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HomeMy WebLinkAbout26813-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27394 Date: 11/02/00 THIS CERTIFIES that the building ADDITION Location of Property: THE GLOAMING FISHERS ISLAND (ROUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 9 Lot 10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 2000 pursuant to which Building Permit No. 26813-Z dated OCTOBER 2, 2000 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. ~ne certificate is issued to B~LRBARA J. MCBRIDE & ANO. (OWNER) of the aforesaid building. SUFFOLK COU1FI~f DEPAi~TMENT OF ~IE~J~TH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /~ Au or~'~ture 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. 26813 Z Date OCTOBER 2, 2000 Permission is hereby granted to: BARBARA J MCBRIDE & ANO PO BOX 892 OLD LYMEfCT 06371 for : CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING. THIS PERMIT REPLACES BP#12634. at premises located at County Tax Map No. 473889 Section 010 pursuant to application dated OCTOBER Building Inspector. THE GLOAMING FISHERS ISLAND Block 0009 Lot No. 010 2, 2000 and approved by the Fee $ 75.00 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the bui inspector with the following: for new building or new use: l. Final survey of property with accurate location of all buildings, property 1 streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 f. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system conta less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar bu and installations, a certificate of Code Compliance from architect or engine~ responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-~confo~ing uses, o~ buildint '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building an~ unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by-the applJ If a Certificate of Occupancy is denied, the Building Inspector shall state t reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 'of Occupancy on Pre-existing Buildinz - $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 ...... New Construction ........... Old Or Pre-existing Building ..... ~. .......... Loca ion o Property...~ ...... ~ .... .7~.' ........... .~. ....... ,..~.(~/~.~..~.j.~.'~...~..~.. House No. Street Ha~et o=w = or County T* *p No 1000, Section .... /~ ...... Block....~. .......... Lot'.~¢. .......... Subdivision .................................... Filed Map ............ Lot ............... Permit No..~..~.~.~. ff..! %~%f Permit...?X~.~. Z~.~...Applicant..~...~..~..~ ./~.~X .~. Health Dept. Approval .......................... Underwriters Approval .................. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..., ....... Fee Submitted: $.. APPLICANT 10/25/2000 08:20 631-78855~9 ROBERT E WALL 76S-~0Z BuiLDING DJ:Jrt.· INSPECTION PAGE 81 [ ] FOUNDAT L ,] FOUNDA1 [ ] I~AMINQ ,ON tST [ ] ROUGH PL,BG. iON ZND ~ ] INSULATION [¢,,~INAL REMARKSz ' ' ~" ' FOUM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12634 Z Permission is hereby granted to~;~--~ ..... ~...!.d~......~..: ..... .u.b...~..~-- ....... ....... ~.~,,.~..~ ....................................... ....o.~.......~...~...,...~.....~..~.:~.~...t .... ~o ...~~.....~....~.....,~..~..m-.....~....~.~,~. ............... at premises located at ~ ~~ 7 .--.~.~~-.~ .... '...~.....~' ' County Tax Map No. 1000 Section ..."....~1....~.. ........ Block ....... ..OJ ............ Lot No. J O and approved by the pursuant to application dated .............. ,1....'~... ............ , 19.~.~, Building Inspector. Fee ~.~.:..../... ....... Bu,ld~ng Inspector Rev. 6/30/80 robert doyen po box 892 old lyme, ct 06371 September 19, 2000 Building Dept Town of Southold Southold, NY 11974 Re: Permit #12634 Robert A. Doyen It's always thXh way - house is supposed to close on September 29, 2000. I notified Bob Wall that the dec~ inspected. I// Please send the completed'Paler work for the permit/t'd: 5102-~¢M~n Road souy : :t' She is aware that t~s is in proces~ wilt be loohng for~ Tha~s for your help / Robe~ A. Doyen FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 giving a detailed description of layout of property must be drawn on the dia~am which is part of this appli- cation. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) · Box. B92,'. Old. Lyme~. CT.. 0~37J ................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .......... O~p,e,p. ......................................................... , ....................... Name of owner of premises ..... J~.o.b.e?.t. ~...D.o,~.eja../..B.a?.b.a.r.a .J... H.cJ3?&d.e ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License Bio .......................... Plumber's License No ......................... Electrician's 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 ...... ~.0. .......... Block ...... 9. ........... Lot ...... q.0. ........... '" Filed Map No..-.. ............ Lot .,..'x/9...P Subdivision.., ............. (iq'a~> ................ -- ' ~ ~/ '~ ~)'" State existing use and occupancy of premises and intended use and occupancy 6f proposed construction: a. Existing use and occupancy .... Fl~,cle. n.q.v. ......................... b. Intended use and occupancy ...~e.s.i.d.e.n.q.v. .................................... --~:~ :- ~..4 .-7-;~.~:;-.~-;-' ~ ~-f~a ' :¢: ::?~',2}: 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .. Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ..... SJ,000,00 ........................ Fee .... .$.25...o9 ............................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ¢ ........ Number of dwelling units on each floor .... .2 ............ If garage, number of cars ....... .n./.a .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... n,/a, ............ 7. Dimensions of existing structures, if any: Front../~.5 ........... Rear ....65 ......... Depth .... 25 ......... Height ........ 20 ..... Number of Stories ..... .~ .................................................. Dimensions of same structure with alterations or additions: Front ....45 ............ Rear ...6.5 .............. Depth ...... .25 .............. Height ..... .2.0 ............... Number of Stories .... ).. '. .............. 8. Dimensions of entire new construction: Front .... J .6 ......... Rear ... J.6 ....... ~.. Depth .... J.6 ......... Height ....... 3.0.3.n.c.h.elSlumber of S?,ries ..... .n/.a ................................................ 9. Sizeoflot' Front Irregular - .52 ayres Ra~r (see below) n,~,,,h 10. Date of Purchase ... 9r.27:?. Name of Former Owner .... .d.a9???' ?yes 11. Zone or use district in which premises are situated .............. B .e .s .i .d .e .n 3.i .a.1 ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ... P9 ........................... 13. Will lot be regraded ... P9 ....................... Will excess fill be removed from premises: Yes (No 14. Name of Owner of premisesRobep.t.A... Doyen ...... Address .02.d. Lyrn.e.,..C.T ....... Phone No.2.02..42.~.-5.8.3.8 .... Name of Architect .... ngn.e ................... Address ................... Phone No .......... ' ...... Name of Contractor ....s.e.l.f ................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. : /".'-~' ', I ~ ~, '~ ~ ~ ' . Ii '",,'~-.t ~ ~' .' '. ' I~'--'/° A of side porch from J. ~<'~'~e ' ~/2~/ _.-i.' .................................. '~ ........ .---.:.- : \. ............ . .... . STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (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 filed therewith. Sworn to before me this 12th .day of September 1987 ~TATF. 0~? CONNECTICUT ew Eon~lon. ~ - Notary Public, . ....... ~ ............... ~...... county .......... ......... ~O~'A~.Z ~'v~6' - . (Signature of applicant) : :?'::: · J~y~O~iM'I~I~I~N"I~XP RES MARCH 31, ~988 . .: ::1: ~ ~:::; '::, :'.~'!:: :; ~ ~ , ,