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Home My WebLink About32266-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 08/10/06 No: Z-31752 THIS CERTIFIES that the building ADDITION Location of Property: 250 SIXTH (HOUSE NO.) County Tax Map No. 473889 Section 126 ST (STREET) Block 1 LAUREL (HAMLET) Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 2006 pursuant to which Building Permit No. 32266-Z dated AUGUST 3, 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" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J KELLY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Autnorized Signature Rev. 1/81 4'{S- i'ic,r r;3;)L r.....-.-- - c . ;. /,', 1. i' ~ Form No.6 [" r' \: rr" n\~ TOWN OF 80UTHOLD ! I BUILDING DEPARTMENT 9 TOWN HALL JG - '\ ' J I 765-1802 L~(,_:,,_~~-~~'i~lo~PLICATION 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 (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 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 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, comm::t:l $15'~ It>, IO~ Old or Pre-existing Building: ~~ House No, Street t.o~ T -KE-L Cj IZC. ( check one) L-~L New Construction: Location of Property: 2..,-0 ST Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block oeo( Lot 0(0 Subdivision Filed Map, Lot: 8 [ 'J [0(;. Applicant: t.J AA. Ga~ MW Underwriters Approval: ).) ('It ~check one) Permit No, 52 2 ~~ Date of Permit. iJ (+. )..J / It- Health Dept. Approval: Planning Board Approval: Request for: Fee Submitted: $ Temporary Certificate 2-~ Final Certificate: 6Y-c.IO '75 tf Co It: 3175)" 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. 32266 Z Date AUGUST 3, 2006 permission is hereby granted to: ROBERT J KELLY 27 CLINTON ROAD GARDEN CITY,NY 11530 for "AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 250 SIXTH ST LAUREL County Tax Map No. 473889 Section 126 Block 0001 Lot No. 010 pursuant to application dated JULY 24, 2006 and approved by the Building Inspector to expire on FEBRUARY 3, 2008. Fee $ 300.00 /~A:" ~ , Authorized Signature ORIGINAL Rev. 5/8/02 3 ~~ b " 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING r><l FINAL 'bu-J [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: \. t:Zr9- ~ / ~~ u- ok. DATE 8'-K"~()~ INSPECTOR ~ ~ FII!4..b INSPECTION REPORT DATE COMMENTS . . W FOUNDATION (1ST) ~i . " - .., l\J 'It ------------------------------------ . . ~~ FOUNDATION (2ND) ~ ~ . . . . Z . . . 9 .' 9..J \Ji CJ '" .., ROUGH FRAMING & ; PLUMBING . V\ .., . - , K 1: \J\ + INSULATION PER N. Y. STATE ENERGY CODE . , / - 15~V ,.., '=' '.:Z4- ~ V~ ..//- ~6K~, j)/i v -c FINAL . .ADDmONAL COMMENTS r , ~ - . -< " 0 ~.. t~ . Ul'l ". . .' ' ~ JJ_ .. , !: CJ .., 4 \>QO Z ..' :Il . :z~ . ----.., .. ~; l"1 ." " ,. f Q f +: ~',~J~~,UJ~3"" ,- Lor@ LOr@ N 69013'10" E 50.00' ~1I~- m _.- t_ ..,....CI.6", z Ul j '" Lor@ f q .... (]I I 1I U1 /1 ~IO " 0, .. f'1 ... " ... @ I I I U1 I. \( U1 0 I' 0 0 I 0 0 I 0 t_ I 'Of' - ,~... 1.lJ'k ,... '" / -- -~-~ '" COIlC.lIOH. -- 'rJ2 S 69'13'10" W 50,00' SIXTH STREET (BLUESTONE & ROADWAY) Lor@ ... " ... @ 250.00' f----- to ;0 ~ ~ ~ < trJ Z c:; trJ SURVEY OF LOT 36 SUBDIVISION MAP OF PROPERTY OF GEORGE I. TUTHILL & OTHERS SECTION No. f tiLE No. 861 FILED JANUARY '5, 1929 SITUA TED AT LAUREL TOWN OF SOUTI-IOLD SUFFOLK COUNTY, NEW YORK S,C, TAX No. 1000-126-01-10 SCALE ," =20' OCTOBER 21, 1993 CERTIFIED TO: FIRST A~ERICAN TITLE INSURANCE COMPANY or NEW YORK TITLE No. 1.41-5-6017 ROBERT J. KELLY ALISON r . KEllY PRD'NllDIN~WIf11lHE_UW STNlIWlDS FOR lmE SIRvUlI ~ E!JfAllUSHm lJ'fll1ELJ.....LS.NlDN"PIlCI\IEDNlDAOOf>ltD I'ORSUCIlUSEINMNFliIYORkST"TELNfIl mu: ASSOCIIII1IOK. AREA 7,500.00 sq. ft. 0.172 QC. UN/lTHORlzEDAI.'l'E:AAfIONOIlADllfTlClH 1tlne~ISAVIOl.A11ONOF 9EClIaH7:t08OFMI€WYOIIlIST...n: ~1lON~. ClI'lESOFltIS9UIfYlYlW'NCII'~ ltII:l.AND!UNEYOll'IH<EIlS!ALlM ~IfAlItW..l.NOTIfCONSlDfRf:D ftllI[AVALlOllId:OOI"'l'. ~I'IlllCA1IllHElWlN-...u.ftUK (H.Y to THE PDI!ION RIll __THE SUlM'f ISl"ItIPMED.NlOON"8OW.J'1llM 1lJLECONPANY.ICI\IBlNMEN'fALIIQENCY,fMt l.INDMI lNS1m1noN L5ID ID[Ok NlO lDntEJ\ISIClHEDOIflH[l.DlDItGll<ISll_ Tl/TIOIt.OUIIlW(T!iS-'NCII'nwfSFtRABU. Joseph Land _____~Uc.No.~ A. Ir'lgegno Surveyor PI-IONE (51~727-2090 TrtI" Sur"Ve)'3 - Subdivision. - Sit. Plan. - Conetnsction LO)'OUIt T)jE EkISTANCE or RJGIfl or WAYS AND/a EASEliIENTS or RfCORO. If #MY. NOT SItOWN All[ HOT OUAfWoITUO. OmCtSLOOHWAT On.. Union Sqaar. Aqllebogu".Ne...Yorl<119JI Fax (5111)722-5083 lIAIUHG ,4U)RfSS P.O.8oxliJl Rlvert>eod.,....,YOJt;;11tol.. ~ ,. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southoldl PERMIT NO. ~J.)I.." -z:: BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board ofRealth 4 sets of Building Plans Planuing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Examined ~1!J ((? ,20~ ,20~ Approved Disapproved ale ,,1/3 ' 20 ~ 8" Phone:(q '3/- L{ 'f.5 - ) Lf (, I Expiration ,/~ Building Inspector JUL 24 APPLICATION FOR BUILDING PERMIT Date 2..4. -;SUL'-l ,200Ce , L I \ --r' L_-'.' , '",,, j "_~ ___-.-1 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 sllall 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 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 inspections. e of applicant or name, if a corporation) r!J ~"y' 144:7. ltU-rrmx<L.J'( (Mailing address of applicant) t crS-1:- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ,4r;-c:-~ Nameofownerofprernises ~~ A-uSI!!J.J K.€~'I (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 ofland on which proposed work will be done: 2- '5b G -t:!L <Jr House Number Street UJ~L Hamlet County Tax Map No. 1000 Section / z.Ce Subdivision Block 0 / Filed Map No. Lot 10 Lot -", ~ (Name) ,) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5 tPGt6 ~WIi L- '1 'l...:f:.S. b. Intended use and occupancy S.4-1VLI1 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration OtherWork""k'S"-arf/~.:t'/ 1>~ (Description) 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, commercial or mixed occupancy, specifY nature and extent of each type of use. . 7. Dimensions of existing structures, if any: Front W. { Height l.J) / Number of Stories Rear {'l.r / Depth ~D,41 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 c-D I C7\ I 9. Size oflot: Front 1 I Rear'/ <./ Rear Depth Depth t ( ~7> 10. Date of Purchase Name of Former Owner " 11. Zone or use district in which premises are situated f? - 10 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 ./ ~ '1 o..GA.YrO}J ~<p, 14. Names of Owner of premises P>~ K..:eWf Address GI.'L'11E{) ar'j ,A)l{ Phone No~S-('')U.3~ 34:DC\ Name of Architect J~lP:; Address Phone No Name of Contractor _ fA: Address Phone 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 L * 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: COUNTYO~ V t.LI4-ifIl r: {;;t::)tl?.U1~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ;4 G e,u"{ (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. ~:~20~ ~~l Not. ublic MELANIE OOROSKI NOTARY PUBLIC, State of New York No. 01004634B70 Qualified In Suffolk County~ 7\7\ 1 CommisSion Expires September 30, ~ 0