HomeMy WebLinkAbout28145-ZFOP~ NO_ ,i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30392
Date: 98/31/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2175 GLENN RD
(SOUSE NO.)
County Tax Map No. 473889 Section 78
Subdivision
SOUTHOLD
(STREET) (HAMLET)
Block 1' Lot 30
Filed Map Ne. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed ih this office dated MARCH 5, 2002 pursuant to which
Building Permit No. 28145-Z dated ~MARCH 6, 2002
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for whick this cersiflcate is issued
is ACCESSORY GARAGE IN REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to JONATHAN & JULIE ALLEN
(OWNER)
of 5he aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF I/EA~TH A~PROVAL N/A
ELEt-f~ICA5 CERTIFICATE NO. 1191216 01/22/04
PLUMBERS CERTIFICATION D~mu N/A
Rev. 1/81
ed ~gnature
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)
~'N6. 28145 Z Date MARCH 6, 2002
Permission ms hereby granted to:
JONATHAN & JULIE ALLEN
2175 GLENN RD
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at 2175 GLENN RD
SOUTHOLD
County Ta~ Map No. 473889 Section 078 Block 0001 Lot No. 030
pursuant to application dated MARCH
5, 2002 and approved by the
Building Inspector.
Fee $ 97.80
Authorized Signature
ORIGINAL
Rev. 2/19/98
Form No_ 6
TO'tN OF SOUTHOLD
BUILDING DEPARTMI~NT
TOXXSN ltM~L
765-1802 ; ~ ~'~---~- '.
APPLICATION FOR CERTIFICATE OF OCCUPAN ' ~'o ....
This application must be Edled tn by typewriter or ink a2d submitted to the Building Deparm~emt with the following:
For new building or new use:
I. Final su.tw'ey of property with accurate location of all buildings, property hues, streets, and unnsnal hat,al or
topo~aplnc features.
2. Fingl Approval from Health Dept. of water supply arid sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Undem~ters.
4. Sworn sta~tement from plumber certify'rog that the solder used in system contains less thm~ 2/10 of 1% lead.
5. Comme!-cial building,/rtdastrial buJld/2g, multiple residences and similar buildtngs and installations, a certificate
of Code Compl/ance from architect or engSneer re~onsible for the building.
6. Subm/t Planmng Board Approval of completer[ site plan reqtfirements.
B.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Aecurate survey of properib' showing all property lines, streets, building and ~mnsual natural or topo~aphic
features.
~. A properly completed application a2d consent to inspect signed by the applicant. Ii' a Certificate of Occupancy is
demed, the Building Inspector shall state the reasons therefor tn writing to the applicant.
c:
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 b~2ilding $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-ex/sting Building - $100.00
3. Copy of Certificate of Occupancy - $ 25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Remdential $15.00, Contraercial $15.00
t
New Construction:
Location of Property:
Old or Pre-existing Bnild/ng: (check one)
House No. S~t Ha~et
Owner or Owners ofmropeny: ~~ ~ ~'~~
Suffom Coun~' Tax Map No 1000, S~tion~ O7~ Block ~ ~t Lot O~ e
Sub~ds~on
Hcalth Dept Approx al:
Date of Pm-afit.
Planning Board Approval:
Request for: Tempormy Certificate
Fee Subrnitted: $
Final Certificate:
Filed Map. Lot:
Undenvriters Approx al:
~/(check one)
~, - · :,,-'.,, '- "...' BY THIS CERTIFICATE OF, COMPLIANCE THE ' ' ,. ,
i; . NEW YORKiBOAED-OF, FlEE UND'ERwR!T, ER'$'
~: .~.~ · -~.- - = .... Upon th~ app ~t on'o~ .... ~' '- · ' upon prem ses owned by · ' ~ .....
S,,cl~oq. . B gG~ Lqt . , B~ d~nq Perm t ~ BDO
. ~iec~ncal d~wc~s and wiring, des6r~bed below, located' ~n/on the prem ses at: ..... :.
ffi ~ ..... ,: . , , , . ' . . ' · ., · ,. ' .. , . ....
. ....;~,.., . · ..-., . . .. ..
t.,.'~., ',.~,, . ;,~" ~ ~ ~at~onalEecmcalCqdeandthe~eta 6[the-nsta eton asset'fonhbelnW, u,as
,~ame' ,' , .... . ', , . - Q~ Rate. ~ln~ Crcut T~e. ' ", ,.
~ :.~ie~O~a~dUi. . .... . -.., , .: .... ' ' : ' : . .. ' ' ,: ' .' ',..'.
~ :.DETAG~D~A~GE. · , · · ., · '
- Panels~. ,.,.~ , .~_ :..'~ . .... ' ;, ., : ....... :' .'
- - :-- · · · , ' 1 ' 60' · ~ '. ' . - .
~.~lr~g.Q~P¢~s . ' · ' ' · " ' ' ' ':
· -~ce~ac ¢' ' · 7 0 . ' . GeneralPq~ose .. -.,
~ _~x"~ch , , . ,. 6 0 . General Pumose ....
~ . . ,:~..:,_. ,. . ,. · , . , .. ..... . · . . , .
-.. . ...... , . .-:,[- , .-. ,
,h : , · . - · . · . - . ~ .
? " .[ ' · ....... ' -. : ..... ~. ', : ~. : ' , '-' i. ,
'. -% '¢ ' "' ..... · ' ' '1. · of, 1" ' ' '~ .....
lh~s ce~fflcate may not De altered ~n any way and ~s validated only by the presbnce o[ ara sed ~¢a at ~e location indicated.
LOADING [psf)
TCLL 30.0
'rcDL 7.0
BCLL 0,0
BCOL 10.0
CSl DEFL in (loci I/deft
LUMSEE DRACING
PLATES GRiP
MIL20 197/1~4
BUILDING pERMIT 'EXASIINER CHECK LIST
APPLICANTQ_~em~m-~,q~ 4- ~--~t- k~.~rb
SCTM# DISTRICT: !.000, SECTION: ~ . BLOCK:
, LOT:
DATE.'IffS UED: /02
D_ATE RE~E. YvTD: 5 ./z_ ,;02
DATa'SUBMITTED: ~ / s- /02
STREET ADDRESS: d9 C'q 5' ~'~.
PROJECT DESCRIPTION: ~-,¢~.~,
ESTIiXLa~TED PROJECT COST: ~ 5~ ARCHITECT / ENGINEER:
SUBDIYqS[ON:
FAST TtLkCK? ~ o
SINGLE & SEPA1LkTE CERTIFICATION-REQUIRED? ,o o NOTES:
LOTS 40,000SF-100-24. Lot recc~mfifion.(CREATED before June 30, 1983'1. U2'JDERSIZED-L~IS FROM J~dN.1997 I00 25 b.~erger.(Ar~oaconf~ming at an,,, time after 7,1/83)
ZONING DISTRICT:
REQ. LOT SIZE: }tth
REQ. FRONT O"-
WATER FRONT?
PANEL
CONFORMING? Adc~
ACT. LOT SIZEi=9_/,'~?o REQ. LOT COV. ~ ACT. LOT COV.
PROP. FRONT ~q~_EQ SIDE r-/J"- ' ACT. SIDE
PROP. REAR / --'~,~ /~--..~.
FLOOD ZONE:
DESCRIPTION:
SUFFOLK COUNTY I-~ALTH~
TOWN SEPTIC RECEIPT: Y o Nt~.j~
NEWYORKSTATEDEC: PRE4)£cgn;TsYESort ~
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BO)d~D APPROVAL: YES or,
TOWNPLAN. BOARD APPROVAL: YES or,
)
TOWN HISTORICAL PRE (SPLIA): YES o~
NYS ENERGY: YES OR Or~·
EGRESS (18 H min.? 4 sq total) ~--
BU]LD1NG PERMITS OPEN/EXPIRED: BP ,,2t/'45'-
HAVE PRE CO'S: Y 0P,4~ BP
NOTE S:
APPROVALS REQUIRED
/
YES o~BED #): 7/~ DTE:~/
/ PERMIT #:RI0-
__ VENT (SQ. FT. x 4%). ~ LIGHT (SQ. FT. x 8%) ~
-z/c/0z- tO{,/>
-Z / C/0 Z- ,
FEE STRUCTURE: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:
OTHER:
TOT .AL:
1. ( ff'~z,~ SF)- ( '5~oo _SF)=
2_ ( SF)- ( _SF)=
SF
SF
SF
SF
SF
SFXS.go =$22.~3o +$ 45"- +$
INIT OTHER TOTAL
FEE FEE FEE
:4
SF X $ =$ +$ +$ = $
765-1802
BUILDING DEPT.
INSPECTION
[ ~ FOUNDATION 15T [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE~~/~/INSPECTOR ~./~~
7G5-'1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ] FRAMING [~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
~'m,O I~S~'rCT~O_~ ma'ORT
....................................
FO~ATION (2ND)
ROUGH F~G &
PL~'~G
~S~ATION PER N. 5'.
STATE E~RGY CODE
OF SOVI'ItOLD
BUILDING DEP.~RTM~NT
T eViaN EE&LL
SOUTItOLD,. NY 11971
TEL: 765-1802
.~ppro~-ed _~/~ ,20_*
· Disapproved ac
BUILDING PERMIT APPLAC.
Do you Imv~ or ~-ed the follox~q~g, befcrre applying '
Board of Health
N.Y.S -D_E.C.
TrUStees
· Phone:
. '20 02
'tOWN oF sotm,,ou~'.'.:,· d.
_aPPLICATION FOR BUll.DING PERMIT ·
Date
INSTRUCTIONS
a. TLs applic~rion MUST be completely filled i~ by typewr?r or fli iak a~d subzr~ed re the Bailcl/ag Impeder g~i~ 3
sets o f plaxs,*az*vz~e.plot plax re scale. Fee accordJag re schedule.
~ b. Plot plax -dee,wing location of lot axd ofbuild/ag$ on premise~, relalionship m adjoining pr~rni~8 or publlc.s~reers vr
c. Th~ work covered by ffd~ applicafio~ may not be commenced before issumaee of Bull dq~g P~miI.
d. Upon approval of this applicario~ ~e B~_lding Iz~peC~°r.~fJ.l issue a Builrt~,g Pea-ink ~o fee applic-a~. Such a permit
skaI1 be kept on ~c premises available for irtspe~on farougkou~ ~e work.
e. 'No ~o~/iding shall be occupied or/xsed in whole or m part for any purpose wlmt-~o-ever tm0.1 a C_,erdticaze of Oc~supa~c
is issued bs- th¢ Builcl~g ~sp¢cror.
_:~PPLICATION IS H~REBY lVi_4~DE ~o ~e. Buildirrg D~paraae~i for t2ae
B~g Zone Or~nanoe of ~e To~ of So~ol~ S~o~ Co~, N~' Yo~ md ot~ apph~jLaws, ~ces or
Repletions, for t~e ~om~cfion ofb~gs, ad~fio~, or Mz~afions or for r~9~ or
apphc~z a~ees re co~ly wi~ ~ ~hc~le laws, ordmanc~ b~in~ c~e,
au~9~ ~pecrors. on praises ~d ~ b~g for mss~'~tiom. ' ·
/ (,..q~.g~*lllr¢ of a1:~limug O~'~rm% rf a corporatioa)
State wher2aer appliemat
Name ofownerofpremiscs ~'~r~' ,4~1,~ '~'7.dJ-4 ~_,. I~
(as on tlae tax roll or latest deed)
is o~mer, lessee,' agent, azchkec~ engineer, general con~ractor, electrician, plumber or.builder
If applicaa~ is a corporation, signature of duly authorized officer
[.'Name a~d title of corporate officer)
Buitders License No.
Plumbers License No.
Elecrricb_ns License No.
Or. her Tra&e's License No.
Location of kind on which proposed work ,~411 be done:
Eouse'N~xmber S~eet · ·
Covag- Tax MaP No. 1000 Section
qubdi~ ision
Block /
Fried Map No.
Lot
Lot
2:
3. Namreofwork(checkwhichapplicable):NewBuilding -Va. Addition
· · Repair Removal Demolition Other Work
4-_ Estimated Cost 'c~'(53 ~ . Fee
State existin~ use &d occupancy ofpremises and intended use and occupancy 0f~aposed eous~aefirm '
a. oo cy
5. If dwelting, number of dwe)ling mzits ~
If garage,· number of cars
.Mterafion
ODescr~pd.on)
(to be paid on filing this applica6on)
.Number of dwelling units on each floor
,6_ If business, commeroSal orrrfixed.occupancy, specify~ature and extent of each .type of use. ~
7. Dmzensions'of existing stru~.W~.es, ~f &nv: Front ~ ~'-' Rear ,~,~ Depth
Height ~ ~-~- Number of Stories ¢3.
Dime._.nsio~s of same structure with alterations or additions: Front
Depth '~._5'- H~ight ~.
8. D/mens~ons qf entire new construction: Front ~"[
Height /t-C/ ' Number of Stodes
9.. Size of lot: Front
10. Date of Purchase
Number of Stories ~
Rear ~[ Depth" .~. '¢
12. Docs proposed construction x4_olate auy zoning law, ordiuance or ~egulation:
13. V¢/ll lot be re, graded /1/~ Will excess ftll be removed.from premi ses:
_,Nam~ o£_~-clutect Address Phone No
Name of Contractor Address Phone NO_'
15. Is this property within 100 feet of a tidal wetland? *YES · ' NOl~Q~a~
'. o %c ~-ES, SOLWHOLD TO,tN- TRUSTEES P~RMITS I, LAY BE D
7¢5--7¢7'7/
6_ P~oxAde su~'ey, to scale, ~"ith accur&te foundation plan and distances'to property tines.
?, ~f elevzfion ar any pomf on prope¢ty is at 10 feet or below, must proxSde topograph/cai data on survey.
ST :~TE. OF NEW YORK)
(Nme o£hadS'Cidu~I-si_cTfin5 contract) abo*e med.,
~CTon:tractm', Age.t, Corporate O~¢e~. etc.)
said: ow~eL or o~}~, and ~s dply muhorized tep ~nSorm or We performed the s~ wo~ ~d to ~ ~ ~e ~S
p~:o~ed m ~e ~ s~ f~ N ~e ap2~cadon ~ed t~
· Qualitleci in Sutk~k (~unt¥ ^ ~
LOT31
, .:iT~:I:~Noi~,! t000,78-0i-30.0
LOT 29
CERTIFIED ONLY TO:
JONATHAN ALLEN
By DESTIN G. GRAF N.Y.S. LIC No. 50067
SURVEY OF: LOT 30
.~ ~... ;, MAP OF WEST CREEK ESTATES
.iSQUTHOLD,. ' TOWN OF SOUTHOLD
: SUFFOLK COUN'FY, N_m./V YORK
SURVEY DATE: 5/03/02 SCALE: 1"=30'
DESTIN G.GRAF
LAND SURVEYOR
73 Woodlawn Road
Rocky Point, N.Y. 11778
631-821-3442
?~- ~ 1/~. ~.~ ..
V
TANKS AND CESSPOOLS SHOWN · . su~ ....
HEREON ARE F~ELD-OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS. '
'Z~s.~ing walls.~s. ~ ~lan n9 A ~as. a~i~n Io buildi,~s or any
DESTIN G. GRAF N.Y.S. LIC No. 50067 · ~ 73 W~D~WN ROAD
' ROCKY POINT. NE~ YORk 11778
TAX I.D. No. ~ ~ _ ~ _ 0 i - 30.0 PHOns (516) 82t-3~2