HomeMy WebLinkAbout27514-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28482 Date: 05/31/02
THIS CERTIFIES that the building ALTERATION
Location of Property: 730 SMITH DR S SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 76 Block 3 Lot 22 .1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 6, 2001 pursuant to which
Building Permit No. 27514-Z dated JULY 30, 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 KITCHEN WINDOW ALTERATION AS APPLIED FOR.
The certificate is issued to KEVIN KELLY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
ut rized 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. 27514 Z Date JULY 30, 2001
Permission is hereby granted to:
KEVIN KELLY
STONY BROOK,NY 11790
for .
ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 730 SMITH DR S SOUTHOLD
County Tax Map No. 473889 Section 076 Block 0003 Lot No. 022 . 001
pursuant to application dated JULY 6, 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Auth riz d Signature
ORIGINAL
Rev. 2/19/98
�1
Form No.6 , l
n (i q l5
TOWN OF SOUTHOLD �0
BUILDING DEPARTMENT
n� !
TOWN HALL M ry
30 700?
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUP CY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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. Photocopy of Certificate of Occupancy-$0.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential$15.00, Commercial $15.00
Date.
New Construction: Old or Pre-existing Building: _��(check one)
�7
Location of Property: 1 �✓tt T� , iaj
House No. S reet Hamlet
Owner or Owners of Property: �� N + L L�
Suffolk County Tax Map No 1000, Section1 '3 ���/— 07&lock 0003 Lot ��• �
Subdivision n Filed Map. Lot:
Permit No. Datel of Permit. 6 O Applicant: 1Ji A�) LL
Health Dept. Approval: V�``� (/��� Underwriters Approval: t�
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 00
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�Q C W l [ 1 0 Applicant Siat re
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FO ATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: C:��
DATE INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSION
[ ]
FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
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DATE ..7T INBP
FIELD INSPECTION REPORT BATE y' COMMENTS 9J
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FOUNDATION OST)
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FOUNDATION OND)
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ROUGH FRAME &
PLUMBING I
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INSULATION PER N. Y.
STATE ENERGY
CODE
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FINAL
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ADDITIONAL COMEMS:
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,bedow applying
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: 765.-1802 Survey
PERMIT NO. .l � Check
Septic Form
N.Y.S.D.E.C.
ExaminedTmstoes
.20 Contact:
Approved - 3 a 20 a Mail to:
Disapproved a/c_
Phone: (V,311 -434136 :7
%iflding Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. This 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 waterways.
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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupancy
is issued 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.
(Signature of appfibant or name if a corporation)
�} CI-FALvrl�i?_S I�ce
79 o
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises K C 0 t to k6 LLQ f
(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. G�6v�.Y �Jm�t QQ
Plumbers License No. # I O $ r u
Electricians License No.
Other Trade's License No.
1. Loca n of land on which prppoosed work will be done:
-c7 �c7 Snt rr4 1RSo5cyT f J�oc�T lc�z=J7
House Number Street Hie
County Tax Map No. 1000 Section
Subdivision Filed Map No.
(Name)
• State existing use and occupancy of premises and intended use and occupancy of proposed construction,
a. Existing use and occupancy (ZFScV,'xtT?AL
b. Intended use and occupancy SA vwt C
• Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work ) c"-'-'Pou )
(Description)
Estimated Cost a Fee
(to be paid on filing this application)
If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars I I/z—
specify nature and extent of each type of use. AJ / '�
�. If business, commercial.or mixed occupancy, sp fy
�. Dimensions of existing structures,if any: Front Rear Depth
Height Number of Stories rNcc
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories.
3. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories X10 CM(Kk-j S
�. Size of lot: Front Rear Depth V) ,yZ,v 5io.5
10.Date of Purchase I
Q 4 Z Name of Former Owner M w 4� Si 2�craR
11.Zone or use district in which premises are situated Soo 7wc p `TAX V1 CE-0
12. Does proposed construction violate any zoning law, ordinance or regulation: 00
13. Will lot be re-graded Will excess fill be removed from premises: YES NO
'/ S
14. Names of Owner of premises KCV r^'&/,LY Address 1 30S M so 40o Phone No.
Name of Architect Address Phone No
Name of Contractor vA t vr�E �, y�re� Address `7 f GRB 4iy Phone No. 3 2,1 �G
C►4�voir�-rte
15. Is this property within 100 feet of a tidal wetland? *YESNO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey,to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS.
COUNTY OF )
being duly sworn;deposes and says that(s)he is the applicant
(Name of individual signing contract)above named
S)He is the_AV AL0' ' � I V'Lyp-Dr/'6Kcg-r�—
(Contractor,Agent,Corporate Officer,etc.)
A said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
:hat all statements contained in this application are true to the best of his knowledge and belief and that the work will be
performed in the manner set forth in the application filed therewith.
Sw to before me this
day of L L 20-o ,,
Zz
Notary Public gnature 01(6pplicant
ELIZABETH A STATHIS
NOTARY PUBLIC,State of New York
No.01 ST8008173,Suffolk County
Tenn Expires June 8,20.Q.7/
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----------------------
Avalon Home Improvements
74 Gregory Way
Calverton,NY 11933
(631)929-1658
Kelly residence
730 Smith Dr.South -Install Andersen C335 U.D.5'11 718" X 2' 1115/16"
Southold,NY 11971 -Main floor ranch style house
-2 X 12 Header w1 double 2 X 4 jack studs
132"
126" '
PROVED AS NOTED
DATE: 3_.,l� =PART
��5
FEE:NOTIFY BUILDINGNT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
V
USE Is a UL
WITHaUT CE3 '!F'ICATE
OF Ovum llUtclr
r ,..
730 Smith Drive South
Southold, NY 11971
July 20, 2001
Jean W Cochran
Town of Southold Supervisor
Town Hall
Main Road d 1Za-c
Southold,NY 11971
Dear Madam Supervisor:
I am writing to see if you can provide help or a satisfactory explanation to the
unreasonable length of time that it is taking to get a very simple building permit (to
enlarge a window in my home) approved.
I filed my application almost three weeks ago and paid the.$150 fee for a permit to
replace an existing window in my home with a larger window. Because the work
requires adding an additional support beam, the contractor felt we should get this permit.
The drawings could not be simpler as they show the new window and the appropriate
support beam in place.
As I had not heard anything yet,I called the Town Building Department this morning and
was told that there is a backlog of"twelve to sixteen weeks for fast track approvals".
Because of present circumstances in my life related to when I can coordinate the actual
construction work, this delay will cause me considerable hardship.
I am greatly disappointed that neither my taxes nor the relatively high permit fee for such
a simple project provide the Building Department with sufficient resources to process
such permits promptly. In this age where consulting services and other resources are
available as an effective management tool to provide good customer service, there should
be a way to provide the Building Department with what they need to process simple
permits quickly.
I would greatly appreciate anything than can be done to resolve this problem.
, Yours truly,
JUL 2 4 ?oni Kevin Kelly
o�,,eglF F01,�coG
cz
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CO3 Z
Town Hall,53095 Main Road p • Fax(631)765-1823
P.O.Box 1179 1'�O ��� Telephone(631)765-1802
Southold,New York 11971-0959 1 `1►
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 23, 2002
Kevin Kelly
9 Chalmers PI
Stony Brook, NY 11790
RE : 730 Smith Dr S
TO WHOM THIS MAY CONCERN:
We are unable to complete your Certificate of Occupancy because of the following reasons:
X An Application for Certificate of Occupancy is
not on file. (Enclosed)
NO Underwriters Certificate on file.
X The check is (not in file)$25.00
No Health Department Approval on file
No final inspection has been completed.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT# 27514-Z
Please contact our office on this matter. Thank you for your cooperation.
SOUTHOLD TOWN BUILDING DEPT.