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Home My WebLink About32169-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 09/25/06 NO: Z-31846 THIS CERTIFIES that the building ADDIITON Location of Property: 95 MIDWOOD (HOUSE NO.) County Tax Map No. 473889 Section 110 RD (STREET) Block 3 CUTCHOGUE (HAMLET) Lot 32 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 2006 pursuant to which Building Permit No. 32169-Z dated JUNE 29, 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 MARY M KAVANAGH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF IlEALTH 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 ," ,.=\1, 'f, \"'\\ , '\ \ SEt' \ 8 'rOG >---...~-" APPLICATION FOR CERTIFICATE OF OCCUPANCY \i . "._~--'- ~ 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: 1. 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 1 % 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: 1. 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 9/;5' kt" / I ( check one) Date. New Construction: ~~ee.k... 9.'5 fttdw/ld ~,ul House No. Street Owner or Owners of Property: ~ 1 ,/VI ;;;f va /Jd4'h Suffolk County Tax Map No 1000, Section / /0 ~ock Old or Pre-existing Building: Location of Property: t1 k1ftl/>-' Haml t 01)0.3 Lot 03.:( Subdivision Permit No. 3d//" 9 7 Date of Permit. Filed Map. Lot: ~::f~f Applicant: .~y /1 ~d0~ Underwriters Approval: ///A I Health Dept. Approval: Planning Board Approval: ~ Request for: Temporary Certificate Fee Submitted: $ rl.5. tJ (J ~. 71D;),1 Co -C 3/8L{G 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. 32169 Z Date JUNE 29, 2006 Permission is hereby granted to: MARY M KAVANAGH PO BOX 415 LATTINGTON,NY 11560 for : CONSTRUCT DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 25824. at premises located at 95 MIDWOOD RD CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0003 Lot No. 032 pursuant to application dated JUNE 29, 2006 and approved by the Building Inspector to expire on DECEMBER 29, 2007. Fee $ 150.00 ~ ORIGINAL Rev. 5/8/02 3;}-/~1Z- TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING/STRAPPING p4FINAl ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS. F f-~ ~ / - f) ~ " t ~ ?-L(- ~ () C DATE INSPECTOR ~~ ~- dS~bY:Z; 3 ;)1109 765.1802 BUilDING DEPT. SPEeTION [ [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE k(;r/w INSPECTOR ' d~fby~;)lb/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ~NDATION 2ND [A FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: II tkZ ~ :5 JC-<~; ~ ~ ~ 0 ~( 4d--y{A~ ,-I <' [ ] ROUGH PLBG. [ ] INSULATION [ ~INAL DATE f/;7/7'9 I ( ,tu> INSPECTION REPORT DATE: COHHENTS T-~~--------------r-~o~/f(T~~-;-;;;-~-~~--.--~~- :lIJNDATION ( 1ST) t ! / ------ I " i ~ ~ATIQ~____i~~l______1 ________" __ _ _ --====-----------------~--------t--~--=~-=======~===~~===========~~===~=========~~~~~==~ I ~ " ~ ~ . OuGH FRAME & PLUMBING " II M " II U ~ " 'IlISULATION PER N. Y. STATE: ENERGY CODE FINAL ta~ I ! " " L !_ =--===----=-=== ~ 0 ---=== ADDITIONAL COMMENTS: ~-=========--== =---==================--== , 0 ' \Y 'Jt-' .,) ~\ I'}:: ,', (. -\'-- .3\ t\J t-I ... <=l tIl t>l f.-,/ i\ ('\ (\ ~ o ~ ~ f ;j ~. e ~ 4.. ~ , -'- ~ ~ t>l "'f". "~ II t>l ~. ,.:;v ~\ g\ zs ~ 2- !;1~ t::l::t ~ 1600 - OWNER ~~ro LAND .no /2-/)() AGE NEW Farm liable 1 liable 2 liable 3 'codland lampland ushlond _ ouse Plot tal l -3--3:J... -.. '-.-.-.--", " ,-. ._....~.~._.,__.._.......L,.,..C,_. ',HO'. .._'__. _ .._..,~......._ __._.___ __ ._.__.._ TOWN OF SOUTHOLD PROPERTY RECORD CARD j A4 -0 STREET '-.5 ;tIt'rI 'lVtJ N , tlt.'-U1 S .:1'- tv (V, /I~",,.. VL FARM VILLAGE DISTRICT SUR LOT A / ')/ /J-e 5C ~tJ .3/00 ~O""'J; TOTAL DATE U-3/7,!*.. BUILDING CONDITION N::\Lt~:r~E~0~_l_~:;~_=- ~:": aj~~;; Ro~ djrNI, .~ s' 0 , /G 0 e i~---=- ~I=---- ~:'1fh (~Hj'~ 1781__ _ ~__ --.------1--------.......-. ....__ ._.._____ ___________ I I T----~ -- -------.-----j ..--- .--------.----- ---..--------- -----~--t----.- -- --'-- -~--- -..----- ----~F--==~~ -=-=---= - --.-------------.--------- .._-----------. --------- --_....._-----~--_.._---.._.- ...~--.._--- --------------- .. "_.~---- - ,'1 ,(,/ 1'1 , &1 . .J r/, " I 1"1.< 1 V , /~ , I ,..;. -:: ~ Lf :",) 1 q 11 I_'o~s:,,: :2- 71,g I Bldg. 13'1 Y Foundation I ~ 8> Both /' ens ion I! g '" <l- I i I Basement , rl/LL- Floors I I : ,,~ ~ . . I o/'<: 7~=-_-t i ens ion I Ext. Walls Vi oot. . Interior Finish ~I, ,,',r,Le- '1/J!Li.- fit:; ens ion ~ I .. i tl, W' Fire Place I Hem ,-I eCl1 - --- --~ ---- ------ 1- '!.,'L- /l~LLQ ~ -,f-" I 10 ,S''-I Porch Attic Porch I Rooms 1 st Floor - -- -- ezeway Patio Rooms 2nd Floor 'oge ) () X It./. - .. "1.1"' ^,;, .J , 01) ~~(). , Driveway ~: ( B. , ..--- ---.- t-.. ~---_._- --------- ..3 I ,.J ? ......\ "j ,,,,~';'~J''''''i i :'" '..' . " '~ n, '!l -, rnowrn ~,' l!U1 I POBH NO. 1 TOWN OF SOUTBOLD BUILDING DEPAR'DlE1IT TOWN HALL SOUTBOLD. N.Y. 11971 TEL: 765-1802 DUAaU u~ ~AU~b ............... 3 SETS OF PLAIlS ............... SURVEy........................ CHECK ......................... SEPTIC FOBH ................... M!W , 21999 BLDG. DEPT TOWN OF SOUTffOlD Exaodned.................. 19.... ApprrNed....~....?'t....... 19~~ 3;)-\\oQ 'let' . ~,:;'if~+~ Peradt 110. ................ NOTIFY: '} H-, S d-eJ ~ CALL .................. MAIL TO:.................... ................................... Disapproved ale .. ............ ............ ........ ......................................... ... .....:~.. ................................... . Date.... .?:. .I.~.... ,19."JIj. INSTRUCTIONS a. This applicatioolllJSt be ~etely filled in by typewriter or in ink and subnitted to the Iktilding Inspector wi 3 sets of plans. accurate plot plan to scale. Fee according to scbeWle. b. Plot plan sboiring location of lot SId of builen. 00 premises. relatiOO8bipto adjoining premises or pOOlie streets or areas. and giving a detailed deacriptioo of 1..,wt of property DUSt be dram 00 the diagnm >ilich is part of this applicatioo. c. The work covered by this application may not be eu....".ced before i....."""'" of Iktilding Permit. d. Upon approval of this applicatioo. the Iktilding Inspector will i88Ue a Iktilding Permit to the applicant. Such permit shall be kept 00 the premises available for inspectioo througJlOUt the work. e. No building shall be occupied or used in .mole or in part for any pIl'pOSl! wtever UIItil a Certificate of {N,'!""'CY shall have been granted by the Iktilding Inspector. APl'LlCATIOl IS IIlIlI!IlY MAlE to the Iktilding Ilel-w.:ut for the i$........... of a Iktilding Permit pursuant to the Iktilding ZoDe Ordinance of the Town of Southold. &Jffolk County. llew yorlt. and other applicable laos. OrdillllllCes or RegulatiClllS. for the CXlIIlItrUCtioo of builen.. additiClllS or alteratiClllS. or for r1!III:IVa1 or deoolition. as herein described. The applicant agrees to ~y with all applicable laws. orrIhu.......$. building code. housing code. and re&W;atiClllS. and to acbit aJthorized inspectors 00 premises and in.:~l~::................. (Signature of applicant. or 1IlIII!. if a co'~latiOD) . .P.Q.I. SQ?< g~~... /YJttHaJXK. !:1f!-.. (Mailing address of applicant) I (q S C).. ~~~.1kn~~T~&;tr~~~.~~:.~~:~:.~~=:.~~~.:~:~~~:.~~~~~~~~~:.~~~~.~.~~~~I Name of owner of premises ..~~~r:~....~~~~r}~~~...................................................... (as 00 the tax roll or latest deed) If applicant is a co,~at~, Si8""hIre of clI1y aJthorized officer. -' ......................................................... (Name and title of co,~,,,te officer) lUilders License 110. .151/1/:.1/.1:...... Plumbers License 110. ......................... Electricians License 110. ..................... Other TIade's License 110. .................... ':/l:. "l j ,..".\ eu-k; I.. Incatioo of land 00 >ilich pL~ work will be done....... q:~:.. p.~bS:t&l~O:. ~.~......... ~~.s. ~~,I:... .... ........ ..... ... ... .............. ............ ... ...... ................... ........ .~.... ... ..~:.~... \ .\q~~... IbIse lbIber Street Haalet COunty 1BxMap NO. 1000 Section ................ BloCk ................ Lot ................ Subdivision ...................................... Filed Map NO. ............... Lot ............... (Name) 2. State existing use and """''P''''''Y of premises and iotended use and occupsocy of proposed constroctioo: 8. EXistiqg use and ~~ ..............................................................e..........e... b. InteDided \I8e md 1'IIf'Y"t~ .............................................................................. 5. Nature of work (cbeck ",id. applicable): New llJilding .......... Addition .......... A1tera~R"""'" Repair............ Ilem:lval . ............ !lellDlition ............ Other Work .. N~.4J. .D.t=?:................ MtinBted OJs!..'45.()'9.:~~........ fee .............. ..............~~:~~~~~ .:~...-: ,,- (to be paid on filing this application) If .....lling. ruWer of .....lling units ............ Number of .....11 ing units on each floor ................ If garage. rmher of cars ...................................... If business. c:aorercial or mhoed occupancy. specify nature and extent of each type of use...................... Dimensions of existing structures. if any: Front................ Rear ............... Deptl. ................. I~ight ......................... Number of Stories ...................... Dimensions of SlIIIe structure with alterations or additions: Front............... Rear ............... Depth .................... Height .................... Number of Stories ............... I DillEnsions of entire new coostructioo: Front.e2 J?.'........ Rear ............... Depth .1 b......... A" ~ight .. .(::5.................... Number of Stories..................... 3. 4. 6. 7. 8. 9. ' Size of lot: Front .................... Rear .................... Depth ..................... 10. Date of Purchase..................... Ilare of Forner ().mer ........................................ II. Zone or use district in ...ich pnmises are situated ................................................. .,............ 12. Does proposed coostructioo vinlate any zoning I..... ordinance or regulatioo: ......................... 13. Will lot be 1~8ded .................... Will ellD!SS fill be rao:JVed fraD pranises:... ms 10 14. Ilares of ().mer of prEIIIises ........................... Address...................... ........ Phone lb. .............. Ilare of Architect .................................... Address .............................. Phone lb. .............. Ilare of Caltractor ................................... Address...............................Phone lb. .............. 15. Is this property within 300 feet of a tidal lietland? * ms .......... 10.......... *IF ms. !D1I1DD 1tRI 'llQJljluS PEmfIT MAY BE mpIRI!D. PLOT DIAGRAM . lncate clearly and distinctly all buildings. .nether existing or proposed. and indicate all set-back dimensions fraD property lines. Give street and block rmher or descriptioo according to deed. and sIIllIl street DlIII!S and indicate .nether interior or comer lot. Sf AlE IF IIiW mlK. ,,('.I L/ ' lDlNlY IF ..S.U.~J.O..~.. s.<; ..Geo~~...he...~.....................being duly """rn. deposes and says that he is the applicant (Ilare of individual signing cootract) above na1I!d. lie is the ..... ..cp.Y:)k~r.:................. ................... ....... ........ .......... ......... (Caltractor. agent. corporate officer. etc.) of said owner or owners, and is duly IIJthorized to perform or have perfumed the said work and to noke and file this application; that all statell!l1ts contained in this application are true to the best of his krowledge sod belief; and that the work will be perfomed in the nmmer set forth in the applicatioo filed therewith. Sworn to before lIE this .. . .. ! ~ . ~.day of !.h;. 0:j/. .. .. . 19.P. f? .. Ibtary Pldllic .:1~.1!)2~ . ,_,',,'1 HElENE D. HORNE Notary Public. $tata of Naw Yotk No, 4951364 , Qualified in Suffolk County t?,:) tornmission Expires May 22, '.9,..LL (Signature of Applicant) ,"' I; , ,., ," , ~. -.. - .' . .' . ~, ,")l, .'&,,,,"'J ,.t', . . I-~'l : . ~, i I~' U~' '.: ." '~ : . r :'>' '0 - '~~B: :,"t . ~,"e'j~ ',r,~~;,':} ,;" *(~~; 'fltl ' :3 ,.', ."'," ....f-.,. -'" r . .if' .,," ~'~_~'1' ;.' ,i.) ~:"'l~~]l . ~~'t;"'f(;,..- ~ . !Lr:l~"~\"': " ";!o~~,.,':,;:;;,;~,::,~',F,<.'~'::: t .'.. . ';. ~ + , ,II t ;,'j ."'" . .. .:", .0 f. " 'J .. r u 1 i - 8 II' III a os I',:~ " " " 'j' ,I' I ",I , t I .. , I ~ I It \'~~ l' , ~ " ' ~~' t: 2 ~ . '. ("{, ~ to-~ 0 f;~1 III IR I--~ I\l ~ Ul . III . t 0 . . ( " \\ .& . ~ , ... , . " 0 ., '0 . 0 .~ . ~, 0', , )1!i. 0 - . ' ~ ~O U\ . t 1__"'. ") ,'. " ~ ui t" '. ','1 - , ~;.... -;" ....;- .: I,;. .. 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