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: ~ ~:::; '::, :'.~'!:: :; ~ ~ , ,