HomeMy WebLinkAbout31158-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 01/29/07
NO: 2-32166
THIS CERTIFIES that the building ALTERATION TO ACCESSORY
Location of Property: 440 SUNSET
(HOUSE NO.)
County Tax Map No. 473889 Section 91
WAY
(STREET)
Block 1
SOUTHOLD
(HAMLET)
Lot 8
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 19, 2005 pursuant to which
Building Permit No. 31158-2
dated
MAY 23, 2005
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 ROOF ALTERATION TO AN EXISTING NON-HABITABLE ACCESSORY BUILDING AS
APPLIED FOR.
The certificate is issued to EDWARD F. JENSEN
(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
ji\t-I 2 9
1
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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 Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to Apl"il 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
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 ofOccuJlancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1,5.00
Date. J - f 7 - 0" 7
Old or Pre-existing Building:
.../
(check one)
..s 0 t.{ THot-1)
New Construction:
Location of Property:
'-I t.i cJ
House No.
Jt('VS,E:T vUlt-y
Street
Hamiel
Owner or Owners of Property: E DW 4- ~D r-:-: 3BN S c /tJ
Suffolk County Tax Map No 1000, Scction 31
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Bl ock
I
Lot
p
Subdivision
. _ Filed Map. __..
_Applicant &"j)cA.//Ti2-o.__;[(3'tVJpl'!.
Lot
Pennit No. .. 3 1/ .5- k_~_ Date of Permlt.__.
Health Dept. Approval: ___
. __.~ Underwriters Approval: __
Planning Board Approval:
Request for:
T emJlorary Certificate
Final Certificate:
1/
( check one)
Fee Submitted: $
J-~O(.l
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Applicant Signatur /'
t/
~.71/'Y{
COt 32\ ~~
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.
31158 Z
Date MAY
23, 2005
permission is hereby granted to:
MICHAEL & LAURIE WEISS (:rG~~~)
NEW YORK,NY 10010
for :
ROOF ALTERATION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR
PER ZBA, TRUSTEE AND DEC APPROVAL
at premises located at
440 SUNSET WAY
SOUTHOLD
County Tax Map No. 473889 Section 091
Block 0001
Lot No. 008
pursuant to application dated MAY 19, 2005 and approved by the
Building Inspector to expire on NOVEMBER 23, 2006.
Fee $
75.00
/
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Signature
ORIGINAL
Rev. 5/8/02
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jf.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0179C
Date January 5, 2007
THIS CERTIFIES that the second-floor addition to dwelling, open porch, & shed
At 440 Sunset Way, Southold ,
Suffolk County Tax Map # 91-1-8
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 11/4/04 pursuant to which Trustees Permit # 6050 Dated 12/20/04
Was issued, and conforms to all of the requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is for a second-floor addition to dwelling, open porch & shed.
The certificate is issued to EDWARD JENSEN owner of the
aforesaid property.
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Authorized Signature
.
-
FJELD INSPECTION REPORT DATE I COMMENTS
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FOUNDATION (1ST) =~
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FOUNDATION (2ND) ~~
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PLUMBING
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INSULATION PERN. Y. r<:e;;
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STATE ENERGY CODE -
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ADDITIONAL COMMENTS ~
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TOWN OF SOUtHOLD
BUILDING J;lEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
PERMIT NO.
BUILDING PERMIT APPLICA nON CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Examined
Approved
5-/~
);Z~
Disapproved ale
Expiration
,
flh'3 ,20L
,
Phone:
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a. . 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 of lot 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 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 ofa 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.
PLICATION FOR BUILDING PERMIT
Date
j-/t
,20~
INSTRUCTIONS
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plwnber or builder
OlOrv 1ft-
Name of owner of premises E tJ rA./ ~te- l> ~ \ T €/71 ,rL/(/
(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.
1. Location of land on which proposed work will be done:
Lf ~ () ..s 1-1 Jt) < c,'br tV IJy'
House Nwnber Street
<'\()L{rlfo{..()
Hamlet
JJV V97/
County Tax Map No.1 000 Section q (
Subdivision
Block I
Filed Map No.
tMIllIT .2 AC,I'I),
~10' wtIlWC'~;"'oM
.01"
,.......,J tr .c',
" tkn5M cal I" I. ,1"n03
(Name)
,
2. State existing use and occupancy of premises and intended use and occupancy of proposed constructiS,m:
x, a. Existing use and occupancy
b. Intended use and occupancy
,3. yature of work (check which applicable): New Building
7-Repair , Removal Demolition
c;j'a
4. Estimated Cost /00 Fee
Addition
Other Work
1'4
Alteration
(Description)
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.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
("'-
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
". ; UW
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase r~ -0/
Name of Former Owner
WE1~S
I I. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO-f'1--
13. Will lot be re-graded? YES_ NO~_Will excess fill be removed from premises? YES NO_
Hf"; S ,,,,..-/ Il----.r-t I U ~
14. Names of Owner of premises clJu.//Jtl.]) ~ JlJu5J",uAddress 11f) Slflluf I-D Phone NO('3J\
Name of Architect Address Phone No -
Name of Contractor Address Phone No.
,v<'; 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 -L NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
'/!. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
COUNTYOFS~
~ _I ,. - ~
L (JV-<./#li-It-f) ;- ,)-<"'11 ,""-, e Y"\ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
cs;J tv ~ &L
(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
10 day of /l{~_ 20 D>
~,AJrr ~"A4~
Notary u lie
~~
1IDlItyW&B;1tlItl
",--,Qualified"\: ~ ..:M ) 7
_lW,.1Sion ~ 28,~ 0;
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Board Of SbutholdT own Trustees
SOUTH OLD, NEW YORK
PERMIT NO. H0DS.QHH
DATE: .0. ~":'H XO"H..go..9 4
ISSUED TO __.......E..c:0!.o/.!:~H!..'!:~..q,!1..........HH.H....
i\utqnrii!ttfintt
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893: and Chapter 404 of the Laws of the
. State of New York 1952: and the Southold Town Ordinance en-
'fltled."REGULATfNG'ANOfHEP.t.ACING...oF.OBSTB.UCno~
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS.f-i-OM
LANDS UNDER TOWN WATERS;!'. and in accordance with 'the
Resolution of T-he Board adopted at a meeting held on HH1?".<:','o..lo.'HH
. 2.0..0.4.:., and in consideration of the sum of $.2.5.Q..0.0"H"'H paid by
.. ~H~'0:4._.!.g.Y1A.g,!:t'HH"HH_"H""H_H"" .................... ..............HH.H..H.....H.....HH.H..........
T~~;O'.~7~~~dit~.ii~t~d'H~~t~. ~~y:~~ sus~1:cttr:;f.
of Southold Town' Triilsfees authorizes and permits the following:
.W~and P~ ~o eOn6~uet a :oeeond-6loo~ ad~on ov~ ~h
e~.u.ng dwe1.Ung, c.On6~Ct an open pMeh, and a new p<<ehed
'.11.00 ~ ov~ ~he eJU.6ting ohe~ w<<h ~he eOllcfi;Uon .tW gutieu a.nd
MYW~ ~&oUfdl.<t.cbowffrNftJ.lHe'tilWd :p~~tions as presented In
.the originating application.and aU M dep.i.eted on .the plan p~e~
pMed b!f EdwMd Jen6en da.ted OetQD'eA 19 20Q4 .
IN WITNESS WHEREOF, The said 'BOard of Trustees here-
by causes its CorJ'Ol'at~ Seal to be a~xed, and these presents to
be subscribed by a lMlorlty of the said Board as of .this dat.e.
. Peggy ?.i.eR.euO!1
Trusitet
Prepared by' Ed
Date: 1O/19i04 ward Jensen
Location: 440 S
Sunset Way
. outhold NY
Scale 1"=20'
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AND COND~:'OPER TERMS \L.roar lIe_
NS OF ~n
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Lot Area 14.216 sq,ft,
Existing Lot Coverage
house - 952 sq.ft.
garage - 364 sq.ft,
deck - 300 sq,ft.
patio - 375 sq.ft
shed _ 160 sq,ft, Proposed:
concrete ramp _ 172 sq.ft. second story over existing footprint
stoop _ 25 sq,ft, porch
Total Existing _ 2,348 sq,ft, .16.5% new roof on shed (fram bid )
'"''0''''''''' - '''' ".ft. ' ·
Total existing andl'roposed - 2,550 sq.ft, - 17,9%
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TOWN OF SOUTHOLD
STREET
S
W
TYPE OF BUILDING
LAND
iMP.
TOTAL
DATE
COMM.
REMARKS
I IND.
I CB.
I MISe.
I Est. Mkt. Value
RES.
SEAS.
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VL.
FARM
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GO ~ "31.~
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AGE
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BELOW
ABOVE
Farm.
Acre
Value Per Acre
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
BULKHEAD
DOCK
00' ,II /:>5' fly'.
-:.//CO
Tillable
/"0
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Tillable. 3
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FLOOD ZONE Met)
COMPLY WITH CHAPTER" 46"
FLOOD DAMAGE PREVENTION
SOUTHOLD TOWN CODE.
;~VED AS NOTED
DATE: .{/ 3 rBP # "311 )t-e-
FEE: BY: ~t.2--
NOTIFY BUllD'I,:: :- ":~,
765-1802 8 AM ~\_ t';1 =OR THE
FOllOWING INSP;::C, .j,,5
1. FOUNDATION. W:) REOUIRED
FOR POURE2 ".~ .~C~-
2. ROUGH. FP\i. & PL~\"BING
3. INSUL,; ;~ON
4. FINAL. ,- /' 'C-O" . T
AL~~~~;",L,:,' s ~, "ET TH IDDI
REQUIR"i,l;::NTS OF THE C,:JDC:S OF NE
YORK STA~E. NOT RE FONSlBlE FO DD
DESIGN OR CONSTRU ION ERRORS. U
COMPLY WITH ALL C DES OF
NEW YORK STATE & T N CODES
AS REQUIRED AND CO OITlONS 0
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IV ( A soul;';~'~ ~ Gt PL!\ NING 80m>
../ SO\JIt10lJ iDWfl TRJSiEES
J tl.'I.SDEC r = ~
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FRONT ELEVATION
1/4" ~ 1'-0"
OCCUPANC
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
NEW
---i ROOF
EXISTI NG
~ 9" STRUCTURE
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK ST ATE.
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3 OF
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RESIDENTIAL
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JENSEN RESIDENCE
SOUTHOLO. NY 11971
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SURVEY OF LOT 162
MAP OF CEDAR BEACH PARK
FILED WITH THE SUFFOLK COUNlY CLERK'S OFFICE AS MAP No. CfO
SITUATE: BAYVIEW
TOWN: SOUTHOLD
SUFFOLK COUNlY, NY
SURVEYED 01-30-2004
UPDATED 04-:;21-2005
SUFFOLK COUNTY TAX #
1000-<11-1-8
CERTIFIED TO:
Edward Jensen
Greenpoint Mortgage II'unding
MKM Abstract
NOTES,
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JOHN C. EHLERS LAND SURVEYOR i
6 EAST MAIN STREET N.Y.S. Lie. NO. 50202 I
RIVERHEAD, N.Y. 11901 I
369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\04-243.pro I
____._.___~____._.J
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