HomeMy WebLinkAbout32229-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 09/26/06
No: Z-31864
THIS CERTIFIES that the building ADDITION
Location of Property: 1025
(HOUSE NO.)
County Tax Map No. 473889 Section 64
FOUNDERS PATH
(STREET)
Block 2
SOUTHOLD
(HAMLET)
Lot 43.1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 31, 2006 pursuant to which
Building Permit No. 32229-Z
dated
JULY 31, 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 JOSEPH R & JANE SKIBO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO_
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
.
"
APPLICATION FOR CERTIFICATE OF OCCUPANCY
JUL 17
L~___~_
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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:
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 existiug buildings (prior to April 9, 1957) nou-conformiug uses, or buildiugs 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
L 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
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Date.
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(check onc)
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Hamlet
New Construction:
Old or Pre-existing Building:
F~ ~ "Jl~S
Street
10 L ~
House No.
Owner or Owners of Property: "::1'. ~ ( t ~
I
Suffolk County Tax Map No 1000, Section
Location of Property:
::T'A ^ Q
Block b (J d L
Lot Lf 5 , ~o I
Permit No.
Date of Permit.
Filed Map.
Applicant:
Lot:
Subdivision
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
vLj(J
~licant Signature
8...-tZ. I i 0 If r,(
c of: '3'8~ €f
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.
32229 Z
Date JULY
31, 2006
permission is hereby granted to:
JOSEPH R SKIBO & WF
4 MENDL TERRACE
MONTCLAIR,NJ 07042
for :
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. THIS PERMIT
REPLACES BP29526.
at premises located at
SOUTHOLD
1025 FOUNDERS PATH
County Tax Map No. 473889 Section 064
Block 0002
Lot No. 043.001
pursuant to application dated JULY 31, 2006 and approved by the
Building Inspector to expire on JANUARY 31, 2008.
Fee $
150.00
---
re
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
PERMIT NO.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
?n.~ d- ~ (h".
29526 Z
Date JUNE
27, 2003
Permission is hereby granted to:
JOSEPH R & WF SKIBO
4 MENDL TERRACE
MONTCLAIR,NJ 07042
for :
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR
at premises located at
1025 FOUNDERS PATH
SOUTHOLD
County Tax Map No. 473889 Section 064
Block 0002
Lot No. 043.001
pursuant to application dated JUNE 26, 2003 and approved by the
Building Inspector to expire on DECEMBER 27, 2004.
Fee $
150.00
ORIGINAL
Rev. 5/8/ 02
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765-1802
BUILDING DEPT.
INSPECTION
[ ~NDATION 1ST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
~- ~
REMARKS,'" ~_ ~
(T(c~ -, ~
DATE
1.-
INSPECTOR
3~7*-'
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] IN~. AT
[ ] FRAMING I STRAPPING [vrFlNW
[ ] FIREPLACE & CHIMNEY [ ] FIRE ETY INSPECTION
~Co
REMARKS:
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DATE 9,// <f I 0 ~
f
INSPECTOR
7
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::L9 SL-G i;-\kn
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INS TION
[ ] FRAMING I STRAPPING [ FINAL
[ ] FIREP~~t~ CHIMNEY [ ] FIRE SAFETY INSPECTION
REMAR : ~5PAlh- ~6~L
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DATE
7/WJ/o~
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INSPECTOR
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FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PERN. Y.
STATE ENERGY CODE
FINAL
COMMENTS
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ADDITIONAL COMMENTS
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OWNER
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FORMER OWNER
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RES. 2./ i) . SEAS.
LAND IMP.
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TOWN OF SOUTHOLD PROPERTY RECORD CA-RIT
STREET VILLAGE
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VL. FARM ! COMM. IND.
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TOTAL DATE REMARKS
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AGE
NEW
NORMAL
Farm
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushland
Hause Plat
Total
--
BUILDING CONDITION
BELOW
Value Per Acre
DISTRICT SUB.
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ACREAGE
0,5\ (;,
TYPE OF BUILDING
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LOT
I Est. Mkt. Value
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ABOVE
FRONTAGE ON WATER
Value
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GlA;do
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FO~ER OWNER
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RES. SEAS. FARM COMM. IND. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
'I OlL~ , !..IdcJ / l~h5 / ' ?. <3'.5-63 - G'
lz f /7fA'fl70fdi"/.?_ 2..9'1 !..uM.T. 8/1"J,I4.Hf-' 70- vw. ""do
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kp- 9.,;) 2..//7 '7/ /~/F3S~(,," 9'!':>~'(;!f'r;' (}/Jid~ 1,1 J'A-;" ~ )//,;'
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD '1,:'J'x;xro' f"" 11.)00 - 7 :{'Q
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Tillable 1 BULKHEAD
-
Tillable 2 DOCK
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Tillable 3
- ---- , ---- -
Woodland
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House Plot
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Total
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W
ACREAGE "-
TYPE OF BUILDING
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REF danskibo
FLOOD 'LONE
COMPLY WITH CHAPT "46"
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE.
",,5flJ{~
rcoMfltY WITH ALL CODES OF
DATE: Co NtWVORK STATE <TowN COOES
AS REQUIRED AND CONDITIONS OF
FEE: BY
NOTI UILDING DE.P EN AT: tIN SOlf1l(lDTOWNZ6A
765-1802 8 AM TO 4 PM FOR THE . Ex;,5D J. t<. SOUTHOLD TO~ MN,.',h~",G,~ARD
FOLLOWING INSPEC110i'>IS: !'I-' ..-- "
1. FOUNDATION _ TWO REQUIRED "iH?LD~T~~~ctS.h<~>
FOR POURED CONCRETE- ['hh__>-h'~"
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I USE IS UNLAWFUL
7" " :L CONSTRU~IONSHALl W1THOUt~~flIIFICA TE
'MEETTHE REQUIREMEN~~T~/n9,r.s OF OCCUflNC1sNY
CODES OF NEW YORK ST Pht.:' (). c .
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PLAN VIEW Sf(/8/) I RS
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DA TE 06/11/03 REF donskibo I GR NPORT NY
631 77-1038
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LOAD AND SUPPORT: Your deck will support a 58 PSF live load. Posts haY~ 36" bow-ground
post support. '
DECK AND POST HEIGHT: You selected a height of 30' from the top of decki~g to I el ground.
The top of the deck support posts will therefore be 17.25' above ground level. your s sperson
can provide information for uneven or sloped ground.
JOISTS: Set joists on top of beams, IS' center to center.
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NOTE: The design may requirs knee braces and bridging between joists. Your rpaterial liilt includes
the necessary items. The suggested design is not a finished building plan. You, are Ie onsible for
all measurements being correct. for verifying that the design land any substitutiollS or difications
that you matsl meets all local building codes and requirements. To verify that t~e sugg sted design,
and any substitutions or modifications, is consistent with conditions at the consttuction ite,
review tne design with your architect. Also consult your architect for proper conrtructio and use
of materials in the structur.. ;
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Be sure to follow the d.ck construction detail availabl. from your star. sal.speroian.
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DATE 04/29/03 REF danskibo
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ROUTE 25
GREENPORT NY
631-477-1038
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Depth tlf conel ete footers --- ~ inches.
-.56
FORM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
:~.~~;. .:~~::': ~::....~~~.~:.~:t51J.. ..
u~f-uui.ftt(1nuuuuu .
BOARD OF HEALTH .vI............
3 SETS OF ~S ...............
SURVEY ... '/...................
CHECK ... y. . . . . . . . . . . . . . . . . . . . .
SEPTIC FORM ...................
NOTIFY: .
.?~"tt .. v:. . . "!t~:. "?J!.C7 8
-'
MAIL TO:..... . . . . . . . . . . . . . . .
.....................................
......................................
.JUN 2 5 2003
~".." ..
BUILDING PERMIT
Date. n~.y.y... ~o.':I.
L-:rcy'
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INSTRUCTIONS
a. This application oust be ~letely filled in by typewriter or in ink and sulmitted to the &1ilding Inspector witl
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 pre:nises or public
streets or areas, and giving a detailed description of layout of property oust be drlMl on the diagran ""ich is part of
this application.
c. The work covered by this application may not be camEnced before issuance of Building Pennie.
d. Upon approval of this application, the Building Inspector ,rill issue a Building Pennit to the applicaot. Such
pennit shall be kept on the premises available for inspection throoghoot the work.
e. liJ building shall be occupied or used in '*'ole or in part for aoy p.rrpose wtever until a Certificate of
<kcupancy shall have been granted by the Building Inspector.
Am.lCATIrn IS \EREIlY mE to tbe &1ilding Departnent for the issuance of a Building Penni t pursuant to the
Building Zone Ordinance of the Town of Soothold, &Jffolk Coonty, New York, and other applicable Laws, Ordinaoces or
Regulations, for the C<XlStruction of buildings, additions or alterations, or for T€ITD\1al or derolition, as herein
described. The applicaot agrees to ~ly with all applicable laws, ordinances, building code, hoosing code, and
regulations, and to alinit wthorized inspectors on premises and in building fr necessary inspections.
. .... .~tl/.~s?rf-':1~..................
(Signature of applicant, or nmE, if a corp:>ration)
Ji!~\.-,~!~!. F.'.~{hv.. .~?!i?~ J~~ !~... .<?H!rr!: .~~!.5.!
(Mailing address of applicant)
State ~Jether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumer or b.1i1der.
....... r.t; ':'!c.':.<<. ~.o.,:,.~.'P:f:1:rr:........................................................................................
NaTe of owner of pre:nises .. IC?;t.e.p.h X ..0-.':'..:1.. .::r;~."! ~~.::: ..? h'! .~. 9............................................
(as on the tax roll or latest deed)
-'
If applicant is a corporation, signature of duly wthorized officer.
(NaTe and title of corporate officer)
Builders License liJ. .K.fi.~f.G..t{;!.:.......
PhoDers License No. ..-<<.4...................
EI' i'.. L' .~ ;f;:.j..
ectrlClans lcet1Se 1""-'. ... :-L.........................
Other Trade's License liJ.
1 . Location of land on ""ich proposed work will be done..............................................................
......1. g.~.?:..................... E'q.';'l.;: :~f.::~.. ?".c.t!:..................... ~9."" i~ ~ !::/......................
l100se IUIber Street lI<rn1et
Coonty Tax Map liJ. 100J Section ..li.7t......... Block ~............. Lot 1IL!.":!:~..~1J lf3.1
&IDdivision ...................................... Filed Map liJ. ............... lot ...............
(NaTe )
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... .S.! .0.!J.( eo. :f':l.~.. .1. 't.. .t.<:,s.! ~f'. .'1.<<.................................
b. InteOOed use and occupancy .... ~. ~ ::'.1.1.,:,. ..f~ .':':.':. ~)'.. .~.,,~s.'. ~.":~.~................................
3.
deck: /
IEw fuilding ..____.... lIddition ........... Alteration ..........
llenDl ition ............ Other Work ........................ ...........
(Description)
fee ......................................... .....
(to be paid on filing this application)
If dl;elling, lUJi",r of dl;elling units....1........ turner of dwell ing units on each floor................
If garage, nunber of cars ....~~............................
If business, camercial or millEd occUpancy, specify nature and extent of each type of use.. ~.,r--............ _..
D. . f.. .f h 3 Lj3 :< "1
lIrenSlOllS 0 exlstlIlg structures, 1 any: Froot. .l... _......... Rear............... Depth... ./............
/
\leigllt . A( -:t................... turner of Stories ... f.:;:c.. .. ........... "
D. . f . hI. add. . LJ J r.3
lmenslDnS 0 same structure ~t al!~ratlons or ttIons: Front ..~........_... Rear ...............
Depth .... 3.$. ............ lleigl.t ./1'::'1-............... turner of Stories .I.v. .1..........
D. . f . . Fron LF3 u 3 35
lmenSlons 0 entIre new constructIon: . t ;(.............. Rear~/.............. Depth ..............
.81 tJ + ' . I '--
llel It ......'................... turner of Stones ...k................
. /5"d /5 () /5.0
SIZe of lot: Front...... __............ Rear .................... Depth ....................
!late of Purd.ase ....I.'J.fi::?........ Nare of FOrnEr o.mer ..~nj<;y).~~';:.......................
"'.,tllre of work (d>eck ..Add. applicable):
llepair ............ Raroval ........ __...
:.l
Estimated Cost ..57Q. ?...............
4.
5.
6.
7.
8.
9.
10.
II.
12.
13.
14.
Zone or use district :in, wlidl premises are situated ..............................................................
. I
fues proposed construction violate any zoning law~ ordinance or regulation: k.~....................
Wi 11 lot be regraded .................... Wi 11 excess fill be raroved han pranises: YFS III
Nares of o.mer of premises ""J?,1l'f.~:r.;:J.~.-?K:~........ Address ..4..t{~.'!~.1..-rm1}j!'!'.t(.j~~!H1one lb. T!.!.??U~?7
Nare of Architect.................................... Address.............................. H10ne lb. ..............
Nare of Contractor-p~.':.,.~I..f,.~~~:-:............... IIddress ~<?:7.f.:.~~::'":..-'?::'.:'::'t.......H1one lb. q~"L~t!~.~..
V
Is Ulis property within 300 feet of a tidal wetland? "YFS.......... Ill..........
"IF YFS, SilllHID 1lHl 'lllIJSIF.ES ffiRMIT MAY 1lE Rl'.QJIRED.
15.
PLOT DIAGRAM
lJJCate clearly and distinctly all buildings, w",U",r existing or proposed, and indicate all set-back dinensions
fran property lines. Give street and block nunber or description according to deed, and sh<M street nares and indicate
~lether interior or corner lot.
f4~=~ ~ ~<~y~
=:y:n~:~.[k...... &S
.... P .<:'.1:: .;.~L .J......:. P.:.~. ~.L;-.,,:..:.................. .being duly lMJm,
(Nare of individual signing contract)
above nrn-ed,
deposes and says that \", is the applicant
lie is lhe .. .,""I,>.,,:,.r:r.~. .""L ~.<............................................................................
(Gontractor, agent, corporate officer, etc.)
of said o....ner OT ~rs, and is OOly authorized to perfonn or have perfonred Ule said work and to TJBke and file this
application; that all slaterrents contained in this application are true lo the best-of his knowledge and belief; and
that the work will be perfonned in the ""'mler set forth in the application filed therewith.
9Hom l,?-_~,re me this U f7j ,
U~~~~&tk~j
~~/I.~~
Claire L. Glew
Notary Public, Slate of New Vork
No.01GL4879505
Qualified in Suffolk Counl~ _
Commission Expires Dec. 8. ~.6
(Signal>Jre of Applicant)
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,'), $ -/,., c+- 1000, $e~l;41'1 6-'f., d/CC;I: .:e., . ? /C'i'''''-C .~ .( AI'"' ,;;i.lrY!"i{C"'.~c
J , .. - 3:~3:H ~3:lN3: S~3:HVI[3:VI[ dfA ' ., , /. "^ ,
FROM CHASE SECUR I TIES INC.
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