HomeMy WebLinkAbout32355-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32109
Date: 12/29/06
THIS CERTIFIES that the building
ADDITION
Location of Property: 680 LOCUST
(HOUSE NO.)
County Tax Map No. 473889 Section 64
LA
(STREET)
Block 2
SOUTHOLD
(HAMLET)
Lot 54
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 6, 2006 pursuant to which
Building Permit No. 32355-Z
dated SEPTEMBER 12, 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" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to BARBARA KELLC
(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
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
\)EC 'l. 0 '2-'
.fIIvJ
~ f;,' II Y<ctb;
.
\
\
'I'_~l._-'
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957). Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topograph ic featu res.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy als.oo f !
2. Certificate of occupancy on pre-existing dwelling land use $IS $5.00
3. Copy of certificate of occupancy $1.00
Date . P.~ ~ . . ( q . . ~.tJ.{J..~ .
New Building .... . . . . . . . . . Old or Pre-existing Building ............ Vacant Land .............
Location of Property . ~ .~o. . . . . . .. . . . . .. t.... o.0sJS.r..A Wif:. . . . .. . . .. . .?WT(-jf).lO
House No. n Street Hamlet
Owner or Owners of Property . O~ . .t.~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section ..~..Lf......... Block ..O.~........ Lot...;;:J........
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. ......... .Lot No. .............
Permit No.~l3.~{ Date of Permit... ... ... .Applicant . W.ZII/~. ...f:. .r:A:-<.o.~~......
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Labor Dept. Approval ........................
Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . /' . . . . . . . . . . . . . . .
Request for Temporary Certificate. . . . . . . . . . . . . . . . . . . . .Final Certificate. V. . . . . . . . . . . . . . . . . . . .
Fee Submitted $. ~5"-!Pf.. .. . . . . . .. . . . . .. . ..
Coo,""";OO 00 ,ow, d=';":p::::~:'"' p'Jr;:;' p:~ ............................
Rev. 10-10-78
~, 715?5'6
c:.6 2; 3C).fo~
-
-
...-
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.
32355 Z
Date SEPTEMBER 12, 2006
Permission is hereby granted to:
BARBARA KELLC
315 RIVERSIDE DR APT lIE
NEW YORK,NY 10025
for
"AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
680 LOCUST LA
SOUTHOLD
County Tax Map No. 473889 Section 064
Block 0002
Lot No. 054
pursuant to application dated SEPTEMBER 6, 2006 and approved by the
Building Inspector to expire on MARCH 12, 2008.
Fee $
300.00
L&
I Authorized Signature
ORIGINAL
Rev. 5/8/02
3?-?,')s
a,
U"
.-.
. ..
.'. ~.'.
.-.
-
Mark K. Schwartz, AlA - Architect, PLLC
P.O. Box 933
Cutchogue, New York 11935
I
" ,___I
Phune: (631) 734 - 4185
Fax: (631) 734 - 2110
September 15, 2006
Southold Town Building Department
Main Road
Southold, New York 11971
Re: Kellc Deck
680 Locust Avenue
Southold, New York
SCTM#1000-64-02-54
To Whom This May Concern:
I have been to the site to inspect the foundation of the existing deck on the south east
comer of the house. The deck footings are approximately 12" x 12" x 12" deep and are
set 3' below the top of existing grade and meets the code requirements.
Please call this office if you have any questions or require additional information.
Mark Schwartz
KellcDeck.doc
32-3s-r't-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRucnON
REMARKS:
[ ] ROUGH PLBG.
[ ] I~ATION
[ vrFlNAL
[ ] FIRE SAFETY INSPECTION
] RRE RESISTANT PENETRATION
GrtJ
DATE !JjJ.." Ie.c,
t
INSPECTOR
~2-$DO~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FO NDATION 1 ST [
[] UNDATION 2ND [
[ FRAMING I STRAPPING [
[ ] FIREP~E & CHIMNEY [
REMARKS: ~~~/~
".... v
-
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
~J' Iv
,-
DATE
VJ
INSPECTOR
.
FIELD INSPECTION REPORT. DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
c WV (v
~~.
COMMENTS
~~
()...,'l-:
ce---__
70 W:.:;,
-L/}--------
~ ~'1):~
ADDITIONAL COMMENTS
.
.,,'
w.."
~~
If\..,
l.I'\""
y~
~~
Z
o
~.
(fen
..,
te
g
.._~
j;
~~
~
..,
-~
-~
-~
~
~
('0
::E
z
m
~
~
~
..,
....
o
z
=:
"4
"":--. ..,
=:
1:1
~
.."
~
,'''',,')/)/' --
(Ii TOWN OF SOUTHOLD PROPERTY RECORD CARD
....,... -- ~: -~ ~.
/
Y. c
/:;-27'
OWNER
6a{ rf c-
FORMER OW~R .
T OQ n IT-rO$f~11'
_j I) \ On F 01'Y)J 1
oS f",s /' CC' ->: '., /. / 13 I TAl
RES.
SEAS.
ID
LAND IMP.
,'--/'!"
I" -"
f l--
j (,.-,:t "~
!
~o
00
L/8t>D
7(1)
S 2-trD
AGE
NEW
NORMAL
Farm
Acre
Tillable 1
Tillable 2
Tillable. 3
Woodland
Swampland
B rush land
House Plot
Total
N
S
VL.
FARM
TOTAL
DATE
, . <
, \
..
i ,,'
2//7/
3/, lOb
~o 0 c)
BUILDING CONDITION
BELOW
Value Per Acre
-- -
---1
VILLAGE
r -;ttJ---( /
\'J-I~'I~C-.' l_/j-
SUB.
LOT. \~~
'"-.... -"'->>
r- -,
') .
c
r
DISTRICT
""-,,,~'"
J.
E
--r
j ,---
-;/'t. / <'-
or"
i.:?- .:.\'~ .. ~/,
W
,2 Jfa ~y II, ) d r::-t-,} "",,"
I MISe. I Est. Mkt. Value
;/ Vo
COMM. I IND.
REMARKS
I CB.
ABOVE
FRONTAGE ON WATER
FRONTAGE ON ROAD
BULKHEAD
DOCK
- ,
7..$ ;(/37' ~/
Value
--
64.-2-54 3/06
"'-r' r
/-B#~.
~Ie~\< ~
-
~
/;X l<t"-
@
2irO
J,/~Q
Soo
;i 1 0 6 ' Foundation
Basement
))<12.'
I" .;
/ j'i-(Ji--:.:
~fe~~ion
;<l,~I7': 3!
---~,-~
I___J \ ~- ~
2/ \/~!:::
J 0 ~ ;I. 1'1 (, Ext. Walls
T~ I-~ F~re Place
I ! /,J v/9 '
. VS -'--40-i' "~ ::' ' '-, ,
I( X /L!
..) -.f-- ,'. ~ "
teniiion
.:. "'.-.., >'
r ;17.,p 7/'';
,P.. ~ff;"i- "x / J ~___IL~
GL.AsS c.H,
Breezeway IJ. x 13"" ,I51!, .
gl' 1.".0
------------ .
,
,
__2- f 4-L 6 j
1:6 i ~ po-r
,j (,;, Driveway
5D
31:;""
Patio
?-
"
1f2J;:-12u J' .. 0 p [)
""- l.-"
T II
IJ3g
, t:::'1 'X Ji 1ii'1
JI.....<€. r
.
I I I : I ,
,
1 /'1 lit'
! '" i 10
~ Ii i'.J..,r . ~~ . I
. . I
,
T :" ',,'K ,I' 'J' Y
I
I - fI
, - ,
! I /$, >J ...~v .. 117 ,
I i
! I , ,;1. -;' ,. , I ,
,
, I ! I !
, 1."- ,
,
i I ! /2. :fn t*- ! I 1
I I I ,
I I ! , l I
, , , -+ , I .
, I I I I : , I I I
~ t-r+ I , ,
I I ! T I ttTT-1---i
I I ' ...
., , I ! ! I:
,C,8.
Bath
9...
1>,' t
WObdfh,
()J1.e.
Floors
Interior Finish
H,eat
Porc
~~
arch
Roof Type
G-~.M:i
Rooms 1st Floor
Rooms 2nd Floor
Dormer
Co
.:.J /...
I I ,i.
WtI /Ie
Tv-' ',",
/i.l/ " r /-L~
(/)'d': \ J "'"':"-;
,-'"-'"-=~~'~~.-
JA--<<!-r
, I i
!
I /~ M/o
I '9
It"
, :f , ,
T J'P'"Y
! / - f!
1 /5 .. 117 i
I -f< , r I
-I , i I
I v_~ ~j
I (2. I "";' II- I
I
, I I -I , I
,
~t-+ I I i i ! i !
j I I I I I I , i
, I
.c,!]. Bath
i' t Floors
W~bdJh, Interior Finish
();t'e. Heat
Pore Roof Type
Rooms 1 st Floor
Rooms 2nd Floor ,
Dormer -+
/<:> " \
Loun... ,
W), /fe
-,- , ,
I jl'-I'-" !
i~! '-/
Vv I ( ( .I '(,~
(/lie d- S' ,fr:It'!'ro)
64.-2-54 3/06
@ 'Zc-o
sf). 0 - Soo .:< I 0 ~ Foundation
1'-1'1 Basement
(, Ext. Walls
Fi re Place
/3,//1-
, Z5' 0 I( X
.z~ 3/~ Patio
.
Go Driveway
5D
/
~. ' ';/ &f), /
,.., 6 .
;J,jg -
@
5/ 8 J/
J' f...-< "- f-
I I I ,
,
I /'1 JIIo
i '91
II 1lT-,
, I
,
I I" ')f ~y ,I, I
-
/.( .. v .., 7
I
(, , (" I i
- ! I I
, ',"- ,
I /2. I ~ Il- ,
t ,~
I i
I
I , I I I i
f- ,
i I i I I I I i
,CrE. Bath ~
:-t Floors a
Wbbd sA, Interior Finish Jj, tdCI: I
()"e. Heat -, If, 1/,
Porc Roof Type G-<!,J/el
Rooms 1 st Floor
Rooms 2nd Floor
Dormer
~ Q (6 ~ "
WJ, ;Ie
I ' ,
f V-t _1 !
i A i 'f'
VV /1 (', '\:'
{fjic ~;(, Ji"~rv:
TOWN OF SOUTHOL~.
BUILDING DEPARTM]~T
TOWN HALL ,
.
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO.
3:1 -? S3~i!:-
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning BJ"fd approval
Survey V
Check
Septic Form
N,Y.S.D.E.C.
Trustees
Contact:
9~, 20~
'1 'If"), ,20 fJC
/
Examined
Approved
Disapproved ale
Mail to:
Expiration
5/0.... ,20 tit
, -
Phone:
.)(.../1_
i Building Inspector
INSTRUCTIONS
~-r b
~
, 20 &> (,
APPLICATION FOR BUILDING PERMIT
Date
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of~ans, 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, nd 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.
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.
;ra
~.
.
/
(Signature 0 name, if a corporation)
55"0 D 6"l*T t..,., - CcIJ't. ~ ~ve( M'1
(Mailing address of applicant) I I Cj ; S-
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~r/I /tb4
Name of owner of premises
(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. I ~ q CZ' 0 ff I
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whicp proposed 'fork will be done:
b %t> hbt.l/ ~1' "/'rfV~
House Number Street
~Or/7 H-o l J:)
Hamlet
(Name)
Lot
Lot
~4
County Tax Map No.1 000 Section
Subdivision
6'1
Block 0 i)...
Filed Map No.
.;-
2. State existing use and occupancy of premises and intended use and occupancy of ProP!d construction:
a. Existinguseandoccupancy PFC-I<. -:-- / ~/11 t>CCv'I"t
,....,,vc-w
.J,.L FL. Jf(
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removat()6"CK Demolition
Addition
OtherWork~
Alteration
D e-c.K .
(Description)
4. Estimated Cost ....../;-0 CJ 0 ,-
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.
Rear If" /
Depth 4 ~ '-t, II
9. Size oflot: Front
7r;
Rear 77, ~ V Depth' ~ 1'. ~"f
C.
t
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated !< tft}
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L
13. Will lot be re-graded? YES_ NoL Will excess fill be removed from premises? YES_ NO V"
14. Names of Owner of premises 8 .tilt/AM- ~ Address 6/tO~oC\l\or 4t .. ~oll1'~~ne No. 1 r.. > - S!) J.fo
Name of Architect Address Phone No
Name of Contractor ~.Illrw.. ~..l f\ tce.s Address m I> ~ ~. Phone No. 7., V . t'9' It;-
, c .... 1 ",...
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)
ss:
COUNTY OF S"..ffu I k )
being duly sworn, deposes and says that (s)he is the applicant
contract) above named,
OOHe is the
/3(/ (/I tl:.-
(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./ S{ day of A"5 \J~I- 200 G.
~~ <"--~
Notary Public
Jr~~=,^;,~
John M. Judge
NOTARY PUBLlC6State of New York
No 01 JUe05940
Qualified In Suff~lk County
Commission expires May 29, 20 Q::J
L'A&(~usf .28; 20Uk
Fr'
(O/.,<JYJ 01 JOu~o/d
bU,/dlnJ j)ep /,
bar l:ofCA ~ / Ie-
%'
I hereby ced,fj
'ff,aJ- wheY> f furcho~d
}vi 1 h CJY>1e oJ h/?O lOGUS /-
lone SouMo/cL fJ,e-
)
uJr2 5 a leif-!-
s hue -!-rjr e.,
decK
C~) P ~-it..-f
;t~~~~
J d-I~
rJ01P,;t'j ilcJe><JC
Ntbrt G'ENLYNWIESER
t/O. ~ SfsIe 01 NewYalk
'IIIII&,AI=~
~oft_I-?(,U(J~J ~ \qf{~'
l\r
l' 51
l.O
l' 51.
l.O
AREA = 10,531 sq.ft.
51
l.O1'
plO , r;.
8'1\0
1''3
N.6
<7'~
t-"
510 51
l.O1'
plO
~
l' 58
l.O
\
\'31.61'
I{l
r
o
()
c
(j)
---'
1.~'
'"
<-. 'h
qd I t 2
fr h~e
r
')>
Z
m
/'
r--- ::; ;..
~ ...r' olbO' C
;::/'....-' " ^ ""t.-
e::: ~/1cdj \..r''''
~\
cp. . ~
.\>. \. p,p .
~ I^tr
/
. 'II. clJ
66,zfJo .. A~O\t:--
S. dOtv\'V'
\.. f fI
ANY AL TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLA TlON
OF SECTION 7209 OF THE NEW YORK STATE EDUCA TlON LA W.
EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTlFICA TlONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
ADDlTlONALL Y TO COMPi. Y WITH SAID LAW TERM' AL TERED BY .
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH' INSPECTED' AND
. BROUGHT - TO - DA TE . ARE NOT IN COMPLIANCE WITH THE LA W.
LOT NUMBERS ARE REFERENCED TO 'SUBDIVISION MAP
OF FOUNDERS ESTA TES'FILED IN THE OFFICE OF THE
SUFFOLK COUNTY CLERK AS MAP NO. 834 ON MA Y 10, 1927
"
. ,
.. ..
.
.'
INSTA lL NEW O€C~ IA..JG e"" ILJIVC.S
f>~sT..s ANt:;) g~ LLOSTE~..r "'TT /
Ex I S]7 AJ C; IJ U<<. _
: I
i
SURVEY OF
PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
1000 - 64 - 02 - 54
Scale: 7" = 20'
July 76, 2004
TIfJ5 PL/tN H~s 8UAJ
AL7TlZw Tt' IN.o/CIJ 7E
flU!' tJf[;O ON Spe v C J7 I?#
Ittl-€A'f 5
N. Y.$. LlC. NO. 49618
ORS, P.C.
FAX (63JJ 765 - 179'7
04-208