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HomeMy WebLinkAbout24685-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25728 Date: 05/18/98 THIS CERTIFIES that the building ADDITION Location of Property: 2940 PINE TREE RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 2 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 1998 pursuant to which Building Permit No. 24685-Z dated FEBRUARY 17, 1998 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 COVERED PORCH ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBIN SWEENY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspect 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) Date..... FEBRUARY....11. .........I................. 19...9$,.. 24685 z Permission Is hereby granted to: ROBIN SWEENY "J ........................................................................................ 1895 STERLING RD ......................................................................................... CUTCHOGUE,NY 11935 ...............................................................................I.......... to ......CONSTRUCT A PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING ....................................................... ...I........................... AS APPLIED FOR. ......................................................................................................................................................... .................................................................................................................................................................. ................................................................................................................................................... .......... 294D PINE TREE RD.... ................ CUTCHOGUE........ at premises located at...............................................I............ ............................... ............................... County Tax Map No. ...,473889..... Section ...!: 4............. Block .....0002 .... Lot No. D8............... JANUARY 2998 pursuant to application dated .......................................................... 19..............., and approved by the Building Inspector. Fee 5........75,:00,.... ........... .....I.. ........... ..... Buliding inspe or Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT APR 7 TOWN HALL 765-1802 APPLICATION 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 fro_q 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 12 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. 6. Submit Planning Board Approval of completed site plan requirements. B. 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-existing Building - $100.00 3. 'Copy of Certificate of Occupancy - .25c. 4. Updated Certificate of Occupancy - $50.00 5. ,Temporary Certificate of Occupancy - Residential $115.00, Commercial $15.00 Date . . . . [.Z . �J. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. .. .. ..99..vvOld Or ,Pre-existing Building./. .. . .f /.. . . . j Location of Property. ..":?/C. `, .... . . `? zn�-x • • • •• /z� . .. . • • • . • • . House No. Street Haml€t Onwer or Owners of Property.. . . .. . . .`...� .�L • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . pp County Tax Map No 1000, Section. . .119.c�.....Block.�®. :�. . . . . . .Lot. . . .©lf . . . . . . . . . . . . . . Subdivision. . . . . . . . . • . . .. . . . . .. . . .. .. . . .. . . . ... .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . • . . . . . . Permit No.21<' r . �. . . . .Date Of Permit. . /./. . • . • •Applicant Health Dept. Approval. . .. . . . . .. . . . . . . . . . . . . ... .Underwriters Approval. . . . . . . . . . . . . . . . . • . . . . . . . Planning Board Approval. . . . . . . • . . . . . . . .. .. . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .V. . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . �Jv(O d ch Lj KEG s 7.�/ Gi APPLICANT SUR RO a%c/ vA/GE SWEE�1�/ / S�O .M1;���, . LOCATED AT Gurc</ol/Gum: T/oc�v C1� Sc�Tyoco, SUFi�o�C' Co'.�Y LOT MAP OF 3 r �� �/A 2Cy �, /`Z36 ^ y pa. vo- //79 Y ��SS.�U ,..-�_.. q.2.�-15 f EO� SCALE I'- �R 4 - �� LAND Sv z � - a pm .. oau 42 wee ;w Q6 �.- 37. a z G-,.�. ZG Z P 3lo I 90° E.4S T8.2tY 43 3 64e T Ii3•z 98•s M h '9_Z°I /.�� i �� ,U " . Ta -�. - x i x G�<•_ .. Pro P l �✓oGow-. SOU"7-H 280-45 UNAVINORiZED Al TION OR ADOITIO - 10 1N.5 SJR:'�( 5 'VIOLATION OF SECTION 720! OF IN Nt W MORA STATE S 7'E ? [.iAJG o RO AO ' WK..i:ON LAW. .7 CD�1.3 OF THIS SdR.'Y NtJ tiOl-OEARI G l TN_ �. e SUN'. ENYROSS�p ' ID I S, GO NOT BE COHS{O :p A w.n VALID IRU, G9?Y. . OWIGIYFEES GNIL..t_L• Iii zzan SHAJLL R .`J•G.TM - ONLY IO FILE F_N_Ow MR rItIQ rte th .ET l?� 1 _ Yd`"" .G Un .'J IiI,. m to COMPANY. 60,r..{`i{:diiiTM,.3_MCY {D LEHUINO tr.Sd.wrJn u31_0.r...:,,... .i: TO THE ASSTGR.:ES OF IhE LE,O,NO 111571 U.. TUTION. CR;•NT,:S�R: ROt•ric,NSF:R DDNIDNAL INS,t16,t0,.5 W.SVO�_VV HT am r�{E DF'/rJF s/z✓.;t-�+s C�An/� cF All. eL SURVEYED .4c-/G e, i9d7 BY WILLIAM R. SIMMONS III 70 WEST MAIN STREET EAST ISLIP, L.1., N.Y. FILE NO. /92.3Z PAGE GRID DRAWN BY S� ' P•I L•i.11 IIRii'I:G I'1{III Ilia'l)II'I' •On'1'G __ •- (:UIr1 Ai--- __ • ___ t Ft it 11 n l AT l DI I ( i.,;-r) «•� n • d nlnrrn r=nnru: a . —� 1.1.1111111 NO Q r• - 1• { 11hr111.A'I'11111 11I11t 11. Y . I �I :rrn•rr. enluu:v r,nult �� CC/ 1'I IIAI. h )' I AIMI'I•I(111A1• CpNN1;11'1771 • Y r^ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE / INSPECTOR BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN- HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined..... �j.�.... 19. c // p MAIC. TO: . . . . . . . . . . . . . . . . . . . . Approved.....ddl1 ., 19. Q Permht No. .. T,6 y„?..� .................(.....�............. Disapproveda/c ,�7�.� ................... .......................................... ... ....... ..... i .... D Auilding Inspector) 11 1 JAN 2 9 F0119 A P . CATION FOR BUILDING PERMIT �yG BLDG.DEPT. Date j. ?� . . . . . . . . . . 19lf. . TOWN OF SOU'fHOLD INSTRUCTIONS a. 'Deis 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 slowing 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 application. c. 'Hne 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. I APPLICKrJ N IS IICREBY 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, acklitions 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, aux] to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, r mane, if a corporation) c� �uC+f11.�7�....................... r : (Mailing mess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..............r�.2o�iet-sr:[............................................................................................ Nare of owner of premises . /QD�/:�...!.':`p. .. 2-2N(�q/'...................................................... (as on the troll or latest Weed) If appticant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) ((�� Builders License No. ..4. �`� . ......... Plumbers license No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be dote.. lt!'4. .K�/( 4.� 4 K .!�9. ... .. �?S�.J��`�1..... .............................. �.l.�r%�..ew ............................ 6444.5 .a.......................... ]louse Number Street [ let Canty Tax Map No. 1000 Section ................ Black ................ 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 , ”�e .,........................................................ b. Intended use and occupancy ..%L4""` • "::.`......................................................... 6D.J9N ap{tita^✓ �Y�ar 3. Mature of work (check which applicable): New Building .......... A edition ........., Alteration .......... Repair ..........,. Herimal ..j.......... Demolition ............ Odier Work .................................. (�jj . . • (Descr i pt ion) 4. EsLinated Cost' .4 d 'i......... Fee ............................. ............... l (to be paid on filing this application) 5. If shelling, nnber of dwelli: units ... ....... Timber of ihaelling rmits on each floor ................ Ifgarage, number of cars ....}................................. G. If business commercial or nt4d occupancy, specify nature and extent of eacli type of use...................... `` i q 7. Dimensions of existingstructures, if any: Front...!.......... Rear ...7,8,,,,,,,,, Depth A7............ gl ..... . .��. Mnber of Stories ..................... ` nel1sias of..s.a..ne..at..m..c.Ui. re...w#tit alLe:........... height ...p2.alterationsor additions:s: Front .,!�P......... Rear Depth .............. NnI.ber of Stories ... .... :. r1 ii �,� 51 ...J'. . R. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Deito:t .......................'F. Nud:er of Stories ..................... all Q 9. Size of lot: Front ..,52.6 o. ......... Rear ....o?Vn. 7.......... Depth ...t!?Q.............. 10. ikate of Purchase .............i....... Name of. Former Owner ..............................I......... II. Zone or use district in which premises are situated .............................................................. 12. lees proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .. .,i.......... Will excess fill be removed from premises: YRS M. Nanea of owner of premises ... ....................... Address .............................. Piton No. ............. Titin of Architect ..... Address .............................. nione No. ............. Nine of Contractor ...........1....................... Nklress ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YRS, S()1IDCND 1014N 11111S11?RS Fg141171' MAY BE IKAJIRIiD. I � PLOT DIAGRAM locate clearly and distinctly hll buildings, wet whether existing or proposed, and indicate all set-Track dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate uhelher interior or corner lot. III SI'A•Ili (N? Nld Y(N2I(, � L S$ ••(-•••••;••..,.....f�.�,,......'{,—l//o•Ij��., ,..Ix:ing duly sworn, deposes and says that he is Lite applicant (N of nl,xlividrasigningcontract) above nawd, lieis lite ....... ...... ... '........................................................................ (CrniCractor, n it,-li corporate officer, etc.) of said ower or owners, and is dulylauthorized to perform or bave performed the said work six] to make and file this application; that: 01.1 sLaLenents contained in this application are true to the best of his knowledge and btilief; and that Lite work will be performed in 011ie manner set forth in Lite application filed therewith. Swann Lo Lcf .ire tlaysof .... ........(. pp .19. Notary Ad . .. ... .t!G f.. .. q ... { ` (Signature of Applicant) McMly k G/ _ I � w I' STA& ROOF SYSTEM— IS � FELT ' Ilo4 0 C, RWTERSHi I 6" FAYIA ��• ' SoFFiT i ' `1 ! 9 �O X6 PoRLH -POST <11 E POUND AL (2 ZK8 C�IKDF2 >_ Si WR H M -TO HOJLE/ ATtOt�l P\L As PFR N.Y,s, = b%b PORcN Po`�-r> 4%4 ccA PDST 2i8 Hcxls� �r� Pc5 PFR. SIFTE /40" LINE of �' a.N COBE IPTCJ.11 MIFL.33'-o'CbRE�ow CCLA)L �£� e 3`1 ���/// t ) 4 IL.6wy cohE-- V, � 3' O � 1 1 � --- _ — -- cCrlHl'IlN01YfIMNi1TR6 Gd!BEt�MILtA�E .. - ------- - --- JIB `� G�1�RAL: A, u�M' ., 'M1#�plr�'MwM. '�Itil•W►M11N'1�,�' — pwllp�d11q�rN, ZY�W°°�� MIA�b�MM'19pnM�,Rg1�liMMprM i4lr�lp p. 1¢MIWMt r r� vrIrMMIM r `, nN1ypA'drnd�fNpdeM'rnnMlr 7MiM Yum lb'q ynN11I1M 1p7lllbdlA MAba14,p7}CA'Rrt1�,4M71�11eM'r - +�,M.etlrM�.pwmu��. a. wL+,a�ww�pol.plLur+kiydb*rt!F?�i - - ,'_ - w N�utib all duct Abd'AlrMq wmw*"*Q0ft �_IJ_t- _� ,� 1 - - a A'M+NdhCMr,(bdraMW`ojpNpytUb,MIM W aMIM�rd >t. I�IYh�.MIMIi'pl��- 1L�'�' � t nr�Lpwlpwlll'�N�1}' "�/4piIIIS�/ ? , d� — _ _ -� +NRh' dAoFkGIF1w1AMw-RkIMO► iy t� ?vsls trr M1+`� - — -- .T.-. _-. a s11WM'4YbCEMY''1ii.lYflfpJ�IM Ftp►. AN tlYMtp94btmw*51 **6*l4 , 1. h OM!��MdpMh�- �IM�!NR M pwpM w 7. 1 Fn1Yiq MNM/'�A1111MMIPpRr<b�MMMp�00M � � 5 f I s — - 5. 00 rl r�Md1Y41Y_R i FwF AFIFwlN� AP 0 VEDAS NOTED A. PeorplFlMpgMlkrMlbgMMYd i7 8 a r�krNNr+r+luM +MR� +ppMaawK °?NY. LUhTE: B. MA�1•MlINpMtll' IMIiibM rtl9cFgMr4b. MW!AMdi 7 IAM�IpIb OM'FAIyYYCIL01l 1IM�rMM AalblpM.irlIaWF1p11Frtlb - 4 PiodOpiWldppdillQAeldi)M i. !!i*M'�.'PNN�, , t-EE. B : d,MIMaIrp7lW, atmw� ll�bFllp,�9�#P+Iwr+t S'dRrpieM. 14,0TIFY BUILDING D AT � ''�,_,,yy '0. OpNMlryll bMIW IFI�"Yt0" Fp�F, MMF ,. tl1�Mla Y�IIrIMAII.�r„w�v�9Orp7R��gIW1�M � - OCCUPANCY OR )66-1802 9 AM TO FOR ',HE 4nplr�dr+ FOLLOWING INSPECTIONS: 7.. 6prMCprM mM�i�ealu I;1,lu'�IMMiM141ElMl`iNMN YPII'.Ihlryi'Q ND,. USE IS UNLAWFUL 7 FOUNDATION - TWOREO.UIREO 7. pNWk dbMMleppp4bV4l1p+lbhaN�tlpnitlMdplpLbed�,lNy�Ilc M YITHOUT CERTIFICATE FOR POURED CONCRETE alwlL ievoa e,104 „�c+• Y' 2. ROUGH - FRAMING & PLUMBING CYONOIIETEIFONAIDA"'JM ( _�,_;;.•. -_� OF OCCUPANCY 3. :NSULATION e. F**r1tNwwaan^bawraw�w^w O„ -- 4. FINAL - CONSTRUCTION MUST rMAW��Qbele. . ' 1. 'Bp�eIQEe 3:00➢Pi141�dy',A8'flR'C�i+LkMYIi'�'�,�.1., _ _ BE COMPLETE FOR C.O. _ ALL CONSTRUCTION SHALL MEET ' , THE REQUIREMENTS OF THE NY, & 30b*pinyaWs**0A,BOp.�81:�'90*00WipMap11�M1lfWIMLtp ,ATE CONSTRUCTION S ENERG`f r1Ay,b�lFidp nppgih,pHoYai lodF111�L1IM�nld riVFp7rRF1M1 I. •ETES. NOT RESPONSIBLE FOP 1nrr. vN OR CONSTRUCTION ERRORS _ IW: 'dnWeM•911'4MbW'11�i1M'�i+IWY',mWM�n, 6. lltl bdWMb,bIMdYYdlw'*W.bwft*W_' . . X05 ML 4 ?�D�!Tl4t i � Toff:: OwE,ENE.Y 11 i\i C YOI0.e: f ,� i ep.noveo er: .Y . K bAT. d/-23-98 nnwdeo -KNWl lt7. S Albs i iYk�N�lfA1�r Zw tNY twi 1 N0 FKLFc - Flu 4j1 �FN,�+1-1 !s Zi,- C�I.Rt