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HomeMy WebLinkAbout30725-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~d~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30641 Date: 12/15/04 THIS CERTIFIES that the building ADDITION Location of Property: 4270 OREGON RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 95 Block 3 Lot 9.1 subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 2004 pursuant to which Building Permit No. 30725-Z dated OCTOBER 26, 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 ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF JAMES J. DEERKOSKI, P.E. DATED 11/23/04. The certificate is issued to THOMAS M MAGUIRE (OWNER) of the aforesaid building. SUFFOLK COIR~I"fDEPARTME/qT OF }~L~LTHAPPROV;kL ELEC-rRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION N/A N/A N/A Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Sou~hold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 30725 Z Date OCTOBER 26, 2004 Permission is hereby granted to: THOMAS M MAGUIRE 4270 OREGON RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A_N "AS BUILT" DECK ADDITION TO D2q EXISTING SINGLE FA~4ILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 095 Block pursuant to application dated OCTOBER 21, 2004 Building Inspector to expire on APRIL 26, 4270 OREGON RD MATTITUCK 0003 Lot No. 009.001 and approved by the 2006. Fee $ 300.00 Auuhorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BIflLDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typex~-riter 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. FinaI Approval from Health Dept. of water supply and sewerage-disposal (S.9 form). Approval of electrical installation fi.om 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 fi.om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 vmting to the applicant. Co Fees I. 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. 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, Commemial $15.00 Date. ~.~ 0_c.... /~, ~oo~ Nexv Construction: Location of Property: Old or Pre-existing Building: (check one) House No. Street / Hamlet Owner or Owners of Property: ~- Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~; 0 7 & 3'-- Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit. Block ~'~ Lot ~'- ) Filed Map. Lot: Applicant:/'~'~ 0 FqA ~ /'~ ~- ~//~ ~' Underwriters Approval: Final Certificate: (check one) ~-~pplicant ~ -- JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-5506 To: Town of Southold Building Dept. Footing Framing Rail Inspection Tom Mcguire Oregon Rd. Cutchouge, NY 11935 Permit #30725z To Whom It May Concern: After a Footing and framing inspection was preformed on the above deck. it is deemed that the footings are to the proper depth, and ail framing, straping and rails are built correctly, and meet ail state and local codes. Any other questions please call. Applicanl/ Date . Amhiteel/ SCTM ~: ' Dislri¢ 1.000 Seclion: . ~ Block:. Projecl . t.oca,io,,: ~.70 ~_,, Single & separale Requir¢~ ce~ficat o f Yes t NO) R~. ProJect Desexiption: ( REOUIRRD POR RRVIIgW Suffolk Cou~..ty Health'Dept. Now York State. D. E: C. Town Zoning Board appmvah Town Pl~innln..~ Board appmvah Flood Plane EleVation ?~ Reviewed: Date Subdivision Permi~ . 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH P~.BG. [ ]FOUNDATION 2ND [ ]INS~I~TION [ ] FRAMING [ ~"I:INAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE ~ INSPECTOR · ,~IELD ENSPECTION REPORT I DATE FO~DATION (1ST) ..................................... ~o~o~ PL~G ~S~ATION PER N. Y. STATE ENERGY CODE TOWN OF SOU,THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 v~a,~., northfork.net/Southold/ Examined I 0/~,.g~ ,20Or/ Approved Disapproved ~'c Expiration 2 I 2004 PERMIT NO. Building Inspector BUILDING PERMIT APPLICATION CHECK. LIST Do you have or need the following, before applying?~ Board of Health '~e~4 sets of Building Plans Planning Board approval -~ Sm-veX Check Septic Form N.Y.S.D.£.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely t'filed in by typewriter or in ink and submitted to the Building Inspector with 4 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 this application, the Builffmg 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 is_-res a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months at~er 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, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be requked. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Build'rog Zone Ord'mance 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, building code, l~pusing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectiona,~__~ __ ' (Signature of applicant or name~f ~corporation) tZ7o o F -orU C rCp(OG-v- -- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofoxvnerofpremises '-/7-(OPO[~ S t~ . IT)/ot ~_rO [ A ~ (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. l. LocatiOn of lanai on which proposed work will be done: ¢:z70 o(<Cr-oro R.-..b , House Number Street Hamlet County Tax Map No. 1000 Section O~3"- Block Subdivision Filed Map No. (Name) Cot o?. / Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy_ .,&&-3 ! ~'~.~-' Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~'~"oo o 5. If dwelling, number of dwelling units ,~/~, If garage, number of cars ,'~ Fee Addition fi( Alterati~on Other Work ~ ~'C./¢ -:~) ,~/~,~ ~OOy (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 Height Number of Stodes Rear Depth Dimensions of same structure with alterations or additions: Front ~-'~'- P~T'-FPxC~'~ Depth. Height Number of Stories 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? YES__ NO ~/ Will excess fill be removed from premises? YES NO 14. Names of Owner ofpremisesT~ort~4S trlq6-o/~C Address ~1-7 o o~'&o~ ~_t) Phone No. b:~/- z5 g_/~Zo ..,4 Name of Architect Address Phone No Name of Contractor Address 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 ora 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. l 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF S'OF?o cg) '~O/"0t~ ~ FO, DO/~ fa- fi,' / ~'-" being duly sworn, deposes and says that (~he is the applicant (Name of individual signing contract) above named, ~.8~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 tree to the best 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 this ~/ _~r-' dayof oCT'-O~',t~__. 20o~i Notary Public Mgnarure of Applicant O ~- TIE-- 1250. 86' FIELD MEASURED N/F DORSETT FARMS, INC. U POLE N 83' 41' 40' E 150. 00' Stoop Z6 3' S ~EPS TREX DECK 2 1/2 STORY. WOOD FRAME'~ RESIDENCE W CONC. N/F DORSETT FARMS, INC. SURVEY OF DESCRIBED PROPER TY SI TUA TE ~L~D ,0 u-u A.~ A t'J ~-~-~- ~ MA TTI TUCK, TOWN OF SOU THOLD SUFFOLK COUNTY, N. L SURVEYED FOR THOMAS M, MAGUIRE JOAIVNE McGILL MAGUIPE 2. 14 NOVEMBER, 2002 CORRECT NAME, REMOVE FENCE, CHG Db. zOOz UPDA TF N/F S/MM / SZCZEPANKOWSK/ S 62' 02' 10' W 8.00' 5URVEfED 15 APRIL. 1994 SCALE ~"=3,2'