HomeMy WebLinkAbout31071-ZFORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30980 Date: 06/13/05
THIS CERTIFIES that the building ADDITION
Location of Property: 1805 BRAY AVE LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 126 Block 8 Lot 13
subdivision Filed Map No. Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 22, 2005 pursuant to which
Building Permit No. 31071-Z dated APRIL 22, 2005
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 ENCLOSED UN-HEATED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
· "ne certificate is issued to GEORGE TAPFAR & WF
(OWNER)
of the aforesaid building.
SUFFOLK COUI~TYDEPARTMENT OF IIEALTHAPPROVAL
EI~gC-i~ICAL c~KTIFICATE NO.
PLUMBERS CERTIFICATION DA'~'~u3
Rev. 1/81
N/A
N/A
~t/~~t u re
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. 31071 Z Date APRIL 22, 2005
Permission is hereby granted to:
GEORGE & WF TAPFAR
1805 BRAY AVE
LAUREL,NY 11948
for :
CONSTRUCT A SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY
DWELLING AS APPLIED FOR. THIS PERMIT REPI~ACES BP19341.
at premises located at 1805 BRAY AVE
County Tax Map No. 473889 Section 126
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
LAUREL
Block 0008 Lot No. 013
22, 2005 and approved by the
22, 2006.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
IeO~M NO. ~
TOWN OF $OUT~OL~
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
No- , 334 Z ~te ..... ...~./..~..A ...................................
Permission is hereby granted to:
.
~ ~,,~ ,~,ed ~ ........... ~...~~ ......................................................
County Tax Map No. 1000 Section ....... ./...~....~. ..... Block .......... .~... ......Lot No ........ ./....~... .........
/
pursuant to application dated ........ .?/....~.....'~.. ................................. , 19~.., and approved by the
Building Inspector.
Fee s...~~
Rev. 6/30/80
TOWN OF SOUFHOLD · '.,
BUILDING DEPARTMENT
TOWN HAd~L
765-1802 ~ ......
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Tilts application must be filled in by typezq-iter or ink and submitted to the Building Department with tile following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natm'al or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 from).
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 o £ 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. Subruit Platming 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,
Swimmmg pool $25.00, Accessory buil0ing $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, Cotmnercial $15.00
Date. ~ - ]/~ 0,5--"
New Construction: Old or Pre.existing Building: ~'/ (check one)
Locationofmroperty: ]~0,~' Ate.la,-/ ~1/~___....
House No. Street Hamlet
O~nerorO,vnerso£P~roperty:_G~'oR-De' ~- ~/, :z.~e'P"~
Suffolk County Tax Mt/p No l000, a~cfion_ /Z~/~.o ~_ _Block 0 L~'
Subdivision Filed Map. _ Lo '
Pernut No. '~ Vh~ ~ Date ofeermit. Applicant: '~-L
Health Dept. Approval: Underwriters ApprovaI:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ Q.~_5'-' 0 0
Final Certificate: I,~ (check one)
.I
'~ '~ ~foNUMEN
SURVEY FOR
MARGOT OSBORNE
~ATTITUCK
TOWN OF SOUTHOLD
SUFFO~..K COUNTY., N. Y.
SCALE: I''= 30'
oCT. 23,1967
~IOV. 21, 1967
DEC. 2~,1357
MAY 3~ 195B
GUARANTEED TO,
SECURITY TITLE B GUARANTYO
souTHOLD SAVINGS BANK
LAND SURVEYOR
hI.'~.S. LICoNO.
RI VERHEA D~ N. Y.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [,]~.ULATION
[ ] FRAMING [,.~'~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
INSPECTOR~-~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING '~X~'FINAL
[ ]FIREPLACE & CHIMNEY [ I FIRE SAFETY INSPECTION
REMARKS:
Fi£LD ~
FOUNDATIO:~
FOU~;DATIO:!
ROUGH FRAME &
.PLUMBING
(1st)
f2nd)
INSULATION PER N.
STATE ENERGY
CODE
FI:~AL
ADDITIONAL COMME~;TS:
^pproved.. ......
Disapproved a/c .....................................
APPLICATION FOR BUILDING PERMIT
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL,: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK ......................
SEPTIC FORM ................
MAIL TO:[/ . ~ .
... Z/:f.'. J.~./..7 ....
INSTRUCTIONS
a. Tills application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 street:
· or areas, and giving a dora/led description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 aoy purpose whatever until a Certificate of Occupancy
shall have been granted by th~' Building Inspector.
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 z:emoval or demolition, as herein described.
The applicant agrees to comply with all applicab~le laws, ordinances, building code, housing code,, and regulations, and to
admit authorized inspectors on premises and in buildin=--for necessary i/3,~tions.
lds~,'nature ot applicant, or na_m~..if a cl}rporanon)
............. ·.. ,~o.~,~z,..,¢..r.. z,. z :/ ....
(Mailin=in~" ,address of alSplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.................
Name of owner of premises..~O~.. ~.'~...~//5~ .................................
/ ' (as on the la~roll or latest deed) -
If applicant is a corporation, signature of duly authorized officer.
(Name and title of co.orate officer)
Plumber s License No ..... ;~ ..........
Electrician's License No .....................
1. Location of land on which proposed xvork will be done,
llouse Number :street, Hamlet
County Vax MapNo. 1000S,ction "~ ~ ' Block f Lot../~7
Subdi ision Eilcd Map No. . Lot
(Name)
n State existing
" use and occupancy of premises and intended use and occupancy of proposed construction:
z ........
A. Lxlst~ng use and occupancy ..............................
B. Intended use and occupancy. .................. ~~'~ ~ .............
3. Nature of work (check which applicable): New Building .......... Addition . · ~ ~ter.'lt~o~t' .. ~..: ......
Repair .............. R~moval .............. Demolition .............. "' '?t~1 ............
Tennis Court ......... Accessory Building .......... Fence ....... Other~t-lt~. ~ .......
4. Estimated Cost ..... .~f~...~,79~..Oii ................... Fee .....................................
(to be paid on filing this ~p~/icatio?
5. If dwelling, number of dwelling un.i~j~/,~;../. ...... Number of dwelling units on each floor, a/~..../~t5'. (.5~/V/3,...
If garage, number of cars ..... .,~. t, ............................................................... '
6. If business, commercial or mixed occupancy, specify natus.e and extent of each type of use · .~% d-~. -~.,.... .........
7. Dimensions of existing structures, if any: Front ...... .,~,~. ...... Rear ..-~'.~. ......... Depth . - .'~.4~.~-~ .......
HcDht /~./ Number of Stories ..... [ ...................................................
Din;ensions of same structure with alterations or additions: Front ... ~..,~. .......... Rear . .4,..'-2: .............
Depth ... ~. 7'/~. 4; ............ Height ....Z?f ............... Number of stones ...... /- · ./, ............
8. D~mens~ons of entire new consm~cUon: Front ..... ~.~ ...... Rear ...o~ &. ........ Depth ................
Heieht ..... ,/,~f ...... Number of Stories ...... / ............................. _-..: z' '.-, ..............
9. Siz~oflot: Front .~.5.:,>../.'~.0. .......... Rear .... /..o¥:."/? .......... Depth /..~/.f~4-v ..............
10. Date of Purchase ............................. Name of Former O~ner c)5.,~.a~e,,4/~. ................
11. Zone or use district in which premises are situated ......................................................
.
12. Does proposed construct on vie ate any zoning law, ordinance or regulatxon: .../~. ¢~14~ .........................
13. Will lot be regraded ..... ,/~..O. '.'.., ............ Will excess fill be removed from premises: Yes .... No..
14. Name of Owner of premises~.ffx~:. · .~q- .~.":~/.~. ~'~r... Address~tz.Y/./~F~ .Z'.~.~6q-.~. L. Phone No .................
Name of Architect ...... ~... ................. Address ................... Phone No ............ : ....
15.Is this property located within 300 feet of a tidal wetland? ~YES .... NO.."...-
· If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
lines. Give street and block number or description according to deed, and show street naraes and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY OF ................. /
............................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
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 tliat the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
..... 19/, o
N ' County
(Sx~na'tu of apph
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
NOTIP( T~UI~- D~PARTM~,j;V~~
I. FOUNDATION . ~ REOUIRED
FOR POURED CONCRETE
2 ROUGH - FRAMING ~ PLUMBING
3 ;NSULATfON
~ ~N~ CONSTRUCTION MUST
BE COMPLETE FOR
ALL CONSTRUCTION SHALL
7HE ~EOUiREMENTS OF THE
~7;~T[ CONSTRUCTION & ENERGY
C~"~;~S NOT R~SPONSIBLE FOR
~F ':~'~ (~R ~ON~'FRUCTION ERRORS