HomeMy WebLinkAbout32290-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-3l777
Date: 08/28/06
THIS CERTIFIES that the building ADDITION
Location of Property: 1175 WELLS
(HOUSE NO.)
County Tax Map No. 473889 Section 63
AVE
(STREET)
Block 7
SOUTHOLD
(HAMLET)
17.10
Lot
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 15, 2006 pursuant to which
Building Permit No. 32290-Z
dated
AUGUST 15, 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 ROOF OVERHANG ON THE EXISTING FRONT STOOP OF A SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ROBERT & HELEN COCHRAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~
/PLe--
Authorized Signature
Rev. 1/81
.
Form No.6
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
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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 Slll"Vey 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 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. 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
I. 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
Location of Property:
~s-
G/f.e...D~
Street
H-eJe~
Date. 8/ /tf lOb
~ (check one)
c+---
~
Hamlet
New Construction:
Old or Pre-existing Building:
House No.
Owner or Owners of Property: --f,?D ~ 0 'l) 5{- ~
Suffolk County Tax Map No 1000, Section fr) ?S
CDC~
7 Lot
1 7, 10
Block
Subdivision
Filed Map.
Lot:
Permit No.
Date of Permit.
Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fcc Submitted: $ ~ 5, oJ
lAzy luc {J~ ~
Applicant Signature
~. 7()f> 5b
(,O-f.; '3 f7 7 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.
32290 Z
Date AUGUST
15, 2006
permission is hereby granted to:
ROBERT & HELEN COCHRAN
PO BOX 1623
SOUTHOLD,NY 11971
for :
CONSTRUCT A ROOF OVERHANG ON THE EXISTING FRONT STOOP OF A SINGLE
FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 25141.
at premises located at
11 75 WELLS AVE
SOUTHOLD
County Tax Map No. 473889 Section 063
Block 0007
Lot No. 017.010
pursuant to application dated AUGUST 15, 2006 and approved by the
Building Inspector to expire on FEBRUARY 15, 2008.
Fee $
75.00
A
ORIGINAL
Rev. 5/8/02
}ff-~ 0 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [)<1 FINAL 0- 6() F)
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE r - Il- 0 ,
INSPECTOR ~~L
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:-'lELD I:;S:;::C7:():~ !lu.~7S 11
1.
fOUNDATION (1st)
FOUNDATION
(2nd)
2 .
ROUGH FRAME &
PLUMBING
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
4.
FINAL
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FOHH NO. I
TOlIN OF SO\!T1101.1l
IllJILlIINt; 1lI~I'AllnmNT
TOlIN IIAI.I.
SOlJTIIOI.D, N.Y.
Till.: 765-lfi02
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BLDG.DEPT
T WN' F S UTHOlO
HOAHIl OF I"'AI.TII .........,....,
-] sins OF I'I.ANS .........,.....
-SlJIlVln ........................
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SIlI'T1 C FOIlH ...................
1197 I
Permit t<<>.
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tIOTIFY:
CALI. : ..1b5.5~~.:5
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AI'I'HlVl,I.. 'j'C7cv'j'1..:., 19....
HAIL TO:....................
Difi;lppluved a/c
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(lJui Itlillg Iampeclor)
A
FOil II\! J L111 NG l'IlllH I 'I'
I NSTIl\!CTIONS
Ilale.-::f.~..~.... ,19~.
a. 'Ihi:l HpplicaLion nllst he cu,.)letely filled ill by lYPl......lriter or ill ink and suhllllfed to lhe Building Inspechn \"ith
'J sels of plans, accurate plol: piau to scale. Fee Rcconling to schedule.
h. Plot plan showing location of lot ilHd of bJildings on premises, l-elatiollship to adjoining pn..-1niReS 01- puhlic
!iln~els or a....ea.s. and giving a detailed clescription of tayo.lt of property nllst he dra\-1U 011 the diagran wbkh is part of
lhi:> aPI'J ictltion.
c. 'Ille work cove re<I by this npplicatioll fllay I~ot he C(l\l1erK:~1 befm-e isslk'loce of Building Penllit.
d. Upon appnNal o[ Illis appJi<:ation, tile IllJiJding Inspector Hill issue a Iklilding Permit to Ille ;Jpfl1iemll:. SOdl
J)(!Jlllit shall he I{ept 011 the IJremises availahle for inspection lhro,ll~\Out the \-.'Ode
e. No huilding .sImll he occupied or used in whole or in part for any ~Irpose whatever lUltil a Certificl1le of
Ol:::nlpancy shall have heell r.rante<1 hy the Illli lcling Inspector.
^I'IJLIC^TJ(~ IS IllmmlY "WI~ to the Building Departn"elll for the iss1l<mce of 11 Building Permit P.lfSHHllt to the
llullding 7.one Ordinance of the 'l'o.y,-, of So,Jthold, Suffolk Cotnlly, NL->w Yorh:, and other ap)>l kahle I.;JWs, Ordinances or
Itegulations, for (he consLn~lioll of huildings, aclcliLions or alteratiolls, or for renoval or derml itioll. as herein
clescdhed. 'Ihe f1(1plieilllt agrees 10 CU'111y with all npplknhle ];-I\.m, ordinances, ',,\ilcling code, housing ccxJe, nlxl
reglllaliIK'S, ",.1 10 ",luit: lIullKJrized iIlSI.,cIOr" '"' l"c<"ises ,,,.1 ill bli 1<1 i Ilg for Ilecessary illl'>eclims.
...........+..~~...~.~.~........
(Sigfl:llm-e of appli(:unt, or Ik'"J,e, if a coqxlfiltion)
.TO.60x.. !~~3. .~~\&.~. ).l~l,
(t-Iai ling i)cklreHS of appl kant) - 0
~i1'ale ,..Al€ther applicant is OWJleI". le.sS(~, agent, architect, engineer, general. COlltr..actor, electriciall. phllher or hoiJtler.
..............................................................-........................................................-
... . Rnbed. c...~. J-\cl~~. .~~.. .CQC~I~.Ii\................ 1....................
.(as on (he IUK H)ll or latest deed)
N<.,.~ of c'-'loer of Iu'oni ReS
If appl kallt is a corporation, !'dgnature of dilly lUllhod?e<1 officer.
.........................................................
(NCIlI(~ and l ille of corporale officer)
Builders License I'i).
Phll"~I'S License No.
E1ectdcialls License No. .....................
Dlher Tnwle's License t-l"). ....................
11x::ation of land OIl \oAlich propof".ecl 'work will he ckme.... ~5. .G\~~ .C~.:........................... ......
.......!as............. G.~ ~~~~~.. CP~r:+--.......................... .~. ~.l::~.\.&.....................
I.
IkxJSe N.llher Slreet II<:.nlet
Co,lUly TnK Mill' No. I(XX) Section ....(;.3...... Bl{x:k ......7...... Lot ..../7"'..!.(J.
Sul.livisi... .. $1!lu.-i4.M.. .G.....r.d~I.lI~......... I'i le<I ~hp t.,. ............... I,:, ..... /.c?......
(N",.,)
2. Stale e.istil~l use ",.1 ocml""'y of I'm"i"es ",.1 illle..k~1 "se ",.1 (K:"'IVlIK:Y of l"o[Xlsed cOllslruclio,,:
a. Exisli"ll UHe ",.1 (lCmlvmcy ... ..fti~.. .\.e..$icluv-.CE;:.......................................
h. 1"lel.1eI1 use ",.1 (lCC"'IVlIK:Y .... .-.p.\:"\ ~.o,.r:~... t'~.f<l(o,Ce....................................
I.
P':llllll!
ltt~pil i r-
of \AHk (dM~ck \,Add! nl'tllicllhle):
.... HI3110val . _... _.......
U:_~" Building ..._......
Ill:~mll il:ioll _...........
I\lkl i t ion .......... ^llerill ion _.........
01 he r lill k . Q V F.~. 'it.IWJ . 4:M< .f'l:~'Y. f. bcC'r
~f)eH(:ript ion}
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E:;l il11<lted Cost . ~-(..1.. (J.O. ~.~.... _...
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I f (~xd I illg. I1Illh~[ of (}..lfd ling lI11ils . fl:.-. .\.~. U..I{)f!r of
J[ glHilgt~. ..Jl.)CI" of <:tHll ._....~...~.L~....__.....
fee
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I)(~ paid 011 fi I ing thin Cll'pJ icntioll)
("',^~11 ing \I1l11!l (>I. 1!!H',h floor
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If' 1,l\I~lilw::!lW, ccll1lel'cinl (II' mixed e)(:cupUl)CY. r.pl!cify IlfJltHf! 1ll~1 p.){I~llt of enc:h
type of ""e.....~(~
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lJilll(~lI!1io(w of eKial-ing atlueltln!R, if any: FloHI _ _..
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......... Depth.....,....
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lJill'l:!Wlions of sllIe flllUcl\ne wilh
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r"llh~~I' of fil Cld(~1l .......
idle'Hl.i(~lS or additiol1:;: Front: ............... Heflr ...........
U_.her of !>todc!l ......._._.....
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I).:)(~:I propom!11 COll:llluction violnle <lilY zO'llh'l~ Inw, ordinance or n~g"I!ll.iou:
\iill 101 I)o(~ regladecl ........41.0..... Hill eKC€Hfl fill he H'I117ved frull Ill('fllinell; YEB
I'...,.. of (kn",. of I'mn;,,".. ..!30h4-~./!iJ.~tJ(M. "'klle.." ;s..~.C!f.~...........
tlar'(~ of ^rchitet:l ..*..~.\:+..l(~.(..<--:{'-.-.?:..:1... 1\lt..lll_U.~ -...~7~._....~......._.
tk"" 01' ("",1,"<:1 or .C"", l~~.l~. .!:! P.e..~<.".>('. . .... . . . ... "'kl,,,..s . .f119.[ 5.~fAM-.. . .&r-!~.. . . ..
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IB (his plopclly within )(X) feet of fI tidal 'Jetlnnd'l *- YES ._....._..
'11' YI(S. !U1I1(Hll 'IUM 'I1nl!;U~(S ml~IIT ik\Y IU( H1~~IIIlI(Il.
1'1.0T III hl;HMI
lOGlte dearly III wi distinctly nil IJl.dll\ing!l, \.Alelher existing 01- proposed. nud il)(licnle ull !;cL'-hnc.:k ,1iIlW",~lHdnl\~1
flltll plnpetty lirles. C;ive RLleel: nocl hlock Ull.)eY (lI- deHc:rilltioll nccotdlng 1-0 cleeclr mwl rJt<JI..1 slreel nareH 1)nd il"lieil!r:!
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(Conllnclor. agellt, COIPOlillp. "fricer, etc.)
0'- !;aid 0""'"M.:' ,- 01 (Ml)(~T-!l, Hud in duly "lIlhori;>:(~d to l'ed'OFlll or lraV(~ l)(!rh)l'l'(~d the unit! work UlKI to mnl({~ lHKI fill! thi"
oPl'licnl.ioll; {hul. 1111 Slillf1'''~lll.fJ cOlllai'K~d illlhin "I'plicnlioll me '11l(~ to lhe helll: or hin knowledgp. Ilno:! l""di(!r; ulld
I It:! I lhe '--"lrl{ \Jill I){~ perfotHI(~1 jn tin! 11"'IIlIK~" nel fOlth ill the nppliclllioll fil(!d theIL'With.
!MHIl to hefolp 11r~ thin /'
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H. Cochran's House Front Door Porch Overhang List of Materials
Quantity DlscriDtlon Unit Price Total Price
1 10 2x6x 12' Douglas Fir
2 2 4' x 8' x 5/8" Sheathing Grade Plywood --
3 1 Square 18" Perfections Red Cedar Shingles
4 1 Tar Paper Roll
5 1 Pkg "step" Flashing Aluminum
6 50 sq' 4" x 5' Wainscott
7 4 8" x 3/4" x 12' Facia Board White Pine
8 51bs Nails 10 penny
9 51bs Nails 8 penny
.._---~-
10 51bs Nails 6 penny
11 2 Posts
12
13
14
m
15
-
16
17
18
19
20
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
/cQ,,,
3:)-,Yjo
~ED AS NOTED
OA~, YF~~
FEE: 7S- ~ BY
NOTIFY BUILDING DE AT
765-1802 9 AM 10 4 FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. :NSULATlON
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION a ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS
PERMIT MUST BE KEPT
COMPLETION OF THE
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ON THE PREMISES UNTIL FULL
WORK AUTHORIZED)
28, 1998
PERMIT NO.
Date AUGUST
permission is hereby granted to:
ROBERT & HELEN COCHRAN
511 7 0 MAIN ROAD
SOUTHOLD,NY 11971
for :
CONSTRUCT A ROOF OVERHANG OVER THE EXISTING FRONT STOOP OF A
SINGLE FAMILY DWELLING.
at premises located at
1175 WELLS AVE
SOUTHOLD
County Tax Map No. 473889 Section 063
Block 0007
Lot No. 017.010
pursuant to application dated JULY
13 1998 and approved by the
Building Inspector.
Fee $
75.00
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ORIGINAL
Rev. 2! 19/98
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EALTH DEPARTMENT
H.D. ReF. NO.
DATE
THE SEWAGE DISPOSAL: AN~WATER 51 PL.Y FACILITIES FOR THIS
LOCATION HAVE BEEN NS. ECTED BY THIS DEPARTMENT AND
FOUND TO BE SATIS AC' RV.
a.. ~'"t. fE.
Chief of Wastewater Management Section
SURVEY FOR
ROBERTC. COCHRAN a HELEN M.COCHRAN
LOT NO. 10," SOUTHOLD GARDENS"
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
DATE'
SCALE'
NO.
FEB. 9, 1987
JAN. 23,1987
AUG. 6,1985
OCT08ER 16,1984
I" = 50'
84 -1027
HEALTH DEPARTMENT-DATA FOR APPROl/Al TO CONSTRUCT
. H[A"EST WAT'VI ..IN:-n\~!...~ .. SOURCl OF' WAn", PIl!llATE _PUBLIC_
M SW" CO. TAX Mol.. &MY ~ !fCTION..Q!L ILOCk.221- LOT .lL.lQ
!if THEM AM NO OWELLI.... WITHIN 100 FEET OF THI! ""OP["'TY
orM(" THAN THOSE SHOW" HEftEON.
.. THE WATEfI SUltllL Y AND S[.IE DISP"OSAL SYSTEM 1'OfII 1M1t "n I OlMa:
WILL ctwrf'OPtN TO THE STAHo.utDI 0' THE SU"CM..K COUNTY OEptA.lllITfUHT
OF HUL TM IEJIIYICES.
NflLlC....T.
tflJMA.UTHOft1Z[D ALTEftATIOH 0" ADDITION TO TMIS
SU"V[Y IS A VIOLATION OIF SECTION 7201 ()fl'TUE
NEW YOl'tK STATE E.DUCATION LAW
W CO'I[5 f1F THIS S.....VEY NOT I!A....O TH!. LAND
5UI'tVEYOIIll'S INKE 0 SEAL 0" E,.IOSSEO SEAL SHALL
HOT liE CONSIOEftEO TO IE A VALID T"UE COpy
MGUA"ANTEES INDICATED H["[ON SHALL "UN ONLY 1'0
1ME PE:ftSON Faft WHON THE SUftY!.Y IS P"EP.....IW
AND CJrf HIS BEHALF TO THE nTL[ COM,.ANY, GOVIUtN-
MENTAL AGENCY AND U.HOIHG INSTITUTION L1sn:o
H~EON, AND TO THE ASSIGNEES OF THE LENDING
INSTitutiON. GUA"ANTEES APt! rfOT TRANSFEPtAIILE
to ADDITIONAL INSTlTUTIOHS Ollt SUBSEOUENT
OWNERS
* DISTANCES SHOW.. HE "[ON '''OM "'''OPEIltTY UN!:S
TO EXISTING STRUCru"ES AftE '0" A SP'tCIFIC
'UftPOS[ AND ARE HOT TO BE USED TO ESUILISH
PIltOPEftTY LINES OR FO" THE E"ECTION Of' FENCES
ADD"ESS
T!:C.
YOUNG a YOUNG
400 OSTRANDER AVEMlE
RIVER HEAD, NEW 'fORK
NOTE' .= MONUMENT
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON MAY7,1979 AS FILE NO.6812
ALDEN W. YOUNG, PROFESSIONAL ENGINE ER
AND \..AND SURVEYOR N.Y.S. UCENSE NO.12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE 1'10.45893
.. THE LOCATION Of WfLL(W),5tPTIC TAHK('Tla CESSP'OOLS(a-lIl'+OWN ",""EON
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