HomeMy WebLinkAbout31553-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31776
THIS CERTIFIES that the building ADDITION
Date: 08/28/06
Location of Property: 700 MCCANN LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 4 Lot 17
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 20, 2005 pursuant to which
Building Permit No. 31553-Z dated OCTOBER 25, 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 & RAMP ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
The certificate is issued to BONNIE, JAMES & ROBERT SCOTT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED
Ahoized `ignature
Rev. 1/81
Form No. 6 I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT .L
TOWN HALI,
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCAi ` -----'
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 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 2/10 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. Subtnit 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:
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
New Construction:
Old or Pre-existing Building:
Date. W Z 3 / U
./
(check one)
Location of Property: 70 VVI C Pk,, t, ? h A k' C G2« 1V PO 124
House No. Street Hamlet
Owner or Owners of Property: �6 P btL i TA
Suffolk County Tax Map No 1000, Section
Block
Lot
Subdivision
Filed Map.
Lot:
Permit No. 3 5
Date of Permit. IC 25
Applicant:
x
�,
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,25 , &`U
GQ�-o85-5
c6 _?_ 3 ( 717(0
Underwriters Approval:
Final Certificate:
j (check one)
-�, .J
Applicant Signature
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. 31553 Z
Date OCTOBER 25, 2005
Permission is hereby granted to:
ROBERT I JR & ORS SCOTT
700 MCCANN LANE
GREENPORT,NY 11944
for :
CONSTRUCTION OF A DECK AND RAMP ADDITION AS APPLIED FOR. THIS
PERMIT REPLACES EXPIRED PERMIT 427603
at premises located at 700 MCCANN LA
County Tax Map No. 473889 Section 033
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
Fee $ 150.00
GREENPORT
Block 0004 Lot No. 017
20, 2005 and approved by the
25, 2007.
ORIGINAL
Rev. 5/8/02
.3 lSs'3-t
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUL
[ ] FRAMING / STRAPPING [ INA
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: �-CJ
DATE /� �� - INSPECTOR J
-- i
\,P �,
FIELD INSPECTION REPORT DATE Ts COMMENTS
—
a=�=xxaaxxaa=x=xxxxxxx -- _x=sm=�=peeve=ae==exe==xxxxmxex—e_xaxx_xx=xaax=xaaxaax
4
H i
FOUNDATION (1ST)
y„
_
c
y r
FOUNDATION
[�
.(2ND)______
^ti
0
ROUGH FRAME 6
PLUMBING
r
y
INSOLATION PER N. Y. t .
STATE ENERGY
CODE
FINAL
n
G
ADDITIONAL COMMENTS:
r
v
4/
� M
ld,f,� ; ,? _ y_ 1-7 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET70,;) 0,;)
VILLAGE
DIST.
SSSU'yB.
✓ LOT
(jam
FORMEROWNERA A S
IV r,/'
N
E
ACR.
I �/�
AR
r
S
W
TYPE OF BUILDING
tES. D
SEAS.
VL.
FARM
COMM. CB. MISC.
Mkt. Value
LAND
IMP.
TOTAL
DATE
REMARKS
YS..�'��'✓
i.: i i J.:..�A�/ �
�l Z "' d � l.? 'N. wt�'! �'✓lNV
e
t6�
"y000
0
1(4-1.1 /cC
d
/crUU
..✓'�/iD
7�?'D
/O
b LZ —
O
11 1n S<ntfe�i
0 r S NI _
S3 &r)a
o
oo�
vb
9�'Oa
.3 z/qs
NEW
NORMAL
BELOW
ABOVE
FARM
Acre
Value Per
Acre
Value
billable 1
Tillable 2
-illable 3
Voodland
;wamplond
FRONTAGE ON WATER
Irushland
FRONTAGE ON ROAD
-louse Plot
DEPTH
r;
�...-"
BULKHEAD
'otal
DOCK
_
_. om^-IT116 �M "'�_
L-78-
COLOR
TRIM
!'
i
-41
Y
_j
Mi-
}
1
M. Bldg.
2 7 k ,a -j-
FoundationLt
j j .
Both
2
Dinette
Extension
L X i t L ql
Basement
G ✓.
Floors
S
K.
Extension
c a
Ext. Walls
Interior Finish
LR.
Extension
Fire Place
Heat
✓
DR.
Type Roof
Rooms 1st Floor
BR.
Porch
Recreation Room
Rooms 2nd Floor
FIN. B.
Porch
Dormer
Breezeway
Driveway
Garage
Patio
O. B.
Total
l rt 9,e u/ 1 V,7� -soca
T - 3®/s 5(9
Q�JE,• .9uwu>7 Z7, Za0/
�lyrEi/'= 30'
z
/i97i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
' � r
BUILDING PERMIT APPLIC Ar1UN CHECKL
�", 3 /s53
PERMTr NO. L,�2 7� C3 z�--
Mj7
Do you have or need the following, before apply
Board of Health.
3 set ofBuilftPLms
Vii'
Check
septic Foam
NY.SA.B.c.
Trustees
contact:
Mail to:
Phone: X71-131 �
APPLICATION FOR BUILDING PERMrr.
Date q"(o-ol 20
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Piot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets s
areas, and waterways.
c. The work covered by this application may not be commenced before issuance ofBuild mg Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a perm
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 what4o-ever until. a Certificate of Occups
is issued by the Building Inspector.
APPLICATION IS EUMMY MADE to the uilding Department
e issuance of a Building Permit pursuant to the
Building • • . • • n : n • • . • • • •Southold, •Suffolk • o i•York,, : • • • , .. Ordinances
applicantRegulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
agrees • comply with all applicable laws, ordinsinces, housing
n •regulations,
_
:• • • • .0 • to
. •:mut
u•• e , • •. • .m � u,• . • , u• • ..inspections.
�i.Jr
i
Q01 r IF y_,tsr MobAR 00 A-) kl I (9 35
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Rod V- C, -4�a4 , "Q , a3tuesrb • .k, k� L ao n K �1
(as on the tax roll or latest de
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
1. Location of land on which proposed work will be done:
House Number
County Tax Map No. 1000 Section 7 3 Block_
M
Sc -r�
nl.-1��111• 1 :111 1 MITI HI 1 I X111 %11 1 11 �1 %111%1 1 1 11/ I Y11 1 IMI 11
a -Existing use and COCCI IM05r
b..Intended use and occupancy 4� r o ti"
Nature of work (check which applicable): New Building Addition Alteration
RepairRemoval Demolition Other Work (Des 'on)
Cosh 0� Fee
Estim�(to be paid on filing this application)
If dwelling, number of dwelling nnits__� Number of dwelling units on each floor
If garage, number of cars
If business, commercial. or mixed occupancy, specify nature and extent of each type of use.
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.
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Size of lot: Front Rear Depth
0. Date of Purchase I S Name of Former Owner n e L ' 1 O "
i. zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation:
3. Will lot be re -graded Will excess fill be removed from premises: YES NO
4. Names of Owner of premises Sc°t " Address Phone No. 4 ? - 2Z
Name of Architect Address Phone No
Name of Contracto* Address iio F r £-ut f}21 oa Phone No. 7 - l 7 y
5. Is this property within 100 feet of a tidal wetland? *YES NO
• IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK
SS:
:COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
3.)He is the
Agents
etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
mat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erfonned in the manner set forth in the application filed therewith.
wom to before me this
/o day of
�2001
-EUZRgETR7CSTATHIS Signature of App '
NOTARY PUBLIC, Stateof NewYOfk rit
No. 01 ST6008173. Suffolk County
Term Expires June 8, 2D.02i
Je Lo r a n Sc o
-
((o o !NI 1c C �;4 n La n�
kRVN
srx ctdai f 31 lY)C w dick a AJ-,#-
4uK Cc A r)-45
ay
6 c l cpda,-
4,u 8 C C A lk'c
t, i. cro i o+
OCCUPANCY OR
USE IS UNLAWFUL
WIT HOUT CERTIFICATE
OF OCCUPANCY
ONMASOM
N =BM
j;MG DEPA TAT
1.1802 S AM TO 4 PM FOR THE
- IFOLLOWINGINSPECTIONS:
�LOUNDATION . TWO REQUIRED
POUREDCONCRETE
_ i OUGH • FRAMING & PLUMBING
0 INSULATION
-_ --- 4 INAL . CONSTRUCTION MUST
BE COMPLETE FOR C.O.
-ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION 6 ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
----
--- ----
X2CcA
� T T T T D TNC n P T? N41 T` P YIT1 TT T� CYT
Applicant/
�p�
Date
Owners Name:Co TY
Reviewed: Vz,0 /0j
Architect/
Date
Engineer:
Submitted:
SCTM #:
District: LM Section: Block:
/7L -(.ot: 17
Project
(.vocation: 700 /W
-�.—
Subdivision
Name:
Sin&lc & separate 'Required ,�
99
certification: {Yes / No) /)O
Req -.Req
• zoniar I)istricc/\y (I of sizi:
Actual:
J (Lacuveragc hropn,cd // J
Req. �` J Req J
(Front Yard3-.S ( Prdposed JS I (Sidc,Yard / S Proposed: ) (Rear Yard 8 5 proposed-
Project Description:
kGENCUERMITS
Permit
D FOR RVIEW
�ZUIREE
N.A.. NO
..
YES Number
Suffolk County Health Dept.
New 'York State D. ' E. C.
Town Trustees
-
Towri Zoning Board approval:
Town Planning Board approval:
:
Flood Plane Elevation:???
Flood Zone:,
�Q f�