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HomeMy WebLinkAbout30804-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30660 Date: 12/29/04 THIS CERTIFIES that the building ADDITION Location of Property: 490 MANOR HILL LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 3 Lot 13 .12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 2004 pursuant to which Building Permit No. 30804-Z dated NOVEMBER 29, 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 & OUTDOOR SHOWER TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NOREEN MCKENNA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "...-L - /,(�, A th ize Signa ure 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 FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30804 Z Date NOVEMBER 29, 2004 Permission is hereby granted to : NOREEN MCKENNA 490 MANORHILL LANE MATTITUCK,NY 11952 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR ADDITIONAL CERTIFICATION MAY BE REQUIRED at premises located at 490 MANOR HILL LA CUTCHOGUE County Tax Map No. 473889 Section 108 Block 0003 Lot No. 013 . 012 pursuant to application dated NOVEMBER 29, 2004 and approved by the Building Inspector to expire on MAY 29, 2006 . Fee $ 300 . 00 i r ut- /R3 rz gnature ORIGINAL Rev. 5/8/02 Form No.6 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter 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. 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 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, Commercial $15.00 Date. /a S/e / New Construction: Old or Pre-existing Building: )C (check one) Location of Property: q jQ M,4 Ajd 4 , 1-114z ST lkf N-T T / lwe< House No. Street Hamlet Owner or Owners of Property: / a A a-P—A/ M G4,eA11V,6 Suffolk County Tax Map No 1000, Section / 09 Block 03 Lot /3• O /d Subdivision /V14 Filed Map. N i9 Lot: /V 1+ Permit No. 3 O 80 7- Date of Permit. Applicant: A10 R 0-e A/ M c Health Dept.Approval: N R Underwriters Approval: Al 14 Planning Board Approval: Al A Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature c��c.• `f' � Y C Frank W: Uellendahl Architect PO Box 316, Greenport,NY 11944, tel:631.477.8624 fax:631.477.2997 email4ueilend@optonline.net November 22, 2004 Client: Kevin A. Cahill Noreen McKenna 490 Manorville lane Mattituck, NY 11952 BUILDING PERMIT APPLICATION As-Built Plans for a Wood Deck and Outdoor Shower Enclosure Letter of Certification At the request of the owners of the above referenced property I inspected their wood deck on November 19, 2004 and reviewed the As-Built Drawings produced by Mr.Cahill along with the survey indicating correct measurements for the added deck and outdoor shower enclosure. The deck construction Wos built on on existing concrete potio with sufficient concrete footings approximately 8 feet on center. The 2x6 pressure treated floor joists @ 16"O.C.ore supported by footings every 6 feet or less and are sufficient for the required life load of 40psf. The deck and all romps and steps have adequate handrails. I hereby state that the information provided above is true to the best of my knowledge. ,��aED qqc �N5 i UE(�y y�;A nk Uellendahl '`°FO021 F NP-NN Copy: Biulding Department A j3 n � V ,z<a 11TRu 1� � •. .� ...00 . . �:✓ a...fit... ,.�.;, ._,. x.xe. ; „�� .uWN6mdC�• �� k fig b w r � r S TOWN OF SOUTHOLD PRO3PERTY RECORD CARD � 'OWNER STREET VILLAGE DIST. ' SUB. LOT FORMER OWNER N E `� AC�. - �G Skeehan Qryo S W TYPE OF BUILDING . RES. SEAS. VL. I FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS f172 J�I v. - b 7.� la SPI" +°` ' : r� 7,- a C D 2% Saa .s�/ Ac W f DIEL . /a M13K'u w f+�l 5� 6.6fla d l d/tP+;+ �l �! f So 'j/-i a*• "x.,37/.=R 1 a�L TIP. �o B. SH.F AN F k .! o�C'T o� eer: d //�5` .35 -c. 2 e (, 9 Ac AD44i %o L 8l �f f /6o o4 b a a fevIew 3.2 oc ',f' 7 7 . 0 177 t"'l 7'- 3f 9 Aa 7'0 k' 7CdWA R2 14Y n .277 a- :hee an * a - as aoa • a h -r- FRONTAGE ON WATER VoaDand FRONTAGE ON ROAD Aeada+Nlde1d DEPTH muse Pk;r BULKHEAD atal f. COLOR 'FRIM r.. Extension ExtensionTF Ext"ion Foundation Both Dinette poich Basement Floors K. Axch Ext. Walls Interior Finish LR. B.sway Fire Place Hoot DR. 4Garage Type Roof Rooms 1 st Floor BR. Patio Recreation Roan Rooms 2nd Floor FIN. B O. B. Dormer Driveway Total ■.■■.■■■■. .■■....■■■..■..■ No ...■.........■■....■■ ME on ..■.■..■.....■■■■■.■.0■...■■■ - eii ■■■■ ■■■■ :: ■■■■■■■■■■■ . r ..■■■aa■.w�■■■■■0 Q■..■■i■■s■■ ....Iiiii■■■■■■■■■ ■■■■■■■■. ■ ■■■■li/��i�■�h�!!aNii■i■...ar.■..■. __ ...■I�ar■al,� 1RZi"INo •..6IN wang6liaBMW■■■■.■■....■■ IN Hilu ME M F ■ ■■i■■iii■■©■3"1■■■■■■■■■■ ■■■■ME NONE ■■ , ■.■■■■■■■■.■■■.■■MEN ■■■.■■■■■ oil so • • , • 1 • TOWN OF OWNER STREET V90 VILLAGE DISI, SUB. LOT 'to ne-'enc..Ken nog.. � l•-t�� � �u r allo 2 v e /7."V FORMER OWNER N E ACR. L , I�ffm 8 RasO'eoS'S - 13AGr'as / 3;97'3 itis 5O`Yaw TYPE OF BUILDING .ES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value �. LAND IMP. TOTAL DATE REMARKS a d A'�orPifot►a.r,v: 900 2 ro w A aTi . 10 � t/'fl�iY , tGjt Baa a v -w aoo o / i 7s' 7% 7G co. f-,c_ � -1 g b a OL a'7 goo 2.13/77 Id-217 R ia /tet/'+? ' 3/ D v r-7nv yUv y? ®V �'' iy '/ P /�/Z z 'd�v� �h n a o -1-12-1? !o - -755a s vG 0 AQ .3 a ca - 8� y S r' Hoop 6 rc-0—r SP_ G Sita 11 1 Ow " 'illable -..- doodland FRONTAGE ON ROAD leadowland DEPTH louse Plot BULKHEAD otal 3 O F 0 'f z- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: a� DATE / �' 7'- "4 -INSPECTORS' � �"� FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) -- ----- v 1 y C FOUNDATION(2ND) -- - -- -- O ROUGH FRAMING& - y PLUMBING r r �n INSULATION PER N.Y. - -- ' STATE ENERGY CODE FINAL / t ADDITIONAL COMMENTS (� o S z m 7 ._ - -- to r C - x b TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT _• Do you have or need the folldwing,before applying? TOWN HALL Board of Health NA SOUTHOLD,NY 11971 4 sets of Building Plans ✓ TEL: (631) 765-1802 Planning Board approval_P FAX: (631) 765-950Survey r/ 2 www.northfork.net/Southold/ PERMIT NO. Check Septic Form A N.Y.S.D.E.C, A14 � t� Trustees ;v�1 Examined J2-" ,20 1 Contact: Approved �� ,20A Mail to: IUd7 tei4 M L Xi..i,nA Disapproved a/c IndlhtJ✓ i�� � I� r i fy s 44 Phone: 631 7-0 131o5 Expiration ,20 3 foQJ B-R- uildildInspector APPLICATION FOR BUILDING PERMIT 23 2004 Date )4' - , 200 INSTRUCTIONS a. This application MUST be completely filled 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 Building 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 issues a Certificate of Occupancy. £ Every building permit shall expire if the work authorized has not commenced within 12 months after 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 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 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,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder &Y?-e Y Name of owner of premises Pt Kd AJ Al (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 roposed work will be done:29, &AAAE 7T House Number Street Haml County Tax Map No. 1000 Section /09 Block p Subdivision Filed Map N " (N ame �� ) ���nuc�3,�to ► 5sxzBO n,53TYRIM 2gtitlx�'�c;;y2itnrrtS+ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisfing use and occupancy gM D&d ]neZ1L b. Intended use and occupancy �% lYl U�n��� /v►� �s �CC��,'u�2�/shl1re � � tet: 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 3 6-00, Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units IVAI,E Number of dwelling units on each floor If garage, number of cars a 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N�? 7. Dimensions of existing structures,if any: Front #6` Rear 6 Depth 3e) Heights f,-�-J�z, recd Number of Stories / Dimensions of same structure with alterations or additions: Front b JI Rear a f Depth te . 0,. Height@/2'it eoe4 Number of Stories 1 8. Dimensions of entire new construction: Front q&,�/� �) Re SAME Depth aO~-S.4 M t Height ► Number of Stories o% ,gym ;L(WO rX fs 4 ckci< YVejVe y D�� oe'ily w ��-�s11�wa� e�c�st►� cQ�L►-e}� 9. Size fl Front 5D Rear 3 U Depth 'yW N' `/, patio oyd -Vat"V, 10. Date of Purchase b Z224—Name of Former Owner bYgh L &E&r,2 •rAee hav 11. Zone or,use district in which premises are situated RES i n e4jn AL� '}�p�td`r a7�t Q A-+-- 12. Does proposed construction violate any zoning law,ordinance or regulation? YES NO A 13. Will lot be re-graded?YES NO)4-Will excess fill be removed from premises? YES NO 14.Names of Owner of premises A Mtn P A-,ei,rw Address Phone No. -i�3/ .7,10 13e;3 Name of Architect AlMe Address Phone No Name of Contractor—,&&gAddress Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 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. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. eA#armed 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. W.,,9. STATE OF NEW YORK) SS: COUNTY OFA M-&ifA P, /hC Ka/ala— being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the IO(,llAIE9=::�- - (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 Performed in the manner set forth in the application filed therewith. Sworn to before me thi v� da of 20_,V Notary Public Signature of Applicant fATM=�i TEST HOLE DATA PERFORMED BY McOONALD GEOSCIENCE N 29 NOVEMBER, 2001 EXIS77NG GRADE BROW SANDY LOW -OL as NOTE: CESSPOOL & WELL LOCATION BROW LOAMY SAND SAI PROVIDED BY ARMBRUST TO McKENNA / CAHILL d1 -- _ .. . .__. N/F r ( WELL IN FRONT OF RES. ) 3' to CROSS NSF �•� ROPOSED N VACANT PALE BROW sae SAW COARSE sAsw ARMBRUST CESSPOOL o; PROPOSED ME L--�j SEPTIC SNEvuo TEST TANK / r { HOLE ( •1 END \-3 tO E x T S ® 1c-8- FE. O� o VACANT \ � O 5 SLAB 4 /i pole, �2 : / \ /RR IGARON $ARN -37 S 0 Al 63 , ` HEAD y 50 pME F POLY COVEREDfftT' �" DECK \1j. GREENNOUSE i, O Z Z / Z y � , 0 G. Z� ' ov � 0_� 150 ' O� pp �?8A o �o O'13W I F° c. 1 pR TOP c9_ s F TRES. SEPTIC � � � I •. '�o � � • �ESSP OLANK� ' '0 7RELiJB£ NC A'1�1. TO rHq� Z- 7,5'0 H o << ' C� \ HRE�DATION VACANT �z \\ COOP JOY ssPoo� o 0 .. 35�C31 �• 1, I �� o - A0 vZ N 26' 19' 20 W 30.00' S o S' 63' ''40' 40" w 50,0O' �'• FOR.:SCDHS USE ONL Y N/F CROSS TM 1000-108-03-13.009 QA l!•1 Nc� NO ' O •0 o C)- 784.94' 0 _ a6' °�g2 M,q IN ,RnzD KS 25 SUR t/EY OF DESCRIBED PROPERTY . .. SI TUA TE CU TCHOGUE, TO WN OF SOU THOLD SUFFOLK COUNTY, N. Y. PROPOSED AREAS AS SURVEYED 24 FEBRUARY 2000 PER AGREEMENT SCALE 1"=100' TM 1000-108-03-13.009 AREA = 15,276.626 SF SURVEYED FOR OR NOREEN P. McKENNA SURVEYED BY 0.351 ACRES KEVIN A. CAHILL STANLEY J. ISAKSEN, JR. TM 1000-108-03-13.010 P.O. BOX 294 AREA = 155,550.50 SF NEW SUFFOLK, ,N Y 11956 OR 631- 34-5835 3.571 ACRES NO TE.- 1. 29 NOVEMBER, 2001 UPDATE SURVEY, ADD PROP. SANITARY GUARANTEED TO 2. 27 MARCH, 2002 CORRECT LOT ACREAGE LICAND VEYOR •3. 21 MA Y, 2002 SHOW ADJ. OWNER/RES WA TER SER V., • IRREGA TION:HEADS N Y lC 1 '0 \ 4 73 NOREEN P. McKENNA KEVIN A. CAHILL 4. 10 JULY, 2002 SHOW 1 EXIST. WATER LINE FROM WELL. 0OR876 . `-d. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Yl7,-- ^: APP OV D AS NOTED DATE: I B.P.### FEE: NOTIF BUILC�NG DZPARTMENT AT 765-102 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: �J, i REQUIRED,. FOUNDATION - TWO REQ FLOOD ZONE N "� FOR POURED CONCRETE COMPLY WITH CHAPTER "46" 2. ROUGH - FRAMING & ;PLUMBING FLOOD DAMAGE PREVENTION 3. INSULATION SOUTHOLD TOWN CODE. 4. F1,1 'lON MUST E JN 2 C.O. ALL C,nJS ;2U( ff(jN SHALL MEET THE rFQUI� r.MENTS OF THE CODES OF NEW Y')R4< S ATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REOUi �` ^,Nn � YU!T ONS OF .Ou?HO�r BOARD Reek Pc AN III �»`r a "P`�t � :,°� ��,� fi, c I �l s�°�, auc�T ..1 u G d' Ptt a wS 2 6 D Cryyl2-,f� uhA�n c/ Le J e. Iry FOC S a ''P. ._ fes / 1'x j,,✓/ � ! i3 L p1a6P12 l� /1G13067t? 11R1v[ wi C12� i . I / I �,fr F R Pbca6IS F l Ie �IZG� hCe" /� ,� , ' I ' � � C� � ✓ 2X6 �,CW ISS o L--7s i / Cr 0 I R . r I rn p1 Oaf 16to,RLASs I ` Tea i' 07 �o �1 ^ . � "C,,,6RcTp FOOT) u�GyS� 15 36 1-00'r �p�v. 6tpeie55 —•---;� T ,,• rr Ili EVf' V ()O,S l� t''$f��P�C+C11'Da { ✓',F ---- -� ------ - A! �ee co fs f 5 I x 6 t Y-� S�y I "I CFD n r2 �`:''__ __ — ._I..__,._____�....,.�—___ \�' .._................w..�... ...,.—..�M...�.,�,.,...a.,....� �� �_._-�.--._._ —....—____��____--.•-- A&F_._ ._— I �. pF NE yy I P NE L2 FES5,0 L°� I ,i JOSE�-i; �,S¢tsETTI, PE PROFESSIONAL ENGINEER \�` ��il I I ^ — _ — — _ — _ - — �,,. 1725 HOBART RD a PO BOX 616 \ I ;�� ( I I T — SOUTHOLD, NY 11971 n '',., 4i I I \ ♦�. __ .; .. ...I �O ? _ �` 631-765-2954 "1 b,tisRSuewlcts V1K117E PA)+�rvbs02, fI �D2K r�5 � ijTe(e. 2 e_ t�o e L C✓�' L �, li l LmeU �t. t� o G 'fie; � ` �f y�•rr, i �l�\ l�- - l.�rLw-ear Jc"e wm,, -.,dp A,, 4-- 36 r' c. GaR21r�G� ��E^7e'Z�' i5 � 7-0 per ( ------ K Evia A c A hl Y L-L- C Q4 ` efy "�?. `� Y� tj VVI Y9-NOOZ La. t n Q. Y �rGY C' +� 2�rrd '�_m ` L ` Y OCA eee N � � �S G�. I'T p2 prl , / VV "tat, i