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HomeMy WebLinkAbout32283-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31813 Date: 09/14/06 THIS CERTIFIES that the building ADDITION Location of Property: 935 OLD (HOUSE NO.) County Tax Map No. 473889 Section 64 SHIPYARD RD (STREET) Block 5 SOUTHOLD (HAMLET) Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore AUGUST 2, 2006 pursuant to which filed in this office dated Building Permit No. 32283-Z dated AUGUST 11, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY CRENSHAW (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 ;)5'6-3)'7 14 Form No.6 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL 765-1802 i I;. -:-'--(~1 n I , .. ._,,1.,,-_-, ._--'---_."-~--,...,._-_._--=-_._--; 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 bnilding 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. Location of Property: 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 Ii Date.~& <r (check one) 3tl CA-'fio(d Hamlet New ConstructIOn: Block C!> DO ~ Lot 0 2( Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision 5 d-:J~3 Date of Permit. 'tlflloCo Filed Map. Applicant: L(c;,-kr tVCP Lot: ~ Permit No. Health Dept. Approval: Planning Board Approval: /vo ^-lo Underwriters Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ ~ WJ)~ Applicant Signature ~./()11 \oj (o:C: ':3[813 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) 11, 2006 PERMIT NO. 32283 Z Date AUGUST permission is hereby granted to: DOROTHY CRENSHAW 935 OLD SHIPYARD RD. SOUTHOLD,NY 11971 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 935 OLD SHIPYARD RD SOUTHOLD County Tax Map No. 473889 Section 064 Block 0005 Lot No. 021 pursuant to application dated AUGUST 2, 2006 and approved by the Building Inspector to expire on FEBRUARY 11, 2008. Fee $ 150.00 .~~ I Authorized Signature ORIGINAL Rev. 5/8/02 Towo Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 11, 2006 Dorothy Crenshaw 252 7'" Ave New York, NY 10001 RE: 935 Old Shipyard Road, Southold TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. ~ The check is (not on file) $25.00 Final Health Department approval not on file. No final inspection has been completed. No Piumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Certificate of Compliance from the Trustees. Finai Planning Board Approval BUILDING PERMIT: 32283-Z Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. 52-L~<:?- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION REMARKS: t) G. [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING J STRAPPING [ [ ] FIREPLACE & CHIMNEY [ DATE INSPECTOR )yv~3t TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I LATION [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: (~JjJ~ ~L ~11Mi&~ 00 J";I1t7AS ' INSPECTOR )vy~)1: TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [~UNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION DATE 1).(/o~ ! INSPECTOR . FIELD INSPECTION REPORT DATE PfJA/n , 7t FOUNDATION (lSn ------------------------------------ I FOUNDATION (2ND) . . ROUGH FRAMING & PLUMBING INSULATION PER N. y, STATE ENERGY CODE FINAL 1 ", . l.Ph~ 1.1 rT.7 Ikull '/ COMMENTS /. ..I-:- - J. -In ( ..d- r r (~I I . . . '. I . ( <>rtJ.. J..SlIili.. ". }; 1M L /I L P . / n.L ./. ('/J ~ A,6 ,6'1/'''' ~0-::,-/ // 7J/ t/ I ADDmONAL COMMENTS .-t /)...... 'J. // I , . . ,I, ---'.\ g~ 4 . . I W ~;; ~~ ~.. I~~ . z 0 -D' IJ..! 1.1\", 0; . r"" \) ~ y ~t ~ B"" ~ .~ € J tl b . Ul"J \ ~ ::::-~ , "" o - o -'\' z, := l"J , ~ ~5! -e -P~ ~ PERMIT NO. 3..2X3.v 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 ..;j; Septic F onn N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ 9~,' ,20~ I (I 20 oG ,~ Examined Approved Disapproved ale Mail to: J/;I ,20d- I Phone: ;J~fj- 37(p 7 Expiration I~ / Building Inspector r. :l-""c, '~~". I' I';' I ! r ,.:. ". : .:' JG ;, ' 2 I l'" L:~ -.-'.'" APPLICATION FOR BUILDING PERMIT Date A l<jvd ;z.. ,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. 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 ofthis application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shatl 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. 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 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. k tJ~ (Signature of applicant or name, if a corporation) S' I NO'f~ g~ Ave- ECls} fod NY I /<} Y I (Mailmg address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~f\ ,,,~4 '15 ~eYli('tI.~ cov\trtl.Ct-v~ Name of owner of premises Dc(o~ Ct'evt5~t4<J (As 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 w~)fk wiU pe done: q3)" V/J 5h'NCl/"d UJ. House Number Street SCM~I! Hamlet ""\(,'11 ~'~"<":;\ 1:"""!"I;;;'h"\~': "'r County Tax Map No. lQPO}'~~tiott,f 0 {g Y . . . ;' .. ""Ii .~.r", t SubdIVISIon ~(.~ v'Tn' ~12i(i 0;. W:M ,.,i;;r (NaIi1.re, ~ .'l:'-:Y~l Blocli'~: 1>,' , '1"'!1l~I,1 . , _ ' _,' ';J"" ",.",j; Filed Map No:, Lot .?-I Lot 2. b. Intended use and occupancy C; i fj"w t ,1M<'1 ~Lj 3. Nature of work (check which applicable): New Building Repair Removal Demolition ..../ AJd~~~ of l]..:'X/-z..' W- . Addition Other Work _()aK Alteration 4. Estimated Cost I>SDO[).-- (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars 1 (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 -:;<; /0 Rear Depth 10. Date of Purchase ~/O ( ~ / I / D-;- . I '1 ;}3 0 Depth d To~elll 9. Size oflot: Front Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ./ 13. Wi\llotbe re-graded? YES_ NO I Wi\I excess fill be removed from premises? YES_ NO ./ 14. Names of Owner of premises Do~re..~\w..; Address Name of Architect ::JOs.eq:'~ -h" I Address Name ofContractorClIs\1>,^ 1:-"\~ 1\-n1W'~ Address Phone No. 7{,<;- ~>'11 Phone No m -':J9SL( Phone No. ~3 1- ?5\i - ~ "tbf 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO J * 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. C,C t f\~(j 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: ~ ~S~being duly sworn, deposes and says that (s)he is the applicant ame of individual signing contract) above named, (S)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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~~~'2~~~ ~.~ Notary Public . 9 ~~APPlicant UIlllo\ S. TAGGART ........1'llbI1c. State of New 'IilIll No. 4948506 Qualified in ~1If"l'k County I Ccimmission Expires March 20, ~ -. -",,-. ..,~... -.-3'1/O!IIllIIUI03 ......-.. ~10jjI1S UI PBlI!leno o9OS8t6t 'ON ... MIN to 1lIlS. ':Jyqlld ~8lllN JlMI8W11Dl1 _ S _ 2-- TOWN OF SOUTHOLD NOPERT~ ,aSoRD CARD C. (e V) s h CI DISTRICT SUB. LOT :.) -.-.;..0- .~- <: f /l- S W TYPE OF BUILDING VL. FARM COMM. [IND. , CB. I MISC. I Est. Mkt. Value IMP. TOTAL DATE REMARKS '-to{) / 0'-::';) IQ00 j( c;.C. It. {lOr, , -j..--- '160 90iJ 3'7 G 0 4(001") .;//&-"/ ;' .5~ if 0- ~ ,/ AGE NEW NORMAL BUILDING CONDITION BELOW Farm "( T:ilQ,le 1 rillable 2 Acre Value Per Acre Value FRONTAGE ON ROAD BULKHEAD DOCK l..-"Z ')..," /~ e;:) fillable. 3 Noodland ;wampland 3rushland -louse Plot rota I /_~.------ ,-,,==~_.~'~-'-'--'-' . . . ~ , i ! , ! , I I : , ' , 11--' , I l'l ~11 , ~ 1-11 ' , , - , I IS ~ , 1\ 1 , i - I 12~ rr:) 1'1' I ! ,,, . , It.. ,0 ,...-, i b, ' ! 'V I~ I, S. ':, I X' ,.. ::::;;r , ", , 'I"" j I I I I -t+ ! ,!,.). r I j ! ! I i ! I I I I I ~v .' I 5::;) vi. Bldg. ';;{<lx -':>- Foundation C 13 Both / i ,'.- "...."... :xtension .?\()(. '-I ' , l ~\ oX' 3.00 3 0;), </1 Basement Payf- Floors IJQK. I j7J. -;. .:> \7 '. ~C" I/o~ 13 " I}O J 13f ,,, Ext. Walls j" L. Interior Finish 5~ 1'ce::t/[ I :xte ion 3- if/ r./ / 5;,.., , " " '/ : :xtension Fire Ploce ) Heot ,err 1-1,'( ':;Lj =='C,~, ::;; \ ~'""'\ "': <~ ). {) ~ 00 I :/ '/ ~. ( Porch Roof Type c'" <~ Porch Rooms 1st Floor lreezeway Patio Rooms 2nd Floor ;arage ..J;) Y I ). - ") (, '-! I'^ ). (A-' Driveway Dormer ~ f'\' I ). B. I "II ';I). I r I ~ f~ CCUPANCY OR SE IS UNLAWFUL ITHOUT CERTIFICATE F OCCUPANCY L___,__ "i'.....-;i1 AU ":N'~..'.' ";()N~HAL r '1'>- i .."'~'.' , "f'TWO! i ,.. "'!' t:< ; 'tvJt;:' _, ,,..,e: c..' ;1 jl~ . l., ;O\'j _. _.-.,-_.~_. r) "---~~ .----~--r--- NAI~~;;~~~ Ol; II If- l.------.-..-.----Sf . \~ I!;'" i " --t:t. - V\ 1;'\' I :1 ?- :; 'c;._________________________ :;l;1/ '0 ,.', ~ gLtJ::;( (;1 I tv f.- Vi or:~r( I 2'0 ?< 1'1."D , JOSEPH FISCHETTI, PE PROFESSIONAL ENGINEER 1725 HOBART RD / PO BOX 616 SOUTHOLD, NY 11971 631-765-2954 APPR "VED AS NOTED I "'--v (;1 ^. "1',.-,/ ,1/ FEE; /) . 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UE'(J<':'"S i .....', ,c ~ .... ~"~r,;')l-J ri)-.S' I , j" ~ I \ \ "2-:' , 50<"0"'"",;<' I l-~,.,-- r-~-- --'( J 1'0 I -_.~/ 1 , :J ft, /1 J'J) I ) t<-- r ~'f,r; jl>lsn ~ : ~ rI r-' ,-- ',.~--';./ ~-,--- ;;. - ~..~. \" ~ ~(~ .rt''''rSl>>J . f'e~l.! {"""-,,,(-l<v . . f!.. ,... j .....f~,.,J , ~~,:r- "1" .....___ '."c' r I' I I \'2-~' I " \ I . I rOf'.",,'''''J' , J ...,.1- I I \ \ I I I ; J}" --I ~'o / I , J'o Pt:)tt~ ; LM-f..,y ~EfIlllJe"ir q3~ ow) <;!..hPyfl~P I 5o~l-toL-v Ny I !f?"! I ' NEW DE-U< 12'Of;I"J..'P JOSEPH FISCHETTI PE PROFESSIONAL ENGINEER 1725 HOBART RD I PO BOX 616 SOUTHOLD, NY 11971 631~JG5-2954