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HomeMy WebLinkAbout32554-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32065 Date: 12/12/06 THIS CERTIFIES that the building ADDITION Location of Property: 10725 OREGON (HOUSE NO.) County Tax Map No. 473889 Section 83 RD (STREET) Block 2 CUTCHOGUE (HAMLET) Lot 16 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 2006 pursuant to which Building Permit No. 32554-Z dated DECEMBER 7, 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 ADDITION TO AN EXISTING AGRICULTUAL BUILDING AS APPLIED FOR. The certificate is issued to RICHARD & JAMES MCBRIDE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ f!. 'ill}." /~ Aut rized Signature ~ Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I 0 L( 15 Orur Q4jl ~1/1.o/ ~ 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 2/10 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 Plarming 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 nses: 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/ D6 , I New Construction: ft} e.0 OI~Jlre-existing Building: Location of Property: 01'" ~ on k-" d ( House 0'/1 Street Owner or Owners of Property: ___ ~l Co ha n:l cL ~ /Y7 e<;; Suffolk County Tal' Map No 1000, Section _----2~7_ Block (check one) Hamlet )l)cD,'J ~ :;2 Lot __.LG> Subdivision __ ~ Filed Map. _~ Lot: Permit No. Date of Permit.______ _____ Applicant:_ Health Dept. Approval: Plamung Board Approval: Request for: Te~Orary :ertificate Fee Submitted: $ :)7,00 Underwriters Approval: __ __~____ ___ Final Certificate: ~ ( check one) ;igp{J~ Applicant Signature ~ 7 PfC?'f C. 0 -l-3,zo ~ .$ 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. 32554 Z Date DECEMBER 7, 2006 Permission is hereby granted to: RICHARD JAMES MCBRIDE OREGON ROAD CUTCHOGUE,NY 11935 for : CONSTRUCT AN ADDIDTION TO AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR. (REPLACES BP #23171-Z) at premises located at 10725 OREGON RD CUTCHOGUE County Tax Map No. 473889 Section 083 Block 0002 Lot No. 016 pursuant to application dated DECEMBER 7, 2006 and approved by the Building Inspector to expire on DECEMBER 7, 2008. Fee $ 50.00 ORIGINAL Rev. 5/8/02 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. 32554 Z Date DECEMBER 7, 2006 permission is hereby granted to: RICHARD JAMES MCBRIDE OREGON ROAD CUTCHOGUE,NY 11935 for : CONSTRUCT AN ADDIDTION TO AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR. (REPLACES BP #23171-Z) at premises located at 10725 OREGON RD CUTCHOGUE County Tax Map No. 473889 Section 083 Block 0002 Lot No. 016 pursuant to application dated DECEMBER 7, 2006 and approved by the Building Inspector to expire on DECEMBER 7, 2008. re Fee $ 50.00 COpy Rev. 5/8/02 jrSS-fz- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING p<f FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION RE~' (f:~zJ~ ~ ~ f[)k ~O~) ~~~~ DATE !,JL'-O~d' INSPECTOR ~~ ~ f"'\ 'g!:!!_!II~;~~C!!U~U!"~U~!_ !!{I:!-"_ _ __un _un _____n__ CUmllmr~ -_._-'-_._~~--=--~~--=-=---Cf~-----=-r------~---=---------================~~================== II II .--~_____II_-___------~----- _______ ___ _ ___.________________________________ __ ~ ~-------II- ---~---- ------ ------ --==--------------------------== i _____11____________________________________________ --------- ~ -----______ -- - -___ __________n___...__.__________ ___ ___.__un_________________ __.____ ________11_ ------------------ --- u____ ------ --------_______________~.___________.u -' 2~ ~ ~~! ~!!~ ~ = = = i ~~~l== ==== _ = == ===== ~_ = == ==~ ==== == ==== = ====== == === = = = === = = ====~ = === = == = = = = = = =. II ______11______._______________._____________________________ I : _______ I ____________n_____ --------.---------_________~________n_.____ I I ___________ J _____._____ __n________.________________________________._.____ 'OIlNlMT ION ( 1ST) tlllll;n ['RAlm 6 PLlnlll [ NG _____.1 ___n~___________________.___________ II _______II________________.______________n..______ ______________________ I II "========~=============== -========[=====~==============================>===================. ------II-------~----------- -------11 --------------------- -----.11---------------------- 1----11-- ------:-"- ------II------------------_____~__________.___n____________ II =-====================== ========J;======================================================- ~l~~~l~~~j~~~ ~____n !I__________ ______ ~ ___________ ===::~::~================L~~=~L~~=~~-~=~=~~=~~~~~~-=-_-==~~-=~~~=:~~~-==~=~~c I NSIILATI ON PER N _ Y. STATI, ImERGY cOlm ADIHTlONAI. COMMENTS: ~==~===================~====================================================a=============: -J-J,bL!'_~__~_$ 50,t/f) ~~.lL~~.9-~ @.,,,,",,,r--.11Y__fll: "----~-----~----------~-_.._--------~------_.__._-----'._--.--------- ..._'---------_.,...._-_._------_.._--~_._-----_.__._-------'-------_._--------_.__..._--~-,_._----------_.----.----... ------ ----- -~------ -~-- ------------------ --- -----..-.-.---.--_________________n..___ ...---------------....---.-..------.---.------------------.------------ _.__._--.--:--~---_.._--.-------_.._._---~---~~-- --..---.-.---- ---~"-'--.'--'---------~~-~,-~-'._~-----'---'_._------' - -- - - ~--------- ~-- ~---- -~ - - -- -- --- -- ---~ - ~ ~- '.---'--."--"-"--- -... -_._--------- "'----- -- -....---- -- --- -_..__..~.__.._---------~~------_._~------------------~--_._--------_.__.._-----_._---~---~_._._--_._---...._.-.---.------ -- ----.- ------.-- ----.--.-----------...- ----_._-~._--_._----._----- --_._-"..._---_._-~-_..._-----_._.. ..__.~----~._~---._.._-- .-----..-----.--- - -~ - - ---~---- - ------~- ----- -- ---- - -------~ -~-- --- -- -- - - ------ .-- -- ----.---- -- ._--"--_._--~------_._._._. -- - ~ - ---- -- ~ ---- - -- ----- - - ~ -- -.---..----..- ---~-- ._._----~-- ;::~~ 5! V. :i -C ~ ~ ^' ~f ",if ,., ~.~ ~ ~ ~ ;'l~ 1:1G ~C1 ~ ~ r' 6p ~ )( ~ ~ ~ If; "- ~ ~ .-\ FJi~ H ~ 1;: ........ H 8 ~ z'\j~ ~, ,., ~~ t:J~ '" '" '-1 /~'~t{ FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N.Y. 11971 TEL.: 765-180:1 Examined... ./!;{t:....., 19 '1.r Approved. . /~c:f.. ., . ., I 995.Permit No. ,).J/7/.'2- Disapproved ale ..... -............................... UU,\hu UI 1\L.J\L1U ......... '/3 SETS or PL.\NS .......... /jSURV~Y ................... //ClIECK .................... / SEPTIC fORfl .............. 1l0~~~~ : . 7 y::l:-.4.?~.t.,. . . . . H^lL TO: ..................... . ..................... . I'; i--, !_, ji ............................... AP:7d~~~:GPER~1T INSTRUCTIONS . m:-f' - 1190:; Date.................., 19... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tllis application may not be commenced before issuance of ~uilding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 Southold, 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 neces~~~~~. .~. ~ . . . . . . . . . . . . . . (Signatur'/if applicant, or name, if a corporation) . (!)~...4..~. U.cr.3.~..... (Mailing address of al'plicallt). , \ State whether applicant is~ssee, agent, architect, engineer, general contractorA;~RO~~ASp~OT~Dr or builder. . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . .. . .. . . . . .. . . " . . .. . . .. . .. . .. . . . 'om:' . .. B:P./1 J} ! :7,(, i. . .. . Name of owner of premises ~'~.i:'l.tRb. .'4:-.~t.Ii\. fot:I.. v... .^-4~~~~t. y lJlJ1lO;: ~1'.d;::;AT"" (as on the tax roll or la'ffl5.~ 9 AM TO 4 PM FOR THE If applicant is a corporation, signature of duly authorized officer. FOLLOWING INSPECTIONS: 1. FOUNDATION. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE R!:C1UiREMENTS OF THE N.Y. STATE CONSTRUCTION & ENEF,GY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERi-lORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corpo1)tc~D~~) B 'Id ' L' N u ANCY OR UI ers Icense o. '''''''USE'IS'UNLAWFUL Plumber's License No. ..... WITHOUT- CERTIFICATE Electrician's License No. ... .OF .OCCUPANCY Other Trade's License No. ..................... 1. Location ofland on which proposed work will be done. .......................... .~. . ... . . .. . . .... . . ........ ./(7, fl.~.... .~.tE.~.IfI...... .RD. .~.......... Q~rf... .~. ~~....... '" House Num ber Street Hamlet County Tax Map No. 1000 Section ....' 8;>. .. . . . . .. Block .. ..0. . . .. . . .. ... Lot...f (..f. .. . ., . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of prelllise~ and intended use and ~c~a/c.y of prop01 construc~n: a. Existing use and occupancy. . . . .. ......... if .Ii}~/.. n~f~.. o/...d?1~. . . . .. . b. Intended use and occupancy .. 4:J~. .~#~. . ." 4dt:ne.. . .~~. . . . . . ! 3. Nature of work (check which applicable): New Building. .. .. .. ... Addition. .x,. . .. .. Alteration .......... Repair ............... Remov~&:l< i C' .~ t:. ~e~~~ . . . ~;:~ 'R .~ ~t~r Work. . (D~~~ri~ii~~; . , 4. Estimated Cost ,.~tr.7?o,.'?:? r . ... .. , . '" . .. . Fee. . . .o!;1r~... '" . .. . . ..... . . .. ..... (to be paid on filing this application) 5. If dwelling, number of dwelling units.. , . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . .. . . If garage, number of cars ........................................................................ 6. If.busin~ss, co~~er.cial or mixed o.ccupancy, specify natur, and extent of each type of use . ... . .. .. . .. .;-.. ... .. 7. DimensIOns of eXlstmg structures, If any: Front. . . . If 0. . . . . . , . Rear .. 60. . . . . . . .. Depth... 5? a. . . . . . . . Height .1:-~~ !O::...... Number of Stories ,..r.....".......,......,...............,............. Dimensions of same structure with alterations or additions: Front .7. f'. . . . . . . . . . .. Rear..7 1."., . . . . . . . . . . , vA r ...,' )/1" r Depth... .0....... . ... .. . . ... . .. Height...2,.,.. ~. .. .. . .. . . . .. Number of Stories.. . . .. .. ... . r' ... . . . .. 8. Dimensions of erttire new construction: Front. . (<1. . . , . , . . . .. Rear. /r. ~. . . . . . . . . Depth. <6 .1.. . . . . . . . . . Height .. /'7,: [f. ~'. . . . . . Number of Stories. . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . I~: ~:;eo:/~~:r:::s:t:: M~: :i:<1:~tf: .~~~~:: Na~~~fFo'~~r'O~~~~' .~~:l-t: :7h~::: II, Zone or use district in which premises are situated. . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance Or regulation: ................................ 13. Will lot be regraded ......1'6...,;.....~,.. .f)., Will excess fill be removed from premises: Yes No 14, Name ofOwn~rofpremises ~~i:7..~JI:{C!~ress .e.~IJ<I""'" Phone No.7.'Jlf,. 'lytb" · Name of Arclutect .. .~' . . . . . . . . . . . . . . . . . . . Address. . . . . . . . . . n' : :.: itl' . Phone No. . . . . . . . . . . . . . . . Name of Contractor .. ................... Address .C~/.J P.:Ldt.. Ph'one No. . .~..... 15. Is this property with 300 feet of a tidal wetlana?' O'Yes........ No.l1~.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM II (3 J1I' j1.j) IJ, . htfl ~s:.. "BA~ ~ ~ ~' '\ ~ . '--< t.f :r r) RL I tI W~Lt.. 3D' ').-~"IO~ I' · F?~Tr;: l~ () Co. 11/1 II ff&7 Ilrr f( if -r ;1J~ --s4~f r~~ {, w1jl.(..s, -.q- pOdF 1'- t/ Gf f'lA-K :2..)IIOrt ,L STA TE OF NE~RJfx{k S S . ~~~~~~.1!T~'I/. ~k}.','. .'. . ?~l f.dr. . . , . , . . . , (Name of individual signing contract) above named. I \ .--......_'~- -~-' being duly sworn, deposes and says that he is the applicant ~I: ~:i~leOW~~~ 'a: ~~~er~,' ~~~ ;~ ~~;~ ~:I:I:~~~::i;:~;t:;~~:~:;:~;f::::':;:~':~i~' ~~~~ 'a~~':~ ~~~ ~~~ ';'I~' ~I:i~ application; that all statements contained in this application are true to the best of his knowledge and belief; and that the worl< will be performed in the manner set forth in the application filed therewith. Sworn to before me this . .. , .. , ,. : . j. s;f: . .day of.. .. .. " .... .......,19'7.<:: NotaryPubhc,~....,... . ......... County . 1, ~~_ CLAIRE L GLEW \ ~(../ / II NotIIryPu~~~~~~tg~NeWYork ~ .....1-::...................:...... ......... Qualified in Suffolk County a 19 (SIgnature of applicant) Commission Expires December ,