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HomeMy WebLinkAbout31169-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31704 Date: 07/21/06 THIS CERTIFIES that the building DECK ADDITION Location of Property: 350 (HOUSE NO.) County Tax Map No. 473889 Section 70 MAILLER CT (STREET) Block 9 SOUTHOLD (HAMLET) Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2005 pursuant to which Building Pennit No. 3ll69-Z dated MAY 26, 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. The certificate is issued to GEORGE & VERONICA ROPPELT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~~"..,"<. Rev. 1/81 I I I T(" L___" L Form No.6 TOWN OF 80UTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 350 ~UU;;:f ~r7l. f.j, I rq II "~:l r:: rc--~-~- [1,.1':_' l ,I ~~ ii! JUL21 , ""__.APPLlCATION FOR CERTIFICATE OF OCCUPANCY 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: 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 (8-9 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 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) uou-couformiug uses, or buildings and "pre-existiug" 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 1. 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 $15.00 Date. (; ~J-I'{)& 11111/ t.e1? House No. Street Owner or Owners of Property: t:;r7':>/2CJ' E T ~ aoN/ct4 Suffolk County Tax Map No 1000, Section / 7 i) t,/bat Old or Pre-existing Building: ~a; New Construction: Location of Property: C 7- (check one) go ",,"TfhL 7J Hamlet ~a-zr 9 Lot :It' Block Subdivision Permit No. 3/1 t." 9 ?- Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate FeeSubmitted:$ h7~~ Filed Map. Lot: Applicant: GlE1Jto/ IT ~ II",,-z.-r Underwriters Approval: Final Certificate: ~'JO G~' r"".q-.. ~ 17 () Y 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. 31169 Z Date MAY 26, 2005 Permission is hereby granted to: GEORGE & VERONICA ROPPELT 4 BRIDLE PATH FARMINGVILLE,NY 11738 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 350 MAILLER CT SOUTHOLD County Tax Map No. 473889 Section 070 Block 0009 Lot No. 038 pursuant to application dated MAY 20, 2005 and approved by the Building Inspector to expire on NOVEMBER 26, 2006. Fee $ 150.00 ~ (!ft , Authorized Signature ORIGINAL Rev. 5/8/02 3!/(;;1C- 765.1802 BUILDING DEPT. INSPECTION REMARKS: INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ . FIN L [ ] FIREPLACE & CHIMNEY [ co .. DATE '?!'y"t~~ INSPECTOR . 5//(;9 & 765.1802 BUILDING DEPT. INSPECTION [ ] FOUND~ ON 1 ST [] ROUGH PLBG. [ ] FO DATION 2ND [] I~ATION [- RAMING [.n-FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~ DATE 7fijOJ INSPECTOR 3JIG9.& 765.1802 BUILDING DEPT. INSPECTION [~DATIDN 1ST [] RDUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 4?~ 4c Iv ~J' DATE t, I / r;c!Or:- INSPECTOR t ... FIELD.S'lSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE , .i DATE COMMENTS blN-Irk"'./'-. ~ rJt: 10 (.7 ' A t A.~-L ./,?/ .J , '7nr/ ~\ r ~iL ~fillLL ,tJ~n~_j . / t IIiJ r_' ~ Y....().!' ,/'-/ J // J ~f ~- - ~ A"'7 (1/5 ~ /J FINAL / / ? // Pb ('" '~4. -1. Y./ // " /J / 1/ -7 ADDITIONAL COMMENTS UJ... .- i"J - ~ C) _ ..P.., "" v~ ~ ga O..l~ ()' '" 3~ -y;:J .- ~ ~ ~ I'" i"J .., ~ ~< ~ ~ -'0 ~ m ~ 0 ::E odi @ ;C ~ III :=:~ \ ::s N ~ 0.., I - o 0 1r'Z :x: z,~ .., 1:"1> ; i"J ~ r -,,~ \ --:-:r:"~' ~ TOWN OF SOUTHOLD ',' !-- BUILDlNGDEPARTMENJ;I. 202005, 'I TOWN HALL ' _'l.:1 . '-' SOUTHOLD, NY 11971' L_-- ---- j I TEL: (631) 765-1802 l.._ _ ')\A,I~Lg'. ..~H(1c 1.___1 FAX: (631) 765-9502 C '1/, www.northfork.netlSouthold/ PERMIT NO. 3ll ~ [-1:/ <,l('~ j-:-' :",,:::1 , ;, "".. . -.--- -~! . BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: f~ IleA/' 1ft 2 z.;\./ b~., IC#."I Phone: fr72- - ;;~il-c. Examined '5 '20tJ~D< 20 Approved Disapproved a/ c ~. Sh..U 1\ (JL,204 Expiration --f~~ctor APPLICATION FOR BUILDING PERMIT Date ~//~ ,2005'" 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 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 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. I /h~ {?~v? C/' (Signature of 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 C O,v'712,q-c.f7J fL Name of owner of premises (J,u:ollj?: i?o(J~ iT (As on the tax roll or latest deed) If app, . cant is a c~, signature of duly authorized officer (Name and title of corporate officer) Builders License No. FJ-2t:>911.:z::: Plumbers License No. Electricians License No. Other Trade's License No. I. Location ofland on which proposed work will be done: 3S'O ,4//1d.E~ cY-r- House Number Street s;,u -rhdd ' Hamlet County Tax M~ No. 1000 Section 7 v Subdivision, 'n?' /77th!:d p'~.1/ (Name) c::; Block 7 Filed Map No. ;-\'Lot ~ .9'770 " Lot." .7'-' 'f' . ..-:} ._~ , 2. State existing use and occupancy of premises and intllnded use and occupancy of proposed construction: a. Existing use and occupancy _'V ,;-/} t E ~ ,,rk>n-<- 'L... b. Intended use and occupancy 5'~ Z- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work ~ Alteration 4. Estimated Cost ~~r02- (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars / (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ? t,:, Rear Height Number of Stories I t,t,. Depth //?,S-- Dimensions of same structure with alterations or additions: Front ~ {, Depth /.:? inS- Height Number of Stories , - Rear fi:, (p 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size oflot: Front /10 Rear 1/:.2-/.5 Depth (CJJ. L/.3 10. Date of Purchase r- Name of Former Owner - II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~ 13. Will lot be re-graded? YES_ NO~ Will excess fill be removed from premises? YES_NO~ 14. Names of Owner of premises 4~A;f A,pfit.r Address 5;<'fh., ~ Name of Architect Address Name of Contractor J/H< 4//f# Address;?uZ,v.ih,I/I.l'# Phone No. ;:U.'J - ~"7& " Phone No Phone No. ?t.S- ""77 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. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) J/Uf ~ / IF .,rJ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~/,-,,~7Z- (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. 20K Notary P MELANIE DOROSKI NOTARY PUBlICbState of New 'bill No. 010 4634870 Comm/sQualified in Suffolk County ( sian Expires September 30.~ u Signature of Applicant .ll..-~__, z CXl ~ . U1 CXl N r 0 0 -l ni z c s:: OJ fT\ ::0 N U1 ....... <0 (,.j ~ U . " 20.4' 14.0 N !J1 FC U1 O.3'N FOUNDATION X 14.0' B.S' 21.0' N , ~ 15. 0 22.7' 28.7'-- --"n~~DT X FC OA'N O.3'W S 06' 72 '00 "W o :x: ;!: 2: C 2: ^ M 2: o fT1 - a II) v FD MON N OS'Ol'40"W MAILER THE 0FFSErS (OR ~ ..... HQEDN FROIll 1HE SIRUCIURES 10 THE PRaf"ERJY UNES N€ RlR A SPEDIFIC PlMPDIE NIlJ USE NIIJ ntEJlERlAE ME NOT INIDIDED 10 GUIlE ntE ERECnON OF FINCD. REJ'MINQ WIWJL f"OOLS. ""'1IOS. I"lJlN1IHG ARMS, ADDII10N 10 IJUIl.QIHOS OR IH't OIHER DONSJRUanQN. UfrWJlHDII2ED ALlEMlION OR IGDI110H 10 1HII SUR\IEY IS A WllA110N OF SEC11DN nae Of' THE NEW '1aRk STAlE EDLICfJlON LM. 0UNWmEB INDCAl'ED HERON awl. RUN ONlY 10 1HE fIEJIION FOR wttC.IW 1HE 9UR\IEY IS PIIEPAftID. AND ON HIS aaw.F TO tHE Tm.E CCWM\'. lXWERNWEMrAL NJElC'( AM) 1.DUNQ IN!ilI1U1'ION USIED HEREDN. AND 10 1HIE MtICIlIEES OF 1HE LINONJ IHITIIUI1QN.. GLWWOEES ME. NOT 1RAHSf'EIWIlE 1D ADOfIIOIW. INSnTU1IONS ClR__ CDPO OIF 1HIS SL.tfNE'( MN" NDT BEMlND 11iE t.NtD SUIWEYDR'S INICED SEAl OR EU8CIIISED SFJL stWJ.. MDT IE ~ 10 BE ^ \MUD 1RUE CClP't'. CERTIFIED ONLY TO: If' II r- L (\ '-/fL'.J.JJ r I,A"--- .;/:-: N.Y. L1C. No. 048992 HAROLD F. TRANCHON JR. PENN. L1C. No. 2115-E NOW OR RUCC~~~CMHERL y 772.75' FC l.4'S 2.9'W rX- 0 j; U) z X c CXl 2: ~ ^ . ~ U1 CXl 0 N X fT1 0 ~ r o -l Z C X s:: OJ fT1 FC ::0 2.1'S N -..J -x- ....... '-J ....... U1 <0 FD MaN R=2S.00' . L=39.27'1 226.64' ~ ~ ~ d 110.00' COURT 7-21-2004 FOUNOATION LOCATION FILE No. SMIlHFlELO PARK JOB No. 04-249 SURVEYED FOR LOT NUMBER 26 MAP Of SMIlHFlELD PARK SITUATED AT SOUTHOLD TOWN Of SOUTHOLO, SUffOLK COUNTY, N.Y. SCALE 1. = 30' DATE 6-15-2004 FILED MAP No. 4770 DATE 9-27-1966 TAX MAP No. (REF ONLY) 1000-70-9-38 DISK 2004 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 616 1866 WADING RIVER-MANOR RD. WADING RIVER. NEW YORK, 11792 631-929-4695 .' 000 - 7 (> - 9 - 3!?' OWNER TOWN OF SOUTH OLD PROPERTY RECORD CARD 60 11- /? E 10' DIST. SUB. LOT ~C j S-.f/ . ..~.. ' . .,~ ",,{~/ ... A~R.'k:, TYPE OF BUILDING 4,,1- wF VJ 1-1 fJ. e~.~ Q.CG, . RES. ;ll D SEAS. N c:<t; VILLAGE ! S W --3 J.." FARM COMM. CB. MICS. Mkt. Value R y J UJf'Jf, LAND IMP. TOTAL DATE -. ~' AGE NEW FARM BUILDING CONDITION NORMAL Acre BELOW ABOVE Value Per Volue Acre FRONTAGE ON WATER FRONT AGE ON ROAD II 0 DEPTH 11.3 J BULKHEAD DOCK ~ -- Tillable Woodland Meadowland House Plot Total I .... ~ l Ou-Vl'lC TRIM dL . qL_~i71{ { I ' . q'. ~,~- ;;;/:, 14 1 ,-h~:,o_,,-;: .z,'c 70.-9-38 2105 , . I , ,.1, I M. Bldg. Extension Extension Extension I , I . Foundation Pt. Bath Dinette Basement Floors K. Ext. Walls I TJJ /r nP Interior Finish LR. Fire Place I Heat DR. . Rooms 1 st Floor BR. Type Roof Recreation Room Rooms 2nd Floor FIN. B Dormer Driveway Porch - Porch . Breezeway Garage P . . . atlo O. B. Total , , --' X FC OA'N O.J'W () ~ Z z QJ c: z ~ ^ " 01 M QJ z N- o tTl r- 0 0 --i fTi z c ;:: m fTI :;0 f\J U1 FC ..... O.J'N <.0 X (,.j ~ UtI --""~WDT S 06" 72 '00 "W FOUNDATION , 14.0' B.5' 21.0' 15. . o ll) v FD MON N OS"01'40"W MAILER nE 0FnETS (OR ~ ..... HEJEDN FRe* 1HE SIRlJCIUIIES 10 THE PROI"EIITY I.MJI ME Fat A SI"BWIC PlJRf'QIIE AND l& NCJ n.-n-. ME NOT II1!NDED 10 _ ltE EJECnDN OF fDICES. ~ WMJ.A POOUI. PI\ltDB. f"I..IIfflN NI9lI. I4XJI'hQH TO ...,.. OR Ntt cmtER ~ UNHJIHDII2ED N..1EM'RON OR MD'IION 10 1HIB IUII'6Y IS A \IIOlA11ON OF SECI10N 720e OF 1HE NEW 'fOlIC STAlE EDlJCA1IDN IAI. GI.INWITEEB JtIDQlID HEIDI IHMJ.. RUN ONLY 10 1HE PEIIION FOR ..... ltE :ILItVE't IS ~ NiIJ ON .. BEtW.F TO THE mu: f1l>>MINf(. QIMINeIW. NJ/EltIl:t JIIIJ LDIING ..munDN UIIED HEREDN. MID 10 nE ~ OF 1HE LINDNI IrIStII\IIDL cawwnu:s NilE. NOI' lRJ'Itllf'BWlaE 10 MJDI1IQIiW. ISIII\IIOB (It --err CJIIrA'RS. COPIES DF 1HIS SURVEY ...,. NOT EEMIrtG THE IN<<J SlJIIlIIDDR"S INKfD SE'Al. OR DIIIDlISED SfAL StWJ.. NOT BE OOWflllnX'l'l 10 IE A \MUD 1RUE CDI"Y. CERTIFIED ONLY TO: - (, (-If'" J F I /va-.L .1- N.Y. L1C. No. 048992 HAROLD F. TRANCHON JR. PENN. L1C. No. 2115-E 20.4' NOW OR RUCC~~~CMHE:RL Y 712.15' FC 1.4'5 2.9'W rx- () ~ (J) z X c: QJ z ~ ^ " ~ 01 QJ () N X tTl 0 ::;{ r- o --i Z C ;:: m fTI :;0 f\J '-J I\) pi U1 X FC 2.1'5 -X- I\) m O. ..... 22.7' --.J ..... 28.7'-- . 01 <.0 FD MON R=25.00' . l=39.27' I 226.64' 110.00' COURT 7-21-2004 FOUNDATION LOCATION #J ~ "{" ~ Q: LS d FILE No. SMITHFIELD PARK JOB No. 04-249 SURVEYED FOR LOT NUMBER 26 MAP Of SMITHFIELD PARK SITUATED AT SOUTHOLD TOWN OF SQUTHOLD, SUFFOLK COUNlY, N.Y. SCAlE 1" = 30' DATE 6-15-2004 FILED MAP No. 4770 DATE 9-27-1966 TAX MAP No. (REF ONLY) 1000-70-9-38 DISK 2004 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 616 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 631-929-4695