HomeMy WebLinkAbout37149-Z Fp ply. Town of Southold Annex 6/12/2012
�0� COGyc P.O.Box 1179
y 54375 Main Road
o o hs Southold,New York 11971
� {ter
CERTIFICATE OF OCCUPANCY
No: 35748 Date: 6/12/2012
THIS CERTIFIES that the building DECK
Location of Property: 850 (aka 711)Wiggins St, Greenport,
SCTM#: 473889 See/Block/Lot: 48.4-32
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofFiced dated
4/10/2012 pursuant to which Building Permit No. 37149 dated 4/20/2012
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:
12'X 22'deck addition as qpplied for.
The certificate is issued to Donald&Tonia Wachtel
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
yh ' ed ignature
�SufFot� TOWN OF SOUTHOLD
moo c°may BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLDe 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#: 37149 Date: 4/20/2012
Permission is hereby granted to:
Wachtel, Donald & Wachtel, Tonia
711 Wiggins St
Greenport, NY 11944
To: to construct a 12' X 22' deck addition as applied for
At premises located at:
850 Wiggins St, Greenport
SCTM # 473889
Sec/Block/Lot# 48.-1-32
Pursuant to application dated 4/10/2012 and approved by the Building Inspector.
To expire on 10/20/2013.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $305.60
CO -ADDITION TO DWELLING $50.00
Total: $355.60
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, 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 i% 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. "J--
New Construction: X Old or Pre-existing Building: (check one)
_Location of Property: ptsf V,
House No. reet Hamle
Owner or Owners of Property: i
Suffolk County Tax Map No 1000, Section Ll 1K Block Lot
Subdivision Filed Map. Lot:
Permit No. � Lto l Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
1
cOUMY,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLOD.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: oi�-- Z3-r L�o
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DATE i y INSPECTOR
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT.A ' Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans 1i
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey V'
SoutholdTown.NorthFork.net PERMIT NO. � Check V_
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Stone-Water Assessment Form
Contact:
Approved 20_GL_ Mail to: 711,
Disapproved a/c
Phone:
Expiration
DBuilding Inspector
APR 10 2012 P ICATION FOR BUILDING PERMIT
BLDG.DEFT. Date [' , 20
TOWN OF SOUTHOLD 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.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, 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. I��
Other Trade's License No. 1��
1. Location of land on which L work will be done: b W
proposed \(�
House Number Street Hamlet
County Tax Map No..1000 Section q S, Block C 1 Lot ?j�_
Subdivision �b 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 L- .r ��`� 1�1�I,VC,
b. Intended use and occupanc}� AA tj-(-,
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost 3 Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units l 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 q I Rear ,PA r Depth 3�
Height Number of Stories
. r
Dimensions of same structure with alterations or additions: Front Rear
Depth q-2 ( Height 30 ` Number of Stories
8. Dimensions of entire new construction: Front �_� Rear _ / Depth t oL ?
Height 5j1iae QccWumber of Stories
� s
9. Size of lot: Front Rear r'd' Depth
10. Date of Purchase ?pu Name of Former Owners
act�
11. Zone or use district in which premises are situated /00
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 lcu\\k t�S -kAddress 71( 1�j i(1q/n5 No. 631 —
Name of Architect Address Phone No
Name of Contractor -7c-)y2j.- Woodti t-1 Address 71l Ins Phone No. 5� -
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 )
X � being duly sworn, deposes and says that(s)he is the applicant
(Name of iiidiy' ual signing contract) above named, a®NNIE D. BUNCH
fib notary Public,State of New Yoric
- No.01 BU6185050
Qualified in Suffolk(S)He is the 7C _ L.�—
untv
(Contractor Agent, Corporate Officer, etc. l 14
g p � ) Commission Expires April 1d,2�
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.
1
Sworn to before me thisa
hh—tt--� day of
Notary Public Signature of Applicant
J
d°S"FFQ
� Town of Southold
z Erosion, Sedimentation & Storm Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: s.C.T.M.if: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
01 t�f STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN
i6'strict section flock Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No
a. What is the Total Area the Project Parcels? o Will this Project Retain All Storm-Water Run-Off
(Include Total Area of allll Parcels located within 1-/ f Go Generated by a Two(21 Inch Rainfall on Site?
the Scope of Work for Proposed Construction) c0
(S.F./Acres)/ ) (This item Will include all run-off created by site :D
b. What-is the Total Area of Land Clearing clearing and/or construction activities as well as all —
and/or Ground Disturbance for the proposed 6j Site Improvements and'the permanent creation of
construction activity? (s F/� impervious surfaces.)
PROVIDE BRIEF PROJECT DESCRIPTION (ProvkleAdaitional Pages asNeededl 2 Does the Site Plan and Indicating
Si e&Lora Proposed
Drainage Structures Indicating Size�Location?This
Item shall include all Proposed Grade Changes and
N�)6 A&kv` Q cv 7 Slopes Controlling Surface Water Flow.
$ Does the Site Plan and/or Survey describe the erosion .
L i:� and sediment control practices that will be used to
/ control site erosion and storm water discharges. This —
vZx item must be maintained throughout the Entire
Construction Period.
4 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?
rj Will this Application Require Land Disturbing Activities
Encompassing an Area in Excess of Five Thousand
(5,000'S.F.)Square Feet of Ground.Surface? D
6 Is there a Natural Water Course Running through the /
Site? Is this Project within the Trustees jurisdiction D (�
General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or �--
Submission of a SWPPP is required for all Construction activities involving soil Beach?
disturbances of one(1)or more acres;including disturbances of less than one acre that 7 Wilr there be Site preparation on Existing Grade Slopes
are part of a larger.common plan that will Ultimately disturb one or more acres of land;
including Construction activities involving soil disturbances of less than one(1)acre where which Exceed Fifteen(15)feet of Verticaf Rise to
the DEC has determined that a SPDES permit is required for storm water discharges. • One Hundred(100')Of Horizontal-Distance'?
(SWPP.P's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,parking Areas or other Impervious
for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off
1.The SWPPP shall be prepared prior to the submittal of the NOI.The Not shalt be into and/or in the direction of a Town right-of-way? El '(
—submitted to the Department prior to the commencement of constriction activity.
2.The SWPPP shall describe the erosion and-sediment control practices and where 9 Will this Project Require-the Placement of Material,
required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any
constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way Or Road Shoulder
compliance with the terms and conditions of this pertnk.In addition,the SWPPP shall
Identify potential sources of pollution which may reasonably be expected to affect the Area?(Thus item will NOT Include the Idstallatton otofirewayAprona)
quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark
3.All SWPPPs'that require the post-construction storm water management practice to a Box and the.constructton site disturbance is between 5,000 S F.&i Acre in area,
component shall ba'prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of
that is knowledgeable Inthe principles and practices of storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit
(NOTE: A Chedc Mark(;�)and/or Answer for each Question Is Required for a Complete Application)
I
STATE OF NEW YORK, Notary Public, State of New York �
COUNTY OF 5 • -/..\,•V•..........SS Na.01 BU6185050... '
Qualified in Suffolk County
1 1 I Commission Expires April 14,2�
/fiat I,................ R W A L K�-� t
• •• •Ind-WI •••••• 9•••••••••••�............••.....being duly sworn,deposes and says that he/she is the applicant for Permtt,
{Name of indivt al s min Document
And that he/she is the ........��...,.9...,.
(Owner..Contractor;Agent.Corporate Oflicer.•etc).•.•... .• •. ••••.. ... •••...... •.••• .
Owner and/or representative of the 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 herewith.
Sworn to before me this;
............1. '?..................day of. .'. ........ . .......................,20./o1,
Notary Pub
lic: ........
C��` xals/�...... r� 1 .11, � 4 ....
:.can..,..,
FORM - 06/10 (Signature of Applicant)
.
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49.7 50.0
WI GGI NS STREET
EDGE OF PAVEMENT
O.H. WIRES
S89'36'39"E 50.00'
49.2 WATER 50.0 4i 100.0'
METER I
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72'
24.01
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N&W 2.9' '
LOT 38 ' . . LOT 36 '
LOT 37
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LOT 41 LOT 42 LOT 43
CERTIFIED TO: SURVEY OF
FIDELITY NATIONAL TITLE INSURANCE COMPANY L 0 T 37
DONALD E. WACHTEL
MAP OF PLAN OF THE
S. BUEL CORWIN ESTATE
EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED Sl TUA TE A T
ARE NOT GUARANTEEiD
UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT
THE TIME OF THE SURVEY. GREENPORT
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR TOWN OF SOUTHOLD
WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM-
PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, SUFFOLK COUNTY, NEW YORK
AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE
NOT TRANSFERABLE TO ADDITIONAL INSTITUTONS OR SUBSEQUENT OWNERS „ ,
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO SCALE 1 = 20 JULY 9, 1998
THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE-
FORE ARE NOT INTENDED TO GUIDE THE EREC77ON OF FENCES, RETAINING S C.T M. DIST. 1000 SEC.48 BLK. 01 LOT 32
WALLS, POOLS, PATIOS, PLANTING AREAS, ADD/TI GS AND
ANY OTHER CONSTRUCTION. o }�
JOB N0. F9 300 CO �� RFs
MAP NO. 548 ' L► u
FILED I2123/I930 :: ::;:
REVISIONS:. 132 :.. >:;;; o : . ':,.';.;;':..' h way
o� Ho "on Ba N.Y. 46
1019198 ADD 70P0 o (631) 8-5330
Il/03199 ADD PROP. DWELLING
0712412001 REVISE PROPOSED HOUSE C(AND SV�
0" W 2001 PR.'HOUSE STAKEOUT Marc E. Charest, L.S.
08/21/2001 UNDER CONSMUC77ON Successors to
Paul T. Canalizo, L.S. Robert A. Kart, L.S.
license no. 050149 Good Ground Surveyors, P.C.
F
NAIWNG' G ;aNEC TIONS c
REQUIRED.
a
1.
r�
AP�BQYED-malNOTED
PATE- ao Jl B.P.
B
NOTIFY BUILDING DEPARTMENT AT
_ A�� ' 765-1802 8 AM TO 4 PM FOR THE
I�Cc
I � FOLLOWING INSPECTIONS:
UNLAWFUL 1. FOUNDATION-TWO REQUIRED
A�E GERTlFl� FOR POURED CONCRETE
2. ROUGH-FRAMING,PLUMBING,
N y`' STRAPPING. ELECTRICAL&CAULKING
or- �������� 3. INSULATION
1 4. FINAL-CONSTRUCTION&ELECTRICAL
I MUST BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
I REQUIREMENTS OF THE CODES OF NEW
ORK STATE. NOT RESPONSIBLE FOR
SIGN OR CONSTRUCTION ERRORS.
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