The URL can be used to link to this page

Home My WebLink About29301-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29825 Date: 11/07/03 THIS CERTIFIES t~at the building ALTERATION Location of Property: 370 TERRY LA SOUTNOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 65 Block t Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 2003 pursuant to which Building Pez~nlt No. 29301-Z dated APRIL 16, 2003 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 WINDOW ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM D & PATRICIA C MOORE (OWNER) of the aforesaid building. S~)LK CO~ DEPARTI~ENT OF }~ALTH APPROVAL ELBt-£KICAL CERTIFICATH NO. PLLA~BERS CERTIFICATION DA'r~u3 Rev. 1/81 N/A N/A N/A / Auth~rl ~ed Signatu~ 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. 29301 Z Date APRIL 16, 2003 Permission is hereby granted to: for : WILLIAM D MOORE 51020 MAIN RD SOUTHOLD,NY 11971 REPLACEMENT OF WINDOWS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 065 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 370 TERRY LJ~ SOUTHOLD Block 0001 Lot No. 006 14, 2003 and approved by the 16, 2004. Fee $ 150.00 / Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANiU..Y__'2d~ 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 o f electrical installation f~r, om Board of Fire Underwrit ers. 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 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, Swi~mming 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- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: X, Old or Pre-existing Building: Location of Property:House~:>'7~gNo. "]"~,~'ft~ ~ S(~tree~ Owner or Owners of Property: [A/~/[(~gq g~ It~a~r,fv, Suffolk Comity Tax Map No 1000, Section ff_~"'~ Subdivision (check one) ~ OOr~ Hamlet Block ~ Filed Map. Lot ~)~, Lot: Permit No. ~---q ~ [ ~. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit~ Applicant: Underwriters Approval: Final Certificate: (check one) Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 31,2003 William Moore 51020 Main Rd Southold NY 11971 RE: 370 Terry La TO WHOM THIS MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: X X __ An Application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. __ The check is (not in file)S25.00 __ 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 # 29301-Z Please contact our office on this matter. Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. CHORNO ASSOCIATES AFIGHITEGT~ ' PL~NE/~ ' INTERIOR DESIGN 3~ F..DGEMOHT AVE. HUE QUAKERTOWH, (216) FAX (~16) April 14th, 2003 Mr. Michael Verity Buikting Department Town of Southoid Southold NY 11971 Re: Windows replaced In existing house. Moore Residence In accordance with the Energy Conservation Construction Code of New York State, chapter 502.2.5 Prescriptive path for additions and window replacements, table 502.2.5 requires a maximum fenestration U-factor of 0.4. Andersen Corporation Windows with · 0.32 U-factor > 0.4 are provided (see enclosed rating by National Fenestration Rating Council) Applicant/ Architect/ Engineer: Dat(~ Reviewed: Date ,qubmilted Project Description: ~ AGENCSI'~ERidITS rmOumE~) ~OR PJZW~W N.^. N_ 0 Perm~ YES Number Suffolk County Healfll Dept New York State D. E. C Town Trustees Town Zoning Board approval: Town Planning Bom'd approval: Flood Plane Elevation ??? Flood Zone: ~__~ N°tek: 'NFRC National Fenolitaliofl Rating Council /\ P,~GE E 1( ~ 02 Now, FINDINO TIlE M<)SI' I'~NI;I~(;;' EI'FI(:INNI' ~?~INDOW l$ AS ~ASY AN (~I,ANC1N(; AT TIII~ NFRC Ll~l... It s ~p~ a b~ ~ q ~ On It ~t jt ~ a ~ com~ ~bh~ Until ~ a ~ev~~ ~,~ ~ c0~on (~ ' Mlell st ~ ll~l F. noql~ Cedi & C.E.C, All m#lallhm' ~eqglremenis, The Simple ~mlo~. Now, tim NFRC I~ de~td testJn~ and radn~ me~od~ t~at make compm~)n acc~ aod el~ Lo,It Jot the U-value oil tile NFRC label on ~e w~lidow or door, bills, and · Tour utility cempm~*a energy bill rebate pre,'ams, ho~ md ~e ~ding ~dus~y. If ~u 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]]~OR~MNiDNA~ION2ND [[ ] ~iNA~ATION [ ] FIREPLACE &CI'~IMNEY_ DATE/~/~~~ INSPE~ FOUNDATION (IST) FOU~U~AT~O~ (2~) STA~ ~ CODE OF SOUTHOLD lNG DEPARTMENT A HALL 2THOLD, NY 11971 EL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined_ Approved Disapproved aJc Expiration BUILDING PERMFF APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Plmming Board approval Surve~ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Phone:~~' [ Zl 2U{~JPPLICATION FOR BUILDING PERMIT Date ,20 ] INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ir~k 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 tiffs 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 the Building Inspector issues a Certificate of Occupancy. t'. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, thc Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, puildi~g code, hous!~g.cod~,-aaad)regulations, and to admit authorized inspectors on premises and in building for necessary mspecnons. ~"'~'~2 ~ I OCCUPANCY OR coNsraucr o s MEET mE REQUIREMENTS OF Tk SE IS UNLAWFUL co .s UEW YOa st^rE. WiTHOUT CERTIFICATE- (Signature of applicant or name, if a corporation) 57~ .O7~/,'~/'~--oc, o/ (Mailing address of applicant) State whether applicant is owne~sJ~,~, ~cY Name of owner ofpramises engineer, general contractor, electrician, plumber or builder APPROVED AS NOTED DA1.E:-~ / ~l~,p.~, ?~o,,'-~. (As on the tax roll lfapplic~t is a co~oration, signature of duly au~ofized officer 7~1~ 8~ TO 4 PM FOR THE ~ I~ECTION~: (H~e ~d rifle o~co~omte officer) I. ~NDAT~ - ~0 RE~RED ~R ~D ~NCR~E Builders E~cense No, Z R~ - F~NG ~ ~U~ Pl~bers License No, Elec~ci~s LicenseNo. ~ ~fi ~R C.O. O~er Trade's License No. R~E~S ~ THE ~8 ~ N~ ]. ~catJon of]~d on Milch pro2osed work wfl] be done: Y~ STATE. ~T RES~NSIBLE FOR ~ ~ ~.~.. .%/ ~ ~ _ ~<' ~ ~~ ~ ~uCT~ ~ERRORS' House Number S~et H~let Co~ty T~ Map No. 1000 Section ~ Block Subdivision Filed Map No. Lot ~me) 2. State existing use and occupancy of premises,4and intended use and occupallcy of proposed enn~tmehr~m. a. Existing use and occupancy b. Intended use and occupancy. /~S/c~t; vt-'~-'' 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work 4. Estimated Cost ,oq/~6"), ,,o Fee //5-0, oo 5. If dwelling, number ofd~velling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? Y~/~} NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * If YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, w~th accurate foundatzon plan ~ dz,~l'/castOip~po~'y,l~es. ', :mo0Jr~ .,~l T~M 17. If elevation at any point on property is at 10 feet or b~le~w, must ptovid,e~Dogrill?l),i, cal data on survey. StAT OF StoW ¥OPaO cotn, ,Y OFd.,ehrilld > .-n ............. ~.rAt5 P"~';Upr'~ t.;Z~:t //r/~ce-r"~ ;4~ being duly sworn, deposes and says that (s)ae is the applicma (Name 'o'i"fha-iV~d~i ~igning a0/iC-itc, g (S)He is the 1~'~ ,3i,thC ,~:~ ~..'-,.~,: '(Co~tmator~ Agorot, Corporate Officer, etc ) of said owner or ~..'~nd is~,dlt~g~thCr~ted?lo ~erform or have p~fo~ed the said work ~d to m~e and file this application; that all statements contained in this a~*;tme to the best of~s ~owledge ~d belief; ~d that the work will be perfo~ed in the ~ g~Ft6~ [ff ~p~a~o~ filed therewith. Signature of Applicant MELISSA McGOWAN Notary Public, State o! New Yo~ No. 4995913 Qualified in Suffolk County Commission Expires May 4, ~0~ 107 il I N J3 ,,O0,~.g.Z0 N