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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�