� I��/�
Copies of this document not bearing Ice Professional's inked seal or embossed '!,FiC_4/i.1y11" 'Ip'{I,c•+'(�C�.jL seal shall not be considered is
valid irue copy
The offsets(or dimensions)shown hereon Lam structures to Ina property Imes are /�/' I� O�'
for a specilm purpose and use and therefore are not triantled to guide the erection of „1 lll«<...•••
lences,retaining walls,pools,patios,planting areas,addition to buildings or any other
conslrucnon
q� l
The essence of right of ways and/or easements o1 record,if any,not shown are Q('h,�t�,)',i
not guaranteed ��{� JH , DATE: I Z L3 G� SCALE: '? , 40
CERTIFIED ONLY TO: P� �Es7 �'GRAF r
A M DESTIN G. GRAF
FI »,� T 4__� ' >a LAND SURVEYOR
m LqP S£q 6J
By ; 73 WOODLAWN ROAD
DESTIN G.GRAF N.Y.S.LIC No.50067 ROCKY POINT,NEW YORK 11778
�� TAX I.D.No. I DOC)- J'ij - 04 - 44,Z �VVnrt PHONE(516)821.3442
01/04/199S 13:41 5168211190 PROKOP $ PROKOP PAGE 01
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12' X 161 Wood 1
New England Qualger
• Clay Duratemp —
T-111 Siding -�
•Almond Trim •. . �,� . .,,,
•Slate Shingles
•Red Doors
•Shutters Upgrade
• Transom Windows t
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in Doors Upgrade
• Gable Vents Upgrade
lip
4
OCCUPANCY OR
USE !S UNLAWFUL APPROVED AS NOTED
WITHOUT CERTIFICATE , DATE: rd 6R B.P.
FEE:, ba
OF OCCUPANCY NOTIFY BUILDING DFPA„3, NTE AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
ALL CONSTRUCTION SHALL 3. INSULATION
MEET THE REQUIREMENTS OF THE 4. FINAL - CONSTRUCTION MUST
CODES OF NEW YORK STATE. BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236 CERTIFICATION OF
OF THE TOWN CODE, NAILING & CONNECTIONS
t _ REQUIRED.
Me-
Mel* -
...Everyone
should have a
backyard for their own personal enjoyment. No one likes the thought of their lawn mower deteriorating
because it is kept outdoors. Neither do we enjoy cluttering our garages with our lawnmower and other
implements.Our solution'to your things is to organize your garden tools,implements,and small backyard
tools in a beautiful storage building!
When you own a storage building your children or grandchildren can play safely. Your valuables are
protected.When you need a certain item,you know where it is kept because it has a place to belong!You
also can keep your pets from harming themselves on sharp items. Backyards were meant to enjoy,and our
aim is to help you keep it that way.
Our buildings can be conveniently placed anywhere.Do you need storage options on your property?Or
does the school need a place to store their tools for the upkeep of the property? How about a convenient
storage for your church decorations or charity items? Our storage buildings are an attractive option for
your needs!
Our buildings are built to endure and last! Look at our construction diagram below.
Thanks for choosing our buildings! Our goal is to provide complete satisfaction with your purchase.
Quality Construction
Rafters Roof Sheathin
2°x 4°-16°on Center g
1/2'4-ply Plywood
Exterior Siding w Shingles
Dura Temp 30 Year
Siding ❑
/' Warranty
i
Top Plate ^* t I I
Double 2°x 4• . , ■■
Side Walls
2"x 4°-16'on Center
tt f r
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Foundation
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6'.O'•4C1-0'Vans -I .
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Plan Tltlsl
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Standard A p}me Walls are 76 Ifs"from Shed Floor to Top of Donble Plate
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8'A Frame 108" .
10'A-Frame 113" 9"Higher Walls gx6�6'�Garage Door Higher Walls 9x7 Garage Door 126"
12'A-Frame 117" Standard•Walls 8x6 6' Garage Door 9' €� "
14'A-Frame 122" . Standard Walls 9x6'6" Garage Door 9"Higher Walls 9x7 Garage Door 131
SPe tandard Ca Cod and Hip Roof Walls are 76 IM'from Shed Floor to Top of Double Plate
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8'Cape Cod 115" er Walls 8x6,6!, Garage Door 133"
9 High
10'Cape Cod 123" a Door 135"
12'Cape Cod 129" Standard Walls gx6'6"Garage Door 6"Higher Walls 9x6'6" Garag
Standard Q,Aer Back Wall 74"-Front Wall 86"from Shed Floor to Top of Double Plate
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8'Quaker 113 11T'
10' uaker 122"
12'.Quaker 126'
Standard Dutch Walls are 74.D2»from Shed Floor to Top of Double Plate
8'Dutch 123 11T'
10'Dutch 1261/2" Standard Walls 8a7 Garage Door
12Dutch 129" Standard Walls 9x7 Garage Door
14'Dutch 129" Standard Walls 9a7 Garage Door
Garage Door Width is First ExamPle 9X1 (9'wide x Thigh)
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