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HomeMy WebLinkAbout21205-z y`M FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22142 Date FEBRUARY 16, 1993 THIS CERTIFIES that the building DECK ADDITION Location of Property 55 ROGERS ROAD SOUTHOLD, NY House No. Street Hamlet County Tax Map No. 1000 Section 66 Block 2 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 1993 pursuant to which Building Permit No. 21205-Z dated FEBRUARY 1,1993 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 DWELLING AS APPLIED FOR. The certificate is issued to TERESITA E. TAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Y Building Inspector Rev. 1/81 magic NO. a 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) N 2° 21205 Z Date .....Ph 1923 Permission is hereby granted to: i at premises located at ....Sl!...... . County Tax Map No. 1000 Section .....0.4 Block !~Zz: Lot No..........._.r~..... pursuant to application dated /..,1..~ .2r............................ IOU, and approved by the Building Inspector. Fee 3......... rte-lLv B ng Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD Lv BUILDING DEPARTMENT FEB - 91993 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 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 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date few Construction........... Old Or Pre-existing Building.. .ocation of Property...... s cJ~ C.S.. pp.~........... SQQ 4.~,o House No. Street Hamlet rower or Owners of Property..... e r /~9:................ ',ounty Tax Map No 1000, Section ....S-ilk Block Vo?........ Lot..... CD......... . ubdivision Foiled Map............ Lot...................... ermit No.~ Z. Date Of Permit. ~/1A.3. , , , ,Applicant./ F5?,r r-7V./~~, .r. v , . . ealth Dept. Approval........./ ............Underwriters Approval......,,,,,,,,,,,,, lanning Board Approval equest for: Temporary Certificate............ Final Certicate....~. ee Submitted: G;,61 4' ~r~~ APPLICANT r ELD ti•fLNTS m a FOUNDATION (1st) FOUNDATION (2nd) f~OUGH FRAME & -PLUMBING ti H I a n =I1SULAT20;1 PER N. Y. I • • STATE ENERGY CODE 4p 44~! 60 m At, FINAL -71 ADDITIONAL COMMENTS: m S "U H \ a • O \ ^o H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL REMARKS: JJ,, DATE J INSPECTOR FORM NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date 19 C~•G Too' ~V PLEASE TAKE NOTICE that your application dated 19 l- for permit to ...../~d?~.. at Location of Property House No. Street ~ ~ ya ' et County Tax Map No. 1000 Section la. , . Block Lot ..19n......... . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds Ile 27?-,e Buai ng pector RV 1/g0 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ,November 23, 92 To Bill Salmon a/c,Teresita (Bradstock) E. Tan 55 Rogers Road Southold, New York 11971 PLEASE TAKE NOTICE that your application dated 1(92 rec: 11/ 17 , , , , 19 .92. . for permit to CONSTRUCT A DECK ADDITION TO DWELLING at Location of Property 55 ROGERS ROAD SOUTHOLD NEW YORK House No.h'amlet Svee t County Tax Map No. 1000 Section Block Lot 20........ . Subdivision . . . . . . . . . . Filed Map No. . . , , , , , , , , Lot No . is returned herewith and disapproved on the following. grounds .UNDER ARTICLE IIIA SECTION 100-30A.3 PROPOSED CONSTRUCTION WILL HAVE INSUFFICIENT REAR YARD SETBACK AND EXCEEDS PERMITTED LOT COVERAGE. ACTION REQIIIRED BY THE ZONING BOARD OF APPEALS. it ng Inspector THOM J. FISHER RV 1/80 3OAIv0 OF HEALTH t FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . JAN 2 7,1%3 BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC CORN SOUTHOLD, N.Y. 11971 TEL.: 765-1502 e - LL Examined . 19 3 TO: Approved 19~etmit No............ Disapproved a/c _ . (Buildi: nspector) APPLICATION FOR BUILDING PERMIT Date - &lL) e.. 19 C1.1 INSTRUCTIONS a.l Allis 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 2egulations, 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 building for necessary r s cti ns. (Signature of appli( t, o name, if a corporation) . f (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~lW T1~1=1 4.c ~t-...........// Vame of owner of premises (as on the tax roll or latest deed) 'f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.• Plumber's License No. . , . Electrician's License No . . Other Trade's License No . Location of land on which proposed work will be done. . Jr g F s RO11 .......541'..(.\.. House Number J Street ~.z kieRN~ Hamlet County Tax Map No. 1000 Section .....6 p.. , , , , , . Block ......0'.. , , , , , , , Lot ......CFO....... . Subdivision Filed Ntap No. Lot (Name) State existing use and occupancy of premises and in nded use and occupancy of proposed construction: a. Existing use and occupancy . , , ,x b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Addition AJteratlon • • • • • • • . . . . Removal Demolition Other Work . L' Ciaa..k . . . 4. Estimated Cost Fee,, (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling g units Number of dwelling units on each floor . , If garage, number of cars . , , 6. If business, commercial or mix led occupancy, specify nature and extent of each type of use • • • • 7. Dimensions of existing structures, if any: Front , , , , Rear . . . . . ' ' ' • ' ' ' Height Number of Stories . ' ' ' . • • • • • • • • • • Depth , Dimensions of same structure with alterations or additions: Front • . • ' • ' • ' ' ' Depth . Height . Rear . 8. Dimensions of entire new construction: Front . • • ' ' • ' ' ' Number of Stories . Depth ,'P Hei-ht . Number of Stories Rear Depth 9. Size of lot: Front . . • ./.3.-Q i.. Rear • . • . ' . ' 10. Date of Purchase , .0ew, ;311 g... • • , Name of Former Owner . Gl Yicty9 qI 3 11. Zone or use district in which premises are situated ,~R1 12. Does proposed construction violate any zoning law, ordinance or regulation: • • • 13. Will lot be regraded 1 . Will excess fill be remove fr om premises: Yes 14. Name of Owner of remises • • . t~ No premises Z~,r•. r+ IM , , , , ,Address . P079Lys, 1°Eo ...Phone No. 7.6 ,5M4'; , Name of Architect ! Address . Phone No...... . Name of Contractor $Al; WWOv'V , • , , , , , Address 15. Is this property within 300 feet of a tidal wetla nd?r~ *yes • Phone No. 716.47.414$h. *If yes, Southold 'Town Trustees Permit may be required, 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 ~I i I s ;TATE OF NEW YORK, :OUNTY OF . , , _ S.S • , , ' ' ' ' .~'t . being duly sworn, deposes and sa (Name of individual sign ingcontract) Ys that he is the applicant bove named. 'e is the ?-r•0:?04rook~-Tf?j' (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this Placation; 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. ,vorn to before me this c~ d,ha dayof...4'!]<cc~C~ G~.....,19 nary Public . . County ~ !/...1.~ V LINDAJ.C' OPER Notary Public, State of New f ork • ' • • • /'~No. 4822583, Suffolk Count (Signature of applicant) Term Ettpires, December 37, 1 • OPT , P edt \ cn T . ' .~fc 'kJ'e N 0 9.RO yo•~ sP'' \ N N ~Ra ~s. Q,R N~° oa O 0A~ fir. N NOS' ~0~yt oa a ~r Q 3ai , ka r N h M ro~ g a 2 t r co e 22' ~w slap ~sP~~ o A6 ~ © S. O AREA . 12,124 sq. ft SURVEY OF LOT 1 BLOCK 5 "MAP OF BEIXEDON ESTATES" FLED MAR. 14 W46 MAP NO M72 A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 66 - 02 - 20 Scale: 1"-30' ay 28,1992- _ - - S. L1C. NO. 49618 Prepared in accordance with the minimum standards for title surveys as established S, P.C.~ by the L.I.A.L.S. and approved and adopted 1556 ~CCy~ for such use by The New York Stale Land P. O. Title Association. E WROA MAIN SOUTHOLD, N. Y. 51975 JAN 2 71993 n . BLDG. OEM TOWN HOLD-, 92-1671 5luoecR~f~~ (EDGER 2 T v I , cSa..~xy ~ .y(/~~ Exlsz ~y 2t1U ~ BK$K°'F ~R,vSS S'EGTifaN ' ` I ~[f{P RD E _ AS NOTED DATE: B.RH FEE BY: ' Z CGa Zx 6 NOVIF BUILDING DEPARTM I Al 1,~`-1~1F 765-1902 S PP1 TO ? PM FOR THE I° q_ -ill-"-_•_-. r p a FOLLOWING INSPECTIONS rH X 158 1 FOUNDATION TWO REQUIRED 14g rd mi i Bn o-a FoRrouaec:c:oNr,RETE y'r 5W f 6 DH`Xlnl.l: 1 Tf N V 2 RQlIGH . FRARMNG K PLUMBING 3 INSULATION e ' 1 i ~?18r 2110 fN ifOUSE ~SFLO lED6EK ELI 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ~65 J-g;~ip - ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR .1"I I. h(G DESIGN OR CONSTRUCTION ERRORS yIIIII~ -5 DtCKIN G. a - - - - - _ , `tJ Phone 477-0400 ,&7o Main Road GREENPORT, N.Y. 11944 Ncrr~; v, . "~u amErµsio,.a y JAN 2 71993 ' 1'~,.~'. ~ .l1Nf:'IT4iiE:'p ~ `Fnr~u/at-cx PLrBRnTivrf &C4g