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HomeMy WebLinkAbout27113-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27889 Date: 08/24/01 THIS CERTIFIES that the building ADDITION Location of Property: 40OH30 MEADOW CT SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 .1 Block 1 Lot 30 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. 27113-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 CONDO UNIT #30 AS APPLID FOR. The certificate is issued to NANCY RODILOSSO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A o zed 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. 27113 Z Date MARCH 7, 2001 Permission is hereby granted to: NANCY RODILOSSO 400 MEADOW CT - #30 SOUTHOLD,NY 11971 for CONSTRUCT A DECK ADDITION AS APPLIED FOR UNIT#30 at premises located at 40OH30 MEADOW CT SOUTHOLD County Tax Map No. 473889 Section 087 . 001 Block 0001 Lot No. 030 pursuant to application dated SEPTEMBER 26, 2000 and approved by the Building Inspector. Fee $ 150 . 00 Au ri ed Signature COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' 765-1.802 r APPLICATION FOR.-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the uilding 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 buildinj and installations, a certificate of Code Comp.lianoe 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 ani pre-existing land uses: I. Accufate 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. Ifa Certificate of Occgpancy 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 - .25i© 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 . Date . ..::.. . .. . .1. ... :.. . . . .. . ... . .. . . . . Few Construction. . .... Old Or Pre-existing Building. .. .. . ... . . . . ... . Location of Property. . .. .. �o w �T . ... .�� 0.1 . . ..... . .. . .. . . House No. Street . . Hamlet . . . . . . . . Onwer or. Owners of Property...'...... .�ll.�?.$ .. . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . County Tax Map No 1000, Section. .. . . .B1ock. . , . ./ . . . . . . .. . .Lot. . . . . . . . . . . . . . Subdivision. . .//. .,,.. . . . . . . . . . . . . . . .. . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . ... .. . . . . . . . . . . Permit No a. `1,/. .,Z. .Date Of Permit. . .. . . . . . . ..... .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . .. Underwriters Approval. . ... . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . .. .. . . . . 4 Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . . . . . . . Fee Submitted $.. . . . . .�. . . . . . . . .. .. . . . . .: A In"V'r Pf A WNW FIELD INSPECTION REPORT DATE _:',:...;: CoNMENTS _ ¢=xxxaa=max==moxa=xcxx=cTx=xa=x==11xc==ctxx=====xxxx=xx=�====xxxxxxxa�a�x===xx=xxaxcxcexx� �I II H FOUNDATION ( IST) r-- 111���lll' n FOUNDATION (2ND) II u __________________ ___--- ----=-==_____________________________------------------ 1 N ROUGH FRAME & N PLUMBING Ittl.� II yy �' INSULATION PER N. Y. H STATE ENERGY — CODEI N u� C C=xaxxx==ax�xxxx=xex�ax 3,7oll H II III II iIt I FINAL sass -cas-zm------xsaxx�xsx---_�=__=+x_ ______sx---- aa1----s�sexaxxxsmx=caaaxaxm ADDITIONAL CONMENTS: xJ 0 QL c e 0 J H � H � y� H tri b H 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: CALL . . . . . . . . . . . . . . . . . . Examined..... X.7..... 20.Q.1 MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved......... ., �? Permit No. o� l�I ... ................................... Disapproveda/c .................................. ................................... ��,� (Builds I for ljk SEP 26 L000 APPLICATION FOR BUILDING PERMIT ;� , pp Date.,. . . . . . . . MOD L J INSTRUCTIONS t a. Ihis application mist be 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. the work covered by this application may not be camienced 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. 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 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 building for necessary inspections. .. . . ............ -Aim- . m�: .. (Si of licant or name if a c rpor tion) '/7/0 7d (Mailing address of applicant) R 1111 71 State whether applicantt is, owner, wnerlessee, agent, architect, engineer, general contractor, electrician, plmber or builde .............. .................................................................................... Nam of owner of premises .... rd✓,UC�2 ..•1.i Ct 1J/L,I�S.J.`'................................................... (as a( the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ........................ Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done........0. e ��'..�.(.. ✓.`� . .............. ...... ..- ............��UA6/. .......................................... . Hasse Nunber Street .-•.Hamlet -..... Canty Tax Map No. 1 ODO Section .. �? ?o. ... Block .... ® 0 Lot e Subdivision ...................................... Filed Map No. ............... Lot ............. (Name) 2. State existing use and ocarpancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........�L !!�S .......15 /! .fit... • ' b. Intended use and occupancy ............................. ................................................ Kiture of work (check wlhidh applicable): New MAlding .......... Addition ...4 .... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .............. Estimated Cost .../.J..V.6!. "....... fee .................................riton) ..� h ..... _ De A (to be paid on filing this application) if dwelling, rxnber of dwelling units ......'..... Rnber of doO ling units on each floor .. ....1......... Ifgarage, number of cars ...................................... If business, camrercial or mixed occupancy, specify nature and extent of each type of use......... ............. Dimensions of existing structures, if arty: Front...;�-.(R........ Rear .(......... Depth .S height ......................... Nurber of Stories ....C ............. Dimensions of same structure with alterations or additions: 'FYBnt ............... Rear ............... Depth .................... lleight ................ .... Rnber of Stories ............... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. lleiOht ......................... Umber of Stories ..................... Size of lot: Front .....//.,,.............. Rear ...................... Depth .................... Date of Purchase ...�. 7..� ........ Nam of Former Owner ... .................... Zone or use district in which premises are situated ............................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...A"/�).............. Will lot be regraded .......AeN? ....... Will excess fill be removed from premises: YES ( P Nares of Owner of premises !Y/t1U4V.�.•.eOb/f:,S Address V d.<"!P!'Jzl�dW ....... Phone No./.rP......�� Nave of Architect ................/.................... Address .............................. Phone No. ............ . Name of Contractor ................................... Arkdress ..................../...........Phone No. ............. Is this property within 300 feet of a tidal wetland? * YES .......... No ...�„/... *IF YES, SCiIl110ID TOldl TElT=113 PMMrr MAY BE REQRR@-. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions an property lines. Give street and block nurber or description according to deed, and show street nacres and indicate nether interior or corner lot. 'Alli OF Nl; �, 7y � A-- S.13a1N1Y O ..... ......... .................be.ing duly sworn, deposes and says Lhat- he is the applicant 4xme of i.nd idual signing contract) we named, hsdee .........oa.r.`.'f.Y�.......................................................................... (Contractor, agent, corporate officer, etc.) said owner or arK-rs, and is duly authorized to perform or have performed the said work and to make and file Lhis ghlicatimm; that: all sLatemenLs contained in this application are tnue to the best of his knowledge and belief; and at Lhe work will be performed in the manner set forth in the application filed therewith. ,Orn to �efcjre um this r6�� 120.0Z) Notary Rubricant) .............Publ. ... .. . (Shprhalzrpp L GU_lN � . N. State of New Y ryNo.01 GL4879505 w Qualified is Suffolk Cou 1 Commission Expires UBC.8, '1"- Z^ 9'G74 - : .1-.1' ^�V t�l't �� 'l.�.h..•P 1. ,Contractors work,-. i,9 to conform with; al,�.' local ordinaaces. 8 ; Yisw Xosk. - - - T""1� r4 ^:c• . ' -�.i4 - N>=��v -�zs✓: lcr _ - Sta'tABuilding Const�ruationn Code., eson.Latt Edition. - - -, Ta in:i.>,,r•4 H G---- -. .�.nr� t"1-k..�4a::r. _ _ - - 2. - Oontzaatoma'shell verify all. £1e1'r .,conditlol* in,d dimensional and v,il .<'�ir".iFa : the ,AsChitectitmmediaiely: - Any, discrepancies ,ahall bs reported to " tbe tT- contractors will 000perats 'with all other'�tradae, an# . will' complete,: their work in �accdrdanoe -with-beet;" etaudax3e aad,'p�ctioea ` - �..x i 't'-t N{„ " E�:t 1<.�' t/A i vet}' ' - 4 h'll .:"diMenaions � ,are � nominal ,and take pre,cedan a " eves °-'scale. � all'i - - ' - �� ' �•xk.�Tir-�l�i %—•. - ;�, � - � " , - . - - � . - - ' :abbrevi¢tiona" ars: atwndaid. - - _zn z' rf^o'"k - - ;� Com.A,% _ " - - - '•6. All itama-'sof Work' 'on ' the draWing@:;are' neW.:, unleee,.RtYEeriries i�oteci;, 6,- . Proprietary naiues identifying . -items ,of ',work are owed ` ealely- -to . . - p'reacri.b_s •standards of nonatxuction. of"a(lual quality„ may be . 'submitted to the $rchitegE. £or waeidaration F T. All Eootirig6 shell bsar .iipgn uudistnrbbd '$o:il having 'an' as's'umed blearing capacity o£ •4,b0,0 P 9,g. Eeht3.ng, aa'paCitg, o£ 0611 to, be verified 'by ' ' .she con'traator 'grior to placement";ic£-foctidge .,-, . - '' -' •. ', - . . _ ,_� k �.'_ +.,-• G� i ,::ate r-_t �..:' � _ - . : e • X11 concia totnaAmaxioan creta t ' go'natsh�atign' shali,,,'oonfazm : - - - B o gti1 - _ - Institute'. IJ'.1IItt0 ��ODE BEQV�RSMEa»S - FQR �18Z>*ORDED :COLTCTUtti'&"; tt� � - _ : lateat, bditlon:=, , . - I�,-5 , - - i. ' _ ,,, _ : 358. .�,.: :..-te ¢t 2EE " te r ? T f�, s l 9 omg oe f concrete 'slays wtl1. baf 1`t-F 1 Via ultimata o urgp i ie. Qtxg gCi�o . � . Ai? ' t on_ir, 1o. A11 +gao&'fvA i 4arxvk venom mba1,T:.,conform v4th 1 _,�aglbaa�Sa,'' 3a�tltrtk� /; cf_ rimbef .Conettuctiau/e '"TSbSBIICSTRSYC2ONT04ALu Lattlat ' elStion, =: ;. s , ' ,e . - c011i?,k+rpatad' oega' d fEp7{ maEa ahaikIiava [a1lgWab -. 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T?,E: -ti c5-]T .•v.tee+”tIJ ' 1._' , •-', .. _ _ 1[ ' ,y.r. s .m l '-A Gua'i i✓ t :.-t G, 4tv-Fs;� - -_ r. - I QurR�'s ?IASl1OiE0 LZ 741.1851:) AM NOTI , Ufiw _ ”'-' �it I'�-•-� : - - _ " - - 'TO /Pm FOR TNI 105 3:d-4 ,:_ .1: - ,-' . '- ,t?_.:;,, `a.F�LO .pT10 - ,'`�. . OCCUPANCY '.,FORPOUREDCONCRETE 0UIREQ - ( ¢,INSULATION AMINE• �WMBING - . C. OR _ `.U$E IS UN�'AWFUL A FINAL CONSTIiUCTIp1 ..YUiT ; , WITHOUT CERTIFICATE IEQONF[ETETORCA. 1„),a'.s„�! c',y�L� OF OCCUPANCY ,ALL�CONSTRUCTIOk SNA�.L,LUEET in' THE.REQUIREMENT#-Olt;THE N 1L - - 1r' xjl^ 'i•'�9s!-Cis, . - .y4 -w, 1M': ,t i cr , . ,-'- �: . '.,.1 t;�-r+s.�sl/�,,. .t .'+1 ,_ , ', ,-- �:' :`p .:eK?z.rs i' _ _ - STATE,CONSTRUCTION l ENERGY . �.'„ -,,. ",�,.�.""� :;' . F.tP,�.N, t J .. , _ , N01 r ''Pr � CODES.;NDT� AESPQNSI LE 0 ' .. 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