HomeMy WebLinkAbout32228-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/03/06
No: Z-31730
THIS CERTIFIES that the building
RENOVATION
Location of Property: 10585 MAIN
(HOUSE NO.)
County Tax Map No. 473889 Section 88
BAYVIEW RD
(STREET)
Block 1
SOUTHOLD
(HAMLET)
Lot 5
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 25, 2006 pursuant to which
Building Permit No. 32228-Z
dated
JULY 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 RENOVATION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to MARGARET M REILLY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
N/A
PLUMBERS CERTIFICATION DATED
~ize~
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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:
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. Conunercial 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.
_____hh ------___.::c:::l
B. For existing buildings (prior to April 9,1957) non-conforming uses, or buildings a~dlPI1e-existi!lg1' lind me~<1 !
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic .' I
features. .
2. A properly completed application and consent to inspect signed by the applicant. If a Certificatl90f &cupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
New Construction:
,
i
I
i
C. Fees .___.__ ""._J
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, Conunercial $15.00
/ Date. 1/,-/ot,
Old or Pre-existing Building: (check one)
loS'SS-- MIrt,J "'fYr'tJleW (L[)
Street
Location of Property:
$e..J'lUo I.-D
House No.
Hamlet
Owner or Owners of Property: M ~H r;;:., /01\.
Suffolk County Tax Map No 1000, Section 0 8 f!
~I LJ-Y
Block oae)'
Lot ~~
Subdivision
Filed Map. Lot:
b fU 10 L Applicant: I"~ /""-
Underwriters Approval: ,J J A-
/(CheCkOne)
Permit No.
rz-'l'-f87
Date of Permit.
Ll!'1 ~'i
Health Dept. Approval:
Planning Board Approval:
^J lIT
I
NIp-
Request for: Temporary Certificate
nr ,eA
Fee Submitted: $ 0" l>. .
Final Certificate:
~. 7071J
COt 3/7;
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.
32228 Z
Date JULY
25, 2006
permission is hereby granted to:
MARGARET M REILLY
PO BOX 1677
SOUTHOLD,NY 11971
for :
RENOVATION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR. REPLACES BP#28487
at premises located at
10585 MAIN BAYVIEW RD
SOUTHOLD
County Tax Map No. 473889 Section 088
Block 0001
Lot No. 005
pursuant to application dated JULY 25, 2006 and approved by the
Fee $
150.00
Building Inspector to expire on JANUARY 25,
Authorized Signature
ORIGINAL
Rev. 5/8/02
.3 tr-~~ 'l Z.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATIO
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFE
REMARKS:
.F~ ~ ~()k
E~~~
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DATE 7 ~ ?--6 -tJ ,
INSPECTOR ~ ~
SA?~l-?-
765-1802
BUILDING DEPT.
INSPECTION
[ 1 ST [] ROUGH PLBG.
[ [ ] INSULATION
[ [ ] FINAL
[ ) F1REPLAC~ _
REMARKS: ~ rv1.~__LrYC
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DATE
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FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
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ROUGH FRAMING &
PLUMBING
INSULATION PERN. Y.
STATE ENERGY CODE
FINAL
COMMENTS
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Fax (516) 765-1823
Telephone (516)-:76~::~OO
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
SOUTHOLD TOWN
DMARK PRESERVATION COMMISSION
TO: Southold Town Building Department
FROM: Southold Town landmark Pres. Comm. - Herb Adler, Jr.
DATE: June 17, 2002
RE: Adrain Baer & Margaret Reilly Residence - 10580
Main Bayview Rd., Southold
Tax Map 111000-88-1-5 APLlA Nol SD-118
The landmark Preservation Commission has reviewed the plans to rebuild
the existing porch and agrees with the same.
AdS-lOan k. ~er 4-
FORMER OWNER
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1000 - r;jf'- (,...,$- TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER
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DATE
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TOWN OF SOUTHOLD ,-..--.
BlillAOING DEPARTr MAY 21m ';"",
TOWN HALL u.., L . __-1
SOUTHOLD, NY 119 1 8'.r)G. rC,T.
TEL: (631) 765-1802 TJ~;:! (" S<lUT~
FAX: (631) 765-9502
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
cJ l' f i 7~ Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Examined ~W ,200.<7
Approved tidy 200~
,-
I
Disapproved ale
Expiration / ~("'-I ,2003
----- --
.ptroneCts -/9/tJ)
I. CrJL
Building ~ .
f~b<~
APPLICATION FOR BUll..DING PERMIT
Date
INSTRUCTIONS
,20_
a. This application MUST be complctely 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 oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The w<'lrk covered by this application may not be co=enced 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 pwpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
. f. Every building permit shall expire if the work authorized has not co=enced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning ~m""<lm""t. 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 ofbuiIdings, 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.
..:Jlf6.,.J c..... ~A10.:;:t::;..J c..
(Signature of applicant or lllmlli, if a corporation)
p.o..'i$~ 1,))..8 s~NY
(Mailing address of applicant) ,
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~,.s~~
Name of owner of premises !~LAW \3 ~ ct"" M~G,~eIf'" -!...e: 1 LL.:;/
(As on the tax roll or latest deed)
t is a co~on, si e of dul uthorized officer
(Name and title rporate officer)
uil ers License No. .).~ 7/ rl- 1'1 J
bers License No.
Electricians License No.
Other Trade's License No.
1. I~a~~and on WhiMl!osm\''fJ':Jon~
House Number Street
~~:o
Hamlet
,,- "'"\;~ . "
~V~\.tl.
r: .
, . . .I,ot
· ,< Lot
."'1
~"A
"
County Tax Map No. 1000 Section
Subdivision
o'8~
Block /
Filed Map No.
(Name)
2. State existing use and occupancy of premises and intended use and oCCRPWcy of proposed construction:
a. Existing use and occupancy ~oJC- l-~ F71M {(....y D !JlJ'cC,",", "r~
b. Intended use and occupancy ~ ~ ~<d
3. Nature of work (check which applicable): New Buildin~
Repair Removal Demolition __ ~ _
4. Estimated Cost 1/7 ouJ . .J .. Fee
.
.9qJt:'"~,J~
IN /v.v.fJ.
Addition
Other Work
~!J (?~
W1f71
/
Alteration
(Description)
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;-co=ercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
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
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
11. 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_
Phone No.
Phone No
Phone No.
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
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.
STATEOF:~.Yff!
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing. contract) above named,
(S)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 trne to the best ofbis 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
;J doyof ~~-
~14c' f). ~~__p ~
Q Notary Public
LYNDA M. BOHN .
NOTARY PUBLIC, State of New """
No. 01 B06020932
Qualified In Suffolk Cou",,_.
Term Expires March 8, 20 a:a
20tr '---
Si
f Applicant
Jason C. Leonard
'-'nr;-""r,' i-,~-:!
41425 Ronte 48
P.O. Box 1528
Sontbold , NY 11971
Pbone (~I) 765-1910
, "2 2C02cellL~h 664-7275
- - _--LJenser29,712-HI
. fJ
'-
Jason C. Leonard, Inc.
William T. Engels
Baer residence
Porch renovation
Materials list
FLOOR: PRESSURE TREATED FRAMING
5/4" X 4" TONGUE AND GROOVE MAHOGANY DECKING
POSTS: 8" DIAMETER ROUND PERMACAST COLUMNS
BEAM: (3) 2" X 8" FIR WRAPPED WITH 3/4" CLEAR PINE
CEILING: 3/8" X 3 l/4" PINE WAINSCOT
MOLDINGS: CLEAR PINE TO MATCH EXISTING
ALL
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OCCUPANCY OR ~lRO~ASNOnD
USE IS UNlAWFUlDA~P.#. ~'f~7-e.-
WITHOUT CERTlFICAtie: /.5t). BY:~ ~ J-tJ.,
OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT
785-1802 9 AM TO 4 PM FOR THE
NG INSPECTIONS:
1. FOU DATION - TWO REQUIRED
FOR UREDCONCAETE
2. ROU H - FRAMING & PLUMBING
3. INSU TION
UNDERWRITERS CERTIFICATE 4. FIN - CONSTRUCTION MUST
REQUIRED BE C MPLETE FOR C.O.
ALL C NSTRUCTION SHALL MEET
THE R QUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODE NOT RESPONSIBLE FOR
DESIG OR CONSTRUCTION ERRORS
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