HomeMy WebLinkAbout27108-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27883 Date: 08/21/01
THIS CERTIFIES that the building ADDITION
Location of Property: 60OF24 MEADOW CT SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 87 .1 Block 1 Lot 24
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 26, 2000 pursuant to which
Building Permit No. 27108-Z dated MARCH 7, 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 AN EXISTING CONDOMINIUM UNIT #24 AS APPLIED FOR.
The certificate is issued to ROBERT F & CHRISTINE M HARPER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ori d 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. 27108 Z Date MARCH 7, 2001
Permission is hereby granted to:
ROBERT F HARPER
55 V--R--
GARDEN CITY,NY 11530
for
CONSTRUCT A DECK ADDITION AS APPLIED FOR UNIT #24
at premises located at 60OF24 MEADOW CT SOUTHOLD
County Tax Map No. 473889 Section 087 . 001 Block 0001 Lot No. 024
pursuant to application dated SEPTEMBER 26, 2000 and approved by the
Building Inspector.
Fee $ 150 . 00
A rizeA Signature
COPY
Rev. 2/19/98
Form No. 6 V '
► TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR-CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and subm tted 'to the bu4di g
inspector with the following: for new building or new. use:
1. Final survey of ..property with accurate location of all bud g'_s`T doper-ty. 44",
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply, and sewerage-disposal(S-9 form) .
r 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 17 lead.
"5. Commercial building, industrial building, multiple. residences and similar buildinj
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 use or buildings _an(
"pre-existing" land uses
1. Accurate survey of property showing all property lines, streets, building and
d unusual natural or topographic features.
2. A properly completed application and a.consent to inspect signed by the applicant.
If a Certificate of Occqpancy is deuied, ,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 Buildine - $100.00
3. Copy of Certificate of Occupancy - t. .2Snfl
4. _Updated Certificate of Occupancy - $50.00
5. Temporary 'Certificate of Occupancy - Residential: $15.00, Commercial $15.00
August 10, 2001 -
Date
New Construction. . . ... . . .. . Old Or Pre-existing Building. . . .. . . . .. . ... .
Location of Propertfi O.F. . 24 Meadow Court Southold, NY 11971
...... .
.. . .. ..... .. .... ......... .. .. .• ..... .. .• .. . .A. ...... . . . • . . •
House No. Street Hamlet
Onwer or. Owners of Proert
p y, Robert - F. Harper and, Christine Harper
.. .. . .. . . . . . .... .... . . :.. .... .. :. . . . . . . . . . .. . .. . . . ... . . . . . . . . . .
473889 087.001 - 0001 024
County Tax Map No 1000, Section. .. . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . .. . . . . . . . . . .
Subdivision. . .. . .... . . . . . . . . . . . . . . . . . ... . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . ... .. . . . . . . . . .
Permit No. . 27108. Z, . . . . ,Date Of Permit March. 7 2001 Applicantobert. .Rh1�P99t in. . . . . . . . . .
8ealth Dept. Approval. . . . . . . . . . . . . . . .. .. . . . .. . ..Underwriters Approval. . . . . . . . . . . ... . . . . . . .
Planning Board Approval. . . .. . . . . . .. . . . .. .. . . . . .
X
Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . . . . . . . . . .
Tree Submi ted: $...2. . .. . . . . . . . . . . . . .. . . . . .
ATf1T Tf,A1
FIELD INSPECTION REPORT DATE COMMENTS -1
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FOUNDATION (2ND) II II
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ROUGH FRAME &
PLUMBING
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INSULATION PER N. Y. + !'_
STATE ENERGY
CODE
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FINAL
ADDITIONAL COMMENTS:
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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 DEC . .. . .. . . . . . . . . . . . .. . . . . . . . .
S
TEL: 765-1802 TRUSTEE . . . . .. . .. . . . . . . . . . . . . .
NOTIFY:
IICALL . . . . . . . . . . . . . . . . . .
Examined..... ....... 20.?1. MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved...--.Y'Y. �.f Permit No. ...................................
Disapproveda/c .................................. ...................................
......................................................
...... .... .......
_ - (Building n tor)
APPLICATION FOR BUILDING PERMIT
rcp Date.August. _17 . . . , 2000 .
1
INSTRUCTIONS
j
a. 'ibis application must-4)� completely filled in by typewriter or in ink and submitted to the Building Inspector w:
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 application.
c. 'IIie 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.
APPLICAPICN IS HGRM MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building ?.one 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 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 build' for necessary inspegt�onnsy.
•(S' .ture.of-appli. ,•if.a corporation)
..��.5. f.1/,Lau. �F}.G�v�N c,,-y NY115-30
(Mailing address ofapplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
........................................................................................................................
ROBERT F. HARPER &rid CHRISTINE M. HARPER
Nameof owner of premises .............................................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plumbers License Ido. ................... ...
Electricians License No. .....................
Other Trade's License No. ....................
Unit 24, The Cove, 600 Meadow Court,
1. Location of land on which proposed work will be done..............................................................
Southold, New York 11971
.......................................................................................................................
House Number Street Hamlet
County Tax Map No. 1000 Section .....087;01.„ Block ..0ktggq...... Lot .. 024 000...
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 .n.dotMinium..........:'.'............................
4.
b. Intended use and occupancy .... Residential,Condominium......................................
N7ture of work (dieck vAd dl applicable): New Building .......... AdditionAlteration x x
Repair ............ Removal ............. Demolition ............ Other Work •..................................
(Description)
Estimated Cost ... ,500.00 A
...... fee ..................
'' (to be paid on filing.this•application)
If cheeping, rxniRr of dwelling units ............ Ikxnber of dwelling units on each floor ....
Ifgarage, rxnber of cars .........1............................
If lxisiness, eamlercial or mixed occupancy, specify nature and extent of each type of use......................
Dimensions of existing structures, if any: Front................ Rear ............... Depth .................
height ......................... Number of Stories ............
Dimensions of same structure with alterations or additions: Front•.............. Rear
Depth .................... Height .................... Ninof Stories iber ...............
...............
Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Ilei&4rt ......................... Number of Stories .....................
Size of lot: Front .................... Rear .................... Depth ....................
Date of Purchase ..................... Name of Former Owner ........................................
Zone or use district in which premises are situated ..............................................................
Does proposed construction violate any zoning law, ordinance or regulation: N
Will lot be ..
regraded ... ............ Will excess fill be removed from pre..... ...•'.YGS.' .• tJ0
Names of Owner of premises 31=2 ......,yl .,txr.#� CAV, x-# 6 oo /17If-AV0`0 done No.?C
�o-rti�a/�D
Name of Ardlitect .................................... Address .............................. Phone No. .............
N-.me of Contractor ... Address ...............................Phone No. .............
Is tris property within 300 feet of a tidal wetland? * YES .......... N0 ..........
*IE YES, SOLMM M4N MMM-3 PERMIT MAY BE RG()IJIRI-.
PLOT DIAGRAM
locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
nm property lines. Give street and block number or description according to deed, and show street names and indicate
tether interior or corner lot.
-Nil- OP Nu Yin,
SS
� !j-�•�N,r• . ��•!lzl' /L............being duly sworn, deposes and says that a is the applicanL
lane of individual signing contract)
we named,
istle Q M F..P .......................................................................................
(Contractor, agent, corporate officer., etc.)
said cmc-r-e►r owners, and is duly authorized to perform or have performed the said work and to make and file this
Rrl.icatirni; that a.11 statements contained in this application are true to the best of his knowledge and belief; and
aL the work will be performed in the manner set forth in Lhe application filed therewith.
,orn to before me this
....../.8IT.......day ofo.�:f :...:20.0.4...
Notary Public r:-t. .............
t- aAA
.........
(Signature of Appl.i.cant)
BWTARY PUBLIC, SteROBERT F.ri
346624590 mow►York
wsav,County
form Exor r Junw 30,or)/boa),
c' V-F-V G�-K+rY.•-'s � .N (./ T F, -_6
Contractor° work is to conform with all local ordinances & New York
State Building- Constructionn Code, Latest Edition.
�-
' - �-ri1-b••1- I N f+ '* 2 . Contractors shall verify all field conditions and dimensions, and will
__ _--__— ---- --- -- - -- be responsible for same. Any discrepancies shall be reported to, the
the Architect immediately.. -
Contractors will cooperate with all other trades and.-,will complete
- _ - their work in accdfdance with beet standards and practices.
naves/x0 4. All dimensions are nominal ,and take , precedence over 'scale. All .
_ - - abbreviations are atandard.
All items of work on the dro4ng° -are now unless otherwise noted. -
-
6. proprietary ',namea - ideatifying '. -items Of work - ,are used able to
prescribe standards of construction.' . ' Items of squal '�quality may ' b '
_ - -
submittedto the Architect for -consideration, -
'_ - - _
7, - -All fobti4'gs shall 'bear upon ufi4ietuirbed soil Having,'an'_a��um�d basting,
$apaeity idf `4, 000 P.S.r e;aripg`capacity ,of-coil to be Verified by, . .
- - - - :k'se Contmaotar prior to ,placement,- ef 'faotingg - - -
-,: - .-s,€ b* .S 1t-t'c, ''.=-u:1 f--. fi> S. All "concrete conafruction shall, conform Fb kREINFORCED r s
1 N'Zn � 4� r M--1 E=.
. American
C4ligttet
Institutef s ByhILIdS IO CDS R$flt3SRENENT C#t - CONCRETI'1' !".
ACI -' 315: 'lateat, 'edition. '
9. The ultimata coaipressive strength Of
concrete at :28 days will' be;
FouMdatton &, Footings p, , _
- �U 1> I.. t✓c.:._ : I /.R-.• �, 1 '.. sz" _ - ur,r 1'T zi,.'2 _ „-. . t
of}Timt�ei coae ,coaetructSdh shall conform -with th°; ' 7+merican, Intia, Fa"
}'0- wood- _
- Btruction'a PTImp R COp73TRUCTION N.'RND7!Tv[ Latest Edition.. .
- - - E- - 11. 'All C04seated wood framing members shall have ail ' allowable extreide
fiber stres'a eVal, to or, greater -than structural_ grade 86utiibrn Yellow
^' Pine:.
y',.- >"', G4'✓+- . « 3.,- E 7 z^ E -. 7%.z ' _ v t__ Fur 875 'Vol Fv' 85 asi" E ,e 1.400,aOD nsi
17. Contractor to install all new material with deta'"l.s to match' exist=ing
(typical) '.
-13 . Provide 3''-0" high Failings s°: requirQd and as el}owa cit-' the; dYawi'A,g° -
i ' U -zea c ' ,. p1 - - - with style and detail to match existing.
14,9 e'W1.. iia 2 ry A. �' a"eer .s '"T .1.- - - _. -- _ - y aeie_ and lea Vis
1 >� , u
.. T— all as free ° completion.
_ 14 . Contractor is to clean-up after all 'trades. on a daily
JI, are of debxie. imm diatela upon final
F"I.-.tJ h.H GIP C%L.,fL..-�SE'Y - -
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. - - - '�Xt�X I r-i r_.{ F?�'-1z1 ,t}'I z T4++1 c..YU rc E� ✓ - ., _ - .,-.
ROVED AS NOTED
DATE• 0I B.P.;F -
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�- `- � LOWING INSPECTIONS:
FOUNDATION - TWO REQUIRED
FOR CRETE
IS U FU 2:'ROUGH POURED FRAMING & PLUMBING
sa,c r=ay , r t a ri' - WITHOUT NIAWFUL
a FNAL -INSULATION
CERTIFICgTE 4. FINAL`- CONSTRUCTION MUST
- _ - - OF occup*t/ BE COMPLETE FOR C.O. ilt
ALL CONSTRUCTIONSHALL MEET
THE REQUIREMENTS N THE N.Y. -
Is_T Su-I G. '' µwd pa_ lt_ 1 �-i"r '"foi'-r� �V/4/+-1-v_ '`h- ¢,�'1-`Ts• STATE CONSTRUCTIO & ENERGY
�
C2 Iy�Y.s ez CODES. NOT RESPONSIBLE FOR 1-1 P-'1 �- _ >•✓x 1�-'-� r--I �. -�- �""i d ' T'�7s1 c=�a.�- �e,s DESIGN OR CONSTRUCTION ERRORS .
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