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HomeMy WebLinkAbout30604-ZFORM NO. 4 TO~ OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30629 Date: 12/14/04 T~IS CERTIFIES that the building ADDITION Location of Property: 265 CHOIS LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 8 Lot 5.24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 20, 2004 pursuant to which Building Permit No. 30604-Z dated AUGUST 30, 2004 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 "AS BUILT" DECK & P~AMP ADDITIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. l~he certificate is issued to EUGENE & LOUISE MAHER (OWNER) of the aforesaid building. SUFFOLK COUAFfYDBPARTMENTOFH]L~LTHAPPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~U3 N/A N/A N/A nature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30604 Z Date AUGUST 30, 2004 Permission is hereby granted to: for : EUGENE & LOUISE MAHER 265 SUMMIT LANE EAST MARION,NY 11939 CONSTRUCTION OF A DECK & R3~MP TO AN EXISTING SINGLE FAMILY DWELLING "AS BUILT" AS APPLIED FOR at premises located at 265 CHOIS LA County Tax Map No. 473889 Section 035 Block pursuant to application dated AUGUST 20, 2004 Building Inspector to expire on FEBRUARY 30, EAST MARION 0008 Lot No. 005.024 and approved bythe 2006. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ltALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP.,MNC¥~ .... This application must be filled in by typewriter or mk 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 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 °f 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. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temp°rary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: .~--~ House No. Owner or Owners of Property: ~_~ Suffolk County Tax Map No 1000, Section ,~ Subdivision 5 S Permit No. 4. Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $~- Date. Old or Pre-existing Building: (check one) Hamlet Lot Street. Block C3 ~ Filed Map. [0"-]~7 Lot:.. Applicant:. L.~C4/~ce /'/{ca/'1~ Underwriters Approval: ! / Z 6 "2 7T Final Certificate: / (check one) Applicant Signature ~I~ROBERT O'BRIEN P.E. CONBULTING ENGINEERING ISERVICES ~1~ 2074 MAIN ROAD, P.O. BOX 456. LAUREL. NY I 1946 631.226.,=5262 August20,2004 Southold Building Department Town Hall Southold, New York Maher Residence Certificate of Occupancy for As-built Rear Deck 265 Summit Lane, E. Marion, New York Gentlemen: I hereby certify that the rear deck at the above-captioned property appears to be structurally sound. Further, that it was constructed in accordance with the present build- ing codes. Very truly yours, Robert O'Brien P. E. © Engineer: ~,.~ 0 '~/-~, :'~ Submiued: SCTM ~: D stri~t: 1,000 Section: g,~ Block: F Lot: ~' Project ' Sinl[le & separate Required eerl~fication: (yes t No1 Req. Project De~.~ripfion: REOUIRED I~R REVIEW Suffolk County He,~lth' Dept. N~w York State. D. E: C. Town Trust. s · Town Zoning Board ~pmvsl: Town Planning Board ~pmvaJ: Flood Plane Elevation ?~ Flood Zone: Permit . N.A. INO YES · Number 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~,N,.~JLATION [ ] FRAMING ["'"] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ~ INSPECTOR FIELD INSPECTION REPORT CO-MMENTS . FOUNDATION (1ST) . __ FOUNDATION (2ND) 'C' ROUGH FRA.M]NG & PLUM~I~G INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS · .~o OO TOWN OF SO~JTHOLD BUILDING DEPARTMENT TOWN HALL" SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (6~') 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined Approved Disapproved a/c .20 09 ,20 Expiration Building Inspector D.._.') _~ ' ' '~-~ 2 ' APPLICATION FORBU~D~GPE~IT ~¢. ~0~ ~-....,'! Date 7 -- ~ ,200¢ a. ~~mpletely filled ~ by ~ewfiter or ~ ~ ~d submiRed to ~e Buil~g hspector with 4 sets of fl~, aerate pBt pl~ to scale. F~ accor~g to sched~e. b. Plot pl~ show~g location of lot ~d of buil~ngs on pre~ses, relmionshp to adjo~g pre~ses or public s~eets or ~eas, ~d watenvays. c. ~e work cover~ by t~s a~cation may not be commenced before issu~ce of Buil~g Pemit. d. Upon approv~ offs a~lieafion, ~e B~g ~pector will issue a B~l&g P~t m the applic~t. Such a p~it shall be k~t on ~e pr~ses amflable for ~fion t~oughout ~e work. e. No bufl~g sh~ be occupied or used h whole or h p~ for ~y p~ose what so ever ~til ~e B~&g ~spector issues a Ce~ificate of Occup~ey. f. Evew buil~g pe~t s~l exp~ if~e work authofi~d ~s not commenced wi~ 12 monks after ~e date of iss~ce or ~s not been eompl~ within 18 monks from such ~te. ffno zo~g m~ts or other m~lations ~fe~g the prop~ have addition six monks. ~fi~, a n~ p~t s~ be mqu~d. ~PLICATION IS~BY ~E to ~e B~g D~ent for ~e issu~ce of a Buil~ng Pemt p~su~t to ~e Buil~g Zone Ord~ce of the Tom of Sou~ol{ Suffolk Co~ty, New York, ~d o~er app~cable Laws, Or~ces or Re~at~ons, for the constmcuon of b~s, editions, or ~temUons or for removfl or demohtton as helm describe. applic~t a~es to comply wi~ ~1 a~lic~le laws, o~ces, b~g c~e, hous~g code, ~d m~ations, ~d to a~t au~o~ed hspe~ors on pm~ses ~d ~ b~ldhg for necess~ i~pections. BUILDING PERMIT APPLICATION CHEC~/~LIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~ ~tS; //ff'~4~/to'..~- ~'.~"' Phone: ~.~i~¢;"'-~"-2 ,.5'"2. (Signature of applicant or name, if a corporation) (Mailing address of applicant) { Iq State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OeO r~ ~ 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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet 2. State existing use and occupancy of premises and intended use and Qccupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 5' ~]e ~f~v4 ~ ~ ;eS ,~d~4 c.~ .~ Nature of work (check which applicable): New Building Addition b'""' Alteration Repair Removal Demolition Other Work Estimated Cost If dwelling, number, of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling un/ts 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 I? ~ Rear Height / ~ Number of Stories Depth Dimensions of same structure with alterations or additions: Front Depth ¢ o Height /¢ Number of Stories,,, I ¢'i. 8. Dimensions of entire new construction: Front , ) r'> Rear .2-0 .Depth Height / ~ Number of Stories / 9. Size of lot: Front q_~' Rear 7¢ Depth 10. DateofPurchase 7/~O/(9~ Name ofFormer Owner ~tc$~6r 11. Zone or use district in which premises are s/mated Rear 12. Does proposed construction violate any zoning law, ordinance or regulationq YES__ NO 13. Will lot be re-graded? YES__ NO/Will excess fill be removed fi:om premises? YES NO 14. Names of _l~.~er ofprem~ses.,, ix. 3 f,~. _ ~_ t, or. Address 96~. ~5,$ Ltl. Phone No. Name of Contractor Address ........ e/' Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. No 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 sun,ey. STATE OF NEW YORK) ~(~) L1 ~'~- (~k ~__-~'- 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 owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be ~-P. erformed in the manner set forth in the application filed therewith. / S~orn to before me this~- J/ ~tary Public Signature of Applicant Veronica g. Notary Public, State of New York No: 524661406 Qualified in Suffolk County~..~r,.,-" r N '0 Lot 1 6 Lot 1 8 Subdivision - "Summit Estates, Section 2" (AL SO KNO'v~N AS cB\OS.. 1 STORy FRAM HOuse & 0 SANITARY MEASUREMENTS A B S.T. 4~' 43' L.P.1 40' 52' ~.P.2 54' 56 r Young & Young 400 Ostrander Aren't.e, Riverhe'ad, Ne'u~ York 63 I- 727-2303 Howard ~. You~9, La'nd S~zwueyor Thomas C. Wolpert, Professional Engit~eer Robert C. Tc~st, Arch~tecf Ronald E. Pf~hl, £a~dscape Architect 11901 r NOTE AREA = 50,000 SQ. FT. · SUBDIVISION MAP 'SUMMIT ESTATES, SECTrON 2" FILED IN THE OFFICE OF THE CLERK OE SUFFOLK COUNTY ON MAY 21, 2002 AS FILE NO. 10768 suRvEYOR'S CERTIFICATION SURVEYORS. HOWARD W. YOUNG, N.Y.S.L.S. NO. SURVEY FOR EUGENE MAHER & LOUISE MAHER LOT 16 "SUMMIT ESTATES, SECTION 2" At Eost Morion, Town of Southold Suffolk County, New York County Tax Map D,sIri(I t000 S,~,io,. 35 S~o~ 08 Lo~ 5.24 FINAL SURVEY DEC. 17, 2005 FOUNDATION LOCATION SURVEY AUG. 26, 2005 MAP PREPARED dUNE 4, 2003 ~CALE 1" = 50' JOB NO. 2005-0214 DWG, 2003_0214 final CEP, TIF'~r' ^ "'~ON OF NAILING r~' ,-JNNECTIONS REQUIRED. =ALL CONSTRI~.hON 5HALL '/ CODE~ OF NEW~. 765-180'2 8AM TO 4PM #OR THE !.=~J, ,t.~oN 71 OS-IV) S UN[ _OUT CEE''r , ~- ;UPANC, FOLLOWING INSPECTIONS: ONSIBLE I~R