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Home My WebLink About31060-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP.ARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31017 Date: 06/29/05 T~IS CERTIFIES that the building ADDITION Location of Property: 180 BOOTH PLACE GREENPORT (HOUSE NO.) (STREET) iHAMLET) Cou~lty T~ Map No. 473889 Section 41 Block 1 Lot 20.1 Su~ivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Euilding Permit heretofore filed in this office dated APRIL 14, 2005 pursuant to which Building Permit No. 31060 Z dated APRIL 15, 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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE T KIDBY of the aforesaid building. (OWNER) SUFFOLE COUNTY DEPART~R~T OF~F2%LT~AI~PRO%L~L ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 TOXVN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAL1. 765-1802 APPLICATION FOR ('ERTIFICATF OF OCCUP.ANCY .-' Tiffs app[icatkm must be filled in by typewriter or i~k and subnfitted to thc Building Department with the fo[lowing: A. For ne,,,,' building or ne,,',' use: 1. Final sup,'ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topo~m'aphic feat LU'CS. 2. Final Approval fi'om Heahh Dept. of water sopply and sewerage-disposal (S-9 fom~). 3. Approval of electrical installation from Board of Fh'e Undem'riters. 4. Sworn statemem from plumber certifying that the solder used in systcln contains less than 2~10 of 1% lead. 5. Cotmnercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fl'urn architect or engineer responsible lbr the building. 6. Subtnit Planning Buard Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 195% 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 topoLn'apluc feamre~. 2. A properly completed application and consent to inspect si~m~ed by thc applicant, lfa Certiticate of Occupancy is denied, thc Buikling Inspector shall state the reasons therefor ii1 writing to the applicant. C. Fees 1. Certificate ofOccupanc_x - Ne~ dwelling $25.00. Additions to dwelling $25.00. Aherations to dwelling $25.00, Swinuning pnol $25.01) Accessory building $25.00. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupallcy un Pre-existing Building- $100.00 3. Copy or'Certificate of Dccupanc.,, - $.25 4. Updated Certificate of Occupancy - $50.00 5. TemporarT Certificate of Occupancy - Residential $15.00. Commercial $ New Construction: Old or Pre-existing Building: (check one} ltousc No. Street Owner or Owners of Property: ~¢~ gO~-~- T Suffolk County 'fax Map No lO00. Section t..~ / Block Hamlet Subdivision _____ Filed Map. l.ut: Heahh Dept. Approval: Undem fliers Approx ah Plmming Board Y, ppro~ al: Request ibr: '1 cmpurar.', Certificate Fee Submitted: $ ~-5 ~'~..--,," Final Certificate: 751 12 {check one} icant S ig't~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEP~MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES %TNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31060 Z Date APRIL 15, 2005 Permission is hereby granted to: GEORGE T KIDBY 15 LAUREL RD RONKONKOMA,NY 11779 for : CONSTRUCTION OF A REAR DECK ADDITION AS APPLIED FOR at premises located at 700 WILMARTH AVE County Tax Map No. 473889 Section 041 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 150.00 GREENPORT Block 0001 Lot No. 020.001 14, 2005 and approved by the 15, 2006. A~t~rized n ORIGINAL Rev. 5/8/02 Map of Lots II, 12, and 13 "Map of Washington Heights" Situated at Greenport Town of Southold, Suffolk County, New York District 1000 Section 4.1 Block 1 Lots 19 and 20 Certified To: George T. Kidby Webster Bank, N.A. Commonwealth Land Title Insurance Company ANY ALTERATION OR ADDITION TO TIllS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION I.AW.COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED SEAL StlALL NOT BE CONSIDERED A VALID TRUE COPY THIS PARCEl. IS SUBJECT TO ANY EASEMENTS OR RESTRJCTIONS OF RECORD. ELEVATIONS REFER TO AN ASSUMED DATUM WELL LOCATIONS BY OWNERS. SEPTIC SYSTEM AND WATER LINE LOCATIONS ARE BY THE CONTRACTOR. OFFSETS AND MEASUREMENTS ARE TO THE FOUNDATION ANTHONY ABRUZZO R.LS. REGISTERED LAND SURVEYOR 1500 Hortons Lane Southold, New York 11971 (631) 765-3462 SURVEYED: JuN 7, 2004 FINAL SURVEY: December 31, 2004 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~/~ ~ ~''~ ~-~-. [ ] ROUGH PLBG. [ ]INSULATION [ ~'~N A L ~//~.~,--~/~,c~.~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION / [ v/~FRAMING [~..] FINAL [ ] FIREPLACE & CHIMNEY[ ] FIRE SAFETY II~I~J~EC.T..IO'I~ DATE 765-1802 BUILDING DEPT. INSPECTION )~/~ [ F~OUNDATION 1ST [ ~'~' [ ] FOUNDATION 2ND [ [ ] FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR__~ ,/ FIE~D INSPEC'IION REPORT 'l DAT~E ' COMMENTS FOUNDATION {2ND) INSULATION PER N. Y. STATE ENERGY CODE -- F~, .~DITION.~ COMMENTS Examined Approved Disapproved a c lO~N OF ~OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~snv~s. northfork.net/Southold/ - ~--'2 Expiration .20 PERMIT NO. BUILDING PERMIT APPLICAHON CHECKLIST Do you have oz need thc tbllo~ mB. bctkue applying7 Board of Health 4 ~ets of Butldmg Plans Plamnng Board appro~ al S urx c5 Check Septic Form N.Y.SDE.C. Trustees Contact: ~pectotF- - ~ APPLICATION FOR BUILDING PERBIIT Date INSTRUCTIONS Mail to: · 2o it. This apphcation MLrST be completeb filled m by tspewriter or itt ink attd submitted to the Building Inspector with 4 sets of plans, accurate plot plan tu scale. Fee according to schedule. b. Plot p~an showiug location of lot and of buildings on premises, relationship to adjoining premises or pnblic streets or areas, and watcneays. c. The work coxered by this application m% not be commenced betbre issuance of Building Pemfit. d. Upon approval of this application, the Building Nspector will issue a Building Permit to the applicant. Such a pe~it shall be,kept on the premises available tbr inspection tM'oughout the ;; ork. * e. No building shall be occupied or used in whole or in pan fbr any pu¢ose what so ex er until the Building Inspector issues,a Cm~ificate of Occupancy. f. Eyed~ building pe~it shall expire if the work authorized has not commenced within 12 months after the date of issuance or bas not been completed within 18 months fi'om such date. If no zoning amendments or other regulations aflbcting thc prope~y have been enacted in the interim, the Building h~spector may authmsze, in writing, the extension ufthe permit for an addition six mont,hs. Thereafter, a new permit shall be required. .~PLICATION IS HEREBY M:~E to the Building Depamnent fbr the issuance ora Building Pennit pursuant to the Building Zone Ordinance of the Toxxn of Southold, Suflblk County, New York. and other applicable Laws, Ordinances or Regulations, for the construction of buildings, ad.lions, or aherations or lbr 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 preinises and in buildiug lbr necessaO' inspections, gna~ ofj~icqnt ~ name. H'a comor:uion ) ~ ' '" ~Mailing addre}s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plun~ber or builder Name of o~x lrer of premises If applicant is a corporation, signature of dub authorized officer (Nmne and title of corporate officer) Builders License No. "T'~*h.~ Plumbers License No. Electricians License No. Other Trade's License No. (.-ks on the tax roll or latest deed) Location of l.~nd on which provosed wm-k.will..be done: House Number' Street County Tax Map No. 1000 Section q [ Block Subdivision Filed (Nme) State existing use and occupancy ofpremis,,es and intended use and occupancy of proposed construction: a. Existing use and occupahcy _ja~'~'t) 0 ;"~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~O~o , 5. If dwelling, number of dwelling units If garage, number of cars Addition~Alteration Other \Vork '~113 Cg ~ . Description) Fee (To be paid on filing this application) Number of dwelling units on each floor Depth ~ -~ Height I ~ Number of Stories g. Dimensions of entire new construcfio,,: Front ~','{~) Rear '~ ~ Height Number of Stories 9. Size oflot: Front i2--'.~ Real- '~A~_~_ . Del,th }CI''/-~ '0. DnteofPurcbase 2~ Oot./ Name ofFolvaer Owner x)"'OJ,Jc~ ~; If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front (,~-' Rear 1~ ~- Depth Height I ~ Number of Stories Dimensions of same structure with alterations or additions: Front ~"'3~ t~ .Rea~- Depth 1 i, Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ ~ NO~_Will exceqs fill be rmoved from ises? YES~ NO_~_ i 13. Will lot be re-g~aded? Yes__ .. ~m 14. Names of Owner ofpremises~ 7 ; 'Address. S 4Pv 7. R/ Phone No~)~)~ ~e°C Name of Architect Address I ~ 5 9ff Phone No Name of Contractor Address Phone No. l 5 a. Is this propeuy within 100 t~et of a tidal wetland or a fi'eshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOX[~ 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. PE~IITS MAY BE REQUIRED. 1 6. Provide sum'ey, to scale, with accurate tbundation plan and distances to property lines. 1 '7. If elevation at any point on property is at I 0 feet or below, must provide topo~aphical data on survey. STATE OF NEW YORK) 7OUNTY oF~S~S~. - __ ~Cl~ ~ ~1 a ~a~ being duly swom. deposes and savs that (s)he is the applicant (~tne of~dix idual sigming contract) ~ove named. S)He is the . (Contracwr. Agent. Co¢orate Officer. etc.) fsaid owner or owners, and is dui.,, authorized to perfotan or have perfbrmed the said work and to make and file this application: aat all stateruents contained in this application are true to tile best of his knowledge and belief: and that the work will be erformed in the manner set forth in the application filed therewith. ] Signaturg of.Applicant