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Home My WebLink About31593-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31295 Date: 11/21/05 THIS CERTIFIES that the building ADDITION Location of Property: 900 VICTORIA DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 73 S%~bdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 2005 pursuant to which Building Permit No. 31593-Z dated NOVEMBER 10, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to JOHN & ROSEMARY LONGWORTH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTI~ENT OF H]L~-LT~ APPROVAL ELECTRICAL CERTIFICATH NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A //~///d~gnat ur e Rev. 1/81 · ' Form No. 6 TOWN OF SOUTitOLD BUILDING DEPARTMENT ~. I TOWN HALL 65-1802 I 8 * ' APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depa~iiie~it ~vlth-th. followin~ ...... 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-conforndng 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 sigmed 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, Access.oW building $25.00, Additions to accessory bnildihg $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Ce~lificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residemial $15.00, Commercial $15.00 Date. New Constmctian: Old or Pre-existing Building: Location of Property: qOON ~/[ ~"~/~/~ Itouse o. Street Owner or Owners of Prope.y: __~O~ ~ Suffolk Ceunty Tax Map No 1000, Section Subdivision Permit No. ~ 1 5_6~ 3 '~ Date of Pe~xnit, ---Health Dept, Approval: (check one) Block q Filed Map. Applicant: Underwriters Approval: Lot Lo1: Hamlet ----.Plamfing Board Approvah Request for: Temporary Certificate Fee Submitted: $ ~-~, 0 0 Final Certificate: (check one) 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. 31593 Z Date NOVEMBER 10, 2005 Permission is hereby granted to: JOHN & WF LONGWORTH VICTORIA DR SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 15284. at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 900 VICTORIA DR SOUTHOLD Block 0009 Lot No. 073 10, 2005 and approved by the 10, 2007. Fee $ 150.00 ORIGINAL Rev. 5/8/02 Mark K. Schwartz, AIA -Architect, PLLC P.O. Box 933 Cutchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734 - 2110 November 4, 2005 Southold Town Building Depas-tiiient Main Road Southold, New York 11971 Re: Longworth House 900 Victoria Drive Southold, New York Bldg Permit # 15248 To Whom This May Concem: I have been to the aforementioned site and inspected the deck structure. The deck and concrete block piers have been constructed as per code requirements when built in 1986. Please call this office ff you have any questions or require additional information. Very truly yo~rrs, Mark Schwartz Longwor thl.doc TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSerTION [ ] FRAMING / STRAPPING ['~]~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~i~ ~/~f/2 ~/~/o ~ DATE FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL DATE COMMENTS ADDITIONAL COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .~Y. ~.~.. }.~., 19~.(0. Permit No. }I~..&.'~..~..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 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 any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA~DE 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[inspection .~ xJa0 .. ~.X...d...t~'.A~.~..~ ..................... ~ignature of~ ap}v~icante or Bame, if a corporation) . . . V j. .q ( O. .~. .a. . .... ~ ~. .~ .0. 6. .................. ...~..~.t., .~..o. ¢. ~.,,..~ :¥..../. Lq2/. ............. (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ~.a..6g.. ................................................................................... Nameofownerofpremises x/4~k/b0' ~ [~OSJ~. i~,~y ................... ('a} in' i~e' ia'x' io'li g; ilt;}t' fi;id) ..................... If applicant is a corporation, signature of duly authorized officer. (N'a~e and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ...~ ....................................................... .e. .... , ..... 7.-. !/.q.7. l ............. House Number Street Hamlet ~ County Tax Map No. 1000 Section . .~.~. ............. Block .C.~ ................ Lot..'7.5 .............. Subdivision ' Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy T~' ]ttd,'O~ b. Intended use and occupancy .../).~. ?.'~?.-~......~.O.~...~ ..... ?...~..~..~. '. .... 'i .'.' ......................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........... Repair ......... Removal Demolition .. Other Work. ~.~..C~ ...... f.f..0~.. ~ (Description) 4. Estimated Cost. .' ........................... Fee ...................................... (to be paid on filing this application) 5. If dwelhng,' number of dwelhng,umts' ' ....... v. Number of dwelhn' g units on each floor. '.r'A~-~-~ ............ If garage, number of cars ./ff/.~.. . . 6. If business, commercial or mixed occupancy, specify nature and extent of each tyne of use .~f/4 ........... 7. D~mensmns of ex~st~ng structures, if any: Front...~..~. ........ Rear . .~...~ ....... Depth .~.~. ..... Height ............... Number of Stories .. ] ..................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories O' .......... ~' ........................ ' .... t ................. 9. Sizeoflot: Front ./.~ .................. Rear , I~.(0 ................. Depth /P.~. .................. 10. Date of Purchase . /~.. ........................ Name of Former Owner ............................. 11. Zone or use district in which premises are situated ~.r.~.~. '.2-./.qrC~ ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...AZ'.~. ........................... 13. Will lot be regraded A/0 .... ~, .................... Will excess fill b,e removed from premises: Yes 14. Name of Owner of premises ~.~/(..a/, .~..~'.~ .t,~..~.~... Address .rd/..~.r~..~ff~...~.~ Phone No 7~ f' ~o~'~.. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .i .... ~ ............ Phone No.. 15. Is this property located withint.00 feet of a tide wet and? e 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 property lines. Give street and block number or description according to deed, and show street names 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ .~..~. ......... day of......~.... ........... , 19 ff,~. $otaryeublic, ...~...~.'/, _v .... .~.~...~..0~.... County ~ ~ &.~- ~. ~0~. ~t~ ,~o~? ~.J (Signature of applicant) Term Expires M~rCh 30. 19--,.fi-t V i ,/ ~L NI