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Home My WebLink About32856-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32325 Date: 05/01/07 THIS c~RTIFIES that the building ALTERATION Location of Property: 435 SKIPPERS LA (HOUSE NO.) (STREET) County Tam{Map No. 473889 Section 24 Block 2 Subdivision Filed Map No. __ Lot No. __ ORIENT Lot 3 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 2007 pursuant to which Buildin~ Permit No. 32856-Z dated MARCH 28~ 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 STRUCTURAL REPAIRS IN BASEMENT OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. 7~ne certificate is issued to ANN L BLISS of the aforesaid building. (OWNER) SufFOLK COUIFI"f DEPARTMENT OF ~TH APPRO%-AL ELRC-~RICAL C~KTIFICA~ NO. PLt~4BE~S C~TIFICATION DAT~U~ N/A N/A Rev. 1/81 Form No. 6 TOXWN OF SOUTHOLD BUILDENG DEPARTMENT TOWN HALL 765-1802 J4N 3 I, , ' APPLICATION FOR CERTIFICATE O"F'O~CUP~ANCY : : This application must be filled in by typewriter or ink and submitted to the Building Department w~3~e 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 o f electrical installation from Board of Fire Underwriters. 4. Sworn statement from phimber certifying that the solder used in system contains less than 2/10 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 ail 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 - Resideutial $15.00, Commercial $15.00 New Construction: Location of Property: ~/~ .F House No. Owner or Owners of Property: ~,l t4J Suffolk County Ta¢¢ Map No 1000, Section Subdivision Date. Old or Pre-existing Building: t/ (check oue) Street ~ ~ Block ~ Hamlet Lot ~ Filed Map. Lot: Permit No. Date of Pemfit. Applicant: Health Dept. Approval: Plamfing Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: t/ (check one) Applicant Signature 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. 32856 Z Date MARCH 28, 2007 Permission is hereby granted to: ANN L TRUSTEE BLISS ANDOVER VT, 05143 for : STRUCTURAL ALTERATIONS TO AN EXISTING BASEMENT AS APPLIED FOR at pre~uises located at 435 SKIPPERS LA County Tax Map No. 473889 Section 024 Block pursuant to application dated MARCH 26, 2007 ORIENT 0002 Lot No. 003 and approved by the Building Inspector to exq~ire on SEPTEMBER 28, Fee $ 2008. ~RT~orized '~ignature ORIGINAL Rev. 5/8/02 LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 April 20, 2007 Mr. Michael J. Verity, Department Head Southol~ town Buildin~ Department Main Road Southold, NY 11971 Re: Residence TO WMOM MAY CONCERN: Ann L. Bliss 435 Skippers Lane O~fent, NY 11957 Permit # 32856 ~ In reference to the above mentioned permit, I have inspected the basement and note the work done as noted on the plan revision 1 dated 4/20/07 is in compliance W~thwith the requirements of the New York State Building Code and the Southold Town Building Code. nce M. Tuthill, P.E. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~ FINAL [ ) FIREPLACE & CHIMNEY [ ) FIRE SAFETY m~~ [ ]~~~~ [ ].K~m~ REMARKS:__~ DATE /'/~ ""'~"~f ~' INSPECTOR FIELD INSPECT/ON REPORT ] DATE I COMMENTS FOUNDATION (2ND) ~//~ ROUCU ~R~ING & PL~G STATE ENERGY CODE ~ /~6~- ,~ Y-~-a TOWN OF SOUTHOLD PROPERTY RECORD CARD AGE ~UILDING C~glTION N~ NO~L BELOW ABOVE FA~ Acre Value ~et Value Acre Tillable 2 Till~le Swomp~nd ~RO~AGE ON WATER ~ ' BULKH~D TRIM ~'orch m° Breezeway nterior Finish Patio :ire Place ype Roof ba~'f.~ 1st Floor reotion Room r- rotal C3 m o TOWN OF SOUTHOLD BUILDING DEP3~RTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.netJSouthold/ Examined Approved Disapproved a/c Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the ~ollowing, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.Y.S.DE.C. Trustees 20& Contact: 20-- Mail to: Building Ir]sp'ect~- / ) APPLICATION FOR BUILDING PERMIT Date c~ , O -~ ,20__ 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 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 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, a~d r, ej~ulatigds, and to admit authorized inspectors on premises and in building for necessary inspections. ,/f~f//'~ ;~/~.~j ~ (Signature of applicant or name, iff a corporation) 'iMailing addr-e~ ~o~ applican~ :, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises J~'~O L · ~¢ ~'~ ~//~ o~ 7'~-'~'- O ~ (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. Location of land on which proposed work will be don~ House Number Street County Tax Map No. 1000 Section Subdivision (NinnY4~q' Block ~ Filed Map No. Hamlet Lot 2. State existing use and occupancy of premises and intended &lse and occupo,~i:y o f proposed const~uctio~n: a. Existing use and occupancy -qt/~'~ l~9- ~/~re~¥ )L~-7~'t ~oc~, b. Intended use and occupancy 5/~ (}geV ~"4'/~t'g. Ig 2~'! ~/?d>~acer 3. Nature of work (~heck which applicable): New Building Repair I/ Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear .Depth Height Number of Stories ,¢_. Dimensions of same_structure with alteratig.ns or additions: Front -~'/'~"' Depth ..g' ,'~-'/~ c~ Height ~' ~/~ d- Number of Stories / 8. Dimensions of entire new construction: Front 0N ~/~ Rear .Depth Height Number of Stories¥ "//J ! ! t 9. Size of lot:Front ~f'tr Rear ~f~ Depth 10. Date of Purchase/' /4 .°//7 j Name of Former Owner ~. 11. Zone or use district {n which premises are situated Rear 12. Does proposed co.nstmction violate any zoning law, ordinance or regulation? YES__ NO t/ 13. Will lot be re-graded? YES__ NO l/Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premisesI~[~J ~0 ~t'~'$' Name of Architect Address Phone No Name of Contractor Address Phone No. ~oaress~/~xL~ rnone ~,4o. ~ ~e?~' - 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __NO * IF YES, SOUTHQLDTOWN 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 5 a; ~ /. . L_ ~) 0 ~ ~'~- ~ //0 ~ Jr' a~ being duly sworn, deposes and says that (s)h¢ is the applicant (Name of individual signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) Swom [o b~re me this ' / Notary Public 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. Signature of Applican~J I~URVE'f' OF PROPtERTT SITUATE: ORIENT TOHN: 5OUTHOLD WI=FOLK COUNT'K, NY SURVEYED: d~n. 24, 200-/ .5~UFF;OLK. C, OUNT¥ TAX # IOOO- 24- 2 - :B 0/ / / / / / N NOTE.S, O PIPE FOUND ARIEA = 6,~04 S.F. or O.Iq06 AC, RE ®RAF'HIC SCALE I"= 20' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\\CompaqservetApros\07\07-108.pro steps .add~X6 ~ ~eXsting 3"x6" existing 4x6 new ~ ~conc. footing )2'x2'xl' w/ ~latly column New girder 8"x8" _ _ new I ~conc. footing 1~.-3 2'x2'xl' w/ ' lally column 2x6 23"oc ~ -] ~ existing 4"x6" ~ colu~ng new 2x6 ~ existing existin~ / ~add.' 2x6 /existing post remove and replace with lally column rear Rev. 1 4/20/07 As built changed girder from 6"x8" to 8"x8" STRUCTURAL CHANGES IN Basement Ann L. Bliss Skippers Lane Orient, NY 11957 l,, ' 0" Scale: 2 1 Date: March 22, 2007