HomeMy WebLinkAbout32816-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32279
Date: 04/04/07
THIS CERTIFIES that the building ACCESSORY
Location of Property: 825
(HOUSE NO.)
County Tax Map No. 473889 Section 109
NEW SUFFOLK RD
(STREET)
Block 7
CUTCHOGUE
(HAMLET)
Lot 4. 3
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 12, 2007 pursuant to which
Building Permit NO. 32816-Z
dated
MARCH 20, 2007
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" ACCESSORY SHED AS APPLIED FOR.
The certificate is issued to DAPHNE M HORTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~o~
Rev. 1/81
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:
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 DepL 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.
S. 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:
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 CeItificate ofOccupanc)' - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary CertIficate of Occupancy - ReSidentIal $15 00, CommcrcIal $15 00
I Date 3/2.2---/ Of
New Constructron ( check one)
Location of Pro pelt)': 15
House No.
Owner or Owners of PropeIty: N.~\e..
Suffolk County Tax lvlap No I ~on
Street
\Z; 1J \ ,"10--[[ '^ ~Dr61\
fo Block 0-'
Lot
4,~
Subdivision
Pennit No :3l-xlf.o
I Filed Map. Lot:
Date of Permit. 3/J..O!D7 Applicant:~~ ((1'lIe
Undenvriters Approval:
Health Dept: Approval:
Request for:
Temporary Certificate
,;)5' ,aU
C1:D 2:;?:> ~;). /1
~ G -'1 :L~O~
Final Certificate:
I
(check one)
Planning Board Approval:
Fee Submitted: $
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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.
32816 Z
Date MARCH
20, 2007
permission is hereby granted to:
MERYLE D KING
126 SOUTH COUNTRY ROAD
REMSENBURG,NY 11960
for :
CONSTRUCTION OF AN AS BUILT SHED IN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at
825 NEW SUFFOLK RD
CUTCHOGUE
County Tax Map No. 473889 Section 109
Block 0007
Lot No. 004.003
pursuant to application dated MARCH
12, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 20, 2008.
Fee $
200.00
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ORIGINAL
Rev. 5/8/02
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FIELD INSPECTION REPORT I DATE I COMMENTS c.}l
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FOUNDATION (2ND) t'l?;i
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INSULATION PER N. Y. ---
STATE ENERGY CODE ~
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST
] FOUNDATION 2ND
] FRAMING I STRAPPING
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
X FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE 3 - ~ 7-- () 7
INSPECTOR ~< ~
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUcnON [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ i.A.., ~~ -1:;1
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3,.- '?-3"- 0 7
DATE
INSPECTOR ~ ~
~VED AS NOTED
DATE: ~ :f' B.P.# o.9tlb~
FEE: BY:~I'
NOTIFY BUILDING DEP TMENT AT
765.1802 8 AM TO 4 PM FOR THE
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
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE 11 TOWN CODES
AS REO:jTlED AND COND'::ONS OF
SO'.-:-..,..... '''.,.- '. .'::;:,',
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~ SO~7 rD ~C:.:; ?:;~;i;~G BOARD
SO,;THCcD T\)N~ TRlISTEES
N.Y.S. DEe
OCCUPANCY OR
USE ~S UNLAWFUL
W~THOUT CERTiFiCATE
OF OCCUPANCY
Ai L CONSTRUCTION SHALL
MEET~ THE REQUIREMENTS OF THE
CODES OF NEW YORK ST ATE.
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OWNER
Me..rl{/e D. K(n .f
TOWN
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OF SOUTHOLD' PROPERTY RECORD CARD
'7;1" '/"'-j'
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IMP. TOTAL
700 ~'\:;Co
?.). 0 0 Po 00 -.'
7J<>o tl 0 0 I
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DIST.I
SUB,
LOT
t.c' ,
-f?J'C' h t) PO
FORMER OWNER
7~ 1I1?€ e v' e ,
ES~ SEAS_
LAND
- TYPE OF BUILDING
eW !vff'o/ ~~ J,
COMM, CB, MICS, Mkt, Value
goo
l? 60
,FD'
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Tillable
House Plot
-
--
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
r; e fl'po
\o:::;c,
'fOO
Woodland
Meadowland
/"/0/
Total
DOCK
J
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M. Bldg. .3GX3(. /eZ 9 (P .3;' ~ --/f t: 0 ' V "l
Extension 1.:(13 , II 7 ?- ! ':;
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Extension ,
'Ix. (/ : 9q :3 00 '<9'7
Extension !......
Foundotion . Bath Dinette [. .
e- G' :'3
p~fr!.:. jf)(.<v= 432- ,~5' loX Bosement Iu ,. .!~- Floors o 1'--1 I(' K.
'11
Porch I Ext. Walls '." Interior Finish lR.
WOJOS,fhV6 WI-ILl. e:o
Breezeway Fire Place ,/ L'" 5 Heat -J c: \ /-I. .J. DR.
~ox..7.. ~' "'",;>"{ Floor
Garage ./../ )( /3 -s-,,< ",-.3'.<. soD /~q.;; Type Roof Rooms 1st SR.
Patio . I x.vJ Recreation Room Rooms 2nd Floor FIN. B
-f.. . I.--S:-'X 1 "r =
O. B. 1'1\,"(;~ ,-3" '-' , ,- -. Dormer Driveway
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Total I'7Y;'.<--:- I
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, ""ljl U-J~; ..\; (
COLOR GRIt'/
TRIM WHilE
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TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SoutholdJ
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
---.. 4 sets of Building Plans ~i c..-h I ('-e..-
Planning Board approval
~Survey
Check ::JDO. 00
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO. 's:;2?5 l <; ~
Examined
Approved
Disapproved ale
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Mail 10:
Expiration
Phone 'i~ l{ - Lfl.[ 1.5
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APPLICATION FOR BUILDING PERMIT
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Date
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INSTRUCTIONS
a. This 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
are~s, 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 regnlations 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 regnlations, and to admit
authorized inspectors on premises and in building for necessary inspections. -
ignatur f applicant or n me, if a corporation)
tf! c9X 1~'-2
/1' r'~ 5>tc~.ll./fit -1/ y. (IY?W
(Maili address,6f applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Ov..l ~e.{'
Name of owner of premises he/yip ~~ / ~d/'/C'/f /fi;~t!T"'7
I ' (As n tfie 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.
County Tax Map No. 1000 Section
Subdivision A/llf
(Name) .
101
Block 7 fo. _.
Filed Map No. . " .
__. Lot. '-j; /'
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2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy (~~ lzI1f'A.!/tr( ~eltytp
/
b. Intended use and occupancyJe<7lc1f',,;-;d flwef!1 rI- 5IFnt9'~ 7-1t""~
/
3. Nature of work (check which applicable): New Building V' Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost f cl-/f)tJ3
5. If dwelling, number of dwelling units
If garage, number of cars
(Description)
Fee
(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 Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front It} ( Rear
Height 1.1-' Number of Stories I
9. Size of lot: Front \'?::i1-.,to\' Rear 1-"61 , ?'\) Depth '7-& ~ . S1)
Depth, I Y- I
10. Date of Purchase
Name of Former Owner
"
II. Zone or use district in which premises are situated' ~...t..\\)
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO V
13. Will lot be re-graded? YES_ NO VWill excess fill be removed from premises? YES_ NoL
/I1t'''7lr A;/Cy' I!ox /S? //f&7
14. Names of Owner of premises (,.vt1/'/f'A Ifdcf8/1 Address.-f1"4I'Y4--7My. Phone No.6)/-}~-t:?)'6"';-
Name of Architect Address _ I Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? .YES_NO L.---'"
· IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE 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:
COUNTYOF~~
;11 e: ;e.. Y C-E' /..{ / ,G/ G- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(9 LV -U c-t2.- '
(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.
20 ----D2
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Notary Public ROBIN Mc KENNA
Notary Public"State of New Yorll
No. OIMC5Q8360~
Qualified in Suffolk counS!YZO t'f2.
Commission EJqliIeS August I, ___ (
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Bruce
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NOTE' I. MAP PREPARED FROM SURVEY BY R. VANTUYL AND
FROM DEED DESCRIPTIONS.
2. TOTAL AREA' 5.794 ACRES
3. CONTOUR LINES SHOWN THUS' -,,-,-:10 .h___ ARE
FROM U.S.G.S. CHART, "SOUTHOLD, N.Y."
4. SUFFOLK COUNTY TAX MAP
DIST..!2l!2...SECT..JQ.L. 8LOCK--L- LOT 2AN04
5. THE WATER SUPPL Y.AND SEWAGE DISPOSAL FACILITIES
FOR ALL LOTS IN THIS DEVELOPMENT SHALL COMPLY
WITH THE STANDARDS AND REQUIREMENTS OF THE
SUFFOLK COUNTY D'fARTMENTOF ~ALTH.
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SCALE I I" 11600'
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70\.\9'
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- - R~~\VED BY
SOUmOlO 10~m PIJI""mG BO~RO
DA1E
MINOR SUBDIVISION PLAN FOR
JAMES P HORTON a DAPHNE M. HORTON
AT CUTCHOGUE
TOW.N OF SOUTHOLD
SUF'FOLK COUNTY, NEW YORK
* UNAUTHORiZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW.
* COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL.
NOT BE CONSIDERED TO BE A VALID TRUE COPY.
*GUARANTEES INDICATED HEREON SHAL.L RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED,
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
MENTAL AGENCY AND LENDING INSTITUTION LISTED
HEREON, AND TO THE ASSIGNEES OF THE LENDING
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS.
* DISTANCES SHOWN HEREON FRaN PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
PROPERTY LINES OR FOR THE ERECTION Of FENCES.
JAN. 14, 1983
JAN. 12, 19B3
FEB. 19, 1980
,"=100'
"
. DATE'
SCALE'
NO.
80-91
["
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YOUNG a YOUNG
400 OSTRANDER AVENUE
RIVERHEAD, NEW YORK
ALDEN W. YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE NO,12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO.45B93
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NOTE' I. MAP PREPARED FROM SURVEY BY R. VANTUYL AND
FROM DEED DESCRIPTIONS.
2. TOTAL AREA' 5.794 ACRES
3. CONTOUR LINES SHOWN THUS' ----.- 30 .m__ ARE
FROM U.S.G.S. CHART, "SOUTHOLD, N.Y."
4. SUFFOLK COUNTY TAX MAP
DIST..!QQ2... SECT....12L- BLOCK..L- LOT 2 AND 4
5. THE WATER SUPPLY AND SEWAGE DISPOSAL FACILITIES
FOR ALL LOTS IN THIS DEVELOPMENT SHALL COMPLY
WITH THE STANDARDS AND REQUIREMENTS OF THE
SUFFOLK COUNTY DrARTMENT OF 1ALTH.
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DA1E
MINOR SUBDIVISION PLAN FOR
JAMES P. HORTON a DAPHNE M. HORTON
AT CUTCHOGUE
TOW,N OF SOUTHOLD
SUF'FOLK COUNTY, NEW YORK
JAN. 14, 1983
JAN. 12, 19B3
. DATE , FEB. 19, 1980
SCALE' i" '100'
NO. 80-91
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'* UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW.
* COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE COPY'.
If GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED,
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
MENTAL AGENCY AND LENDING INSTITUTION liSTED
HEREON, AND TO THE ASSIGNEES OF THE lENDING
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS.
* OISTANCES SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
PROPERTY LINES OR FOR THE ERECTtON OF FENCES.
JM
YOUNG a YOUNG
400 OSTRANDER AVENUE
RIVERHEAD, NEW YORK
ALDEN W. YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.1284!l
HOWARD W. YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO.4!l893