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Home My WebLink About27164-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27652 Date: 04/27/01 T~IS CERTIFIES that the building ADDITION Location of Property: 2255 ANCHOR LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 4 Lot 36 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 2001 pursuant to which Building Permit No. 27164-Z dated MARCH 23, 2001 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to FP_ANCIS J DELLAMA~O (OWNER) of the aforesaid building. SUFFOLK COUNTer DEPARTMENT OF ~EALT~ APPROVAL lO/OO/OO ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Authorized S~tu~e FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES LrNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27164 Z Date MARCH 23, 2001 Permission is hereby granted to: FP~ANCIS J & WF DELLAMANO PO BOX 5009 NORWELL,MA 02061 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR " AS BUILT " at premises located at 2255 County Tax Map No. 473889 Section 079 pursuant to application dated MARCH Building Inspector. ANCHOR LA SOUTHOLD Block 0004 Lot No. 036 22, 2001 and approved by the Fee $ 75.00 Rev. 2/19/98 ORIGINAL A. Form No. 6 TOWN OF $OUTHOLD 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 inspector with the following: for new building or new use: 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 o{ 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. Submit Planning Board Approval of completed site plan requirements. Be 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 a~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-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00,/Comme~cial $15.00 Date .......................... New Construction ........... ~.~J~fOld Or Pre-existing .Building ~.J~..~ ~ ............ iJ ]~..~.. · Location of Property ........................... House No.~ Street Hamlet Onwer er O ers of ............................ C ountyTax Ma p~/~ ~j S~~. ~. ..... B~ ck ~..~..~.+./. ....... Lot .... .'~.' i!i .'~.' .' i .... iiii' Subdivision../~. wt..-v~.;, r.. ~.. ~.-~. ........ Piled Map ............ Lot ......... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept, Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate.ifil[[fill Final Certicate ....... PeeSubmitted: $ ..... .... APPLICANT' FIELD INSPECTION =RR__POIIT - DATE ~;.,~,~ COI~tiENTS FOUNDATION (]ST) Ii II FINAL 765-180Z BUILDING DEPT. INSPECTI [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] I~LATION [ ] FRAMING [ ~] FINAL A ] FIREPLACE & CHIMNEY ,DATE ~~/ INSPE~OR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] [ ] FRAMING ,~ [~,:~PINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~DATE ~ ~/ INSPECTOR/~~, ~ Stairs: 6" rise - 18" tread DA~OI/ED AS NOTED NOTIFY BUILDING DEPA~J-I~ME~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECT]ONS: 1. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY COD:;S. ;';GT RE,~PGNS;SLE FOR Francis J. Dellamam 2255 Anchor La. Southold, NY 11971 1000-79-4-36 House 2x oist 16oc ~4x10 girder I ~C~-5/4x~ decking -t1-11 II .cement block pier 3' JJ JJ ..~--~ from edge of deck II J,/joisthagers __JL._JJ jj!,,,' E~4x4 rail posts 20'3 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CER33RCATE OF OCCUPANCY Railings: top mil 33.5" - center mil 17.5", around entire deck and on stairs. ~elevation: 4'1" Rear Yard -- 7.5"rise - 11" tread BUILDING DEP/ TOWN HALL $OUTHOLD, NY TEL: 765-1802 Examined ~"~~, 20 O ~ Approved~, 20~__~ Disapproved a& 15UI~DINq.i IfBRIVIII API~LICA'I'ION CHECKLIS' Do you have or need the following, before applying Board of Health .... 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building ~pector (/ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in b~, i'7pewriter or in ink and submitted to the Building Inspector with. 3 sets of plans, accurate plot plan to scale. Fee according to sotiedule. b. Hot plan showing location of lot and ofbuilding~ .o..n"premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Insiaector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection througho.ut'the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issu6d by the Build!ng Inspector. · APPLICATION IS HEREBY MADE to the Buildi;ag Department for the issuance of a.Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, 8uffolk?o6nty, New York, and other apphcable Laws, Ordinances or Regulations, for_th~e_cbnstruqtion of buildings, additiojl$,_or2~dterations_or for removal or demolition as herein described. The- - applieant agrees to comply with all applicable laws, ordinane'?s, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for ne~es, sa.r'{, inspections/ · ,. (Signature of applicant or name, if a corporation) '" (Mailing address of applicant) Statewhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofpi-emises (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. Location of land 9n w ,hich prpposed worl%wi~ b.~ dpp?: ... .JetccAdc ko,ut House Number Street County Tax Map No. 1000 Section Subdivision h/J~ghL L_LoL~ 6 ame) .' Block 2-f Filed Map No. Lot b. Intended use and occupancy ~,~,~, L Nature of work (check which applicable): New Building... R, epair Rem?ali Demolition I, Estimated CostR. Jt/~ ;. If dwelling, number of dwelling ~nits If garage, number of cars o,.~ ~^so..~,, u~ ~ o~upaacy, ct premises aria Intended use and occupancy of proposed construction,' ' a, Exlstlng use and occupan~y. .,, . 'gtn.~[< ~r.~,dy Dt~J/t,~t ! Fee Addition Alteration OtherWork ~o,,~ b.~ek_ (Description) (to be paid o~ filing this application Number of dwelling units on each floor ~' ,,If business, commercial or mixed,l°ccupancY, specify nature and extent of each type of use. '.Dimensions of existing structuresl if any: Front Rear Depth Height. .l~umber of St6des Dimensions of same structure ~ith alterations or additions: Front. }t,//~ Rear Depth.. I~eight .... Number of Stories ;. Dimensions of entire new construction: Front . ~0''~ Rear o~d~ Height Number of Stories '. Size of lot: Front ~-e 1¥4~'~!'t~-Rear.. Depth 0, Date of Purchase Name of Former Owner ... 1. Zone or use district in which prem scs are situated 2. Does proposed construction violat} any zoning law, ordinance or regulation: 3. Will lot be re-graded '3.}~ i Will excess fill be removed from premises' YES NO 4. r~ames or owner o~prem~ses/_~4.~~Address~.,~:~[,.~Phone No. Name of Architect ' Address_ Phone No Name of Contractor i,. Address. Phone No. Depth womtqzbefore me this,..,// day o ~"~' 20 Notary Public ',~gent, Corporate Officer, etc.) zed to perform or have performed the said work and to make and file this application; ion are true to the best of his knowledge and belief; and that the Work will be lication filed therewith. said owner or owners, and is'duly author mt all statements contained in this appllca~ erformed in the manner set forth in the apt (Con~racto S)He is the 5. Is this property withip 1 O0 feet of aitidal wetland? *YESNO....~ * IF YES, $OUTHOLD TOWN TRUSTEES P~RMITS MAY BE REQUIRED 6. rowde survey, to scale, wtth accur~teL foundation plan and distances.to property lines, 7. If elevation at any point on propert i ts at 10 feet or below, must prowde topographical data on survey. TATE OF NEW YORK) SS: :OUNTY OF __) ..----. .... <t"~'q°"44~ &~ ['1. being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) hbO)ye named,