HomeMy WebLinkAbout31937-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31677
Date: 07/13/06
THIS CERTIFIES that the building ADDIITON
Location of Property: 7805 BRIDGE
(HOUSE NO.)
County Tax Map No. 473889 Section 84
LA
(STREET)
Block 1
CUTCHOGUE
(HAMLET)
Lot 6.1
Subdivision
Filed Map No.
Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 24, 2006 pursuant to which
Building Permit No. 31937-Z
dated
APRIL 25, 2006
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 ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSEPH & MARIE MCLAUGHLIN
(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
f
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCt---J;--
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This 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:
I. 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 2/1 0 of I % 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-conforming uses, or buildings and "pre-existing" land uses:
I. 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
I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $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, Commercial $15.00
Date. 7/'- .{/""C
. &
New Construction:
x
Old or Pre-existing Building:
(check one)
ecPr'~K" crt//f
,
.AI. V,
Ramlet
Location of Property: 7?e S- .-/,A. / d?t? /:
House No.
~A '" /~
Street
Owner or Owners of Property: ;;1"":;,11'/1# ~~AA/.te
Suffolk County Tax Map No 1000, Section r 0/
I
~ e.. ,(' A (../ G-~.e:( r.v
Block /
Filed Map. ~ :'1 '70
Applicant: :;r,,>'/f' ",#
Lot c../
Lot: /
,
,..,.~ ~ CP~A'<~..AJ
Subdivision S Y "',A.4 r
Permit No. J ,'9 J 7' z..
r;? ,-rA T/F .5'
Date of Permit. ~0C
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ ::Lr ~e>
Co 2: ~l\oTl
Qe.C-/OSL, 1
Final Certificate:
.K
(check one)
~ ,,~ ~ /;: :et?
/' ~ Applicant Signa~
.......
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.
31937 Z
Date APRIL
25, 2006
Permission is hereby granted to:
M & J MCLAUGHLLIN
7805 BRIDGE LANE
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at
7805 BRIDGE LA
CUTCHOGUE
County Tax Map No. 473889 Section 084
Block 0001
Lot No. 006.001
pursuant to application dated APRIL 24, 2006 and approved by the
Building Inspector to expire on OCTOBER 25, 2007.
Fee $
150.00
&..~.
( . .A d Aut orized Signature
ORIGINAL
Rev. 5/8/02
31~37 :z
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING Pi FINAL O~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
IF~ +r tA- ok
DATE 7"-1')-~O t
INSPECTOR ~ ~
FIELD INSPEcrJON REPORT DATE COMMENTS \..N
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FOUNDATION (1ST) ~~
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to""
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FOUNDATION (2ND)
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ROUGH FRAMING & }I
PLUMBING
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.
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INSULATION PER N. Y. ~
STATE ENERGY CODE '" ..,
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FINAL
ADDmONAL COMMENTS ;)
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
PERMIT NO.
'5lq~7c
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'>
Board of Health
......... 4 sets of Building Plans ./ -
Planning Board aiyroval
~ Survey V
Check.JJ :14' '~
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
I//J-C 20J)L
~~)' 20...Q.L
Examined
Approved
Disapproved alc
Mail to:
)0/95
,
,2001
Phone: 7/g- -8 if') - ~ 370
Expiration
F; !,' ri
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. Building Inspector
PRe.
APPLICATION FOR BUILDING PERMIT
'n
Date Af-f /L- .;lH
,200<:;:
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of/ot and of buildings on premises, relationship to adjoining premises or public streets or
areas, aP~ waterways.
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every 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 may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 South old, 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 inspections.
(Signature of appr
7 ?o:J <5'/(/pc;.1'2 ~A//~
t::-t/T6-//O @ope"</v / / f' 7.s-
(Mailing addrels of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
o WA/'6'A..
Nameofownerofpremises #S't'-'l# ~e..- LAUG-~L,;"; +h'A/(/.(-'l '2;A.A.la4/ h'eUf..)ri=#LI'~
(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.I''-:'''~/~ - <:.qo letS <>~ 6.<//'" 0/'" r//~/!'/:
Plumbers License No.
Electricians License No.
Other Trade's License No,
l. Location of/and on which proposed work will be done:
7,p.!lf' /.54/&cr-G ~A.u.G' t!!...v/~HD
House Number Street
G- (/ /:;:
,
Hamlet
;A/ V.
,~
County Tax Map No. 1000 Section
Subdivision S" yo ~ 0 Al,lS r
, (Name)
,rtf" Block /
SS'r,fT6.'.s Filed Map No.
t:.? 70
'!'e38 JOllA:)
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ot -':~It 1A. nM
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2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S'I#c;:..l...P F ""HIt:.. Y 19 4.> 6"LL ,;.vc-
,
b. Intended use and occupancy
A'$" A.d.:9 v"q
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
:#
9t1JOt7 -
Addition
Other Work ,11/ P- tv
~
Fee / S-cP -
(To be paid on filing this application)
Number of dwelling units on each floor tV A
Alteration
tv ., c1 0 /? ;:!!e./<.
(Description)
4. Estimated Cost
5. If dwelling, number of dwelling units ~A
If garage, number of cars >> A
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ~.4,
7. Dimensions of existing structures, if any: Front ~., ~. Rear yo "
Height .:.t.~ " Number of Stories ;:L
_ ,-J
Depth "'-"
Dimensions of same structure with alterations or additions: Front ~(!;> "
Depth ~-'- '" Height;.~ ' Number of Stories
Rear
.z
~,,<'
"
8. Dimensions of entire new construction: Front 2'1
Height .z <:: ...., Number of Stories
"
Rear 2. '-/
O"v<,€ .:..r- v,,-"';:"
Depth
;2.a/
9. Size oflot: Front
/S.tJ /
Rear
/ 'Td '
Depth
2..<JJ I'
10. Date of Purchase /'fAY /<7;>-.> NameofFormerOwner#A('/""~ES.r ~<!7~~.s /10;;) r-ue,
.
"
II. Zone or use district in which premises are situated A ~ 5"". 0 ~A.J7Y...9 ~
,
,
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO 1<
- - --
.:Ti?~RI'II ~.;o/M,s
14.NamesofOwnerofpremises.;o/"'LAuG-""~.v Address.7P....r4Ala;q .e..A, Phone No. C]/-7'?"!'-7Jd7
Name of Architect t..v/G-; ~5&.A~I?L.-~4 11. t? AddresY.'4 797 LJ/?A'R I'.~hone No C.J /- V~/ - 77 ~
. .... 'Jf7..L~.
Name of Contractor /"r-,vo,,',v,-? Address ynone- NO.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~
* IF YES, SOUTHOLD TOWN 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. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OFS U tr., I 'Ie
,
.:JO.rtYU /('c L....p V~I'TA",J being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
"W'...v6A
(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.
SWfjrn t~efore me thi
"'" Y j day of
C
~~4' /c~4~~
~ Signature 0 1\pplicant
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THI'; ~,IlI1.:r.y WAS PUM!:!fO IN ACCC'lRIMNCE WHHlHE [XISTlNr. r:OOE Or- PRACTICE FeR lAtH'l sUJI"rvs .",D:)J>I[!) ill rl!f. II/V, ''-,''>; ,i..~r ,....;.
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l.....1I (:r)~I~S OF THIS SlIl.:'yEY MAP NOT SEAR.IN:; TH= lMIO SUP'.EYO~'S INKED S~^L CI1. EM;J..SW S["'1. Sd,A...Ll N'J! Bf CC~jS1Ct:;.(D rc !:IF. A .'....l:J
TIIIH C:)P"f. Cr:!HIF1CMIONS INDICATED HEREON S~'.4,U ru.:N ON!..Y 10 THE PflfSON FeR "/HO,A THE SUP"~!:Y IS YP(Po\II.En, AtllJ (;~l H\': !lrtiMf Y....;
TI-i[ fiTlL COM?Atlr. GO'''~RNMEN!.''l ^(~ENCY M:D l[NDL\lG I t>i:iTlfUTlCt-j liSTED HER~O~4 "',NO TO fl-lE ^S')tGtjf!~ OF !tI[ lu/O:tr':' H~~1!i~.;1IGtI.
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SUFFOLK COUNTY TAX MAP DISTJa:::o SECT.C34 BLK. /
MAP NO. c;39D
LOTS /
LOT G,;
DATE: J{)NG8, /.97C-
BLOCK
MAP OF S YLOl:?eT E57,QTES
LOCATION CUTCI-/OGUE
TOWN OF: BE.OOKJ./,Q J/EN- :SUFFOLk CO. -N, 'I
SURVEYED: pp.el,- /9<55
cERTIFIED TO: COMMvN'WG4LT/-I L-ClND T/TLe:. /NS. CO.
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