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Home My WebLink About26943-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27481 Date: 12/19/00 THIS CERTIFIES that the building ADDITION Location of Property: 1025 NORTH SEA DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 4 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 2000 pursuant to which Building Permit No. 26943-Z dated NOVEMBER 27, 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 "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM A CUFF & MARY GLYNN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i Authorized Sr 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. 26943 Z Date NOVEMBER 27, 2000 Permission is hereby granted to: MARY GLYNN 1025 NORTH SEA DR. SOUTHOLD„NY 11971 for CONSTRUCTION OF A DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" (REPLACES BP #15416Z) at premises located at 1025 NORTH SEA DR SOUTHOLD County Tax Map No. 473889 Section 054 Block 0004 Lot No. 012 pursuant to application dated NOVEMBER 22 , 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorize Signature ORIGINAL Rev. 2/19/98 b rutin t►u► v (� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ItALL 765-1802 Cr,�� Lt100 i i APPLICATION FOR.CERTIFICATE OF OCLUPAqCy � __44__4.4.__. A. 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: 1. Final survey of property with accurate location of all buildings) property lines, streets, and unusual natural or topographic features. 2. Final Approval from llealth Dept,- of .water supply and sewerage-disposal(S�-9 form) . 3. Approval of electrical installation from hoard 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, ,indus.trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from' architect or engineer responsible for the building. ' 6. Submit Planning Board Approval of completed site plan requirements. U. For existing .buildings (prior to April 9, 1957) non-conforming uses, or buildings and • � "pre-existing" land uses: I. 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 $25.001 Additions to dwelling $25.00. Alterations to dwelling $25.00, Swimming pool $25.001 Accessory building $25.00, Additions to accessory building $25.000 Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 -6ver 5 years - $10.00 4. Updated Certificate of Occupancy $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00 I /(221,2000 Date • • i • • • • . • • : • • • • • • . • • • • • ► • • • • .••.• • • • : New Construction. . XX40 • • • • Old Or Pre-existing Building. • . • . • . . . . . . . . . . . Locption of Property 1025 North 'Sed Drive ,�gthAld . House No. Street Hamlet Mary Glynn Onwer or Owners of Propertyi . • • 91 • • : 6 . 1 • 66 • 6Ii61 . /• / . • 1 : • i + . • • • : 11 • + ► 010 + 0 . •• • • + : 0 .04•:: • • . • County Tax Map No 1000, Section• ♦ ♦ i . 4 • + 4444 .Block• . .` . 11 . • . • . • • . .Lot. 1 . .1.�. . . . .. ..... . .. 1 Subdivision. . . . . . . • . . . .. .. ► / . . .. . • 1 . . / .♦ • . . • . . •Filed Map. ► . . . . 1 . . . . .Lot• . 0 .felppl• }1�:, _•t•. . . . � 5� 4�6 - 0,{ ' '•�#- �t'r9wa1 nwro f�D y, �D/Vt8� 1ll�Qd►'' 4`�f f - eono Permit Ho. , # ,, . . .' ti / r.Date Of Permit, . .• •• • • ./ . / . • . •App licant• ►. :. • • • • : • •••••• •• • -� y "L- 4?fI,rar-+ vY1A•y G•iyui^-_ llealth Dept. Approval. . . , • . • . •• . • . / . .• 1 + 1i • . + . •Underwriters Approval:•. 1 • . • . 4 • 4 + . . • ..•6.0 . 0- Planning Board Approval• + ••+ 46 / 6 • 4 . 14 . 66Ii / • • • 6. Request for: • Temporary Certificate. ,/ • • • •• 4 • • Final Certicatei . .XX 004. 0 F e e Submitted: $. 4 . • : ►/: 0 0• .•4 4 4 4 •► . • '1.Y i • .. ' Cf o 1.• AP P L I CART aiqQrAVj BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING t; [ AL [ ] FIREPLACE & CHIMNEY REMARK r DATE l /3 INSPECTO i.= LL) �o ` 3 'OUNDATION ( 1st) (I' c m 'OUNDATIOtd ( 2nd ) m � z o � TOUGH FRAME & �\ PLUMBING c� N H 3 . r� F INSULATION PER N . Y. STATE ENERGY CODE 010 . x a 3 G� t FINAL . o .yam <. ti ADDITIONAL COMMENTS : x cn •v H 2 1 x . a 4 H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,DATE INSPECTOR .�- FORM NO. 1 TOWN OF SOUTHOLD N i 5= BUILDING DEPARTMENT TOWN HALL - SOUTHOLD, N.Y. 11971 7. TEL.: 765-1802 Examined .. ., 19 .�P r 0 Y Received . . . . . . . . . . . , 1 9 . . . Approved6 • J 2�1 O�. . . ., 19 Permit No. . . . . . ;/ . . . . . a Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) 76 f �6 7S— APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . . . .. 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 diagram 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 issued 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 orde lition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housi cod and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . . . . . . . . . . . . C ". . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) . 'E+^ .X . Ak11 4t-� 7rt: 44 .�-? %(. At .1 .f.� . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 4.C, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .^^. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . . . . J. 1 . . . .A#. . !'t :. .ev.r `. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 No. . . . . . . .1 � . . . . . . . . . . . . . . Plumber's License No. . . . . . . . .'.'- . . . . . . . . . . . . . . Electrician's License No. . . . . . . .. . . . . . . . . . . . . . Other Trade's License No. . . . . . .. . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . ��.�.�. . . . . . . o. . . . . . . .5�74 .� ►t.�.`�. . . . . . . . �!�-t'4A . `r.~.7 . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . .. . t7 . . . . . . Block . . . .L/. . . . . . . . . . . . Lot . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . * * * * * , . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . .A"`!`. . ./�. . . . . . . . . . . . . . . . :`�N =.A 1�!}3 . . . . . . . 3. Nature of work (check which applicable): New Building . . . . .•. . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Rep .0 . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work7.0!►<... . . . . . �J, —I& (Description) 4. Estimated Cost . . . . . . . . . ..v o o. . . . . . . . . . . . . . . . . . . . . Fee . .4P:... . . . . . . . . . . . . . . . . . . . . . . . . . . . . oto be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . Number of Stories . . . . . . . . . . . . . . . {. . . . . . . . . . . . . . . . . . . . .4 . . . . . . . . . 9. Size of lot: Front . . . . . .!.fro -a _t . . . . . . . Rear . . . . 1 w.' .. .. . . . . . . . . Depth . . . :? . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . o . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . c . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises k4 0^. �?.r?`. . . . . . . . Address P.-)u -Yu v+A 7n!vu Phone No 1 Y�.: . 1 S5. . . . Name of Architect . . . . . . . . Address . . . . . . Phone No. Name of Contractor . .!�. . . .`�-� L'&' ?b. . . . . . . . . Address�4?r!!!'.4n0?:&e`-? . . Phone No.110 5 : -47`A . . . 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. STATE OF NEW YORK, COUNTY OF . . . _ , S'S . . . . . . . . ! /f do -. :). . /.Q 1:�?.11, 4-?. . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . C U ti 7H I`U . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 �5 . . . . . . . . . . . . .day of. . . � .E;-: . . . ., 19�. Notary Public. . . . . . . . . . . . . . . . .. . . . . County . . . . . . . . . .��` .�. . . . . . .� . . . . . . . . . . . . . . 'COOPER wry publK State of Now (Signature of applicant) No.4822583,Suffolk County Term Expires December 31, 19_ '' a Cy-. }. �'•f'4 4 � '3y• lTi.'-C rwEv+� n 1 i . ''• '� " � !I Y i ,�/ock wa/!,6'� edit -' w � 4 tl T-£c 7- lei I b- 10 , T, ' q i A N.SG'36' I : o �,Dols,O � � �+.' UNAUTHORIZED ALTEIIAiiCN OR ACOiTICN i �O TO THIS SURVEY IS A VIOLAT:CN OF I� a •(� SECTION 7409 Of THE NEW YO.,K STATE 1 i EDUCATION LAW. _I— ��a r COFI,S OF THIS SU7VEY AlMNOT EEAIING 1 L THE LA. D Ste•.V;YOR'.' :` •:.AL 02 fM60SSLD SEAL STALL N31 CL CONS:OCREO • �'� _ �/ TO 0f A VALID TRUE CCPV. ~Q O� ~�Ur r/''ate.�'�' r GUARANTE:S ;NCI,-AT.D HEREON SHALL RUN ONLY TO THE i+C:.SO;J FOR WHOM THE SURVEY IS PREPARED.AND ON H:S 6::IALf TO THE �� / / ) /� /� /T / UFF TITLE COMPANY, GOVERWAENTAL H.9 AGENCY ANC V (Jti,� (j„��//�L]r j\Y/lj E�✓_ IENpING 1\ST{TCitON l:Si:p H.[:ON, AND i ---- • TO THE ASSiGN:LS OF T::E LENDING INSTI- ; TUTION. GUARANTEES ARE RUT TCANSFZP,ABLE �� , TO ADDITIONAL INSTITUTIONS OR SUd:,EQUENt j SOUTNOLD \ owNER3, SU�%OLK CouArrY /`/.y \ S ur rt'y e cl O c ;'. 2, /9 72 VAN TU YL - .3 Q?V • :' � • • ,Scab t SO'=!" � ' . • vim_ � !�.�_ _- - -� fir.• i.' i-. .. _ - :`�.. _ �.. _ ..E. ��,.p, /'..' ..... r f; 'ja.,3 SLA 1 41� • ► 1004- Ito 00 + ;F � • •Net (VVV) ri i I h c "R �4 3' x k�Y K. F • yy�T � � A x • /Jc�RYIt 4L�9 i � fd l�Y - o wL II� III g�� III IIIA rt v • - �,._.' — _ 'c"v .sem+' �`r�, ', � . C � •mow ' CUPAiCY OR LISE IS Ll"LAWFUL / Sy CUT CEDKTInC 'PANCY }` APPROVED �'yS NOTED � f : 14—o J ,D3TE° /UJ11 Z?lo # �y ��• FEER Y �•L G ",40TIFY BUILDING I:3rTARTWNT AT .615-1802 9 AteTO4FIM FOR THE VViN0 ',NSI�t CTlCJI't°s: FOUNGA 90N. ",-WO REQUIRED FOR POU�WJ 4 ¢•7zli�� :,3 3{;;�yTF�t�i r'"..�i lex . ,';UST ALL C:C�� 4} "�e�+;rEn�. ;�r��t i 4�iEET THE ME N.Y I STP'r� R, ENERGY CO DES NOT AES—K)vS&I-E FOR d rc / r b , ROVED NOTED--` D9TE` //Z oa XI B.P. "sty i ' E. NOTIFY BUILDINE, DEPARTMENT AT' () 765-1802 �?�M TO -PM FOR,-THE ,� u� FOLLOW INSP IONS: j e s d 1 FOUNDATION- TWO-REQUIRED, , FOR POYnD CONCRETES =� 2. ROU - FRAMft:G & PLUMBING M 3. Ifj s$xxTION- � UNDERWRITERS CERTIFICATE i� 4.(FINAL --CONSTRUCTION MUSY �f REQUIRED 2i z�=8 BE COMPLETE FOR C.O. / \ _ ALL CONSTRUC`(ION SHALL MEET T44E REQUIREMENTS OF THE N.Y, ` r ' STATE CONSTRUCTION & ENERGY CODES. NOT R Si'ONSIBLE FOR o I I DESIGN OR C TRUCTIQN ERRORIV 7�// -- src�,.6f�r 5 - - ` 19^'mss .0j/�•�.�,4,^ 7 x /4 - ;rk Sr- 71 ks _ -- x v -- - — _-- REVISIONS -2 r ROBERT O'.BRIEN P.E. ` c OF NE : t ch z CONSULTINC3 ENGINEER7IN0 8EAVICEB Main Road, Laurel. N.Y. 11948 s 2 ° 21�•�` ��f i N ` 2:r �' ` ow N o i d S ci�T1i .T�/�- /'P ✓L R NP�` '/ SCALE � ^r I-&pr DRAWING NO. SHEET FESSIp c �� /iv^, __� • � ( GATE / � 00 .�C'i�!0 OF � BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: -A /2;>/Da APPLICANT NAME: DATE SUBMITTED:-/-/ SCTM# --- DISTRICT: 1,000 SECTION: S'l� BLOCK: LOT: PROJECT LOCATION n STREET: CITY: �� SUBDIV. NAME: /f r ARCHITEC NGINE J� o�j e r t ,�jr �., FAST TRACK: YES oNO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o N OTES: ZONING: PERMIT ATE AMOUNT:_$ .00 ZONING DISTRIC : R4 80 AC, CONFORMING: YES 0_aRg REQUIRED LOT SIZE: SQFT. WHERE ACTUAL LOT SIZE FRO .TAX CARD . S rc ACTUAL LOT SIZE: /3 SQFT. REQUIRED D REQUIRED FRONT:;f,b' PROPOSED:/?-G SIDE YD: ' PROPOSED: '/�' REAR:SCS ' PROPOSED: -41' LOT COVERAGE: ALLOWED: % EXISTING: ..'h sf % NEW: sf % TOTAL:/"b sf,!�!% CORNER? YES OR NO WAT ER FRONT? dAjpRNO DESCRIPTION: 15f0i4-t' LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) PROJECT DESCRIPTION• AD ,ALT,ACC OR NIDA 51-2(1/1-7 &-c K —,FY_z�0 ,7 AIF AGENCY PERMITS REQUIRED FOR REVIEW NEEDE TOWN SPETIC PERMIT: YES or SUFFOLK COUNTY HEALTH DEPT: YES o O (BED #): DTE:—/-/ PERMIT #:R10- NEW YORK STATE DEC: PRE-DEC 9nn5YES oOAN SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o FLOOD COMPLIANCE ZONE: PRE-FIRM 311&AwEL #: FLOOD ZONE: NYS ENERGY: YES OR NO : "'I.4 EGRESS: VENT: LIGHT: NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR SF INIT OTHER TOTAL TOTAL: S SF FEE FEE FEE TOT( �� SF)- ( FS SF)= �� SF X $ � =$ / +$ �7 5 +$ _ $��S�—