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Home My WebLink About30351-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31782 Date: 08/28/06 THIS CERTIFIES that the building ADDITION (STREET) Block 2 CUTCHOGUE (HAMLET) Location of Property: 30485 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 102 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20, 2004 pursuant to which Building Permit No. 30351-Z dated MAY 25, 2004 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY JO VERITY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~-- Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ 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. 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, Commercial $15.00 'l - ;25-0 G Date. New Construction: Old or Pre-existing Building: 301~5 MA ,',.j I2.A p(j" r Hamlet Nt A-~ J'o Suffolk County Tax Map No 1000, Section (check one) eU.~ ~ IA e... Street Va;fl/ tGll~\ "'1 I ' 10 ~ Block 0662- Location of Property: House No. Owner or Owners of Property: Lot rJ :2...tJ Subdivision Permit No. 3~"3.s ( Filed Map. Lot: Date ofpermit. ~ :J$ .0 <( Applicant: 4/ Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate ;2..5 'Vj,C ~ Final Certificate: (check one) Fee Submitted: $ ~ ' ( ()~) I~ure J eu-.ICl %1( c.o c 3\18 '1- 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. 30351 Z Date MAY 25, 2004 Permission is hereby granted to: MARY JO VERITY RR #1 30485 MAIN RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR; THIS REPLACES BP#7173; ENGINEERS CERTIFICATION SHALL BE REQUIRED at premises located at 30485 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0002 Lot No. 020 pursuant to application dated MAY 20, 2004 and approved by the Building Inspector to expire on NOVEMBER 25, 2005. Fee $ 150.00 ;It;; ~~ (l Jd~ Authorized Signature ORIGINAL Rev. 5/8/02 3035'17- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [74 FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~.~ ~ ~~~~7t: DATE r~ ';-}_O, INSPECTOR ~~ ]oJ.s-1 :Z-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [X! FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: .t b -IS- __ oS- A. A ~..1'_ DATE INSPECTOR...-' ~/~ FIELD INSl'ECTION REPORT DATE COMMENTS ~~ FOUNDATION (1ST) D-J~ (J, ::l "" ------------------------------------ FOUNDATION (2ND) k'~ ~,1>1 '\ ..........,----: 'Z fs, IS-- oJ,:;' A_ , 1',,_ . .::-n ~ _ - -- tAl, -" 9 .I- ~ -ur<;, ( hlJ D -::- .o.~ .~ 0 " 1""'< , 0 IJ W - .1 CJ Y ,I / , " . -L", ~... --~~ <.,I;f;; ROUGH FRAMING & .. . I", PLUMBING ... t y , ~ , ; "'" INSULATION PER N. Y. 1>1 ... STATE ENERGY CODE " f . L _ .n ./J I )(-(J] '"lJ.. ~ '. f/ _ A ~ ~ -'. \' "r ' ... / ./ .A7~- , ,:...;p ~ct' _ ~ ,>-/7 '. ~. . FINAL .~ "--\ If;- . ADDmONAL COMMENTS [\l ( hi , _0 :E 't~ '( ~ -'S;' t, ~\ ~. 1>1 ---- ~ ,rf-- - ~ '-:'\ ... 6 - 0 l1 Z = \ I:<l ;.- ~ "'" ... .. = 0 I:<l ~ " ~ tv [ " () + ();o v -' ..J VI c A, );11- J 'I '~j TOWN OF SOUTHOLD, PROPERTY RECORD CARD STREET 30'1 ~5 d.,' ~d N C~I\'}",T-ea S f>79)J FARM VI LLAGE DIST. SUB. LOT /~(JC>- 0).-:2.-20 OWNER 1/ /;1.. erl E c.. e- m (. f~ Ie L ACR. . If I / TYPE OF BUILDING' .r'1' @I? \\~)..6."" 5"'00 SEAS. W VL. COMM. CB. MISe. Mkt. Value IMP, TOTAL DATE 'REMARKS ~( ; ..~iII. ... ;",'A 7;... .J"..~-f/~i1~ is .,,~ 41-1-""1, !o ,.fJ ,J; ~J,.J.,J. ~":I!iKt!..~~J-L~"t[:~) &..J~f 14 84)/<:Y, R. 'SlidE'! /~ /1, VJ::lf'/n' fifJl' .p / 32. II. K E c.. ,. :#2(J~(. 'Bv;/.{) ~WI/f1 ?D.L [e. ,.'too" , - 0 0 &>0 00 '(co 00 'Ii 0 () t 'B M i'-L4 t5 500 Tillable 1 Tillable 2 Tillable 3 Noodland ;wampland " . -" T:;. t' l"".s t -ff, l:l..~ .<:ft, n 9P;Y? In (Q) 6.bO: b-S"'b I(ed'r-. 3rushland DEPTH BULKHEAD ;ouse Plot ~~ -atal_ _ -...... DOCK' ., , " '. . COLOR .. . (;.., eeV\ TRIM ~ . . or- ~...--:~ - ".'-'.~,. "t:<' r -,,- -,I" ., '.-- 1'1- .J .1 I , . Bath .L- Dinette Floors or. /{ . -.,j K. Interior Finish :u~ ~ <'c/( LR. Heat I/o DR. Rooms J st Floor / BR. Rooms 2nd Floor FIN, B. M. Bldg. oi, f?x: ;, ~= "c" i '-5'00 39J6 Foundotion ~/!\- 8Lo 'x - - Extension / 7x.f';.' /.< t:. 3 1/ 0 t Basement f -<<>> o 0 .: ~'-r--.,?"(Ly, , Extension Ext. Walls H1 Extension . /10 Fire Place t:tb~(j t'orcn a La.,. Porch , ;:':;'J( 7, 1'7:'- ~/J 0xf--- va.J /~ Type Roof __ 3'.:?'-4, Recreation Room Dormer Breezeway Garage I e. A 1? '. Potio J'",,,;" I>t (" iIi. (f',<o " O. Bh~", . 'S '<.?(, ~ ;"''\j ,,_ (~' Total so '100 .7~ 2-1&;, 51,(;{) It) J. - .$ I 0. . ..:::;:..-.-- ~. ~I' ;:;~ if 2--<'~ (-", - Driveway I ~ . . FOBM NO. 1 TO~N OF SOUTH OLD BUILDING DEPARTMENT TO~N CLERK'S OFFICE SOUTH OLD, N. Y. Examined ....~...U............., 19.7.v..;U~...; \ Application No. ?!...?!................. Approved .............~.........LL.........., 19.7..1. Permit No. 7.0...?..2........-,..... Disapproved a/c ..... ............................................................-............................................ ............ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Dote .........~..lJ............, 19..!..Y..... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving 0 detailed description of layout of property must be drown on the diagram which is port of this application. 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 0 Building Permit to the applicant. Such permit sholl be kept on the premises available for inspection throughout the work. e. No building sholl be occupied or used in whole or in part for any purpose whatever until 0 Certificate of Occupancy sholl hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with 011 applicable lows, ordinances, building code, housing code, gulatians, and to admit authorized inspectors on premises and in buildings for necessary inspections. .........iSi.9~.:.(~~ t:..~~..~~;;;~:..if .~.....;p~;~ii~~j........ ..........2.~.iAdd~~~~.bf..~ppii~~~ij............. ..... ...?j. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........................................~....................................................................................................................... Nome of owner of premises .........~......: .................... ........................................................................................ If applicant is 0 corporate, signature of duly authorized officer. ........................................................................................ (Nome and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ................................................ Electrician's License No. ............................................ 2. Other Trade's License No. .............................................. i-. K. 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No. ........................ Street and Number .........!1A:I.v......&l..............c.j.).relt!?~.....h.J:I....................... ...................... ......................... I Municipality :tat::i::::~:g u~:e a:d ::::::~ .~~.~.~~.~.i~~~.~.e~..~.~~(C.5..~~~~.~.~~.~..~.~.~~~~~~~:~~:............... b. Intended use and occupancy ...........Q~........~....(&&.J....................................... 3. Nature of work (check which applicable): New Building ................... Addition ......./....... Alteration ............... Repair .................. Removal.................. Demolition .................... Other Work ................................................ ~ (Description) Estimated Cost .......... ..........ll~.......... .... ..... .... ....... ..Fee .. .... ... .......... ....... ................................................ .... ............ (to be paid on filing this application) If dwelling, number of dwelling units ............................Number of dwelling units on each floor ........................... If garage, number of cors ............. .......... .......... .......... ..... .......... ..................... ............... ......... ................ ... ................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .................,.......... Dimensions of existing structures, if any: Front ..........~:J.~........... Rear .......~'].!................... Depth ....:0.~......... Height .......~............ Number of Stories ..................;;L........................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ I Dimensions of entire new construction: Front ...........5t!................... Rear ...........I.-:;{,.~........... Depth ........fJ............. Height .......~..~.. ..... Number 0; ~ries . ..... .... ............... ...... '~""r" ... .... .......... ... ..... ... .... ..... ............... S7.i.l...........~. Size of lot: Front ........................................................ Rear .....2.................................. Depth .......l........................ Date of Purchase ........................................................Nome of Former Owner ........................................................ Zone or use district in which premises are situated ..............A.:................................................................................. Does proposed construction violate any zoning law, ordinance or regulation: ............W..................................... Will lot be regraded ...........~........... Will excess fill be removed from premises: ( ) Yes (;X) No Nome of Owner of premises ..........'3.(t.I'!.\.t,.............................. Address ................................ Phone No. ....................... Nome of Architect .....................:::-:::................................... Address ................................ Phone No. ...................... Nome of Contractor ....................::-:::-................................... Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 4. 5. 6. 7. 8. 9. 10. ll. 12. 13. 14. I \:l l:l' a w E K 1':51 10& ~0<'nJ(<~ 1=_ 8"' u ;;lS-' ~ Ii' ~' I (_1- "RoUTE.. J.) 26'0Tf,-$F o~~js.s .................................................................................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contrad) above named. 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 011 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. Sworn to befzr me this ~. 7"'/ ............//..:?"l"~~~Ar....... . .... '7...../.........., 19.7.r ~ Notary Publ~, ....~.. ..~ County ..................U.......isi~;~.~t~.~ ..f..~~~ii~~~tj....,. ..................... JUDITH T. BOK,N Notary Public, State of New York / No. 52~0344963 Suff,:;lk Coun!11<... Commission Expires March 30, j'l~,~ , ~~~~~ I ," ~-!~%/ / :J / ,'_.( 1/ ',' ,:D..A';; /, I, ' Examined ..~..J.L............." 19.7.1. ,. /I f Lj Approved ..................,...............,....., 19........ Disapproved 0/ .. ........... ...... .............. FORM NO.1 ':Jj,5fr at' ')-4/"""..~ ~-::- '"'C'" TOWN OF SOUTHOU>/",,"^> ;,: L_ 7t "; ~ BUILDING DEPARTMENT ~ . _ r.~ . ..... <..... TOWN CLERK'S OFFICE q I.' fUJ/ ttd ~:- ~ _ --:t......\ SOUTHOLD, l'4. Y. q.. iE,,).. .".~., , "1Y( L.. -\ /<'/'1 "rv'/'.". 3 J( (1" ", 'N' r... II ~(3) ::. ill";.. .. Applrcotro.n No. ...............................~ 7/ I ~ 12..!..- 6( v arc J' "r,..,r., (f,a.\.o" Permit No. ..................................f!-v{V...vH-d 3D~S J ~ ....." Vl J \ \;.) <:> APPLICATION FOR BUILDING PERMIT ~ ,) -l:. . \ '1'i ~ Dote ....... .. ..............1....................., 19.......... . ~ o. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building ~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b, Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or >>-\ areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. "U 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 permit r. shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ;:'1' ", j ~-\ .,....................~............................................ (Building Inspector) INSTRUCTIONS 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 c egulations, and to admit authorized inspectors on premises and in buildings for necessary in~ection~. ....................... pplicant, or no State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~:~;~:~:~:::~:~~~:~ ~ ~ ~ f (Name and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ................................................ Electrician's License No. ............................................ Other Trade's License No. .............................................. It A. 1. Location of land on which proposed work will be done, Mop No.: ........I'::,......................... Lot No. ........................ Street and Number .. ..J:\h:LY.........\M.......... ...~y.Jr.~+.Q.u,.QL......r.J..Y............... .. ,........... ....... ... ...................... Municipality 2. State existing use and occupancy of premises and in!ended use and occupancy of proposed construction: o. Exisiting use ond occuponcy .......t!.~.U!..~...................(,\:\?y..$.~J..............."............................................. b. Intended use and occupancy ...........p.1C.lJ.\c........ARr;::A............{L1?:~.~)..... ....,........................................... A-b ~ , " ~ --.J "'" 3. Nature of work (check which applicable): New Building .................. Addition .1/'........... Alteration Repair ................l Removal.................. Demolition.................... Other Work ....................iD~;~.;jpti~~.j........ ... Esti mated Cost .........\ .1. $.. .'. 9:9................................ .Fee .......................................................................................... 4. (to be paid on filing this application) 5. If dwelling. number of dwelling units ............................Number of dwelling units on each floor ............................ I f garage. number of cars ...... ..... .... ........ .................... .... ..... ....... ......... ........ ........................................... ........ ... ........... 6. If business. commercial or mixed occupancy. specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ......~~1................ Rear ......i~l..................... Depth ....?-:5:....... Height ....~~............ Number of Stories ...........~................................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ I 8. Dimensions of entire new construction: Front ...........8.~.................... Rear ........!.~.:............. Depth .......'}............. Height ......::J. ~.. ....... Number of Stories ....... ........ ........ ....... .... ......... .... .... ... ................. ... ...... ......... ... .... ... ...... ....... ...... 9. Size of lot: Front ....................~.'..n5.:"..I................ Rear ..........(~.:..rJs:.~............. Depth .......t$.':P..~............... 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...........A....................................................................................... 12. Does proposed construction violate any zoning law. ordinance or regulation: ...........1,)0....................................... 13. Will lot be regraded .........~C............ Will excess fill be removed from premises: ( ) Yes (>() No 14. Name of Owner of premises .............~.~.......................... Address ................................ Phone No. ...................... Name of Architect ........................~............................... Address ................................ Phone No. ...................... Name of Contractor .........................::::.............................. Address ................................ Phone No. ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings. whether existing or proposed. and indicate 011 set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot, ~ I f"/ I I [;)./ '1 ~ T II) I \ \ 11'\ f ,- 1:1 ' -- ISo' ---- ---- tJ }- iO~ ISTl,J(, t- -~g/- '5TIWen;;2f-. ).. .J '" ~ ~.... '>'1 C> (. "?o' I I ~ r(S- \<au I ',:. :>...s- ~1'GTf-r$F o~~....Js.s .................................................................................................being duly sworn, deposes and says that he is the applicanl (Nome of individual signing contract) above named. 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 true to the best of his knowledge and belief; and thar the work will be performed in'the manner set forth in the application filed therewith. ~~~:..tf!.~~;aeyt;~s:::7'..~~.... 19'?'f' ~ Notary Publi~....2..:.J.Qfi.............. County ..............{)..........isi~... t~ ....~f.~~~ii~~~t.) ........................... JUDITH T. BOKEN k bl" Stote of New Yor NolOry Pu 'C'963 Suffolk coun~Y No. 52-0344 0 19 .' Expires March 3 I Commission