The URL can be used to link to this page

Home My WebLink About29745-ZFORM NO 4 TOW~ OF SOUTHOLD BUILDING DEP~i~TMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUP~i,~CY No: Z-B0449 Date: 09/20/04 T~_IS CERTIFIES that the building ~DITION Location of Property: 2575 BEEBE DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 103 Block 4 Subdivision Filed Map No. __ Lot No. __ CUTCHOGUE Lot 35 (~4LET) conforms substantially to the Application for Building Permi5 heretofore filed in this office dated SEPTEMBER 17, 2003 pursuant to which Building Permit No. 29745-Z dated SEPTEMBER ~8, 2003 was issued, and conforms to all of the requiremenus of the applicable provisions of the law. The occupancy for which 5his certificate is issued is DECK A~DITION TO EXISTII~G SINGLE FA24ILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & J~lqE PHILLIPS (0~,nqER) of the aforesaid building. SUFFOI~K COUIFEY DEPARTMENT OF ~]~kLTH APl~ROVAL HLECTI{ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£mO Rev. 1/81 N/A N/A ~,~/A FOPd~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Soumhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UIqTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29745 Z Date SEPTEMBER 18, 2003 Permission is hereby granted to: JOHN PHILLIPS & WF 3989 SW ST LUCIE SHORE DR PALM CITY FL, 34990 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2575 BEEBE DR County Tax Map No. 473889 Section 103 Block pursuant to application dated SEPTEMBER 17, 2002 Building Inspector to expire on MARCH Fee $ 150.00 CUTCHOGUE 0004 Lot No. 035 and approved by the 18, 2005. Authorized SignaTure ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Soumhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIl, FULL COMPLETION OF THE WORK AUTHOHIZED) ' PERMIT-NO. 29745 Z Date SEPTEMBER 186 2003 Permission is hereby granted to: JOHN PHILLIPS & WP 3989 SW ST LUCIE SHORE DR PALM CITY FL, 34990 for : CONSTRUCTION OF A DECK A~DITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2575 BEEBE DR County Tax Map No. 473889 Section 103 Block pursuant to application dated SEPTEMBER 17, 2003 'Building Inspector to expire on ~.~RCH 18, CUTCHOGUE 0004 Lot No. 035 and approved by the 2005. Fee $ 150.00 Authorized Signature COPY Rev. 5/8/02 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tkis application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building or new use: 1. Final survey ~f pr~perty with accumte ~cati~n ~f ali bui~di~gs~ pr~perty ~ines~ stteets~ and unusua~ natura~ ~r topographic features. 2. Final Approval from Health Dept. ofwaer supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi:om Board o f Fire Undem,riters. 4. Sworn statement from plumber certil~'ing that the solder used m system contains less than 2/10 of 1% lead. 5. CommerciaI bui/ding, industrial building, multiple residences and similar buildings and installations, a certLficate of Code Compliance frbmarchiteet or engineer responsible for the building. 6. Submit Plannhag Board Approx'al of completed site plan requirements_ For existing buildings (prior to, April' 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: l. ACCtLrate smwey of prope~ showi~.g all property lines, streets, building and unusual naural or topographic features. 2 A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Bmlding Inspector shall state fl~e reasons therefor in writing to the applicant. 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. CertificateofOccupancyunPre-ex£sfingBuilding- $100.00 3. Copy of Certificate of Occupancy - $.25 4 UpdatedCertificateofOccupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commerciai$15_00 New Construction: Location of Property:~ House No. Owner or Owners of Pmpetty: Suffolk County Tax Map No 1000, Section Subdivision ~'~,w,~?' ~c~/~ r~' ~ Old or Pre-existing Building:. Street Block Filed Map_ Date ofPermit. ¢//~/,¢~ Applicant: Health Dept. Approval: Planning Board Approval: Request for:. Temporary Certificate Fee Submitted: $ ' (check one) fflaralet Lot Lot: Final Certificate: (cheek one) Applicant Signature Architect/ SCTM Projecl Sin.gle & separate Required Da(e ' ~ubmi~.ted: '~ Subdivision . Project Dcseripfioru /~~- AGENC~ERMITS ~ UIRED FO R P~V[E W NO __Permi¢ YES l'4umbt Su£6o[k Cotmty [{ca/th' DelpC New Vork 3rate D. E. C. ]~0 Lt, ql ']"Fu~Lces Town Zon2ng Bo~d approval: Tov,,nlElxc~ting [-',om:,-/apE, royal: Flood,!Ptane Elevadoa ??? Floodl 7~ae: No tes. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~ISULATION [ ]FRAMING [,,/] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR TOWel OF .$,O'UTHOLD BULLDOG DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Exmmmed Approved Disapproved m'c PERMIT NO. 7 BUILDING pEILMIT APPLICATION C~-I~.CKLIST Do you have or need flxe following, before applying? Board of Healdi 3 sets of Bui/ding Plans Planning Board approx al Check Septic Fo;m N.Y.S.D.E.C. Contact: Mail to: Phone: Building Inspector .., .. ,c,~_t? [ '1' ?..13D~ '~ ~PPLICATION FOR BUILDING PERMIT ' ~' .... :' ' " Z~ Date /.27- ~q-e/~zz ,20 ~,Y [,~_~--, ~-~-~"?-" INSTRUCTIONS a. ~ds application IxfUST be completely filled in by typewriter or m ink and subm/tred to the Building h~spector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showiag location of lot and of buildings on p.rem/ses, relanonship to adjoining prenfises or public streets or areas, and waterways. c. The work covered by this application nmy not be commenced before issuance of BuildLng Perm/il d. Upon approval ofth/s application, the Builcl~g Inspector will issue a Bu21ding Pem~it to.the applicara. Such a perrmt shall be kept on the prem/ses available for inspection throughout the work. e. No buildiag shall be occupied or used in whole or in part for an)' purpose what so ever until the Build/ng Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work aut[mrized has not co~anenced wittfin 12 months after the dine of issuance or has not been completed withia 18 months fi-om such date. If no zouing amendments or o~cr regulations affecting the property have been enacted in the interim, the Building krspecror may an~orize, in writing, the extension of the pernfit lbr an addition six months. Thereafter, a new permit shall be required. .'kPPLICATION IS HEREBY IvL4I)E to the Building Department for the issuance of a Buildmt Pemfit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Nets York, and other applicable L~ws, Ordinances or Re~ffations, for the construction of buildings, additions, or alterations or for removal or den~olition as herein described. The applicant agrees to comply with all applicable laws, ordnances, bmlding code, honshtg code, and regulations, and to admit authorized inspectors on premises and ia bal.ldLlag for necessary inspections. &./" iSig~amre of applicant q~ame~ il' a corporation) (Maitau address Q~pplic,'mt) /./~-~ ~" State whether applicant is o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~d.'~ /"~ fl' .l/'.~-~.~ /<~/~"r//~/~j (As on the tax roll or latest deed) If applican~ is a corporatiort, signature of duly authorized officer (Name and title of corporate officer) Builders License No. .Plumbers License No. Electricians License No. Other Trade's License No_ Location of land on which oroDosed work will be done: House Number Street County Tax Map No~. 1000 ~Section Subdivision ,H~a,v ,, ~ (Name) Haunt 103 Block ~' ~ Lot ~ Filed Map No. ~ ,2_ y o Lot _~,~- State existing use and occupancy of premises and intended use a~_~occupancy of proposed construction: ~' a_ Extstm= use and occupancy ~_55~q,/e, .~r~ cr ~_~/,-, ~, / f/ / b. Intended use and occupancy ~5'~c.~,,z~' 3. Nature of work (check which apphcable): New Building ' Addition Alteration Repair Removal' Demolition Other Work /--~o ~ 4. Estimated Co~ /rS,,.. ~'~9 - ~'~ 5 If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor .6. If business, commercial or mixed occupanc5% specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~ Rear Height Number o{ Stories .r t/ Depth Dimensions of same structure with_alteration~ or additions: Front Depth .or ," Height 10_ Date of Purchase 11. Zone or use district in xvhich premises are situated Dimensions of entire new constructior/: Front Height ~,~-/' Number of SbSries Size of lot: Front / ~ 7~ fl. Rear ?;?/ 5'-7='' ~""~ Rear Number of §tories ;f' Rear ..ff ~ Depth Depth Name of Former Owner 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO 13. Will lot be re-graded? 'iTS NO )< Will excess fill be removed from premises? YES __ NO__ 14. Names ofOwne~ ofpremises t/v/J, t/'~$ Address Name of Axchitect ~,/~ ~, .~ ~,~.~/=~,_.- Address Name of Contractor ~/ Address Phone No. /~'-~4/ Phone No ~/?-~ Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * IF YES. SOUTHOLD TOVvD,I TRUSTEES & D_E.C. PERM1TS MAY BE REQUIRED. b. Is this propert3- within 300 feet of a tidal wedand? * YES NO ,~ * IF XES, D.E.C. PERMITS NL~Y BE REQUIRED. NO ~ 16_ Provide survey, to scale, with accurate foundation plan and distances to propert7 lines 17. If elevation at any point on property is at l 0 feet or below, must proxfde topographical data on surxrey. 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 (ContractOr, Agent, Corporate Officer, etc.) of said owner or oxxmers, and is duly authorized to perform m have performed the said work and to make and file tkis application; that all statements contained in this application are rote to the best of his knowledge and belief; and that the work will be performed in the manner se~ forth in the application filed therewith. Sworn to before me tiffs ] 1~'2 ~ day°fc._~/~ .~ 20t0~ ~'~" ' ~Notary Public LYNDA M. BOHN NOTARY PUBLIC, State ol New York No. 01BO6020932 Qualified in Suffolk. Count'/ Term Expires U'?cq