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
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~r~gnature
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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
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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
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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
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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~
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TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
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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
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~uilding Inspector
JUL27
APPLICATION FOR BUILDING PERMIT
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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. ,----
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'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
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Name of owner of premises
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(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'
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Notary Public
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