HomeMy WebLinkAbout29522-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-29710
Date: 0--9/12/03
THIS CERTIFIES that the building ADDITION
(aka 35 Sunset Lame)
Location of Property: 235 SLINSET LA GREENPORT
(HOUSE NO.) (STREET) (HA~MLET)
Couulty Ta3[ Map No. 473889 Section 33 Block 4 Lot 49
Subdivision Filed Map NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 26, 2003 pursuant to which
Building Pe~it No. 29522-Z dated JTJNE 26, 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 DECK ADDITION TO AN EXISTING ONE FANILY DWELLING AS APPLIED FOR.
CONSTRUCTION CERTIFIED BY ENGINEER.
The certificate is issued to RICHARD A & PRISCILLA A HORANAN
(OWNER)
of the aforesaid building.
SD-FFOLK COUI~I~f DEP~ OF }~AL~{ APPROVAL
EL~C~I~RIC/%L CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
NtA
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. 29522 Z Date JUNE 26, 2003
Permission is hereby granted to:
RICHARD A. & PRISCILLA A. HORA~
35 SUNSET LANE
GREENPORT,NY 11944
for :
CONSTRUCTION OF A DECK ADDITION TO EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR. (REPLACES BP #26252-Z)
at premises located at 235 SUNSET LA
County Tax Map No. 473889 Section 033 Block
pursuant to application dated JUNE 26, 2003
Building Inspector to expire on DECEMBER 26,
GREENPORT
0004 Lot No. 049
and approved by the
2004.
Fee $ 150.00
COPY
Rev. 5/8/02
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.
26252 Z
Date JANUARY 7~ 2000
Permission is
for :
hereby granted to:
RICHARD A HORAN
35 SUNSET LANE
GREENPORT~NY 11944
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR.
at premises located at 235
County Tax Map No. 473889 Section 033
pursuant to application dated NOVEMBER
Building Inspector.
SUNSET LA GREENPORT
Block 0004 Lot No. 049
22~ 1999 and approved by the
Fee $ 75.00
AuthoriZed Sigr~ture
COPY
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
APPLICATION FOR CERTIFICATE OF OCCUPAI~ICY
This application must be filled iu by typewriter or ilnk and submitted to the Building Ddp~a~m~f~ ;kith the following:
For ne',,; building or new use:
l. Fiual survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topo~aphic features.
2. Final Approval from Ilealth 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 bnilding, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for tbe buildiug.
6. Submit Plamfing Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of propelty showing all propeNy lines, streets, building and anusual natural or topograpbic
fcattues.
2 A properly completed application and COllSOllt to inspect signed by the applicm~t. Ifa Certificate of OcctlpallCy iS
denied, linc l}uilding Inspector shall state thc rcasotas thcrefi~r m writing to the npplicam.
Ccrtif]catc ot Occupanc.,, - New dwellin~ q~.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimlniu~ pool $25.t)0, Accessory building~$'kYf.(Ji), Addilions to acccssoly buiktii*g $2500, Businesses $50.00.
2. Certitlcatc of Occupancy on Pre-existing Buikliug - $100.00
3. Copy of Cel~iticate of Occupancy- $.25
4. Updalcd Cci~ificate of Occupancy- $50.00
5. Temponn'y ( crtiticate of Occupancy - Residential $I5.00, Commercial $15.00
New Coustruction ~,~,~ Old or Pre-existing Building: (check oae)
Location ol'l'Fopcrty: _~i~~~____~~~~-
Str~ .
Suffolk Comity Tax Map No 1000, Section Block Lot
Subdivision
Permit No~,~.~Z Date of Permit.
Health Dept. Approval:
Plamfing Board Approval:
Request for: Temporary' Certificate
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Lot;
(check one)
Fee Submitted: $
Applicant Signature
ROBERT O'BRIEN P.E. CONSULTIN~ EN$'~EERIN~ SERVICES
2074 MAIN ROAD, F~.O. BOX 426, LAUREL, NY 11948
631-298-5252
August 12, 2003
So~hoM Building Departme~
Southold, NewYork
Permit No. 262522
Richard A. Horan
35 Sunset Lane
Greenport, New York 11944
To Whom It May Concern:
On August 12, 2003, I inspected the above-captioned deck.
A portion of the deck planks had been removed per my request, exposing the
girders, joists and footings at the southwest comer. The support members visible are in
conformance with the approved drawing plan dated 1/7/00 by your Department. This
includes the size and spacing of the beams, joists and depth of the circular concrete
pier footings.
Very truly yours,
Robert O'Brien P. E.
Applicant]
Owners Name:
Architect/
Engineer:
BUILDING PERMIT REVIEW CHECK LIST
SCTM #:
Dislrict: 1.000 Section:
Location: __ _
Single & separate Required
certffication: (Yes / NO)
IFrom Yard ~>~ Proposed:__
Project Description:
Reviewed:
Submitted:
Subdivision
Name:
Req
Req. /0~' Proposed: } [Rearya~d ~,~...-r Proposed:
[Side Yard ~
AGENCY PERMITS
REQUIRED FOR REVIEW N,A. NO
Suffolk Cotmty Health Dept. .~
New York State D.E.C.
Town Trustees ~
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
Permit
YES Number
Notes:
765-1802
BUILDING DEPT.
INSPECTION
INSPE,~
DATE
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~LATION
[ ] FRAMING [//]/FINAL
[ ] FIREPLACe/CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ _] IN~TION~
[ ] FRAMING [ "] FINAL
[ ] FIREPLAC~I~~~
REMARKS: ~,~/////~/~ ~
DATE
==========================FI~'LD INSPECTION REPORT =DATE
INSULATION PER N. Y.
STATE EN~RG'Y
CODE
FINAL it
~ ADDITIONAL C(~R~IENTS: _
FORM NO,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
TEL: 765- }802
......................................................
(hilding InspeCtor )
9
' "~PPLICATION ,FOR BUILDING PERMIT
...... )J INSTRUCTIONS
BOARD OF BEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORN ...................
NOTIFY: .~}'~Z~
CALL ..~.:.fl..9. fl..I
MAlL TO: ....................
Date ....... ,19 .
a. 'mis application aust be ccmpletely filled in by t-ype~riter or in ink and sdami£ted to the l~dlding Inspector ~ril
3 sets of Plans; accurate plot plan to scale. Fee according to schedule.
b. Plot plas siam, ring locatioo of lot and Of buildings om prmmises, relationship to adjoining pr~nises or public
streets or areas, and giving a detailed description of layout of property must be dra~n on the dlagrmn daich is part of
this appllcatio~.
c. The work covered by this application may not be ccramnced before isstmnce of Building Permit.
d. Upo~ approval of this application, the Building Inspector will isase a Building Permit to the applicant. Such
permit shall be kept on the pr~mlsea available for inspection throughout the work.
e. No building shall be occupied or used in ~nole or in part for any purpose whatever until a Certificate of
Ocaipascy shall have been granted by the Building Inspector.
API~ICATICI~ IS ~ ~ to the Buildlng Department for the issuance of a Building Pemit pursuant to the
Building Zone Ordinance of the To~u of Southold, Suffolk County, Ne~ York, and other applicable La~s, Ordinaries or
Regulations, for the co~structim of buildiags, additions or alterations, or for ~m,~,~al or dermlition, as herein
described. The applicant agrees to C°~ly ~rlth all app].icable la~s, ordinances, building code, housing code, and
regularities, ~ to ~%n,{t ~-~,o~izcd -' ..... ' ....
(Signa. ture of a~llcant, or nane:, if a corporation)
(M~iling address of applicast) llq~p~'
irate wbether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plufoer or builder
...... c...~.~...44...~..& ............................................................................................
of_r of .... .......................
(as on the tax roll or latest deed)
f applicant is a corporation, slgnatm"e of duly anthori~ed officer.
and title of ~orparate officer)
Builders License No ..........................
Plunbers License No ..........................
Electricians License No ......................
Other Trade's License No .....................
Lonatio~ of lasd on which proposed work will be done ....................... _~ ......................................
.............. .............................................
House Number Street
~ Tax ~_No..,~ ~t,on ...~.:~ ....... ~l~ ..... ".e. ........ ~t'...~.~."~ .......
~iv~sion ..~..~.~.c~..~h~.c~ ............ ~led ~ ~. ff.~At .... ,~ ..~.z.~}.
(~)
State ~sti~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~ of pro~ cmst~tion:
~ture of ~ork (dk~ck ~hid~ applicable): Ne~ ~ildi~ .......... ~iti~ .......... Mteration ..........
l~ir ............ ~1 ............. l~llti~ ............ O~her ~ ..................................
~ript {~)
Es~i,~t~ ~st ......................... f~ ..............................................
(to ~ ~id m filing this a~li~ti~)
If &~lli~, ~r of ~lli~ ,mits ............ I~r of ~lling ~mits m e~ dar ................
If garage, ~r of ~rs ......................................
If ~i~ss, ~rcial or ~ ~, s~i~ ~ture ~ ~tent of ead~ ~ of ~ ......................
Di~nsims of ~isti~ st~s, if ~: ~mt ................ ~ar ............... ~pth .................
I~iO~t ......................... ~r of Stories ......................
Di~i~ of ~ st~e ~th alterati~s or ~itions: ~mt ............... ~ar ...............
~pth .................... ~i~t .................... ~r of Stories ...............
Ditmnsi~ of entire ~ ~st~tim: ~t ................ ~ar ............... ~pa ..............
Ibi~at ......................... ~r of Stories .....................
Si~ of lot: l~t/.~__...~ ................ ~ar .................. ~_ ~--~.~__~ ~pt~ .................
......... ...........
~ or ~ district in ~ai~ p~i~s a~ si~t~ ..............................................................
~s ~o~ ~t~ti~ violate a~ ~i~ 1~, o~i~e or re~latlm: ........................
Will lot ~ ~ ................... Will ~ss fill ~
~ o[ ~dt~r .................................... ~ross .............................. ~m ~ ..............
~ o[ ~rr~tor ................................... ~ress ............................... ~mm ~ ..............
Is fids p~r~ ~fldn ~ f~t o~ a till mtl~ ~ ~ .......... ~ ..........
~LOT
Imate clearly ~ disti~tly ail ~ildi~, ~r ~i~ti~ or p~, ~ i~i~to ail ~t-~ d~nsi~s
p~r~ li~s. ~i~ ~t~t ~ bl~ ~r or ~acriptlm ~ing to ~, ~ ~ strut ~s ~ i~icare
e~r interior or m~r lot.
1.~. . :.. .~. 2 ................... I~ing duly ~m, detx~s~s and ~ys tlmt he is dm a~li~nt
of iMivi~l si~i,g cmtract)
the . .: ..........................................................................
(~tractor, agent, cor~rate officer, etc.)
~id ~r or ~rs, ~ is duly mthori~ to ~rfo~ or h~ ~rfo~ U~ ~id m~ ~ to ~ a~ file this
~licati~; ~at all star--ors cmtai~ in ~s a~l. lcati~ are t~ to fl~e [ms~ of bis ~1~
O~e m~ viii ~ ~rfo~ in tl~ ~m~r ~t forth in the a~licatim fil~ t~.
to ~fore ~ ~is . ~
~A~A~$ (S~mre o~ ~ ic~ )
~ITUATE NOt~.TH OF THE
V'ILLA~E OF ~EENPOf~T
TOYIN OF= SOUTHOLO
SUFFOLK-.. COUNTY, N.Y.
0
0
E~te, VEY'E~ O4 - 2"/ - ~8,
~U~O/~ C, OUN"T"Y' TAX MA~
I000 BD, 4 4~
GIEI~TIF~I~ TO=
~IC. HAIe..~ A. HOI~.AN
FI~EI. II"Y' NATIC~NAI- I'I'FL.E INGUI~.ANC..E