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HomeMy WebLinkAbout37630-Z Town of Southold Annex 5/12/2014 ,; N, P.O.Box 1179 54375 Main Road ' ► ,a' Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36910 Date: 5/12/2014 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 825 Haywaters Rd, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 111.-4-2.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/11/2012 pursuant to which Building Permit No. 37630 dated 11/13/2012 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: ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Thorp,Dolores (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-12-0060 05-08-2014 ELECTRICAL CERTIFICATE NO. 37630 04-02-2014 PLUMBERS CERTIFICATION DATED 04-16-2014 Gr port Plumbing Autho • el ure __� �r NI, TOWN OF SOUTHOLD ,„„,„L.,,,,,, BUILDING DEPARTMENT TOWN CLERK'S OFFICE '$ f SOUTHOLD, NY 4419 0 ., * * 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#: 37630 Date: 11/13/2012 Permission is hereby granted to: Thorp, Dolores 77 S Park Ave Rockville Centre, NY 11570 To: construct additions & alterations to an existing single family dwelling as applied for At premises located at: 825 Haywaters Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 111.-4-2.1 Pursuant to application dated 10/11/2012 and approved by the Building Inspector. To expire on 5/15/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,315.60 CO -ADDITION TO DWELLING $50.00 Total: $1,365.60 *": le----' 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 accuratelocation of all buildings,property lines,streets,and unusual natural or .topographic features. 2. Final Approval from Health Depi 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 2110 of 1% lead. . 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliafice-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)lion-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 cpmpleted 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. `i"1� I`( eZfl '��� 'lew Construction: Old or Pre-existing Building: • (check one) . - or ... ation of property: • • /LS � 'l 5 .t oic c� . 6rt-clAtofi tie l h��SS6u liJ T) House No. • Street • . Hamlet )wnir or Owners of Property: •1L • • ktffolk County Tax Map No 1000,Section .1 1 Block 474 Lot 2,1 labd:ivision /l e4Deo '' r A RP 1,1M5,,[t4 Pot-sr Filed Map. 5(.. Lot: .30°) . • 'emit No. 74030 Date of Permit. if/ 3 - !2.. Applicant a� �``Ito 6°122 lealth Dept.Approval: Underwriters Approval: . 'banning Board Approval: • request for: Temporary Certificate Final Certificate: (check one) ee Submitted: $ 5i2• BO< Applicant Sian ��,�� �OF SOij,- o Town Hall Annex ��� ~ : Telephone(631)765-1802 Alig 54375 Main Road ; t Fax(631)765-9502 P.O. Box 1179 : G Southold, NY 11971-0959 't XA ^a-. .'or roper.richertCa�town.southold.ny.us .COUNT` \\''`"I ;ii° BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Thorp Address: 825 Haywaters Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 37630 Section: 1 1 1 Block: 4 Lot: 2.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric License No: 578-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph 200a Heat oil Duplec Recpt 45 Ceiling Fixtures 10 HID Fixtures Service 3 ph Hot Water GFCI Recpt 10 Wall Fixtures 7 Smoke Detectors 5 Main Panel 200a NC Condenser 2 Single Recpt Recessed Fixtures 33 CO Detectors Sub Panel NC Blower 2 Range Recpt 40a Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks Disconnect 200a Switches 47 Twist Lock Exit Fixtures TVSS Other Equipment: 200a underground service, 1-combination smoke/co detector, 3-paddle fans, 4-exhaust fans Notes: Inspector Signature: Date: April 2 2014 81-Cert Electrical Compliance Form.xls /�0srcoi...A • i SV T o$ of , Town Hall Annex i ~ O �` Telephone(531}765-1$02 54375 Main Road ■ ■ Fax(631)765-9502 ■ P.O.Box 1179 ‘ G Q �� Southold,New York 11971-0959 Iv. �O rr1 urr1(7 �/�,r ■.irrr/ r/ BUILDING'DEPARTMENT , i 1 : -- ---:-----;-7::: - F17-77-41: 1 ,---:tr-4-t TOWN OF SOUTHOLD I'liD-f \1 ',' t R 16 2014 0 ' AAN 1 , 2014 CERTIFICATION Date: /!6//Y Building Permit No. .3 7, ..'© Owner: i/fo/2/P (Please print) Plumber: 47Z EEA(pla r 7-/p/errn i3;n7 / cr�J,3/t c iz /11.49P Z_Gi3,A i ,c,7 (Please print) I certify that the solder used in the water supply system contains less.than 2/10 of 1%u . lead. �_.-- am - ` (Plumbers ignature) Sworn to before me this I 1'44) day of H ` , 201 ' CONNIE D. BUNCH Notary Public,State of New York ��� M P No.01 BU6185050 Qualified In Suffolk County Commission Expires April 14,2 U 1L Notary Public, till—County �o;�pF SOplo<o`` 1(130 * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [VK3UNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: S� � O . DATE ///7/..> INSPECTOR ` G� 37g; - oFSO� 0 \ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FO DATION 1ST [ ] ROUGH PLBG. '1J ] OUNDATI [ ] INSULATION '! [ ] FRAMIN /ST RAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: Ca&A 4-14-- , dilud--#2 r) 7 j DATE 614F t I INSPECTOR At?-di ,:lAl ,,,,,,,___ 3 ? _43‘212, lq_, ,... . .-(f i# *1 :, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT N [ ] FOU ATION 1ST [ . ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ____rili ie-e-‘,,-1/ ‘)--,, DATE /2// / ' 3 INSPECTOR 1/4/f# (,- () ------, ,i'''Oiiiiii----_ ;'',`off' °6': :` TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIO [ ] FOUNDATION 1ST [ ] R>dre PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ° CJ LC— DATE (1)-- I& (.5 INSPECTOR ,A---1 ,L"-' c A,j TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 6 dtK., DATE I/I'/1' INSPECTOR 37 (g 30 - ,,,,,,,,,, "40 SOU "i-Il,' Tin TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS N [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) • CO REMARKS: A0-14 i . i - , , / 7--7,-- (616,<__ Gi_ DATE hi 1 (11H INSPECTOR 744 FIELD I - • v N SORT DATE COMMENTS 1/ 07 / I .2: / -' • ,+I -1r'`'"IIF - FOUNDA 'ION(1ST) 41' ' a FOUNDATION(2ND) T--- — . • "fize.7 g gc‘s thxy--)_ az? AnfreAtall 1111.›. MIN PLUIVIBIlNG � � ....-miny • /7/5171P3 4 I INSULATION PER N.Y. STATE ENERGY CODE (� y L ,, • 04// FINAL • ADDITIONAL COMMENTS la -If A°&6 ;,g° r��� i+ 1 10113 C.- 4 L --1q p o 73 • • • • 1' • . o 9 • ;9 ;I . cti • 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. 3 7 & Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined /173 ,201(h. Single& Separate Storm-Water Assessment Form Contact: �` Approved if/0 v ,20 / a--- Mail to:__ VV [A _ T Disapproved a/c Phone: (01) 15k-555S Expiration ' ,20/ Building Inspector APPLICATION FOR BUILDING PERMIT Date OCT, 6) , 20 12 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, hosing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. // ,, OC__ (Signature of applicant or name, if a corporation) 41 EAST YvVicf>1~.6 Rom RA Ltkix3t4, N4.4. V l 4 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder IDS gm Name of owner of premises 1,01_0 ' rmmin,' (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. r'bs J6 Plumbers License No. perst,wc, Electricians License No. FeTSp►�►� Other Trade's License No. 1. Location of land on which proposed work will be done: x,25 I+,�jw�ft�es Rom tl,AE, Ct- A House Number Street Hamlet County Tax Map No. 1000 Section t I \ Block 494' Lot a, 1, 1 Subdivision , c t W1 4.QV NAs-t,{ ftFiled Map No. t 5 fD Lot '3,of� owt.1¢7 134 1JP c -- Biro .actiIAT. 16, 1912 Gt u rizaPi ttEr , 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy SiNfa1,0 rAwe1 L1' �iplEULt,�t,s� b. Intended use and occupancy 6 ` X.. F'ls-Atu.-t DV�t�Ll.1t�1C� 3. Nature of work(check which applicable): New Building Addition X. Alteration X. Repair Removal )‹. Demolition Other Work (Description) 4. Estimated Cost 11.- ✓t��, 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. t � 7. Dimensions of existing structures, if any: Front 15 Rear 15 Depth 311 Height l Number of Stories I &l' '-t Dimensions of same structure with alterations or additions: Front 15 t Rear `15 Depth IV Height �-� Number of Stories '2. 51 115 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 145. Rear � O.�J Depth ' fit Et) 10. Date of Purchase i/0/85 Name of Former Owner 1 ,12.44,142 11. Zone or use district in which premises are situated (N —CIN1a OP-04u & 10)0a0.--w9 5, ., 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 x NO 11 s,fiNezk AVE. X29 � 16 �T6b-`�9� 14. Names of Owner of premises dliloR5S�v2P Address 120e -w►tt.t.A Ctost,M t bone N� Name of Architect VREr> W Mock)hnzAAticz,r-Address Tat a ,aay°t1 Phone Nc 31)15¢55✓55 Name of Contractor pta lo►0c Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO <G. * 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 k. * 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. 1 A SABRINA DOMES BUCHANAN Notary Public-State of New York STATE OF NEW YORK) NO.0181.16228030 SS: ( Qualified in Suffol k..ou ty COUNTY OF ■ My Commission Expires c 1 6fiK. V)1312 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the , 1•ST C )a 'C-c�') (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. Sw rn to before me this c p�_ day of 0 20 la r al LILO Notary Public Signature o Applicant - " Town of Southold - Chapter i. x p r 236 - Stormwater Management =t �, ;.• SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) APP CANT NAME: Owner • ultant-Contractor or Other (Circle One) �- ,. to'ilk, Property OYVNEit(t!Different than Applicant) 1 n - bt,.o RttS 114e2e AddrT v, tIAA e us RA btitet_,f•r U°tiwt4 N. 11 . 5i o T I _,/��3� s ���.GA tzacr�►tuk _ ) 261-1,064. T i -� -� l Ij0 �o T l�7 Faxi i 1 webe archi 1 A yltl j coy—. E-iMan: Props ty Address:811.6 L� V yz$ cat _e►}rXi pription of Conatrncdon Activity,Proposed Stsuct nal BMPs,Sop "'T.": t ppp III 2a i ` Stabaliation BMPs,Project Scope and/or Sequence of Construction Adhvity Section tot ! (Provide Additional Pages as Needed) Name*?Contractor and/or Contact Person Responsible for lmplementatfon of SWPPP: (��.�1h2 c• ✓1 l t7Itsel C`�ti-PR �'TfXZ SC ,C�"O n.■ `'/ a_7 le Address: ,�� �� {�e (C�'t yV T1ey r'ham + Telephone tY [Fax* C}} ,v\,ti.. 11.1„X' S)'A rik YILA.r [�/ E-Mall I- aiWtUetti ON FIAT © ' r ••I. w._ •BENIN , RA./. > • Name of Persons Responsible for Installation a Mentenanee of Erosion Control Practice: p 1 ��O J SST+)� Address:u`c I(S� CST 4 K 1 o t� �2oi°�sL�fz �Lhll� �t, 1/�D(pl lJ Telephone it: Fax# N$"�k1�4 D^ ' I -f -Mail: hh.�-�'� /� y�,, tip 4 � �_ + 'Total Area of All 'Zf(\\Q,/�,/ Total Area of Land Clearing 50 f --" Project Parcels: 1J J ►1v1p c51� and/or Ground Disturbance: J 4/ . 1ts.F.r Acres) - (S.F.I Acres) _..._ Project Duration: Start End - - - . -- (Anticipated) '14a ° Date:IWIL 22t2_ Date:'{ t !pit (Number d Calendar Days) Will this Project Disturbe five(5)or More Acres at Any One Time During the Proposed Development? 1 Yes, No If YES:Please Answer the Following! a. Does the Applicant have a Qualified Inspector On I I I I - + Staff To Conduct the Required Inspections? Yes No b. Does the SWPPP indicate How Frequently the Site ( 1 J List the NAMES or description of all Potentially Impacted Waterbodies and/or Wetlands: Inspections will Occur and for What Period of Time? Yes No c. Does the SWPPP Adequately Identify Ali Temporary { I I I ! l and/or Permanent Soil Stabalization Measures? Yes No -- d. Does the SWPPP Adequately Identify a Complete i— 1 j . --_.._.-.-_._._. Project Phasing Plan? Yes No e. Does the SWPPP Indicate Additional Site Specific f°I 1--I Status of Impacted Walerbody:(eg.r►IIDL,303(d)listed,Impaired...) Practices that Will be Utilized to Protect Water Quality? Yes No f. Has the Applicant Submitted a Completed DEC Notice Of Intent and SWPPP Acceptance Form for Review 1 I I I Type of Impacted Waterbody:(eg Lake,Creek,Bay,Pond,sound,Freshwater Wetland-) by the Town of Southold? Yes No STATE OF NEW YORK, --- COUNTY OF 'ilk SS That I, �Wt ‘Y" � being duly sworn,de (Name of individual si Dowmen‘V14.\---t deposes and says that he/she is the applicant for Permit, And that he/she is the . I l (Owner,Contractor,Agent,Corporate Officer,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; ! i day of-0v Cr- ,20) . ■ Notary Public: ...R i (Mgnature of Appliiant) SWPPP Assessment FORM: 1 SABRINA DOMES BUCHANAN Notary Public-State of New York NO.01BU6228030 Qualified in Suffolk oun My Commission Expires ++, %pF soap:-,`O l0 : Town Hall Annex Telephone(631)765-1802 m�ax(631)765-5-g�5og 54375 Box 1179 ,i roger.richertdtown.SODUIOIa.nv.uS P.O.Box 1179 � O1 Southold,NY 11971-0959 '�`0 _!JCOUNI1,* BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: ,..2/.3A Company Name: Name: Wit/ License No.: 5-7 8 — Address: 0,p APPc arc c-o v o c-P ki V //77t Phone No.: c'16, S-6 l6 JOBSITE INFORMATION: (*Indicates required information) *Name: 7-140 D (2--P *Address: cer S /41 4 y j !EQ S i -r—ai o6 v/_ *Cross Street: VA AIS'rq pv' /L- *Phone No.: 6/ 6 - 02 S o - l 1 P 3 Permit No.: 37 63 0 Tax Map District: 1000 Section: \ l 1 Block: 11 Lot: , 1 *BRIEF DESCRIPTION OF WORK (Please Print Clearly) jY i Ea �ivo vAT-Ac,J `vlin/t� s 6 (Please Circle All That Apply) *Is job ready for inspection` NO Rough In Final *Do you need a Temp Certificate: 410/ NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION S oil ;C _ ,� Gig.✓Q ����- Ae 82-Request for Inspection Form ) \tc, ti FREDERICK 52 NOYACK PATH,(PO BOX 1374), WATER MILL, NEW YORK 11976 TEL 631.754-5555 ROBERT I 41 EAST MAPLE ROAD, GREENLAWN, NEW YORK, 11740 FAX 631.261-1084 WEBER ARCHOTECT October 26, 2012 RE: Renovation/Addition THORP/MICHAELS RESIDENCE 825 Haywaters Road, Cutchogue (Nassau Point), New York Attention: Pat Conklin Attached is a sanitary permit for the above project. Please let me know if there are any additional items required for the issuance of a Building Permit. Thank you. ei, EDERICK R. WEBER, R. ,) NO\i 1 2012 GAR F 52 NOYACK PATH,(P0 BOX 1374), WATER WILL, NEW YORK 11976 TEL 631.754-5555 FR `6)E ROCK 41 EAST MAPLE ROAD, GREEN-AWN, NEW YORK, 11740 FAX 631.261-1084 WEBER ARCHOTI!CT Na,. 0) , QvVU • To : soutiot_i:), &Let:4. (47.isvzicA,A__ tzD-, 141-toRtVvv\tztk Awri-frOefe 11% rL 161 - P—(A\ ) Q"l, .1 R--/b4 (A_\ . 1 10 tr2„, Irtv.tk_ <SlAcz ii,Y2A)Ft L..0-7LAwk.9.-- ea:zet& :EcEngErn1 � � � ► f Lli NOV 1 3 2012 [1:j BLDG.DEPT. TOWN OF SOUTHOLD ERO�� 52 NOYACK PATH,(P0 BOX 13741, WATER MLL, NEW YORK 11976 TEL 631.754-5555 �R� FRED 41 EAST MAPLE ROAD, (3REENLAWN, NEW YORK, 11740 FAX 631.261-1084 ROBERT WEBER ARCIKIOTI!CT ---INAl Z 3) (Lo1Z itvavtF t v,,Ltw•-7 G►kTUrlo(aut% , tbtea, rtz2vArt - 5102o flocs N '7F T2 up. fir Pidevwri-- 'i�G, TWA-NI 'u1, ,'/,„, iii Town Hall Annex . Telephone(631)765-1802 54375 Main Road ■illi 411 ∎ Fax(631)765-9502 P.O. Box 1179 li G 1 Southold,NY 11971-0959 =..* -... t%� .00UNTI,� ;” s.... -0°. BUILDING DEPARTMENT TOWN OF SOUTHOLD April 15, 2014 Dolores Thorp .825 Haywaters Rd Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. tdk 0 1Lk Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 37630 —Additions/Alterations a- 376, 30 I Peter Michaels / Patti Thorp ,[_ -- _' 825 Haywaters Road 1 71'- Cutchogue, NY 11935 LI l.i; APR 1 7 2014 1 To whom it may concern, TOI/: i � Hi D As the owners of the property at 835 Haywaters Road in Cutchogue, New York, we understand and acknowledge that following the renovation of the house, which included the installation of a new septic system, the property must have landscaping undertaken before a certificate of occupancy can be issued. Specifically, steps need to be taken to ensure that a lawn is installed. This note is to record our promise that such landscaping will be undertaken. We have engaged Tommy McCaffery of Tommy's Lawn Care of Mattituck and will undertake to grade, supply topsoil, and seed and /or sod the existing lawn. The installation of an irrigation system will also be undertaken. We expect to begin the work within the next ten days. Peter J. Michaels April 15, 2014 .,, _ , _ _ L TOWN OF SOUTHOLD PROPERTY RECORD CARD r OWNER STREET �(�'J �j - VILLAGE DIST. SUB. v LOTV� !ag ' _•a I i I A —&.1-p�T � 0 et d 0 v 1-c 4 o,14 e 94? Air-,r,,d , A,� i-ctiv4 R�90. "a_ r FORMER OWNER N E ACR. ao I S W TYPE OF BUILDING Ir✓a)a z— q 0.- I ' 111,0 Y. 1` /EH REV SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS , /��0(46 , 4p., 22 Q?, , su,1d m e w L use, E, 0,:fi m / L! S!°G t i L �'1 L /boo x(14 O 7/1/77 SoL�} '��i, Soo, �/, oo�c 1�' Kiefol z itWf T 7:R.(5p ni 4WF p 3.1 e.---/ 4/, /V:e // ii •9/i6/k so/I 0N�� 410t z Jo /l Yah 4'a t,f, / .�,FA o a r e) 4" 2-0 a f` i V t.7 T/i S - 1_9841 e Sac-- Kyci - i t ; : 0,00>a o o ti -=z,--o 17 ( 0 o .�/ b .51a5/(157--L I a�t as�f - I r O --h.o,r _ . .. )Qo L c,. tJ c, G `boo ✓ 1/x//77 ,4_,D5105- ID /ores 14,` kor r2-fain s ItF•. es- - _ t0 AGE BUILDING CONDITION , t Ic _L pri NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD his-- @ 4q ; 191i= House Plot DEPTH A v 9/4 BULKHEAD Total ...... DOCK 41......■ _ zit- rhi li,ilLi ' - ,,,iv* imi 1 / ' ' .."■1 # , --■ ' . .. , ' *' .- ' 01 ■tsr • .,. .,,,,,, ,, ,- COLOR MEE 111111111111111111.11.1111.11 ie.t;I, : „ . : ., ZiV 111111111111111111111111.1111111.1111 . ..s. ' amen L. I . i .. . No ommoommoNNENN . . „t r...„ -AIL - hiZIL !FL'I'''' fli , I TRIM up 111•11111E1111111111111111111M pi AI 0 imimmunumpg. M ......_____ 1111111P111111111111111111111111111111111111 MMINIPMEIVIIIIISINIIIIIMIIIIIIIIIIIIINIIIIIIIIIII 1111111111Elaini11111i4031M1122111111 11111111111E1•1111111111111•1111 IiiiiiiiMIIIIER•11111111111111111 •III•MM1111111111lMiiiiiitIIIIIIII• 1111111111111111111111111111111M1111111 111111111.111111•1111111111•11111•11 IIIIM• MIIIIIIIIIIIIMMII•IIIMII•• , M. Bldg. IffriMIENIVEIN Foundation e Bath 2., 'C'' Dinette Extension Y.' e --7 -- 2., 0 PIM Basement ?"1--t-e.-C.' , Floors K M K. Extension &"- \..)-,r- .7 647) Mill Ext. Walls' ' e". -.- c--. Interior Finish IIIMM LR. . 4 Extension IIIIIIIIIIIIMINEIES 1 0 F" e Place Heat • L-e c.41-1 ',- DR' Type Roof _,..f.„ Rooms 1st Floor BR. Porch Nffilliffillffil " 0 Re eation Room 2nd Floor FIN. B. Porch Dormer Breezeway /0 r 1,44- 7 7/ ).--d I 0 0 ), 0 Vfeway Garage `).- 'Y' `A. / (i. , 3 0 c /1111 3U = Patio Mill11111.1111---7 = O. B. A Gli.'6(e if- .:1' 2,- ‘..'''''' -. 0 Total °AIME ---. ---, D. r. IP BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: 1o(1 (( z Date Reviewed: spi,7, Applicant: VU,J -L Lek. Owner: 1) `1 It Architect/Engineer: Estimated Cost: SCTM# 1000- 1,1) - 4- - 61,1 Subdivision: Zone: Conforming? Property Address: 05- Ay,.,,x.Csr (A: 4c City: Pre COs? Building Permits (Open/Expired): BP -Z/C/0 Z- ,Info: BP -Z/C/O Z- ,Info: BP -Z/C/O Z- , Info: BP -Z/C/O Z- ,Info: BP -Z/C/O Z- ,Info: Single& Separate Search Required? Y or N Determination: REQ. Lot Size: tin Oryco ACT. Lot Size: 3 9, 461 REQ. Lot Coy. ACT. Lot Coy. REQ. Front A6T. Front REQ Side ACT. Side REQ. Rear PROP. Rear REQ. Height. ACT. Height IZ E st, ,Boil, SIDES A c T Project Description: A M/i.o,c, � �`� S ' a�k d /•-C-IA-L/ / t1-I . Waterfront? Y or N? If yes, water body: Panel# Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED I2J Suffolk County Health: r N - If yes, *Bed#: 4 *Date:g__)/J//?*Permit#:le/6-1-1-6"6' ¢�'- Town Septic: V or 1■ - If no certificat'•n required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 9/1/75 Y or N - Date: : Permit#: or NJ Letter- Notes: Southold Trustees: Y or N - Date: , Permit#: or NJ Letter-Notes: V Southold ZBA: Y or N - Date: / / Permit#: -Notes: Southold Planning: Y or N- Date: _/ / Permit #: -Notes: • Town Landmark C of A: Y or N DTE: / / *NYS CODE Com,�! . l a jpage 2): Y or N Notes: 45 e /i C/y ,-,,,, ,,1 • Fee Structure: Calculation: Foundation: SF SF X $ _$ First Floor: SF + Initial Fee: $ Second Floor: SF +Additional Fee ( ): $ Other: SF SF X$ =$ Total: SF + Initial Fee: $ + Additional Fee( ): $ TOTAL: $ , • • NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: .Ground Snow Load:20 Wind Speed; 120MPH Seismic Design Category:B . Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M • • Design Temp: 11 •Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: • HEIGIIT/FIRE AREA: • TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: Y/N WALL STUDS: Y/N GIRDERS: YIN • CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RAFTERS: YIN LUMBER SPECIES AND GRADE: YIN WINDOW AND DOOR SCHEDULE: •MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN: Y/N CERTIFICATION: Y/N ENERGY CALCS: Y/N TOTAL COMPLIENCE? YIN (RETURN TO PAGE ONE) Abandonment of existing sanitary system must be in rHEOOOR� /F comformance with department requirement Submit MARTZ, JR. BASIL N/0/F completed form WWM- '0 as proof. LOT g7 ASCIUT70 N/o/F JOSEPH J at MAUREEN •• DECKER LOT sa DECKER . -..—' LOT s9 S 34 19' 20" E 1 100.00' a% PROPOSED SANITARY SYSTEM NEW HOUSE (4 BEDROOM- MAX.) N) 1000 GAL. SEPTIC TANK N. p 300 S.F. SIDEWALL AREA OF LEACHING POOLS C0 °* (I) LEACHING POOL. 8' DIAMETER x 12' DEEP ' In - (V MEET ALL S.C. DEPT. OF HEALTH SERVICES REGULATIONS. I AM FAMILIAR WITI4 THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUFFOLK COUNTY 1^ ' tTi'rr1ENT OF HEALTH SERVICES SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT. PERMIT FQOR�+' '�-' • A)L OF CONSTRUCTION FOR A PIPE V4 PERDFT. SINGLE FA ILY RESIDENCE AND MIN,PITCH I' MIN, l 2' MAX. LOCKING CAST TRAFPIC CONCRETE IRON COVER BEARING CHIMNEY DEPTH TO GRADE SLAB ff '! 4'9 APPROVED CONCRETE DATE 1 l l . REF. �,— ,3 _6 ) `12 •. ,a � ��.�., � PIPE 1/8' PER FT. COVER H. N0. I L.(f/.� 4.- ` MIN.PITCH ' NV.+L6' PLOW 'S DEPTH m I INV.+L4.6' /4#w ,' BAFFLE 1NV.+64.26' LEACHING ``/� in SE- IC POOL TOTAL •'' 'MUM BEDROOMS TANK :r (1000 GAL.) (300 S.F.) �' 3' MIN. LPI EXPIRES THEE S FROM DATE OF APPROVAL COLLAR ----37Th 8'_O. I (MIN.) a'-O' } _-_-150'-Radius HIGH SEASONAL GROUNDWATER (MAX.) --- TEST HOLE DATA / McDONALD GEOSCIENCE /- . SEPTEMBER 20,2012 / w ?• W \ 0.3 DARK BROWN LOAM (Oh) K // 0) X J W \ 3, BROWN SILTY SAND ISM) O // lK O \Z 9 \ / 3 - - 100' Radius \a .\ O l<Ll7< i -------- \\.0 z 0 -.JJ0 \\\ PALE BROWN PINE (9W) Z Z / . <- Zin(Q \\ TO COARSE SAND //Z ~O W n 0 // ABANDON - Na n I o --1 t.,Iii a] ,' EXISTING \ \ // < (pa // SANITARY ST \\ / M / ° F1ED M' NO WWATTERED / // ^- "�....- �\ \ K �� I // Existing g 1-s . 'CZ' 10 /�, L\ FO PROPERTY OWNER: / /// �r, Et ee.xAp` 1 �o, ,:� s, �� Q= I -PATTI THORP / D: * # n-T7 / / Exlstin• EXISTI . pO 825 HAYWATERS ROAD j / Garage DWELLING 8-L2 •Un:` ' I' ` m• HAMLET: NASSAU POINT I i c °z ' V ' P' O�O i p ill TOWN OF SOUTHOLD I I I Q. , � S)' ? /' `0 SUFFOLK COUNTY, NEW YORK/ / 041:511 s' .7 '3 1 RI SURVEY INFORMATION: I �,� I — 1 -1r- can NATHAN CORWIN, SURVEYOR I sPO. V II rn a r JAMESPORT, NEW YORK I 't'18 1 �Sep'ro - . ) SURVEYED: MAY 1, 2012 I LP� •Tdn FREDERICK WEBER, ARdHIT $m r..„-- fl LOT 309 OF AMENDED MAP A o� NASSAU POINT 1 w I,M°-, . G 41 EAST GREENLAWN, NY 1n4 I to et GREENLAWN, NY 11140 I t. C OWNED by NASSAU POINT CLUB 1 PROPERTIES. INC. II < I >9). I 3 n FILED IN THE SUFFOLK COUNTY1CLERKS OFFICE 1 W u I NEW to SEPTEMBER 21, 2012 I G.)m AS FILE No. 154, FILED AUGUST 14, 1922 1 c =t SANITARY I 1 ■ 0 ,' 0. I SYSTEM / :l V) SCTM: 1000-111-04-2.1 1 \ ' i O I LOT AREA: 39.444 S.F. (0.90481 ACRES) \ 0O 8 0 1 // \ N. 7 N I •°p /LLI SITE PLAN NORTH vv v? T /// \ / �u �$O / O /r = 40'-0" \ \\ oro ` WME1`0. // / ■ r- I- 0.120 ` ` . __ O O 560 \ �f - / .i•' .7/ O - is o 11 J O� NG �/ I i I1 111 Wet-' . 0