The URL can be used to link to this page

Home My WebLink About32072-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31722 Date: 08/03/06 THIS CERTIFIES that the building ADDITION Location of Property: 1455 WELLS (HOUSE NO.) County Tax Map No. 473889 Section 126 RD (STREET) Block 8 LAUREL (HAMLET) Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 2006 pursuant to which Building Permit No. 32072-Z dated JUNE 2, 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 "AS BUILT" ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARILYN CUMMINGS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 109517C 06/21/06 PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 rF ril . 1 n i j I il , d%>-1j9 32. ~ n !' I I I L---1S , 20 J Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ...-.- --- j r<;r-G'''''',""::JI -- SOi..;THOlD APPLICATION 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 (S-9 fonn). 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 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 bnildings (prior to April 9, 1957) non-conforrning 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 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. t..- New Construction: Old or Pre-existing Building: Location of Property: \'4-55 ~de' L.L-S t<OA'l> House No. Street Owner or Owners of Property: l'V\ A f<.', III v C. l/ M IY\ ; / Suffolk County Tax Map No 1000, Section I ;L L ./ ( check one) L6....IJ."'='- Hamlet n'1 S Block OCl()~ Lot 003 Subdivision Filed Map. Lot: Permit No. 3~o '1:;L 1- Date ofPelmit. Health Dept. Approval: Planning Board Approval: ",)~)Olo Applicant: N\f\R',1/I.i C.\.l~"";n1.S' Underwriters Approval: Request for: Temporary Certificate Final Certificate: v _ (check one) Fee Submitted: $ ~tI:t ~ Ap icant Signature G2-e.v-.j6j 1/ Cc,::z:. 3(f~).- 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. 32072 Z Date JUNE 2, 2006 Permission is hereby granted to: MARILYN CUMMINGS LAUREL,NY 11948 for "AS BUILT" ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1455 WELLS RD LAUREL County Tax Map No. 473889 Section 126 Block 0008 Lot No. 003 pursuant to application dated MAY 12, 2006 and approved by the Building Inspector to expire on DECEMBER 2, 2007. Fee $ 544.20 ,~c~ . Authorized Signature ORIGINAL Rev. 5/8/02 3 'J---o 7 ~ -Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [')<J FINAL ~~';:t [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTIOf ' REMARKS: F~~f ~ (Ok , '-Jo-()~ DATE INSPECTOR .~ ~ .< 3J-07/f- Z TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /l!~ -tF ~ ,~~ ~~4--I'/N"~~~ ~'~~ ~-J;::/(1'~~ ~)~-~~r . ~_€f1Q, , DATE 10 --IS-- 0 b INSPECTOR ~r~ , \ j . FIELD INSPECTION REPORT DATE COMMENTS ~~ FOUNDATION (1ST) ~~ ------------------------------------ . FOUNDATION (2ND) ~ -Z . -<0 .. \no '^ . <:.'" ROUGH FRAMING & ~~ PLUMBING .., , ~ I~~ '~ ~ ~ INSULATION PER N. Y. ~ .., STATE ENERGY CODE b-/-r- ~ b ;'1 _ .4 S/~ /f / . -r.-. 7 . -:7 ."J ,L- - //1 /J 1!v. ..?'.~ . - --'-. __1~ ~-fJ.. 4.A ~. { ' t' " "/P' " . ' (/ (77 ~ , - FINAL . fo-3D-D t:. ~ n '.a.rJk #~ .: v..{ Ci- ()/J _+ ~ A~ ,.~.,~ ,../ 'P' Jtl ,- ~ v . I~L'~ T ")0 I ~ .ADDlTlONAL COMMENTS i ,. , 0 :::: ~F m. ~;:o ... ~, .'. R:;l"J I ~~ ~- '-J~ .., II - 0 Z ::t i"j . . ~ ::t t:I l"J .., ~ L /OooJt. /.) -8>'-J OWNER "'. TOWN OF SOUTHOLD PROPERTY RECORD CARD '~/ STREET I' \ lAIMNffF.C,J ,,~ FORMER OWNER' ?dills !<e>>() N I' Jgj ~ J, RES. 2-/0 - LAND SEAS. IMP. -' " (W? ,~ S J./ M"tJ-~' II'fI'Cf! DIST. SUB. VL. FARM 1/ Jvlt. E }lUII-.t4' W,r;..II7I-' TOTAL DATE ..co.. '. COMM. CB. 'MICS. REMARKS 100 AGE NEW FARM Tillable Noodland Vleadowlond !-louse Plot rota I o --v' C <) 5l/0(!)l.lW NORMAL Acre BUILDING CONDITION BELOW ABOVE Value Per Acre Value . <:::::- > 1r! ,( FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK , ~ .y ".'A' .., ;/ C6j) c.:F LOT .V '7 /J---c- ~) ~ . ?-- / ~'t- ;' (I \/ COLOR TRIM . . - . ... . . I I M. Bldg. Extension I I Extension Extension . I I 1 I I -I .i I I Foundation Porch Ext. Walls I I I ~ I Room I I , I Bath Floors I Interior Finish Heot I Rooms 1 st Floor Dinette Porch Basement i ~. Recreation Rooms 2nd Floor K. LR. DR. BR. i FIN. B I Breezeway Garage Patio " Fire Place ~ Type Roof O. B. Dormer Drivewoy Total ". ,- , ,,-; > . (~".4-f /l-tk-: -" OWNER ~ FORMER OWNER JY~, rr Cv j)~ ~ / / ACREAGE N ~OJjW'A~" Q) L~ RES. I I SEAS. LAND IMP. r .' /\..Av\.-R.... ( S -' ,1W . , n 1~1Y""~ - ~ ~ '\.>;'<~.A1L'A):')!Ah ~" VL.~- FARM COMM. 1 iND. : I CS. TOTAL DATE REMARKS ~ 7~0'0 t..rCi 0 0<C C> (oc; (, tP 0 ' AGE NEW Farm Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushlana'- House Plot Total -- ~.e" e- 0 3 60 J .5:06 '-/100 NORMAL Acre TYPE OF BUILDING y I MISC. /~~ I r' . 'y ~/ H< '2-. tJ/.c? ~'-f~o 3060 ." ;r (~"~1 f ") () c> J 1- - .} /' / I4A:d ~ ,?,Jr 4ctd /I/.u(/(/.. t ;t.U1 j7 'J !J.-.o).ll" BUILDING CONDITION BELOW ABOVE Value Per Acre Value ) 5"" '-f I ifY\.- /'-1')( y{ (I h 5bD 366 7').~ - fYOf}D ;J. f-J !'-S W /11 f-e... I ... ,,, '" 7 D , r 1_<1- ~. -r< Z- r'. f-Zi. lot. .. ~. r'.l,. / /, . , ;/ . I ""'", '2 M. Bldg. 2 Extension Fire Place I); y , ' {Porch No \ t !. Porch 3reezeway '" .. Patio Garage , f .-, /J'-, - Driveway ,:tl,,'!'-, O. B. '" " -- S-4 :?/3 ..... - / <.~ 2-(/ C, rfr ..f Tr /'C... Bath -rtJ f I Floors Interior Finish 1+ 1\1' }r', /..:...-/ , HeCllt Attic Rooms 1 st Floor Rooms 2nd Floor I ---- ;J . PERMIT NO. 'd-<J7d-. b 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: n Mail to: f/1412L Jc Ifi,vA/'Z. T't.. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAI:.L SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ Approved Disapproved aJ c bl~ ,20A- II b ).., , 20.f2fz.- I Examined Phone: 7.J4 -4-/ tf 5 1,;)1 ').--,20 n7 I -'7- Expiration \ _. r. .. " f'(\f\ \) \ 2 ICJlg APPLICATION FOR BUILDING PERMIT ; \ .,,, j ~.;:,..~.c-,.~_ . Date oS/I()ltJ~ I , ,20 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 oflot 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. APPLICA nON 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 reg!! ations, and to admit authorized inspectors on premises and in building for necessary inspections. State whether applicant is owner, lessee It) !>IJX 'J 33 C"Tnn~"'E (Mailing address of applicant) Name of owner ofprernises MA121L y"J CC//I1"., {Nt:, f' (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 land on which proposed work will be done: (1s> WELeJ tZLJ House Number Street ,Af 4=J: / 77./[ K- Haxrtlet County Tax Map No. 1000 Section Subdivision (Z{;, Block (!) B Filed Map No. Lot CJ"5 Lot ~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed conslruction: a. Existing use and occupancy 51 N C c.. F ? A.4r I L 7' /2L.f' /0 F ~ 77 4"L b. Intended use and occupancy J'A,4-f E 3. Nature of work (check which applicable): New Building Repair Removal Demolition ~ Alteration E)(I S77~~ (~escription) 4. Estimated Cost 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, cSmlEial pmLx~-,ancy, specify nature and extent of each type of use. 7. Dimensions of existing 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 Height Number of Stories :>&€ ..rvte vEA1 9. Size oflot: Front Re~ Rear Depth Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated !2 4-c> 12. Does proposed construction violate any zoning law, ordinance or regulation? YES _ NOX 13. Will lot be re-graded? YES_NO ---L::Will excess fill be removed from premises? YES_NO_ . .NIlttell.)'N 14. Names of Owner of premises CvA1~/,vt;../ Address /4rF W.t(..<.I 1t..t:J Phone No. 2 ',f~ 49.! l. Name of Architect ~ Address /l-ftJ:F-' '[Vel<:- Phone No Name of Contractor -.A1"f1eK. /I: ~ t?' Address Phone No. 7.:14- 41er/" , IS 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-----X. * 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: COUNTYOF~ 4. /t:tett..-.- J Ctff.",./~ C being duly sworn, deposes and says th~t (s)he is the applicant , (Name of individual signing contract) above named, (S)Heisthe rtt2C Iftfi!:;;f/ ~6e:a/ J ( ontracto, 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. 20 D \:, MELANIE onqnsn NOTARY PUBLIC, Siaie of New York No. 01004634870 OuaHfied in ~:.'" "Ce"!) Commission Expires SepiOido" ~J, ~()b ALSO ~R{vi; '. . . . . . . . SUFFOLK S.C. TAX SURVEY OF PROPERTY SITUATED AT LAUREL TOWN OF SOUTHOLD COUNTY, NEW YORK No. 1000-126-08-03 SCALE 1 "=20' MARCH 15, 2006 . . . . . N ("1 6-t.9~. . . .. t . .' . . . . . . . . . . . . . . . AREA = 14,748.22 sq. ft. 0.339 ac. '. . '. ~ ~ ~": ~ .:,.() () ~" ~~ (} ~ So; q,": . . d' . . . . . . . . . . . . . . . '" . .~: . \f\ · 'O~'~~ o. 0. 4 .':;/ . UJ. ~. o ~ PREPARED IN ACCORDANCE WITH THE MINlUUM srANDAROS FOR TITlE SURVEYS /!oS ESTABUSHED BY THE L1.A..LS. AND APPROVED 0 ADOPTED fOR SUCH USE BY THE NEW Y K STATE LAND fiLE ASSOClATK>N. /' . . : C> ." /g . ~ ~ '1t,. ''b. ~~ "'0 '$--t.-~ +.p,0 ..., 0<::> ~ '-t.- ,~~'" ,,<:fO~ l'l/o/f at.uEfl c J. !,ES1J'" ~') Lie. No. 49668 THE EXISTl:NCE or RIGHTS or WAY AND/OR EASEllENTS or RECORD. Ir ANY. NOT SHOWN ARE NOT GUARANTEED, \)~\'.JS , "S) 0 UNAUTHORIZED AlTERATION OR ADDITION 1\...\--' TO THIS SURVEY IS A VIOLATION OF ~ SECTION 7209 OF THE NEW YORK STATt: EOUCATlON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAl OR EMBOSSED SEAL. SHAll. NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON Stw..L RUN ONLY TO THE PERSON fOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITlE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, ANO TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTlflCATIONS ARE NOl TRANSFERABLE. AN!) Joseph A. Land Sur ngegno eyor 'tl ~ ~~ Title Surveys - Subdivisions - Site PIons - Construction Layout PHONE (631)727-2090 Fax (631)727~1727 OFFICES LOCATED AT 322 ROANOKE AVENUE RIVERHEAD. New York 11901 MA/UNG ADDRESS P.O. 80x 1931 Riverheod, New York 11901 -0965 26-081