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Home My WebLink About29175-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29286 Date: 03/03/03 THIS CERTIFIES that the building ALTERATION Location of Property: 1635 FOUNDERS PATH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 64 Block 4 Lot 14 .3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 28, 2003 pursuant to which Building Permit No. 29175-Z dated FEBRUARY 28, 2003 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" ALTERATION OF CELLAR TO NONHABITABLE UNHEATED STORAGE AREAS IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HELEN M MCNAMEE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 02/28/03 PLUMBERS CERTIFICATION DATED N/A Au horized 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. 29175 Z Date FEBRUARY 28, 2003 Permission is hereby granted to: HELEN M MCNAMEE 1635 FOUNDERS PATH SOUTHOLD,NY 11971 for AS BUILT ALTERATION OF CELLAR TO NONHABITABLE NONHEATED FINISHED STORAGE TO AND PRE-EXISTING SINGLE FAMILY DWELLING at premises located at 1635 FOUNDERS PATH SOUTHOLD County Tax Map No. 473889 Section 064 Block 0004 Lot No. 014 . 003 pursuant to application dated FEBRUARY 28 , 2003 and approved by the Building Inspector to expire on AUGUST 28 , 2004 . Fee $ 300 . 00 i �Autfr6rized Signatur ORIGINAL Rev. 5/8/02 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) 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$25.00, 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- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. February 28, 2003 New Construction: xx Old or Pre-existing Building: (check one) Location of Property: 1635 Founders Path Southold House No. Street Hamlet Owner or Owners of Property: Helen M McNamee Suffolk County Tax Map No 1000, Section 64 Block 4 Lot 14.3 Subdivision Filed Map. Lot: Permit No. 29175—z Date of Permit. 2/28/03 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: n (check one) Fee Submitted: $ o qO .� KX C lv�� pplicant Signatu File No: 5003 WARREN A.SAMBACH,SR. - - CONSULTING ENGINEERS- PLANNERS FEB 28 7675 COX LANE P.O.BOX 1033 CUTCHOGUE,NY 11935 - - 6 3 1- _MM)734-7492 - February 28 2003 Building Department Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: 1635 Founders Path Souhtold NY 11971 SC TM: 1000-68-4-14 . 3 To Whom It May Concern: The one stort two bedroom Ranch located at the above address with attached garage has a non-habitable as built finished cellar for storage . I inspected it and certify that it conforms to the New York. State Building Code. Very truly yours, VVn �1 Warren A. Sambach Sr. P.E. was :s �pfElSlr„N �. Y8770 The New York Board of Fire Underwriters Bureau of Electricity is in the process of issuing a certificate of compliance for the electrical installation as provided for in the application for inspection # /// 732Z- /6 /6 3S i"h(c7"� (7Cw�L-6-) New York Board of Fire Underwriters Bureau of Electricity Inspection activity pursuant to Application has been completed and a certificate of compliance setting forth the detail of the el 'cal system is being prepared. Inspector Date F.c.W(Rc,00)) TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT i g eN Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 I 3 sets of Building Plans TEL: (631) 765-1802 J Planning Board approval FAX: (631) 765-9502 , Survey www. northfork.net/Southold/ PERMIT NO. �� Check Septic Form N.Y.S.D.E.C, Trustees Examined 2. 2S- ,20Q3 Contact: Approved O 2, _ ,20 3 44a+1-to: Disapproved a/c; Phone: '76.6--42b --t 76 7- Expiration , 200�— uildrng Inspector APPLICATION FOR BUILDING PERMIT Date a d j 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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. erNo 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. r(Signature of applicaan rr name, if a corp ration) (Mailing address of applicarH State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 46��'L�( Name of owner of premises (As on the tax roll or latest deed) If a plicant is a corporation, si ature of duly authorized officer X d � &t&�s. (Name and title A 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: House Number Street Hamlet County Tax Map No. 1000 Section O ( L4 Block OSI Lot IN ,OC 3 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy J!ti`GL&I /nuy R�rrnfivG� b. Intended use and occupancy J �tivt 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work .q-r eQlzr Bar�n� sr lrraa�� (Description) 4. Estimated Cost --49-- 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 / S�� tI i�GR.4�t 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 Rear /D a Q 1 Depth 14 3 9 3 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated R -4b 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_X 13. Will lot be re-graded? YES NO-c Will excess fill be removed from premises? YES NO — Es Mtn o f sc wvk�4 14. Names of Owner of premises NEL" m-,y.4 na Address 1635 fwrnez.r PPrrlf Phone No. -)(.S- o ot,,r Name of Architect t lAw J .Camaacia Address U•B e.r E- rm enw,..0 Phone No '?77-asc1 Name of Contractor ,j/A Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO r/ * 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. STATE OF NEW YORK) SS: COUNTY OF_ being duly swom, deposes and says that (s)he is the applicant (Name of individtfil signing contract) above named, (S)He is the Z-,v r (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 Sled therewith. Sworn to e ore me this Z d of Q 20 n3 ✓,� NotaryPublic Signature of pplicant Notary Pilii CLAIRE, tate of New York No.Ot GL4879565 Qualified in Suffolk Coyygqtt��.,,,,,�,� Commission Expires Dec.8, Q�� MSN DRf u-)tiJ - / Com• E ��c T/ IIE---y0 9 .CEz �� "-�3,�� .Cc,-^Zft ,r-c:•f � IDY — IarJF.Ns�� - S Nttn y, kt4T LldklS ,n! °`ViN� A 11NN�g1CI� S7Pf.? KC,U C UNDERWRITERS CERTIFICATE rz14SQA o.1 REQUIRED rl )Wl 0 p7+Du 09'rop, I Zx� s7uvs �• o do te-iu�+t sgt q I Z TIS VP ' IIII1 APPROVED AS NOTED DATE: a 2S C B.P. #Z�ii�z� cW-seA FEE: *306 BY� 14 6 (aN HE NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE $QAC FOLLOWING INSPECTIONS: )1 I FOUNDATION - TWO REQUIRED d N • 3 FOR POURED CONCRETE P �M� 2 ROUGH - FRAMING & PLUMBING .�EZL RrZ PLl41U INSULATION FINAL - CONSTRUCTION MUST cF COMPLETE FOR SHALL MFET Of Te.!F N.Y. 4'T4'2Q10 p, O G A/ p ERS P,4 Cly