HomeMy WebLinkAbout27777-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28037 Date: 10/26/01
THIS CERTIFIES that the building ADDITION
Location of Property: 355 FRED ST NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 4 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 17, 2001 pursuant to which
Building Permit No. 27777-Z dated OCTOBER 12, 2001
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 SINGLE FAMILY DWELLING AS APPLIED FOR
"AS BUILT" .
The certificate is issued to CHARLES A MAGILL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
—//hor' ed Si nature
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. 27777 Z Date OCTOBER 12 , 2001
Permission is hereby granted to:
CHARLES A MAGILL
PO BOX 1008
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN "AS BUILT" DECK ADDITION AS APPLIED FOR
at premises located at 355 FRED ST NEW SUFFOLK
County Tax Map No. 473889 Section 117 Block 0004 Lot No. 013
pursuant to application dated AUGUST 17, 2001 and approved by the
Building Inspector.
Fee $ 300 . 00
uth e Signa ure
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD 'd
i BUILDING DEPARTMENT Z
! TOWN HALL
765-•1.802 �.•
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(8 -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. Cormercial building, industrial building, multiple residences and similar building
and installations, a certificate of Code Complianoe 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:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural or topog:•aphic 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 $25.90. Businesses $50.00. _ .
2. Certificate.of Occupancy on Pre-•existing Buildinst - $100.00
3. Copy of Certificate of Occupancy - .:Z5NO
4: Updated Certificate of Occupancy - $50.00 `
5: Temporar.y 'Cer'tificate of Occupancy - Residential. $15.00, Commercial $15.00
:Date aIR�
� New Canstruction:_. ..... . .... old Or Pre-existing Building. .... ....... .... .
Location of Property.... .. .... ...... .......................... ..... . . .W .1C:. ... .. .
' House No. Street Hamlet
Onwer or. Ownets of Property.. . .. . . .
►►�77 .Block. . .010.E . . . . .
County Tax Map No 1000, Section. ..��,/.. . . . . � .. Lot. . ..01. .. . . . . . . . .. . .
Subdivision.*. .. . ..,► . . . . . . . . . .. ... . .. . . ./.. .� .F)iled Map.. . . . . . . . . . .Lot. . . . . . : . . .. . . . . . . . . . .
_ Permit No. .qT7r.1.J.Z.-. .Date•Of ... .APP licant.:7 -7" 4 I .� . .%. . . . . . . . . . .
Health Dept. Approval. . . . . .. ... .. . . . .... . .. ....Underwriters Approval. .... . .. . . . . .... . . . . . . . . .
Planning Board Approval. . . .. . . . . . ..,. . . .. .. . ....
"Request for: Temporary Certificate. .. .. . . . . . . nal Certicate. . .
. . . .. .. . .
Pee Submitted: $. . . o�. .J�.�. . . . .. . . . .. .. . . . . .
QAqA_
. . .. .. . . . . . . . ... .. .. .:. . . . . . . . . . . .. . . . . . . . . .
�6 3�
we
FIELD INSPECTION REPORT DATE :.:,. ,� COMMENTS
FODNDATION ( 1ST)'
FOMA,TION (2ND) - a 1► y
ROUGH FRAME &
D
PLUMBING
— r
INSOLATION PER N. T.-' rn
STATE ENERGY
CODS.
O G
FINAL
••ADDITIONAL COMMENTS: r
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O
C
HH
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TOWN O3PSf MOLD BUIIrDINGPEW APPUGNTIUN Cru
BUIILDING DEPARTMENT Do you bxvo arneed 6e$ajlowiog,befi=vpb
TOWN ALL BowdofAedth
SOUMOLD,NY 11971 . nota cf Buaft phw.'fit
TEL: 765-1802 Socvey
IPEPJW.r NO, C�eok
Pacadaed 20i c4utwu � w
ydjt pone .irV yt Mad iW..
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Phome:
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APPLICATION FOR BUILDING PE M.
g
Date 20D�
_sp 1NSTRIICTIONS —
a.Tbis applicahom MUST be cowlotaly RW is by typewriter or in ink,and submitted to the Building Inspector wit
sets of per,accurate plot Play to scala Fee according to schedule.
b.Plot plan showing locution of lot and of buildings on pmaises,relationship to atjoiaing promises or public strata
areas,and waterways.
c.The wank covered by this applic x ion may not be oommenoed before issuance of Building Permit-
d.Upon approval of this application,the Building Ittspec w will lases a Building Permit to the applicant.Such a pew
shall be kept oa the pvauifi es available for bVecd=tl=q&ut the work.
o No building shall be occupied cr used is whole or iapat for any purpose wluso-aver until a Cartificaft of Occup
is issued by the Biding bspector,
APPLICATION IS MPMY MADE to the Bail ft Departnu=(for the issuance of a Building Permit p=umg to tic
Building Zone Ordhwmoe of the Town of Southold,Suffolk County,New York and other applicablo Lawn Co inanm or
Rogalatioas,for the construction of bulldinA additions,or alterations or for removal or demolition as bemdin described.The
applicant age to amply with 4 applicable haws,=kwnoc s,bw1ding code,housing coda and regale wv4 and to admit.
mthoazed inspectors-on premises and in building for necessary inspections,
r • y
(S*stare oraamei if a omporation)
Ofifts ,
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,e1mb. ian,plumber or buxldar
Name of owmer of premises lam- i
(as on.tho roll or latest deed)
If applicant is a corporation,signature,of duly authorized offizer
(Name and t1do of oorpc WE=)
Builders LiowseNo.
Plumbers Incense No.
Elcrtriciaas License No.
Other Trade's Lice+nso No,
1. Locationg land onwhich sed work will be dons:
R
House Number St met Hamlet .
County Tau Map No. 1000 Section Block
Subdivision Filed Map
(N=q)
;fie Wig.
used orcupanaYoprGmises use 9nd o ancgbf�
s.. axistmgvae andoo ► '`
b. .bt6xW lose and okay.
. Addition AlcGration'
Nstme of work(check which applicable):New Bn�lding Other Work -
Rep Rennoroal Demolition �)
F Cost ]Fee. (to be pa;td on fi1in8 this apphcatioa} .
If d mmaber of dwell ft waits Number of dwelling waits on each floor
if garage, number of cars
If business,commadd.or mixed occupancy,specify
mime and extent of each type of use.
Dimensions of existing strac�es, .Front Rear - Depth
Height Number of Stories
Dimensions of dame*UCWM with aiteraatfons or add(tions: Front
Rear.
Height Number of Stones
Dimensions of entire new conshuedow Front Rear ' Depth
Height Number of Storl
Size of lot:F Rear Detrth
I Date of Pmrhase• Name of Foamr Owner
1 Zone or use distdot in which premises aro situated Irt
Z.Does ptoposed contraction violate any zoning law,ordinance or regulation: ES
3.Will lot be ro-graded ho Will wase f be removed from prey A"w -X
4.Names of Ovoner ofp=ises•, ,(c_ Phone:No.
Name of Architect Address
Phone No
Name of Contractor Address Phone No.
5.Is this property within 100 feet of a tidal wetland? *YES NOj_
• IF YES,SOUTHOLD TOWN-TRUSTEES PERMITS MAYBE REQUMED
S.Provide survey,to scale,with axle foundation plea and d?stances to PmPatY lines.
7. If elevation at BAY point on propetty is at 10 feet or below,must provide topograpbicai daft on smvey.
TATE OF NEW YORK)
OUNTY OF
S'4rc-4
'1OC ' being duly sworn;deposes and says that(s)he is tba applicant
(Name of'wffividnl signing contract)above named,
,We is the � r
(Contractor,Agent,Corporate Officer,etc.)
r"said owner or oarners,and is duty=&cdzed to perform or have paformed the said wank and to make and file this application;
et all statements canjlifi d is oris application are tme to the best of his kaowledge and belieg and that the walk will f);
afonmed in the mariner set ft&in the application filed*areov&
Womto before me
V1 l day of 20�� .
NotsxyPublic S' ofAppli
LYNDA M.BOHN
NOTARY PUBLIC,State of New York
No.01 B06020932
Civalified In Suffolk CountY_
Term Expires March 8,
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: 9 /0'r�01
.DATE SUBMITTED: E5 /01
APPLICANT NAME:C-1-qA LG7S
SCTM# DISTRICT: 1,000 SECTION: 1(-4 BLOCK: LOT: 13
STREET: _f C CITY: SUBDIV.NAME: r(
t ,
PROJECT DESCRIPTION: S�c,
ARCHITECT/ E-EJ FAST TRACK? �o
SINGLE&SEPARATE CERTIFICATION-REQUIRED? 'vim NOTES:
LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LATS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83)
ZONING DISTRICT: +'Z -la CONFORMING? ti e
141 //f �f
REQ.LOT SIZE:4d'o mc.-J, ACT. LOT SIZE: REQ. LOT COV. ?` . ACT. LOT COV.
REQ.FRONT SS PROP. FRONTREQ SIDE ACT. SIDE
REQ.REAR 3 PROP. REAR :�p
WATER FRONT? DESCRIPTION:
PANEL #: 5-6 f FLOOD ZONE: Y ,
AGENCY PERMITS REQUIRED FOR REVIEW
APPRQVALS REQUIRED:
SUFFOLK COUNTY HEALTH DEPT: YES o UNO (BED#): DTE: / / PERMIT#:R10-
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES o
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES or
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): - YES o
NYS ENERGY: YES OR O 1V`Y9'
EGRESS (18 H min.?4 sq 1) VENT(SQ. FT. x 4%) v LIGHT(SQ.FT. x 8%)
BUILDING PERMITS OPEN/EXP�ffDD: BP -Z/C/0 Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR SF
SECOND FLR : SF INTT OTHER TOTAL
TOTAL: 8 L SF FEE FEE FEE
'OT I( ,66 SF)-L_�SF)= SFX$, _$_� +$ ��° +$ i =$ S�
ROBERT H. WHELAN, P.E.
P.O.Box 590 •Mattituck,NY 11952
Tel.631-722-5875 •Fax:631-722-7835
August 27, 2001
Town of Southold
Building Department
Main Road
Southold,New York 11971
Att: Building Official
Re: Magill Residence
Fred Street
New Suffolk,New York
Dear Sir:
Pursuant to the granting of a Certificate of Occupancy for the as-built deck related to the
above residence, please find enclosed a plan and section of the existing construction. A
field inspection on this date took place to determine if the as-built construction could be
considered structurally sound.
It is my professional opinion that the as-built construction is adequate to support the
intended loads and is in conformance with the general intent of the New York State
Uniform Fire Prevention and Building Code.
Thank you for your time and cooperation on this matter. If there are any questions
relative to the above please do not hesitate to call.
Very Truly Yours;
M
A4S10 0 Robert H. Whelan, P.E.
cc: Mr. Gerry Horton
•r ROBERT H WHEILiAN� P.E.
Ro. 590
BY
DATE � T/ol 160 BUNGABOXLOW LANE SHEET NO. Z OF
CHKD.BY__ -J/DATE MATTITUCK,N.Y. 11952 JOB NO.
SUBJECT /�1i�6/���5/�►� � _V_____ ��_
Z'rk/0~ S�-,tet o TO zX wr
if
21.
OCCUPANCY OR
USE IS UNLAWFUL [
CERTIFICATE
' li
WITHOUT CE ci
OF OCCUPANCY ,I
7—
NO-TAI sU1LD11� ENT A
E9ANTO4PMFOR THE
MSPECTIOINe
OF Y 1. FOUNDATION • TWO REQUIRED
FOR POUREDCONCRETE
h, HUGH - FRAMING • PLUMBING
SULATION
FINAL • CONSTRUCTION MUST
BE COMPLETE FOR CAL
ALL CONSTRUCTION SHALL MEET
v THE REQUIREMENTS OF THE N.Y.
ANp 61� PS'�� STATE CONSTRUCTIOEFOR
0 5g�,pN CODES. NOT RESPONSIBLE
DESIGN OR CONSTRUCTION ERRORS
' ROBEoRNTs H NGINEE
WHE ILAN, P.E.
CNGBY W DATE 160 BUNGBAOLOW LANE SHEET NO. Z OF 2
CHKD. BY DATE `` MATTITUCK,N.Y. 11,952 JOB NO.
SUBJECT_&�Ag
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� -3 Unauthorized altsratio� or add�tlon to this surveixG d
ai 51 5 4D
F ' ` 7Y�` �y section 7209 of the Naw York'Stator E } 1 t
r e q
Copies of this tury rn.np nct lata#Fc'�"y'-
seal or emhc•• rt �i eh Il net bo c`bcri+��t��,
lnces to weals an ^
frpjn ftquse>"owwn
obssrvgtns since"mostw�tls and cess title torr, •.', ' I c. r r
rte. ars„npi vtsfble these ilimensron •.
eannotbe eert�fred::, hereon,and to e'• cssr .ees of
or certifications are not transferable to additt `
F �a subrtequant owners. 9
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