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Home My WebLink About31235-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31012 Date: 06/29/05 · ~{IS CERTIFIES t~t the building ADDITIONS Location of Prc~perty: 630 SOUND AVE PECONIC (HOUSE NO.) (STREET) (HA/~LET) County T~x Map No. 473889 Section 68 Block 3 Lot 12 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 27, 2005 pursuant to which Building Permit No. 31235-Z dated JUNE 28, 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 "AS BUILT" DECK AiDDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J & JANE TARA CURRIE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL EL~t'r~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~O H/A Authorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOgVN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and subrmtted to tbe 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 sinfilar 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 sufxrey of property showing all property lines, streets, buildiug aud unusual uatural 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 dwelliog $25.00, Alterations to dwelliug $25.00, Swinuning pool $25.00, Accessory building $25.00, Additions to accessoW building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate ofOccupaocy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 [)ate. New Constmctiou: Location of Property: Old or Pre-existing Building: (check one) House No. Street Hamlet Owner or Owuers of Prope~y: ~ ~ ~ ~ Suffolk County Tax Map No 1000, Section 0 ~ ~ Subdivision PennitNo. ~.%£ 't.. DateofPemfit. ~}Z,%[O'~" Block ~ o~' Lot Filed Map. Lot: Applicant: [~...o~g'~."t I"$ ~..tt. ~. ,~,~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ,~...~' 07_ Underwriters Approxal: Final Certificate: (check one) APt~ 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. 31235 Z Date JUNE 28, 2005 Permission is hereby granted to: ROBERT T CURRIE 65 WEST 70TH STREET NEW YORK,NY 10023 for : CONSTRUCTION OF AN AS BUILT DECK ADDITIONS AS APPLIED FOR at premises located at 630 SOUND AVE PECONIC County Tax Map No. 473889 Section 068 Block 0003 Lot No. 012 pursuant to application dated JUNE 27, 2005 and approved by the Building Inspector to expire on DECEMBER 28, 2006. Fee S 300.00 ~'. ' '/ ORIGINAL Rev. 5/8/02 LONG iSLAND N 4~O' SOUND DESCRIBED PROPERTY PECONIC, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: LORI M. FEILEN SOUND AVENUE SURVEYED BY STANLEY J. ISAKSEt,I, JP P O. BOX 294 tlfw SUFF~LK ~.¥. ] 19c, r5 ! TOVFN OF SOU'I~ BUILDING DEPA ~I?I$~NT TOXgqN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, betbre appb4ng? Board of Health 4 sets of Building Plans Planning Board approval Sup:% Check Septic Form NY.S.D.E.C. Trustees Contact: (631) 765-9502 e~ 5'- outhold/ PER3IIT NO. 3/~Q) .,~FAX: 5~,~,w,v. northfork.~et/ ~ ~ Examined /~ j~ i~ ~ ed 7',- Disapproved a c / ~ ~~ ~, Buildi~Nspector i/ , .~ PLICATION FOR BUILDING PE~IIT ~~*~ INSTRUCTIONS i)."'1*k ,20o'~' a. This application MUST be cor~pletely filled lit by typewriter or in ink and submitted to th& 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 cotnm~nced 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 tbr inspection throughont the work. e. No building shall be occupied or used in whole or in pan for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Ever5' 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 ma5' authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY M,-M)E to the Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. ~br the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to compR' with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and tn building tor necessar5 inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicantl State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises O-',,Otv8 7"~,~.,q ~ ~'o.&~.~- 0'. ~ ~,.~.e~'. (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 CounU' Tax Map No. 1000 Section SubdR4sion (Name) Hamlet Block ~3 Filed Map No. ~?,ot ; Lo__.~t 2. State existing use and occupancy of premises and intended use and occupancy of propose, copstruction: a. Existing use and occupancy -q',*.~ cfi ~,~,-~,c ~ hto ~e- b. Intended use and occupancy ~t,~ qcW ,'*,*,~,e_ y ~-oa~ff 3. Nature of work (check which applicable'}: New Building Repair Removal De~nolition 4. Estimated Cost 5ooo ('t~.t / 9,0 5. If &veiling, number of dwelling units / If garage, number of cars .Addition Other Work Fee ~ (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 usc.. _~/~ 7. Dimensions of existing structures, if any: Front 2 & -- l. Rear Height. ~.q, ' -- o * Number of Stories o ~ ~ ::lo' 2.~ Depth 4-4- '-- Dimensions of same structure with alterations or additions: Front Depth. 4~'t- ~-* Height ~ed' ~o~ 8. Dimensions of entire new construction: Front 8 a*~ o" Height ~ ~- Fo" Number of Stories 9. Size oflot: Front ~'~'~,~/ Rear ~'o, O'ot 2 r. ~- '2 * Rear Number of Stories , Rear 8 -- O Depth Depth -'*,~ o. '7 t 10. Date of Purchase '7//~ ~/'7¢ Name of Former Owner t2~l -r ,t.~--t~ t aa ~ l l. Zone or use district in which premises are situated 12. Does proposed construction violate an5' zoning law. ordinance or regmlation? YES NO ~ 13. Will lot be re-graded? YES__ NO w/ Will excess fill be removed from pretnises'? YES NO 14. NamesofOwnerofpremises~-r :r. ooa~e Addresst~oo~.¥% ~¥n~o~ PhoneNo.~-~--"/t~,,~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property v¢ithin 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 t~et cfa tidal wetland? * YES ',/' NO * [F 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 I 0 feet or below, must provide topographical data on sun'ex'. STATE OF NEW YORK) SS: COUNTY OF S',J~o,.,st. ) 1~.oS~-a.'r m. g,~,~.a-'r being duly sworn, deposes and says that Ils)he ts the applicant (Name of individual si~maing contract) above named. (S)He is the tx6 ~'~'r (Contractor. Agent. Corporate Officer, etc. of said owner or owners, and is dui)' authorized to perfom~ or have perfonued 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: attd that the work will be perforated in the nmnner set forth in the application filed therexx ith. Swctrn to before me this\ ~day of Notaff Public, Sta~ No. 0]D06095328, Suffolk Term Expi~sJuly 7, 20 Signature of Applicant