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Home My WebLink About26651-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27535 Date: 01/26/01 THIS CERTIFIES that the building DEMOLITION & ADDITION Location of Property: 205 CARRINGTON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 11 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22, 2000 pursuant to which Building Permit No. 26651-Z dated JULY 17, 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 NEW DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELBA JAMES & JULIE FORDYCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A �'I- �'� /"�-z //4thrized Signature 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. 26651 Z Date JULY 17, 2000 Permission is hereby granted to: ELBA JAMES FORDYCE 111 BARROW STREET APT 5B NEW YORK,NY 10014 for DEMOLITION OF EXISTING WOOD DECK AND CONSTRUCT A NEW DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 205 CARRINGTON RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0011 Lot No. 027 pursuant to application dated MAY 22, 2000 and approved by the Building Inspector. Fee $ 243 . 10 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APP-L-ICATION FOR CERTIFICATE OF OCCUPANCY 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 Health 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 building, multiple residences and similar buildin, 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an, '-'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-existing Buildinc - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 DateJ. P.D. J . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . Old Or Pre-existing Building.,. . . . .. . . . . Location of Property.AlA,�. . . . . . . . . .�-. d�l�;r/!� ;�o.r7. �Cd 1 . . . . . .C1t-t'�-.�� c... . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. t. .8. t:5. w�. �'!?�f.w . f.� !`:5 s.C'L . . . . . . . .. . . . . . . . . . . County Tax Map No 1000, Section. !. . . . . . . ..Block. !�I.I. . . . . . . .Lot. .a.2..`7. . . . . . . . . . . f:! ;.4 ?I. . ivi.17.4 . . "` ! :. .S: .Filed Ma . . . . . . . . . . .Lot. . .1:� - Subdivision �: -��?� � � p. • • • • • • • • • • • • Permit No9 94;.,V.'1. . . . .Date Of Permit. .Applicant. Health Dept. Approval. . . . . . .... . . . . . . . . . . . . . . . .Underwriters Approval. . . .. . . . . . . . . . . . . . . . Planning Board Approval. . .-". . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $ . . . . . . . . . . . . . . . . . . . • APPLICANT COQ-111 1 Q��S�FFO��-coG o� y� Town Hall,53095 Main Road ti Z Fax(631)765-1823 P.O.Box 1179Oy �.1C Telephone(631)765-1802 Southold,New York 11971-0959 1- `1►�Q BUILDING DEPARTMENT TOWN OF SOUTHOLD January 9, 2001 1 George Terry P.O. Box 41 Southold, NY 11971 RE : Fordyce, 205 Carrington Rd. , Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) No Underwriters Certificate on file . XX The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26651-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 76S-1eo2 suiLoINc DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ ] FRAMING [ 44�INAL [ ] FIREPLACE & CHIMNEY REMARKS: 5/54 ,DATE L)ZI I `0 INSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN UTION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS• DATE 0 INSPECTOR a-ro�1`7� ass-iaoz BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I.A�ATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE_L/ � � IN8PECTOAI(��c�/�� _J BUILDING DEPT. NSPECTION [ FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: L GU DATE � JV INSPECTOR MME hlh.I,U I,IVJ['11�L la KrCl1Kl--I� uliILUU--=N1.S' _N=' • -- — ---- ! C II II vv- H FOUNDATION ( IST) II II II !t u II II ----�i-------- ---------------- FOUNDATION (2ND) It _________________________� --- _____________________________— II 11 - - - I ROUGH FRAME - �i -- ------ -- - -- C? PLUMBING J II it II it I� II tt II II it � INSULATION PER N. Y. n H STATE ENERGY CODE ii ii r it ---------------------------- ------------------------- u — u u II II II H � ZZ II I II jj FINAL .04 I it If H --------------__-_______________=--- •-= ____ �- ----ADDITIONAL COMMENTS: 4 _______--__________________________-----_--_-____________-________________ _ } 5 e�� 6 0 m zz H Cl H _ O z — -- - -- ----- - d m Old sr%40 D n N9 Q� O Lq ryX56 o s` Ay �A Ind AFf1f9W YOP `O v.-.:cc•_.•cac alteration or addition "Yxg,, z5'Z.4-04,-- A to this survey is a violation of Section 7208 of the Now York State Education Law. �l O Copia of We Mavar leap net bwkV the *== sew ktbed seat or Q .v emboasad sad 2 not be mnfdered \ , to be a%old cue wW. V o Gwrartlaea YdIoo11/ItM'aan tfta/lurt onlyto ttte Parton for oftoet!M Ganey is prepared,and an we b"is M tideoonpert r yomei, artW and Iendinp kxtiuefon saw fweon Ow to the asaipnaea of the brdkq btdMon. Guarantees are rot tranal- "_ to additional institutions or subaequant ��Z,Cb o••mcrs. S 7/4�''�°rrs/ X97 LoT 4A*VA- a W-L�.4HGO� >ue✓Err-a,�- .GEc�v.9.evs�.5yi,�yT.e,Q,oi/ao tar 39 �1.9.ocr:�Y�».oy�a�.vT�.ec�E.21�E✓.mac.D__ ��o,N Yr�7i �o�r.�. fnlJlt.✓YaGUG',`�'Jfi�G�tk ccxW7'r,1l�! =�. p,�,�•�rc�,e3//p9rP Z 7 Q La vc.IVIAIV,.Ccti�.vo DO NOT PROCEED WITH FRAMING UNTIL SURVEY _ T� x 0AMM 4 OF FOUNDATION LOCATION r i 7- p, HAS BEEN APPROVED. WITIAOUT CERT i lo v ' FES �; NomFl► BUILOBIO if "Is-Ism 9 � x 3 C c A� F L o L)2 OCCUPANC."Y lt�Li0lAlBlQ . T AMMO J'�rsrs i6 o- c7YP conlcRCT� P/ERS � �� r�r zo u G N o u TpE CERTIFICATE L ROUOM - ! •!'LIIS `3G �' � p & INSULATION 4. FINAL - CONSTOWTHAI MUST BE COMPLETE FORM Z�o u /3 L „2 "y- /2 D E 2S ALL CONSTRUCTION SHALL MEET r R x G TOP Aft THE REQUIREMENTS OF TME N.Y �Ar, ^LLo4rVb ALL STi9-! R TR �A'� f RIS�t�S SATE CONSTRUCTION • ENER = CODES. NOT RESPONSIBLE R El:� L401 L LEI\/&-rk)S /N &A C 14DESIGN OR CONSTRUCTION 8 1'►1 Z"x $ CSA T fPICAL � ''rEArtc� r3ox SEAM Cc�AICR'ET �"xZ AL uPR d -mc t 2 S I \ 2$ L/k Ct$ s 8 4/c c — 9X C A 5 u P-� \ Cc P R } - 36 7 iA TV� T Y12) SECT I�N A- A 1 I f } ---- -- - ------=---- __ Irl o 7'E sgr�2xy R4AAl V/E1N of �� cK �} DZJ 7-/QN Tv 2x8 LLDGErZ /3aLTc� ArLL woRk To !R€ VON c c:z6R )rL oa/Z UFh1 ?v HOQjE J5 Wt A51-: l CoNr-o?- t'1 )414 To ALL �FcKi�VG R 81"�?RS JAv�ES FoRaY�C 2dS C�4RI�fNG`r'�N ��D. ./-�PPRc�X EVERY 2'c7 !ZcC— T/i/ZaccGH CQTCHOG-U-E, I\I w Yo RK, S P>�GIIll G STA-rE- J ocq�c0vE.S Svcs . RAW 1V J3Y- E.O11' GE Ai. "TERRY D/-TE : 5- 9 -00 9oG� i 7So) Z�So51— BOARD .OF HEALTH . . .. FORM NO. 1 3 SETS OF PLANS . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . BUILDING DEPARTMENT cllecl: . . . . . . _ . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t.0:I FY ; CALL . . . _ . . . . . . . . . . . Examined . . • . S. . . .,,'t�Q� • rr MAIL TO : Approved . . . . �r. . . .,,�d. . Permit No. .QM�� . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . . _ Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . (Build mg Inspector) APPLICATION FOR BUILDING PERMIT r j 2 2 2V Date .4 . . . . . . . . . :�a fi>� L_.. INSTRUCTIONS OUTH!OLD a. This applica ion in 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 street 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 o, 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 tc admit authorized inspectors on premises and in building for:necessary inspections. -" (Signature of applicant, or na C, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises : ^J .�'!► �. '9.f7d.y ct,. (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. t3 O -7 Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be hone. . . . . . . . . . . . . . . .c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .O . . . . . . . . . . . . . . . .CA!'?"/.h. . . . . . . . . `�r. . . . . . . . .. . . . !. :".'. . . r�. .. .... . . . . . . . . . . . . . . . House Number treet Hamlet County Tax Map No..1000 Section . . . Block . . . . .. . . I . . . . . : . . . Lot . . 7- 7 . . . . . . . . . . . . . s�• �•-�• Subdivision,n�a s s. z �.E .l`. l a�?e r�r s 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 ' e s 4 e ., a . . . . . . ... . . . t S aL e n /w d / � �1 57 err ' ;i�l. . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . � k. . . . . . . . -3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition Repair . . . . . . . . . . Removal . . . . . . . . . � . . . . . . . . .'� Alteration . . . . . . . . . . . . • . . . . . . . . . . . , Demolition . , . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost .�.�,,• o, �? (Description) • . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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 . ?3.Q '. . . . . Rear ��.�.', Height .2: ,.2. : , , , , , , , , Number of Stories . . . / • • • • • • . Depth ..3 4�.. . . • Dimensions of same structure with alterations or additions: Front .� Depth Rear c? p . .�.•�.' . . Height . . �.�. . . . . . . . : Number of Stories . . .�. . . . � . . . . . . . 8. Dimensions of entire new construction: Front . .8 D .. Rear .0 b . .Height . . . . . . . . . Depth .ra. . . . . . . . . . . . Number of Stories . . . . ... . . . . 9. Size of lot: Front A?; 0 , .� $.1. . Rear / O 2 '��./. . . . . 10. Date of Purchase .. . . . . . . . . Depth ?. . . . .y.e. . . Namef Foger Owner 11. Zone or use district in which premises are situated , 12. Does proposed construction violate any zoninglaw, ordinancet / •a. 1. • , , , , , , , , , , , , , , , , ' or regulation: /,A/a 13. Will lot be regraded .44/0. . Will excess fill be removed from premises: Yes 14. Name of Owner of premises 9,74^cs Fa cs�yce��' //1 $zrr,�, si �► r 3 ddress/yy C.; At Y •/06;4V. . . . Phone Name of Architect . Address . Phone No. Name of Contractor eo .� u 7'rt7r-V, , , • , . . Address °°•Box 15. Is this property within 300 feet of a tidal wetland? . . . . . . . No. 7,4.x-. Yes. . . . . . . . No. . . . . . . . . . *If yes, Southold Town Trustees Permit maybe required. 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. 1 n 1 o � . $ s , all At S-14 qL t t'a Y 2 t4L NATE OF NEW9S.S 1(y, LoT 3 9 7 /} ; =OUNTY OF 2 SZ S d 5 1= being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. leis thes / p -. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ,ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . .day of. . . . . . . . . . .. otary Public . . .'. •I -�. , _ . , County 7 . CEJ LYNN NOTARY PUBLIC Sta a of W@,V ` l No.01 B06020932 . Qualified in Suffolk Cou (Sign re of applicant) Term Expires March'8,20 BUILDING PI RN-1 E- ILW C�HLC}I I I� Applicant/ Date Owners Name: Oc,� cL Reviewed: Architect/ Date Engineer: Submitted: SCTM #: 11 District: 1,000 Section: Block: Lot Project ++''�� Subdivision Location: O� (�,aa.R,l Name: Single& separate Required �6 cerltfication (Yes/No) �( Key Rcq. q�o + /oning District /'�¢� ILot size: Actual X5250-SF � ILot coverage,?Mo ',)posed Req t /4-16 'h�e jr's'.J.`l r Req- z IFront Yard Proposed: ] [Side Yard/� �_ Proposed ] [Rear Yard SO Proposed _ J Project Description: �l.k��n�.�mr' ,6,e-CX A4,0 Xao ,noi or' DF—ex AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. ✓ Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? ` Flood Zone: T' Notes: 0 So K .20 /6 3� �2 T'3r 14