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HomeMy WebLinkAbout37165-Z z. Town of Southold Annex S�FFa(� 6/12/2012 P.O.Box 1179 54375 Main Road oy • Southold,New York 11971 Yd CERTIFICATE OF OCCUPANCY No: 35749 Date: 6/12/2012 THIS CERTIFIES that the building ACCESSORY Location of Property: 3865 Bridge Ln, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 84.4-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/16/2012 pursuant to which Building Permit No. 37165 dated 4/25/2012 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: accessory gazebo as applied for. The certificate is issued to Joseph&Kathleen Caroli (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o ed igna re �Sv�FOLk TOWN OF SOUTHOLD �o�y BUILDING DEPARTMENT 2 TOWN CLERK'S OFFICE oy • 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 #: 37165 Date: 4/25/2012 Permission is hereby granted to: Caroli, Joseph & Caroli, Kathleen 3865 Bridge Ln Cutchogue, NY .11935 To: construct an accessory gazebo as applied for At premises located at: 3865 Bridge Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 84.-4-11.1 Pursuant to application dated 4/16/2012 and approved by the Building Inspector. To expire on 10/25/2013. Fees: ALTERATION OF ACCESSORY BUILDINGS $157.60 CO -ACCESSORY BUILDING $50.00 Total: $207.60 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 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) ::on-conforming uses,or buildings and "pyre-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. New Construction: &6,Z'e �� Old or Pre-existing Building: (check one) a p Location of Property: 5 al aQ mod,p(� . U C. 3 House No. p Street ff Harnie Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 4- Block q- Lot Subdivision S U ���� No qn-T Filed Ma Lot: � Permit No. .Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ � Appl ant Signature / pF SO(/r�0 o�yCO�'N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING/STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: &�� I L_X) Ao cl—,/� DATE INSPECTOR G c pF SOpj�o - -- - o�yCOU�,N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL OUGH) [ ] ELECTRICAL (FINAL) REMARKS: s- DATE lY INSPECTOR COLD M.V.Z EP 7C DAB CAN NTS. FOUNDATION(I:ST) 77 wMwr'AP1Nwnr�rw �� ',Y FOUNDA� IE0(2ND) 120UG$i� YiV�•& � INSUL•ATION Pit N.Y. y STATE FOGY CODT FINAL ' j ADDI 'IONAL CO�YIIIENUTS . TOWN OF�OUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDINdDEPARTMENT Do you have or need the following,before applying? TOWNHALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 / -'-j Survey SoutholdTown.NorthFork.net PERMIT NO. 3 7`� Check /DO 4- SCE gQL-9 Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 2012� Single&Separate Storm-Water Assessment Form Contact: Approved �016 '20 6/)' Mail to: Disapproved a/c Phone: l 6" SFj 7 w a o Expiration /d 20 13 516 C436 :TOWN :OFSOUTHOLD —gyp 2 U is Bui din Inspector ® E 2012 PLICATION FOR BUILDING PERMIT Date , 20 1�2 EPT. 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. Cr(7SinatVapplicant or name, if a corporation) 3945 5j jd j-e �-a n-e 0_u+eG , C 6 3 5 (Mailing addressof applicant) ED State whether applicant is owner, lessee agent architect engineer, general conR&051�1�4 2ialloTlumber or builder pP b b , g > p P. GGo.) `e 1>�7 :- i l Name of owner of premises o SO, T Cav© 0 a a vt r ,1 c� .��? F Fr' (As on the tax roll or lalestciee ? F�t, fF.,f'� If applicant is a corporation, signature of duly authorized officer FOLLOV'JI RFOUiRED F O IJ iv L�r (Name and title of corporatO - � �• PANCY OR H-FRAMING,PLUMBING. Builders License No. ��RAPPING,ELECTRICAL&CAULKING Plumbers License No. 1` 11 INSULATION Electricians License No. a F INAL-CONSTRUCTION&-,ELECTRICAL Other Trade's License No. I AT r MUST BE COMPLETE CTp�SHA�M ET THE (IF�,n ����P �� ��Y ALL CONSTRUCTION �REMENTS OF THE CODES OF NEW 1. Location of land on which proposed work will be done: YQRK STATE. NOT RESPONSIBLE FOR C , I N OR CONSTRUCTION ERRORS. House Number . Street Hamlet ' County Tax Map No. 1000 Section 0 94- Block 6 4 Lot fl , Subdivision ,e h Filed Map No. Lot - i 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy R� S,t d .c 6 O_ .e b. Intended use and occupancy Cafe- Ckc&Ir a-X G,4 i 0.i 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work tz, (an ft - De cs ription) 4. Estimated Cost 51 3 7 1 o S/ Fee (To be paid on filing this a plication) 5. If dwelling, number of dwelling units W 9 Number of dwelling units on each floor If garage, number of cars /V!,¢ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 'U1,4 7. Dimensions of existing structures, if any: Front 7 . ri Rear 7 Z', �j' Depth Zql //t Height lIT ` Number of Stories . .. ......... Dime - of same structure with alt ratinns r d ition : Front Depth Height Number of,,Stories 8. Dimensions of entire new construction: Front Z t Rear ( Z t" Depth.' Height 1 t Number of Stories i �- 9. Size of lot: Front '0 Rear 2( 3 �� j Depth 7 olkl__._ t 10. Date of Purchase 7 &t Name of Former Owner .5kalvew1,o 12S 11. Zone or use district in which premises are situated desl'A & m4ia I AQhIeu /` POL 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO� 13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO /Ul/q Jew w KA loci% 0—mGC i 14. Names of Owner of premises A dress 3R 6 S @SP1C e. �ct'0-' Phone No. 5 t(-S'&7 2 a4-9 t J) d Addressr y4ahoocte N. .MrPhone No Name of Contractor,4C&U-Ft l D Is shg s a-6d ddress-7a4 AAW e c ail tro Phone No. 6 31-1 if 1.4-1199 P2 t, aJ.�. I lab r d 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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 x * IF YES, PROVIDE A.COPY. STATE OF NEW V`ORK) SS COUNTY OF 5u1 o(-I( 16S.Z c� �a o^c� ( � being duly sworn, deposes and says that(s)he is the applicant (Name o individual signing contract).above named, CONNIE D.BUNCH VHe is the:., 6'V-1— Notary Public,State of New York gAi`r'actor, Agent, Corporate Officer, etc.) , Quaiffled in Suffolk County �! -1 �iiI7 0 .i? I"n1T�,� 'ti Commission Expires April 14,2QLC of said owner or owU�1 rs� yya41�6rized to perform or have performed the said work and to make and file this application; that all statem&ATZ3ftdAk4jVItt9s�l� p anon are true to the best of his lalowledge and belief; and that the work will be performeelinlIP��� Q ifffdvtjq hlg��p�lication filed therewith. .01?1812Nii9?.:h TWi i ATE S oru,to before me' s IT�U T2t?C� Ao rl�JI2: day of 20 / ` Notary Public ignature of Applicant �.�S" k Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM o PROPERTY LOCATION: S.C.T.M.#. THE FOLLOWING ACTIgc� ONS MAY REQUIRE THE SUBMISSION OF A i y 1 / STORM WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN ! —Co-t CERTIFIED BY A DESIGN PROFESSIONAL iN THE STATE OF NEW YORK. } SCOPE OF WORK - PROPOSED CONSTRUCTION ITEIVI# / WORKASSESSMEN'P Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain AN Storm Water Run-Off(include Total Area of all Parcels located within l IA- Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction} (s F rAm* (This item will include all run-off created by site 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 5 rJ Site Improvements and the permanent creation of i construction activity? (s.F.rat�c) impervious surfaces.) i z Does the Site Plan and/or Survey Show All Prop osed i PROVIDE BRIEF PROJECT DESCRIPTION tPrordaAddx�,�I Pages aewoeaeeh Drainage Structures Indicating Size&Location?This Item shall include all Proposed Grade Changes and a I I g Slopes Controlling Surface Water Flow. fn Kwu , Does the Site Plan and/or Survey describe the erosion ^� and sediment control practices that will be used to V/ ❑ j. i i I- n control site erosion and storm water discharges. This P ! &Q, z e V)a -- c u C g O�e d' item must be maintained throughout the Entire c Construction Period. 'f' N-� ° 6 q Q U 1ACQ 4 Will this Project Require any Land Filling,Grading or i Excavation where there is a change to the Natural e e Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? j Will this Application Require Land Disturbing Activities i• Encompassing an Area In Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction y General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or -- i Submission of a SWPPP is required for all Construction activities involving soil Beach? I disturbances of one.(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopesi are part of a larger common plan that will ultimately disturb one or more aces of land; which Exceed Fifteen(15)feet of Vertical Rise to �! i including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? I f the DEC has determined that a SPDES permit Is required for storm water discharges, j. (SWPPP'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-"Q-D01.) Surfaces be Sloped to Direct Storm-Water Run-Off d/ I 1.The SWPPP shall be prepared prior to the submittal of the NOL The NOl shall be into and/or in the direction of a Town right-of-way?submitted to the Department prior to the commencement of construction activity. I I 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 he 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 permit.In addition,the SWPPP shall — Area?(rhls Item will NOT Include the tra�llatlon of Driveway Aprofr9,)identify potential sources of pollution which may reasonably be expelled to aifect the - 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-censtructlon storm water management practice in a Box and the construction sire disturbance Is between 5,00D S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm Water,Grading,Drainage'&Erasion Control Plan fa Required by the Town of that Is knowledgeable In the principles and practices of Storm Water Management, Southold and Must be Submitted for Review Prior to Issuande of Any Building Permit. (NOTE: A Check Mark(♦)and/or Answer for each Questkn Is Required for a Complwo Appihftn) , ! j CONNIE D.BUNCH I j STATE OF NEW YORK, l��o�I_ C I� Notary Public,State of New York COUNTY OF .................SS m S J I No.01BS Suffolk C0 nn� y That I l,4 Qualified in Suffolk County, being duly sworn, (Name of individual slgrfng Document) 3�t�Dtt�/ gstl�e ant for Permit, And that he/she is the ..................... (Oumer,Contractor.Agent Corporate Ofllcer,etc.) ........ Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have petformed the said work and to make and file this application;that all statements contained in this application are true to the best of his luitowledge and belief;and that the work Hill be performed in the manner set forth in the application filed herewith. -Swom Ito be�forrJe me this; A , ...........1. ..T.'►1... ...............day�of�':.15.......... .....;..... ...20 Notary Public ... - {Signatu•of Applicant) � FORM - 06/10 i Kavtfold S •Counhy Sheds & Gazebos Standard Gazebo Structural Features All gazebos are delivered completely constructed unless ordered in modular form (as indicated with a * by gazebo style). All wood is .40 CA #1 Southern Yellow Natural Select (Arsenic Free) Pine providing maximum,strength and longevity (40 yrs.). The wood is also kiln dried twice to eliminate twisting, shrinking and waiting time before painting or sealing. All wood is milled and machined on all four sides. Custom Lowered _ Perlins Machined& Cupola Milled Painting of gazebos include Beveled Roof Caps for 2 x 6 Roof Rafters painted Perlins&Rafters to perfect fit , produce a crisp detail-in #1 24"Western Red contrast against the cedar Cedar Shingles,kiln shingles dried(no curling),triple coverage ventilating Soffit pro- Each of the 8 Roof 2x6 vides 10%additional air- `. scr Cornice Seams flow �1 screwed with 6 stainless steel for maximum strength &stability Full, Unrestricted Baluster Railing both top view,VW'to &bottom are secured Roof Cornice Milled 4x4 Posts support with stainless steel rafters to floor foundation screws Choice of Baluster 1 Custom Screens include Railing 1x3 or 2x2 a quality pressure treated wood screen door ` A + c c Each of the 8floor - seams screwed with 6 F, ' a : stainless steel screws Double 2x6 Floor Joists tiTti"1�a61f2t f �+;4 101 for maximum strength& �.t rY fit fastening area for deck Custom Screen Option Includes: A.1x3 Spindles 30"door (with closer&latch) hung on 3 sturdy decorative hinges and centered with r ll i i i F rails&spindles identical to your specific �I� �Il�ll�lll � gazebo style with 10 custom, removable, # i matching screen panels. . x t ; Site Preparation. . . . All of our Gazebos have a 5 year warranty 3E . It is very important to have a firm, completely �" level surface prepared before delivery or B.W Spindles assembly. This can be accomplished by filling Sub-Flooring Diagrams the area with 3/4'stone approximately 3"deep or set concrete posts like one would with a ' ' deck. Detailed drawings are available for post placement. i Local building codes should be consulted for site preparation. OrPagan Fs r Eight-sided Oral Ten-sided Oval P LOT NUMBERS REFER TO "SHAL VEY PROPERTIES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JUL Y 16,1990 N AS FILE NO. 8975 SURVEY OF PROPERTY AT CUTCHOO UE TOWN OF SO UTHOLD SUFFOLK COUNTY, 11T Y, 0-0� e�` o,. 1 D04-84-04 11.1 SCALD 5 aQ�' 1`Z OCTOBER 5, 2006 �_ Gd� 0 a� Q.P�Pi• �? G� < > coG�01 auPQEs p / O C\ O� MOP ,per The location of w( and cesspools shown hereon are c from field observar s and or from data obtained from others. rb s� M=MONUMENT ®—ROD 9618 ANY AL7FRA77ON OR f 'ON TO THIS SURVEY IS A 140LA,77ON OF SEC77ON 7209OF 7 Ew YORK STATE EDUCATION LAW: ECONIC S �� pw ,4 EXCEPT AS PER SEC77 631 765-5 -1797 HEREON ARE VALID FC 209—SUBDlNSlON 2. ALL CER17f7L:AAONS �:-, � � _ '� AREA=8O OOO SQ. �. SAID MAP OR COPIES IS MAP AND COPIES THEREOF ONLY IF P.O. BOX- 909 a ` - + WHOSE S/GNA7URE APB 7HE IMPRESSED SEAL OF THE SURVEYOR 12JO TRAVELER 5 HEREON. SOU THOLD, N. Y. 11971 6-�30