The URL can be used to link to this page

Home My WebLink About28138-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29319 Date: 03/19/03 T~IS CERTIFIES that the building ADDITION Location of Property: 1575 LAURELW00D DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 5 Lot 10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 2002 pursuant to which Building Permit No. 28138-Z dated MARCH 6, 2002 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 COVERED FRONT PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to MICHAEL A & PATRICIA IRELAND ( OWNER ) of the aforesaid building. SUFFOLK COUiFi'Y DEPARTMENT OF ~EALT~ APPROVAL BLEt'rKICAL CERTIFICATE NO. PLL~4BERS CERTIFICATION DA'£~U3 N/A N/A N/A ' ~Jho r~e d S ~nature 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. 28138 Z Date MARCH 6, 2002 Permission is hereby granted to: M & P IRELAND 1575 LAURELWOOD DR. LAUREL,NY 11948 for : CONSTRUCTION OF A COVERED FRONT PORCH ADDITION AS APPLIED FOR at premises located at 1575 County Tax Map No. 473889 Section 127 pursuant to application dated MARCH Building Inspector. LAURELWOOD DR LAUREL Block 0005 Lot No. 010 4, 2002 and approved by the Fee $ 150.00 / Authorized Signature COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ir& and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of properly 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 fi'om 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 arctfitect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) hon-conforming uses, or buildings and "pre-existing" land uses: 1. Acct~ratesurvey~fpr~p~rtysh~winga~~pr~perty~ines~streets~bui~dingandunusua~natura~~rt~p~g~aphi~ 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratinns to dwelling $25,00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Ce~ificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy ~ $25,00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: -. tion ofhope y: /C?V- House No, S~ S~o~ Co~ Tax Map No 1000, S~tion X ~ ~lubdivision (check one), Hamlet Block (~'" Lot /0 Filed Map.. Lot: Health Dept. Approval: planning Board Approval: . Request for: Temporary Certificate Final Certificate: _ ~ (check one) 1~.~/ ~ }~ c:~.-~ Applicant Signature Charles M. Thomas, Architect P.O. Box 877 Jamespor~, New York 11947 (63l) 727-7993 e mail: cdthomas63~aol, com January 26 2003 Town of Southotd Building Department Main Road, NY. 11971 Re: Ireland Residence (porch addition) This letter shall serve to ~certify that I have inspected the porch addition to the above referenced residence and found that it conforms with the approved plans and to the New York State Building C<)de in. a~ aspects. Thank you for your attention to this matter. ery tr urs, BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: [,~-,~'z,, Mq ~. DATE REVIEWED: 3 / ~t/0l-. .DATE SUBMITTED: ~/0/ /0g- SCTlvI# DISTRICT: !,000 SECTION: STREET: PROJECT DESCRIPTION: /~,,~e:t4 ,~a}~r '~o~ ~/ENGINEER: '"'-~.~,~ BLOCK: 'f' LOT: CITY: SUBDIV. NAME: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ,-- o NOTES: ,._.__ LOTS 40,O00SF -100-24. Lot recognition.(CREATED befow June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Morger.(A non¢on form/ng at any time after 7/Dll3 ZONING DISTRICT: , A'- ~o CONFORMING? REQ. LOT S177~.: ~, ooo ACT. LOT SIZE: REQ. LOT COV. REQ. FRONT REQ. REAR )"o . PROP. FRONT ~5-? ~ REQ SIDE fo PROP. REAR ,~+c~_ ~-~. WATER FRONT? F' 'C~ DESCRIPTION: PANEL #: d-~ FLOOD ZONE: .~,~ , ACT. LOT COV. .- SIDE AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or ~Q~/(B~D.#): DTE: NEW YORK STATE DEC: PRO-teC S0tT~ YES or~ SOUTHOLD TOWN TRUSTEES: YES or~l~ TOWN ZONING BOARD APPROVAL: YES or {ilo TOWNPLAN. BOARD APPROVAL: YES or~ TOWN HISTORICAL PRE (SPLIA):. YES / / PERMIT #:RI0- NYS ENERGY: YES OR NO : ,&//'t(z~__ EGRESS (18 H min.? 4 sq total) __ %rENT (SQ. FT. x 4%). BUll.DING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: LIGHT (SQ. FT. x 8%)_ FEE STRUCTI_IRE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLR: SF TOTAL: SF INIT OTHER TOTAL FEE FEE FEE 'OT( ~.~2-SF)-( SF)= :,, SFX$ =$ +$ ?,,q~'O +$ =$ /(s%7- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ]ROUGH PLBG. [ ] INSULATION DATE INSPECTOR FOUNDATION (1ST) FOUNDATION (2ND) PLUMBING ~S~ATION PER ~. Y. STA~ E~RGY CODE B UIL ~ ~'q G DEP_~RT~e~F TOWN FL~LL SOUT~fOLD, _N~' 11971 TEL: 765-1802. TO?!!.i .... PERIVIrt NO. -.ZY ! 3 ?-z~ Build. rs L¢cens¢ No- Plumbcrs LicenseNo. Etectncians License No, Otb: Trade's License No. l. Loca~on of l~nd on which proposed wo? ~b~. d°nc: House Numb,er f~'~,:~t. " Cou.~ty Tax M_ap F~ Ma, No ., · Lot ~ ffb~s/ness, commercial or mixed oCCUpallCy, sp~fTllatllre al~d exte~rt.of each type of use. -- Dep~ ~ Height -/~ Number of S1~3rie~ ,, ~ Dimensions of ~ame structure with aim-at,on* or ~dit~on*: Front' Rear Depth ~f~ Heigfit Number of Stodes I 5' Is ~s Pr°P~ wi~n: 1~ ~ °fa fi~ w~b~? ~2 ' 'NO STA~ OF ~W YO~) CO~ OF . ) .' >w~ to before me ~ '.' THERESA ~. KOBER Notary Public. State of New NO. 4775296 . Qualified in Suffl31k, Colmly ,;omm~'.ion Ex~ires September