Loading...
HomeMy WebLinkAbout30203-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31147 Date: 09/06/05 THIS CERTIFIES that the building ADDITION Location of Property: 725 STROHSON RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 10 Lot 11.2 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30, 2004 pursuant to which Building Permit No. 30203-Z dated MARCH 30, 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES MATHER & EILEEN SULLIVAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No-6 _ TOWN OF SOUTHOLD BUILDING DEPARTMENT cJc; c__ TOWN HALL l 765-1802 r APPLICATION FOR CERTIFICATE OF OCCUPANCY- '--=--- Thus 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 2i 10 of 1% lead. 5. Comruercial 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 feature,. 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, Swinmring pool $25.00, Accessory building $25.00, Additions to accessor: 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. Tertnporary Certificate of Occupancy- Residential $l5.00, Commercial $l 5.00 Date. 130 las New Construction Old or Pre-existing Building: (check one) / Location of Property: So _� /�r _�G Gt _ House No. Street Ha et Owner or Owners of Property: _ J& one 5 -- Suffolk County Tax Map No 1000, Section /D 3 Block 0010 Lot /1, 00 Subdivision Filed Dlap Lot:7 Permit No. 3�a0 3 =Date ofP�ttnit. - 3 ' 30 - �Applicant _ Lc e5 7"►af� Health Dept. Approval _ _Underwriters .approval: _. Planning Board Approval: Request for: Iennporary Certificate _Final Certificate: V _ (check one) Fee Submitted: $ __a (1e Applicant SignAature 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. 30203 Z Date MARCH 30 , 2004 Permission is hereby granted to: JAMES MATHER 725 STROHSON RD CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN AS BUILT DECK AS APPLIED FOR. ADDITIONAL CERTIFICATION WILL BE REQUIRED . at premises located at 725 STROHSON RD CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0010 Lot No. 011 . 002 pursuant to application dated MARCH 30 , 2004 and approved by the Building Inspector to expire on SEPTEMU200Fee $ 300 . 00 C Autth zed Signature :rWjop) P'gLL'S ORIGINAL Rev. 5/8/02 30K3-t- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ J FIREPLAC,EE & CHIMNEY [ ] FIRE SAFETY INSPECTION '0/ ) - REMARKS: zz / r O f C Zvi DATE © INSPECTOR j o a-o 3 Z ` nnotti associates ENGINEERS 300 Station Rcad Bell poft. rIewrcrk 11-1" stone%Fay. 031-238-9492 4/12/2004 James Mather 725 Strossum Cutchogue , NY Re : Residence at 725 Strossum, Cutchogue, NY Dear Sir : This is to certify that the porch for the above residence is built in accordance with the plans . JES Iq�Fac/ Very truly yours, L0 y� a go annotti F9 ,oQ ?l/ No. 2fi9-L T lF STlzE TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET r _• ; _ VILLAGE DIST. SUB. LOT sameS vcr -4 id Sr/ n/i / C • � ;" .- FORM FORME OWNER N nn E J., ACR. 'hGCf r•L, a 1 ; i :�f' _- _ 'x,.::71. �cY ?)a V-;9 eq ' , .y,` S / W TYPE OF BUILDING ff c J. toGn �ln wcv d)fe Yro `/� r - J cc - RES. 6 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 9o-o OG /.3arr oao .So-a v aav "/� •;"r-1 � '.� !,.i' ��:, � [_, �:,�,'/ hPw 6-I'v �7G'U t'e 76U �, `cG.t /!�� •__:r //.:, :rro �-S.t Yic 7a /:e �r�i'ar /' si 3F � do 6 Fop � �e ° ✓ a% a /F F ; ,�; ...:1 �: =� - � Z. - 1�-`�e �.�1 f�� �„ ,�; °' `' (, 14e4rz)n 44 - �+ n-J-Lit�f=�:���i�I -�1lle.> � Y�rro• � rna-ther $f�r�� - '"J7c :���:. Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowlond DEPTH 2 House Plot BULKHEAD Total i COLOR TRIM -� -LL-ILL, - I _ - - � I 1-1- LL II VA - - L ua _- --r�L7I — 1 �T L� ■ 111 �u art m na_.. 111 n - r- I _ � Ll M --- r .?Sx3� _ i'S0 /050 — I I r I I I ExtensidrF - J '7 ExtersiS — O x /S Foun dation Bath I ' Dinette L-- L BasePorc ment Floor; K. —=� --- Porch Ext. Walls -- - J Interior Finish LR Breezeway � /: - . Fire Place I Heat DR. Garage T. Roaf TRoon-s 1st Floor IBR — - ___ Patio — - Recreatio Room: i Rooms 2nd Floor FI^J Ee I, O. B. — — - -- Dormer Drivewcv -' Total - - - - i FIELD INSPECTION REPORT I DATE COMMENTS dm FOUNDATION(1ST) V'y -------------------------------------- a _ C FOUNDATION (2ND) -- -- �� S: 2 ROUGH FRAMING& M PLUMBING — a r INSULATION PER N.Y. -- H STATE ENERGY CODE i a FINAL ADDITIONAL COMMENTS 0 z LIm m � ro r) C "I z m a r x v -3 03-537 NOW OR FORMERLY BROWNING Z MON.— N 05'05'20"E 131.38' SE 0 o � A z z L onm 09O q m J J Ln O O U] O O A a O Co C FOUND S ■ FCC 12'0 26.0' I O x _x obF'N. chain link 5.0. o I fence I g m Z a X ipE f _x m c x 27.1 37.5' 33 a D R wood a t. deck u 7C s I � 0 21.7 38.0' q�py p < a OCot FIX OMFli_ o N N40.0' J+ p w wood fence W m v (A (A V Z 7.8 5. F. FC.O.O•N iJ.81Y. 0.9w. n I pqpt k roll Paef k rah +' 420'1 � STOW . S 05'05'20"W 116.40' NOW. 0.7'E, STROHSON ROAD 11-6-2003 UPDATE SURVEY W OrrEl! (a MMUND" 900 Na®11 AOI M 7W JM%M 70 M rnorOW LOM AM Aa A WIMM: NWM AND M i 0"Mesa NE w JOB No. 02-04 FILE No. 338E wro m TO am 7N[ 000m or►aIn1R Ka rue root pmw RMW MDA AM=70 aaaal 0A AW Orth coIa111oONwa SURVEYED FOR JAMES MATHER u MDMM N3waal ON NIORM r IM SMOV a A WKU M OF amaw 7201 OF nE Mir rales 1or2 EXACO M w. a+wwn>m Mem Mao amu anI ONLY m 7N[ Pa PER waM 7NE aw• SITUATED AT CUTCHOGUE a • PWAIM NO OM M =VLF 70 M W" OwrMMI'. a AVANT&x AVOW Na LD PMNMffM Owe Namt FMO 1a 71E Ar OF 77E LAFrw1 wmvnaM. &A%WRM AN NOT Ire MMAU 10 AaWWr 1lrn7rl00 TOWN OF SOUTHOLD — SUFFOLK COUNTY N.Y. on aaaaa7Ar awaw Mary OF 77M aMaY MIP Nor aalwa IM LAID RNWV V ROM ane OR SCALE 1' = 40' DATE 1-18-2002 mmat aeu Nor m oasanm 70 a7 A wan 7NE 0?/. FILED MAP No. DATE CERTIRED ONLY TO: TAX MAP No. (REF ONLY) 1000-103-10-11.1 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 N.Y. LIC. No. 048992 631-929-4695 HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.................. 20.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.................. ... Permit No. ................ .................................... Disapproveda/c .................................. .................................... ...................................................... . .. .................... ......... . (Building Inspector) Z 920 APPLICATION FOR BUILDING PERMIT 72 1,,., Date INSTRUCTIONS L a. Phis application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 3 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 giving a detailed description of layout of property nest be drawn on the diagram which is part of this application. 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 permit shall be kept an the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose wbatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY NNE to the Building Department for the issuance of. a Building Permit pursuant to the Building Tone 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 re wal 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 f 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 ..........................QWY.IGS! ..........................1........................................................ Name of owner of premises ..�Y�YawS..�1�A14��z{t .d.... 11tCYl... .��.tJ.!aY)................................ (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. .................... I. Location of laud on which proposed work will be done.............................................................. . / .............1.?-6....S:F06.ln ,.....l.a.P.�..........C.'.c..?k..h .................................... Louse Number Street Hamlet Casty Tax Mop No. 1000 Section .l -.!Q'J.I:2 Block .D LSLot ................ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ...S.�-Q'^:'(..� 5......................"....................... b. Intended use and occupancy ....4J Tcl ................................................................. I. Riture of work (cheek which applicable): New Building ........ .. Addition .. ...... .. Alteration . - .. Repair ............ Removal ............. Demolition ............ Other Work ...D" -. .. .. . .. . . fix ,[ IY 1< _" (Description) 4. Estimated Cost fee ................ --............ , ........ . . . . . (to be paid on filing this application) 5. If dwelling, nuduer of dwelling units ............ Namber of dwelling units on each floor . .. . . . . . . . .. . . If garage, uuhber of cars ....... 6. if lusiness, commercial or mixed occupancy, specify nature and extent of each type of use.. ... . . .. . . . . . . . . . . 7. Dimensions of existing structures, if any: Pront..'dj/ .a........ Rear .. ............. Depth ... . .... . Height ......................... Nudrer of Stories ...................... Dimensions ,o/f sane structure with alterations or additions: Front ........... .... Rear .c:�r: -._--- -- Depth ...�7."P........... Height Mother of Stories ..... .......... 8. Dimensions of entire new construction: Front ................ Rear Z./-c ........ Depth .E.7...�..... . _ Height ......................... Number of Stories ..................... 9. Size of lot: Frr.rhl ... . --- - !roar (- Jr 4. . n.•pth 10. [late of Purchase ........ Name of Former Owner ,??rc G.LS•u•�Ce•`- II. Zane or use district in which premises are situated .................................... ......... . . . .. . .. -- - -- 12. . . ..12. Does proposed construction violate any zoning law, ordinance or regulation: .. Vie....... . ..... . .. . 13. Will lot be regraded .....en2........... Will excess fill be removed from premises: YES ND. 14. Names of Owner of premises I• ........ Address .E-. ....:.5.,:?:.m.1....K.c(.... Plane No.�.3:{.,','.tbt .. Name of Architect .................................... Address .............................. Phone No. ......... .... Name of Contractor ................................... Address ...............................Phare No. 15. is this property within 300 feet of a tidal cetland? * YES .......... NU .,A....... *IF YES, MMHUI) 101df •Il MESS PER4rr 1MY BE IMOHEUM. PL.O•l• DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block niter or description according to deed, and show street names and indicate whether interior or corner lot. m 1 +6ti�s .v 7 , — 7I- o, � N r SPKIIS OF N,-,w YORK, SS lJU1NIY IF ..... . .......... ....J1/ ,.... 1.�je-eq...1...x.6� ....................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, / /, In lie is time .........D.Li-A e(..................................................................... --- -- (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 aril file this application; Chat all staLewnts 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. Swum to before nm this •... ..0........ . .. .. 20f!�-- Notary Public ....... �r�!F: (Signature of Applicant) JOYCE M.WILKINS Notary Public,State of New York No.4952248,Suffolk County Term Expires June 12, aCO7 n 7Y, to 5' ll { ( _ , h . � , : s?� r - OF'FICC 1, " l t���l� f IVU ' ��� ' peo_u ��' i, ^ ' ., ' ,. [ r i ,r ,:1; � ! , d 1 r ,� !" a ,i•1 COMPLY WITH ALL CODES OF I i� {r - AP pr „F.t, Ir NOTED ^ a uw f A'^ NEW YORK STATE&TOWN CODES I, ` ,' DTOWNZIM F rf^ * 4§ it ,rrr"t �1 \k' S,; S, �,i �,i ., :,,,�: .� . . - - T _ DA E 7jd�� Y 'P a� AS RE IRED AND CONDITIONS O ' i S > 1 �a sv DRR SODIFIOL Y `t' ' `w F 9 ' 1 J I r, Er'IaIT W AT SOUTHOCDTOWNPNNNINGBOAAD } ¢, ,,'l y 1 D'A :uz rs AM ro a FcH Fc6t TNYE SOUTHOLDTom TRUSTEES yF t u+F ';;p'�,+ia ,eFA n'r ` r a t - 1NIiJ6 INSPEO?10f3S: ' awsilr P, e;rl ..; 41 F1�i[L:,F;• wa tz I .1` '. ,1 {��"' '' p - I - rvdJUATION • T'sN0 REpA79RED N.YS.DEC „ YN , Y ,' J� a `,x ,, , G '..�'1 d, ! 'I' "E�1}�Cp3(O H4UyL' - ^ Jfl POURED CONCRETE, t,MA i J 0.J” '� «wn*1 v,,� t, T r y'-6 1 1 � � � � i .r yy, �' .�i ", ^4 y1,N' ' Y : x; f r -„'',, r .,,<' ;, 'w,. , �i A �[[,K,f av^.nkM{+t.€ J�^r^ :. ;i�f x °' ` ,.'',,, - IION 1 , M .[ �, • .. . • „ .., ., ... : - _ - _ .. -_.. ._ ._ . _ _ . , . .._ , 4. FINAL AT ONSMRUCTIONLMUSTG: T � Y�e k'r'' i, yot rq +... F nM. e , n:: ,.. „ . . ,. „ „ , -`(r. +:” : - - - - _ -«rt... . p 1►� N/� ,7Alf ,ki ,.i€; m'SSA h '' x , I:' ". r; - ,. ; �, , ,,} . ' _ , ._ _ __. -, - . _ ..,_. . -__ _. . . BE COMPLETE FOR C.O, oOL l.A111Pi r,'-"r , ., �.. ',7. . ( . . ,e,O ':. :, -,: ,I I,. -- . .- _ _... _.. _ . _.., : ALL CON TRUCTION SHALL MEET THE COMPLY WITH CHAPTE �1- ,,4, � __ _ 41 . :t >`«' ^:: ' M '. .,, • • :