HomeMy WebLinkAbout37071-Z oT. Town of Southold Annex
g�EFOI,�c 4/7/2012
30� oGy� P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35523 Date: 4/7/2012
THIS CERTIFIES that the building SHED
Location of Property: 455 Woodside Ln, Laurel,
SCTM#: 473889 Sec/Block/Lot: 127.-9-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore, filed in this officed dated
3/9/2012 pursuant to which Building Permit No. 37071 dated 3/16/2012
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" 10'X 12'accessory shed as applied for.
The certificate is issued to Scaparro,Charles
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
r
Auth ed Signature
��SaFfall( TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 37071 Date: 3/16/2012
Permission is hereby granted to:
Scaparro, Charles
455 Woodside Ln
Laurel, NY 11948
To: install "As Built" 10' X 12' accessory shed as applied for
At premises located at:
455 Woodside Ln, Laurel
SCTM # 473889
Sec/Block/Lot# 127.-9-29
Pursuant to application dated 3/9/2012 and approved by the Building Inspector.
To expire on 9/15/2013.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $296.00
CO -ACCESSORY BUILDING $50.00
Total: $346.00
Building Inspector
W�
✓30 I 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, 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. L
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. ' 2 '3 —
New Construction: Old or Pre-existing Building: �o (check one)
Location of Property: )00d<f 1>F Ne—
f�
House No. Street Harnlet
Owner or Owners of Property: 1 1, �C-�
Suffolk County Tax Map No 1000, Section /d Block Lot a
Subdivision Filed Map. Lot:
Permit No. 3 /� Date of Permit. 3,16 - ) Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
tV
Fee Submitted: $
Applicant Signatu
SOpT�o�
.3 7 0 7 1
ao
couMv,N�'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION .
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
- ®f C .�,--r'� C-, r- 0
DATE INSPECTOR
MD IN$PE, dN ItEP 7C DAB CD1VIl1�1�TS.
FOUNDATION(IST). � .
Itl� MMNM!7.�po� w� rwtltltl �tl .. ..
FOMATION(2ND) C?
0
U` rA
ROUG$ IYITNCF& t�
IMUL•AIMN PIM.N.X.
STATE EMGY CODS '
L-dt: l].
FwAL
ADDITIONAL.CODVgNTS .
m
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. �?��D �rl Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined / ,20_L�)— Single&Separate
Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:(/3 " 3 3�
Expiration 20_3
r V Building Inspector
2012 PPLICATION FOR BUILDING PERMIT n
Date cu 4!, S, . , 20
BLDG.D[PT 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 Pen-nit.
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 Pen-nit 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)
��' � (Mailing add-ess o applicant)
AP AS
State whether applicant is o ier, esse , agent, aileect, t gib neer, general contractors e ec ric an p N T�Dr or builder
DATE' 4 �a B.P.#-,Zio -71
E
Name of owner of premises 0 17✓Z C� /� ��- 1ZN
`fT BUILDING DEPAUTN4EN8 1 FOR THE
(As on the tax roll or laMt �G INSPECTI(- +S:
If applicant is a corporation, signature of dul authorized officer 1. FOUNDATION-TWCI RE0UIRFD
CIaI�A,NCY 0 R FOR POURED CON(
(Name and title of corporate aficer, 2. ROUGH-FRAMING
Builders License No. "°) "� ?� _ �� , �k� RAPPING. ELE -;' _ & C AULKIN,
3 INSULATION
Plumbers License No. V I...�ypA , 'Ul ��PF..u��FICA� 4 ritiAL C0NS�2�JC- i 4 - ...tip
Electricians License No. 4— , , u,, ',J JST BE CCN1P �T : G
r w, ALL CONS-R! 7 N q.:ALL VEF.. 7
Other Trade's License No. " ���� "� '��� � :� �
^EOLJIRFV:V 'r ',iE . .'uES FV0
1. Location of land on which proposed work will be one: DESoGN OR GOnS RUC-10N ERRt.,-•._,
House Number Street Hamlet p
County Tax Map No. 1000 Section l �� Block 7 Lot a
Subdivision Filed Map No. Lot -.2-
2. State existing use and occupancy of pre ses and intended use and occupancy of proposed construction:
a. Existing use and occupancy 47- 1D
b. Intended use and occupancy_ L�
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 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.
f.
7. Dimensions of existing structures, if any: Front 12 Rear z Depth 6)
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 ?d S , s� Rear a Depth
10. Date of Purchase Naive 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 s ey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDt5� COp
STATE OF NEW•YORk)
SS:
COUNTY OF.._ .. .',_._._.._,a a.{. ;`.'``'
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)!above named, CONNIE D.BUNCH
Notary Public,State of New Y,.
(S)He is the ' No.01BU6185050
(Contractor A ent Cor orate Officer etc. ua m o '' `'
' g Cop orate Commission Expires I�.�IIly. 2po
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.
S r to before me
day ot iC/1 -20/
O'��"n
Notary Public Signature 6YApplicant
L
`WOODSIDE LANE
T .I .: :_ .. EIEcrN1Vt r¢-w.u•
'' � 57 261;18 E 204 tl0` ewq .
1
I1 WQp
- •P 1 CE55°GOL,• GI �
1 u NITFEU wxN d � t�'1
i • n
17.7'
25 0 `
12 7 2.0'
2 STORY t'+ co 1V000 STEPS
,I E"RESIpENCE!`? W WJRAILING
19.6
i� .. , 2I.2 'k90D OE[I( W ORRICE
II ... 39.7
4• - t I ORNERY
' - BLVE ! /
I o7c�otiSha
205.52
a.
S 50:27 48 W.
•�! , F. GUARANTEES INDICATED HERE ON SHALL RUN
_ ONLY TO THE PERSGN FOR WIOM THE SUR4E'Y
FARM �T' - � IS PREPARED,AND ON HIS BEHALF TO THE
RILE COMPANY,GOVERNMENTAL AGENCY,
i (VACANT.LAND} >:I LENDING
IN5TIN1/0N„IF Il$TED.HEREON,,,AND,,. ..
TO THE ASSrGNEES CF7HE'LENDING INSRTUIiON.
GUARANTEES ARE NOT TRANSFERABLE TO, '
ADD17ONAL INSTITUTIONS OR SUBSEQUENT 015NE6S
.I 3 UNAUTHORIZED.ALT" 170N OR ADDIRON TO'TH/S
SURVEY l5 A'NOLARON OF SECDON 7109 OF
THE NEW YORK STATE EDUCA7i0N LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONsYDERED TO BE A VALID TRUE
. E E COPY.
I'
t _.SURVEY OF
L0T 29
I •- .
I IN
MAP OEOLpENr VIEW ESTATES
SITUATE
. LAUREL, TOWN OF. .SOUTHOLD
f S[1FFOLK COUNTY, N.Y.
SUURVEYED„FOR, CHARLES SCAPARRO
SURVEYED:,6 JANUARY 2000
j DATE'FILED AC GUT 30i SCALE 1"= 40'-'1984 f
AREA = 40,292 S.F.
TLC ,,.1000 12 9-029. OR .
a S ri� t _ _ _ _ 0.925 ACRES
ry• l S� � rY E w 3��hRC.,_N. Rr e� Tr
, 'Esfr`t��•,t s 'u �i�'t I m
1 �
a a
A! - . �3} Tr, S 7-+c C �. �,, *> .. g. + r'-o!•!"3•gt ha%9.T.t.cY1
k °"ur, !�H>Sx y p z r' I^1 t, .❑ c andSaya.
J.
:ED` lJ r?mv.
r , I _
pa f7ent
GUARANrFED
CHA:RLES AP RCvT
FIDELITYlA l L fN5' CO a° ? L z¢, 1 SURVEYED BY
STANLEY J. ISAKSEN, JR.
! 1 s'c TT P.O. BOX '294
NEW SOFFOLK. N.Y: 11.956
631-73 =5 5
rI9 } tI rat
is
�_ y:� �,, L 7 �G�Ci •,,r S ) d TL-�w ,x^n r�'
4 , t 3 115 S!'PTEI.IC3ER 12D03� FINAL SURVEY' .ENSED ND SURyEY�'
x, 222 SEfsTEMQER 2Z100 ,.LO,CATE'POURED CONC. FOUNDATION.. NYS LTC. No, 49273( I. ''31 DULY=2000 ':REV) It PROP.'HOUSE LOCATION.
Customer Service And Quality Are Our Top Priorities
Kaufold's is a Family Owned Company Since 1985
Delivery Available NY,CT,NJ,PA,ME,NH
Vinyl Siding -
Color'Options
-Alpine.Blue K'hiUe. [seam Almund "'Island5and Gtay AdokTan Clay CadeiGmy
Shingle Color. - -
�Optlons'
%Ihite` Blir&, Dual'Gray° .Weathered Copped +odd
Op ions
PadFlt,B[ue, '�rimn T T EiEx[ �Gr 11 twain QW Mist BlLle Ividte• Black"R I
double pf)ivood gussets 2416'.10.C. 112"3-ply or 20 yr-:240 lb.asphalt shingle
rafters 088 sheathing or optional 25yr.:anchitectural shingle
aluminum soffit
facia&drip edge
2x4W.O.C.
sidel�'alls vinyi.siding
double four
DuthIap
44pressure
treated skid
N 161, ac.
pressu re treated 23.raised 6'black
floorjoists W1 exNrior I!2"3-ply d.ecoratin hinges
pressure treated sheathing panel steel door
5-ply pljvood 24 gauge
*Vinyl Sided Quaker (colors may vary from actual color)
Quaker V4 x 8 $2,585.00 Add to Cart View Cart
Quaker U..in*L8 x 10 $2,815.00 AddtoCortj View Cart
Quaker Vinyl 8 x 12 $3,150.00 --AddloCartj View Cart'
Quaker 8 x 14 $3,465.00 AddtoCartj View Cart
Kaufold"s
Coy. n" Sheds & Gazebos
Standard Construction &Features
225#-20 ytiv UZ,CON,plyw(K-d 16'0,C.,d<*blr
g4jannittv 61ILphaft Self, tonfAvildlict.,! gnmLwd rutif IntswY.
for unnoulwdromg-th
suffim Rn
frve,MIUMIMINI qighwesi
Lk w;md
Owthing on
all RVIM iidcs Full 2A,
Olinlitl:ffills, kiln dried
stivA-ing(will
wifler runoll,
Alkinflunnt jaiousio
WilLJOW1 Wilh SCkM),
&.4tistwirs,or du"u
opti4m.11 ivindmN
1.1textwrylic o%turim I-ohit in rREA711.0 4A'(otinklaflon Lmnn.k
}Xmtr A(Ace of eolllfs B.C.5 111V JAYMMid lloor
jackf.&headers in all O.C.IIII-Var JOWS
d4vr framing to nLcL:t
Maintenarice fnm
INTIffe"Ip,VT T I..I I all Staw and Lxnal. Frill Z%4'sJll
iir"iding,25 wo t building Codes plaws 4,16 call foot Pressure Tffented Foundollion Booms
Wa7rallEVO
�E)ifrafdrV is genuhic Om-find siding 11rljt qinlik€
Ordinmy pJ"rcKiiL.9uY4aikTnp'lim a,Wtigh,OaLural 113 34 l 14
hi(Aing.4iihce 4.611-tcroper,6d hardl.vaicl-It will-n'Q'E I 1Y.W62!born;
split,chcck or Crack Ili kv.wri-ver prod ticts Merateml)Y
fhce'Ls nkwv i IM f-dear and lim ofpiwhts-a a-rcpain, i xa 33k.. I
U Ill"k 611 gh-enot 1p.I I.to 60.sisf:d6n, ts acid da i i Ln,,�e.
weathvi and`t 1UJXTRtk1re i6id kLeips im pailit ulr to 141466
- L1 N��Tdlmd for 25,y6ntr. E3 Q
.The.Mini Sem and Hi.gh Sijc Ba ffi:feat udc hell 2A-sill 7
pk)(0%o1i dINO."Ado.s. All lyjilding�s;ite itilk.!w;,ciTibled and'deliveted w.votif
�`C
Shingle
loot iojos.
W130d
p jL*� t.:C
aii
.00
dark Gray lij&hE`Ga y. Clay fprTF4T
A crib adhi Seltnont B kh" W-1i
rkSIOMWAM1
*Quaker Duratemp TI-11 (colors may vary from actual color)
le X/ 2
Quaker 8 x 8 $2,115.00 -AddtoCart] View Cart
Quaker 8 x 10 $2,325.00 Add to Cart! View Cart
Quaker Vinyl 8 x 16 $3,750.00 Add to Cart View Cart
Quaker 10 x 10 Vinyl $3,500.00 Add to Cart View Cart'
Quaker 10 x 12 Vinyl $3,795.00 Add to Cart .View Cart
Quaker 10 x 14 Vinyl $4,150.00 Addj&j;qqj Vlew Cart
Quaker 10 x 16 Vinyl $4,450.00 Add to Cart View Carte
Quaker 1 Ox18 Vinyl $4,875.00 Add to Cart'. View Cart
Kaufold's Country Sheds & Gazebos, Inc
724 Middle Country Rd
Ridge, NY 11961
631-924-1265
Email Kaufolds Sheds &f Gazebos
Not responsible for typographical erros or content erros