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Home My WebLink About29091-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29288 Date: 03/03/03 THIS CERTIFIES that the building ADDITION Location of Property: 225 JEWNINGS RD SOUTHOLD (HOUSE NO.) (STREET) (PLAMLET) County Tax Map No. 473889 Section 54 Block 7 Lot 16 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 2003 pursuant to which Building Permit No. 29091-Z dated JANUARY 9, 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" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. /~ne certificate is issued to ROBERT L & FLORENCE S CORWIN (OWNER) of the aforesaid building. S~FFOLK COUNT"K DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D;~rmu N/A N/A N/A 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. 29091 Z Date JAiqUARY 9, 2003 Permission is hereby granted to: ROBERT L CORWIN 255 JEN-NINGS RD SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN AS BUILT DECK ADDITION (BUILT PRIOR TO JANUARY, 2003) AS APPLIED FOR at premises located at 225 JENNINGS RD County Taxx Map No. 473889 Section 054 Block pursuant to application dated JANUARY 3, 2003 Building Inspector to expire on JULY SOUTHOLD 0007 Lot NO. 016 and approved by the Fee $ 300.00 COPY Rev. 5/8/02 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ~FINAL [ ]FIREPLACE & CHIMNEY · ~ // REMARKS. ~. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~] FINAL /~/~ REMARKS I N SPECTOR~,~.~~ 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ ] INSULATION ['~ FINAL ~' [ ] FIREPLACE & CHIMNEY DATE -~/.z//0.3 INSPECTOR ~/~.~ .~ FROM : Ma~kSchwartz,AIA-Archi~¢t PHONE HD. : 6~17344185 Mar. 04 200~ 06:l~qM P2 p.O. Box 933 New York 119~5 Mark K. Schwartz, AIA - Architect, PLLC (631) 7n64 - 418~ FAX TRANSMITTAL Date: February 28, 200~ To: Southold Building Dep~ment Main Road Southold, New York Al~ John Boufis Fax number: 765-9502 Phone number: 765-1802 From: Mark Schwart~ Re: Corwin House 225 Jermings Road Southold, New York 1 (inducting cove~ sheet) On February 27, 2003, I returned to the aforementioned site to obr~r~ built conditions. A 4# x 6' beam witl~4 ~ x 4' posts have been added adjacent and parallel to the existing house. The stairs have also been rebuilt. I hereby certify the deck meets or exceeds the State code requirements (prior to 2000 code). Please call this office if you have questions or require additional ~tiom TOVqN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 F.~X: (631) 765-9502 ~nvw. northfork.net/Southold/ PERMIT NO. Examined ,20 Approved ,20 Disapproved a c Expiration? ,20 / ~or BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the folloWing, before applying? Board of Health 3 sets of Building Plans planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS //~2 ,200,~ 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 adjoirdng 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 Builc~mg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of builcFmgs, 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 necessar3 inspections.· (ff[g~atur~ o~a~hca~t or name, ifa corporation) (Mailin~ address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises M~,k ~a~[ ll/~}Jcef' (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. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number - Stree/ County Tax Map No. 1000 Section Subdivision (N/me)' - ' o ,4qo Id Hamlet Block 07 Filed Map No. Lot q, l~°' · ,:.: Lot '7 , . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,,,ale, 12a,~,lv, ~_~[6'~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~ ~,J, !4- 5. If dwelling, number of dwelling units If garage, number of cars Addition t~ Alteration Other Work Fee ~.~tgO (Description) (To be paid on filing this application) Number of dwelling units on each floor 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 Dimensions of same structure with alterations or additions: Front ~ A-44~d Rear Depth_ Height. Number of Stories Dimensions of entire new construction: Front Rear Height Number of Stories Size of lot: Front ~¢ ~l'4'ae-~'el~ear' ' Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction x4olate any zoning law, ordinance or regulation? YES__ NO X 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor __ NO )q Will excess fill be removed from premises? YES__ ~ t~ ~ oJ ~ Address~[~Phone No, Address Phone No Address Phone No. 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 survey. STATE OF NEW YORK) SS: COUNTY OF ) ~)h-~t ~e~ ~- ~.~t~ [ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~4e ~ ~.~ (Contractor, .&gent, Corporate Officer. etc.) of said owner or owners, and is dui3' authorized to perform or have performed the said work and to make and file this application: that all statements contained in this application are tree 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. Sworn to before me thi;~ ~._~_~_ .day of ~ ~c2~,-ff200___~_ ~O ~'~otary ~bl~- EL~ A STAllS NOTARY PUBLIC, S~te of N~YO~ No. 01ST~08173, S~olk ~ · S'~agnat~re of Apphcant