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HomeMy WebLinkAbout30111-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, ~.Y. CERTIFICATE OF DCCUPANCY NO: Z-30087 Date: 03/16/04 TI~IS CERTIFIES that the building ADDITIO~ Location of Property: 1435 WEST CREEK AVE HOUSE NO.) (STREET) County T~i~ Map NO. 473889 Section 103 Block 13 S~bdivision Filed Map No. Lot No. CUTCHOGUE (HA2~LET) Lot 32 conforms substantially uo the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 2004 pursuant to which Building Pe~t No. 30111-Z dated FEBRUA~RY 24, 2004 was issued, and conforms uo all of the requlremenus of the applicable provismons of the law. The Dccupancy foz which this certificate is issued is "AS BUILT" R3~ISED BRICK PATIO ADDITION TO 3~N EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN K & ANN M SWEENEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~ALT~ APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A oriz e~ 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 COMPLETION OF THE WORK AUTHORIZED. FULL NO. 30111 Z Date FEBRUARY 24, 2004 Permission lfor : zs hereby granted no: JOHN K & ANN M SWEENEY W~ITESTONE,NY 11357 iCONSTRUCTION OF AN "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1435 WEST CREEK AVE CUTCHOGUE county T~ Map No. 473889 Section 103 pursuant to application dated ~EBRUARY Building Inspector to expire on AUGUST Block 0013 Lot No. 032 23, 200% and approved by the 24, 2005. Fee $ 300.00 Authorized Signature Rev. s/8/o2 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPm~%~ ( TL~ ~ ..... '~'~ 'i ~s a~cat~on must be filled ~n by t~ewnter or ~ ~d su~ed to the B~di~ D ~t .t e ~mg:~ A. For new building or new use: ~ ~,~6(~,~. ..... 1. Fi~ s~cy of pmpe~ wi~ acetate tocation of ~1 b~l~ngs, propc~y ~es, s~ee~s, ~~~ topo~ap~c feazes ~~ 2. F~al A~rov~ from H~ D~t. of water supply ~d sewerage-disposal (S-9 fo~). ~p~ ofe~et~c~ ~s~tion ~ Bo~d o f Fire Und~fiters. 4. ~or~, .'~tcm&~: fiom!~l.,nbc~ c~;~; ':inv thatthesoldcrused~systemconminslcssth~2/10ofl%lcad. 5. ( 'om::w:'ch.! Imi.din,,.. i,'da~'~ ~a, Im~hli,~,. m~fiplc ~s~danecs ~d s~milar b~l~ngs ~d ~st~fio~. a cc~ficate ofC9de ~ce ~0m ~c~tcct o~ en~ncer respo~b[e for ~e buil~ng. 6. S~ ~g Bo~d ~ova1 of complied site p~ r~u~emems. For eXit. ting buil ~dings (prior to April 9,1957) non-conforming uses, or buildings and "pre-existing" laud uses: 1. &ecurate survey of ploperty showing all proper~f lines, s~eets, building and unusual natural or topographic features. A properly co .mpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is den/ed, the Building Inspector shall state the reasons therefor'in writing to the applicant. Fee8 1. Certificate of Occupancy - New dwelling $25.00, Additions ro dwelling $25.00, Alterations to dwelling $25..-~0. Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. CertlficateofOecupancyonPre-existingBuilding- $i00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary C6xtificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property:-''>~'- [ q ~_~ ~'~ ~,~2~" ~//~d:~7/¢ House No. Owner or Owners of Property5>'- ,,~p/~/c,/ Suffolk County Tax Map No 1000, Section Subdivision ~---~- ~ Permit No. 3 o t ( l .~ Health Dept. Approval: Street '/~ ~'~ Block ~3 Filed Map. Date ofP~t. ~~ Applic~t: ~-~ Unde~riters Approve: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~' ~ Final Certificate: tcheck one) Hamlet Lot Lot: (_ Applicant/ ~ t O~ Owners Name: ,,-, / Architect/ ~- Engineer: SCTM ~: District: I~000 Section: Reviewed: P,'ojec~ ~___~_ ~ Subdivision ~. . R~q. ~FronhY=d~ Fro~s~: ¢~[SideYard&/~ Propose: Project Description: /~ ~/'"?J-~&&_]~-~d~.,fl REOUmEn FOR R~VmW Permit N.A. NO YES Number Suffolk County Health Dept. New York State D.E. C_ Town Trustees :'Fown Zoning Board approval: Town Planning Board approval: Flood Plane Elevation 777 Flood Zone: Notes: Town Hall. 53095 Main Road P.O. Box 1179 Snuthold~ New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOI November 12, 2003 John.K=& 4Lrm. M. Swee~ey 12-27 i 526u Street Whitestone, N.Y. 11357 Re: Premises ~ 1435 West Creek Ave., Catchogue. N.Y. Stiff. Co. Tax Map #1000-103.-13-32 Dear IVh'. &Mrs. Sweeney: tt has been brought to the attention of the Building Depmtment that a raised deck addition has~been constructed on the above dwelling w~thout first obtammg a building~pemut. According to the Code of the Town of Southold. a Building Permit is required before any consumction can be undertaken. Please contact this office as soon as possible so this matter can be resolved I thank you for your anticipated eooperatiom Very tmiy yours, SOLITHOLD TOWN BUILDING DEPT. Bdildhtg Inspectox (Cert. Mail/ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLB~, [ ] FOUNDATION 2ND [ ! [ ] FRAMING [~-I~JNAL [ ] FIREPLACEr 8: CHIMNEY [ ] FIRESAFETY INSPECTION REMARKS: ~~~:~ // DATE FO~DATION (1S~ ROUG~ ~G & PL~G ~'SL~ATION P~ N. Y. STATE ENERGY CODE - ww~. norflffork.n~ffS0uthold/ PERMIT NO. Exam/ned Approved Disapproved aJc Expiration BUILDING PERMITAPPLI Do yon have,or need ~e following~,bef6~ectpplying? Board of ~ealtk 3 sets of Building Plans. Planning Board approval ,, _ Snrvey ' N.Y.S.D.E~C. Tmst~es- Contact: Mail to: 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 pict 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, a~d waterways. c. the work covered by this application may riO~ commenced before issuance of Building Permit. ~ d. Upon approval of tiffs application, the Building In~pecror will issue a Building Permit to the applicant. Such a penrdt shplt be kept on the pren~ises 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 OccuCancy. f. Every building pe/mit shall expire if the work authorized has not commenc:d within 12 months after the date of issuance or has not been completed withui 18 months from iuch date. If no zoning amendments or other regul~t~ong, affec .t!ng the property have been ermcted in tire interim, the Building Inspector may authorize, in writing, the extension of th~ permit foi~an addition six montha. Th~reaiier, a. new permit shat[ 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 Sonthold, Suffolk:County, New York, and other applicable Laws, Ordinances or Regtdations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees ~o comply with all applicable taws~ ordinances, building codpsq~oasin~g code, and regu~,~ ions, and to admit authorized inspectors on premises and in building for necessary inspections. //~- (M"U'gnature ofapp~ ' c ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, acchitect, engine~, general contractor, electrician, plumber or builder Name of 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. 1 9~/ .-? Plumbers License No. Electricians License No. Other Trade's License No. Location 9fland o_n which proposed work~w~l! be done: House Number Street County Tax Map No. 1000 Section ~ Subdivision ~/ (Name) Hamlet Block ] ~ Filed Map No. ~2., .State-emOting use~fl occup~f~p~enuses and intended use and , ~. Existing use marl oceupancy_ 3. Nature of work (check which applicable): New Building ?~epair Remo~r/~i' Demoliffon 4. Est/mated Cost Fee 5. If dwelling, number of dwell/ng units If garage; .number of cars Addition Alteration Oth Work (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of pse: 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height - Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories Rear Depth 9. Size of lot: Front 10. Date of Purchase R. ear Name af Former 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES__ NO__ I4. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor ~,d/f a~t~ Ilar. .... '¢dddress ~ ~,u~Phone No.7-.~ ¢,z,~,~-~j ~ ~7 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO J * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property with'm 300 feet of a tidal wetland? * YES__ NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, m 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: K,~ ~,/_ '~ ~./h~,~-~-~_ _ being duly sworn, deposes and says that (s)he is the applicant con (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this applkaztion; that ali statements contained in this application are true to the bes~ of his.knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn tO. before me ~ Lg__ of OJl- _20. Notary PAULETTE HERNANDEZ Notary Publio, State of New Yolli No. Ol HE6066641 Oualified in Queens County Commlssion Expires November 1~, 20- 00'0c_ ~C]V~O MOq~ 'NI!AI 0-,~' ~88~