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HomeMy WebLinkAbout32271-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31760 Date: 08/15/06 THIS CERTIFIES that the building ADDITION Location of Property: 430 TERRY (HOUSE NO.) County Tax Map No. 473889 Section 65 LA (STREET) Block 1 SOUTHOLD (HAMLET) Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 2006 pursuant to which Building Permit No. 32271-Z dated AUGUST 4, 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" RAMP ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT LAWRY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A - .aC' ~r~gnature Rev. 1/81 d-.S-: 00 . . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 JUl25~." L-" '-7',-~-" '-';:"'T-4 TO\:-~Jlm~OLD ' 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 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 Date. 7- d 5- tJ b New Construction:)( Old or Pre-existing Building: Location ofproperty: 'I 130 ~/"/71 ~ House No. Street Owner or Owners of Property: ;(;.J~' ~ U/ Y'-(f- Suffolk County Tax Map No 1000, Section (, c,- Block / ( check one) s~,lcI Hamlet Lot 07 Subdivision Filed Map. Applicant: Underwriters Approval: Lot: Permit No. Date of Pennit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) ~ SPPU=' SOg,,,'= Fee Submitted: $ ~.ez. 70)&5 c.OC.5/7t,O 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. 32271 Z Date AUGUST 4, 2006 permission is hereby granted to: JOSEPH LAWRY 430 TERRY LA SOUTHOLD,NY 11971 for "AS BUILT" RAMP ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 430 TERRY LA SOUTHOLD County Tax Map No. 473889 Section 065 Block 0001 Lot No. 007 pursuant to application dated JULY 27, 2006 and approved by the Building Inspector to expire on FEBRUARY 4, 2008. Fee $ 300.00 Authorized Signature ORIGINAL Rev. 5/8/02 -. ,l c , ' ,~ I 0 l' : ,.- ___J- " ~',T,",',',' n J' !.:: '~::/~ Building Department Town of Southold Re: Existing deck-ramp At 430 Terry Lane Southold - NY 1000-65-01-07 Dear Sir: ANGEL B. CHORNO ARCHITECT 51020 MAIN ROAD SOUTHOLD. NY 11971 (631) 765- 6530 FAX (631) 765- 4643 August 10th, 2006 By this letter, I state that the above referenced element has been built in accordance to the Codes of the time of construction. Sincerely, Angel B. Chorno, AlA Nt8~ Angel B. Choma ARCHITECT 51020 MAIN ROAD SOUTHOLD. NY 11971 (631) 765- 6530 FAX (631) 765- 4643 July 25th, 2006 Building Department Town of Southold Re: Existing Deck-ramp 430 Terry Lane - Southold - NY SCTM # 100Q-65-01-07 Dear Sir: This letter is to indicate that the deck-ramp in question was built previous to the adoption of the 2002 NYS Building Code.. Sincerely, - ~-_.'. -_.,.._~._.",--.~.,"""" /,"r~ " i EXISTING DECK-RAMP 430 TEFff{y LA~ ,/ SOUTHOLD NY RNO ASSOCIATES architects. SOUTHOLD, NEW YORK ALL CONSTRUCTION SHALL MEET W~ 6FQU.Jf1.EMEtiJ~ OF J'1 Cd~W"NMOR\(J~. ,-tv " "" ~}~~ ~ , , PX0 I/If);~<j/i- ~ , \}';, '~ , ",""'~ , . f , W , , I~W- I 'j " , J , .. ~ // I I\, " n >- '( ).{/ / , " ~fo ~ D -=:ez.CJ7.21TIOK/ 'I ft ~ I\JF ..I 7,'-...,;. 11 ' 'W , . :couc .~ -sC~/! -7L'21u'.... /2 / ~ I U ->S'c:4Z:c .' 1- "'- / -0 i I ",' ; , I I I I' /;" t 'l'lY \ I" , '~, Q I / _-I'D -7 ::----. j; ~~Cd( r CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. ~VED AS NOTED ATE: _ 5.P. # 3;;]:2 /'/ b EE: ';uO . _. oY:/~....a-'" -. TIF! BUlL, ,"i3 Tit '';f1TMEt<T AT 765-1802 P! ',i 0 4 "M FOR THE FOLLOV,II\:c; iNS:.)L; ,"- .-)("NS: 1. FOlJi\ JA TrON "r REQUIRED FOR POUF1ED C- ':CRETE 2. ROUGH" FRM,",, & PLUMBING 3. INSULATION 4. FINAL . CONST,:::~T:JN MUST BE COMPLETE F;; C.O. AL CONSTRUCTION SHALL MEET THE IREMENTS OF THE CODES OF NEW YO, K STATE. NOT RESPONSIBLE FOR DE~IGN OR CONSTRUCTION ERRORS. liocCUPANCY OR I USE IS UNLAWFUL WITHOUT CERT/FICA TE OF~NC1_18 .:J~ , -~ TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southoldl .5e?&. r . PERMIT NO. 3~;) JIb BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans ~ Planning Board approval Survey Check '/.:if <; r. 2. C/ Septic Form N.Y.S.D.E.C. Trustees Contact: , ~:1 ,202L /1-(, 20~ Examined Approved Disapproved ale Mail to: Expiration ~lr.f , 20 0 g Phone: 7'5. Lf33c --., r_, ( :- 1 i, j ti..4.- ~uilding Inspector JUL27 APPLICATION FOR BUILDING PERMIT i I L LTr Date ,20_ 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. jO 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 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 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. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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 'gnature of applicant ';hname, if a corporation) ~O2-0 010//1 ~o4' S~~~ /c/ .A-y // f 7 I (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~- Un.MilJ Ilo fu.... f ~ Name of owner of premises L",,"1//~ (A 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 of land on which proposed work will be done: 'f3o I<I?Ntt /qu House Number treet County Tax Map No. 1000 Section Subdivision tr S:~~lcI Hamlet Tl!18 ./OIIA:I t\Cf I"llIIlc oJllIIa .1i1d1l'l '(Isla" 0 7 Block .une033810 .oM Lot F'1~:I~r..~~~,~~ L t 1 :. , ','. &1),,1 t", ";",,,n, ,'.' 0 (Name) 2. State existing use and occupancy of prem~s and intended use and occupancy of proposed construction: a. Existing use and occupancy I<tvuvp firr rye" (~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration (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 Height Number of Stories Rear Depth 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 Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner " 11. Zone or use district in which premises are situated I 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_ Phone No. Phone No Phone No. 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address 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_ * 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) COUNTY OF 5,J(./fc.-St p~ C /llOtJ7U- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~~r, 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. Sworn to before me this. " ~ /.( s;f' I~c'~~ Notary Public ~- //' / ;/ Cl~;-