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HomeMy WebLinkAbout32845-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32416 Date: 06/21/07 THIS CERTIFIES that the building WINDOW REPLACEMENT (STREET) Block 1 SOUTHOLD (HAMLET) Location of Property: 51435 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 70 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2007 pursuant to which Building Permit No. 32845-Z dated MARCH 26, 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 WINDOW REPLACEMENT IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MELVIN & RUTH PHAFF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~iZ~ Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 slITVey 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 2/1 0 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 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 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 - Residential $15.00, Commercial $15.00 I Date. o - / Z -t> ') Location of Property: s~ I<{ '3 <;'" House No. Old or Pre-existing Building: //t1 fI / (J tV. Street Yl1G /Vr~ r RJnt- 70 V (check one) "5 c! L.) T /I t? J.- j) New Construction: Hamlet Suffolk County Tax Map No 1000, Section fJr/1I Fr Block I Lot , lJ Owner or Owners of Property: Subdivision ~FiledMap. Date of Permit. U r Applicant: Underwriters Approval: Lot: Permit No. ,~&-tbZ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) \ Fee Submitted: $ 7-s~ ~./;} 7<{( ( Cl ~ .3~'-I1 ~ 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. 32845 Z Date MARCH 26, 2007 Permission is hereby granted to: MELVIN & RUTH PHAFF 51435 MAIN ROAD SOUTHOLD,NY 11971 for : WINDOW REPLACEMENT AS APPLIED FOR ~t premises located at SOUTHOLD 51435 MAIN RD County Tax Map No. 473889 Section 070 Block 0001 Lot No. 012 pursuant to application dated MARCH 20, 2007 and approved by the Building Inspector to expire on SEPTEMBER 26, 2008. Fee $ 200.00 ~Cj~ I Authorized Signature ORIGINAL Rev. 5/8/02 3?-(;1&7 TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION ] FRAMING I STRAPPING P<{FINAL ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT ~uc:- ~ RRE RESISTANT PENETRAnON REMARKS:~ ~ ~ 1K~-ofV ~~~ DATE 6-s-tJ7 INSPECTOR~ ~ ( , .. FIELD INSPECTION REPORT DATE COMMENTS iJ.'"" 9Jt'O o(\~ FOUNDATION (1ST) cf:::l 1'\;"" ------------------------------------ ~ -' ~ FOUNDATION (2ND) ~~ Z ~ J\ '" -..:..., ROUGH FRAMING & tJ\ .~ PLUMBING . ~. ~- ~ t"' INSULATION PER N. Y. t'lj .., STATE ENERGY CODE , \), r, . ~-">- -1P...-/ .1.1. JI-v.. 2- AiALP . i ~ iI, ~'.... (j . " J _ ~Y/7 ~ '-' "- FINAL \:::J . ADDmONAL COMMENTS ;/ . ..l' " :Bo :E t~ . <, .:;, . .J)~ '. , ::i r~ (J"" .., - . o 0 "",Z :I: t'O .. <-.. t"' .., ..... r:p~ ." ~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey ))2 S'I C; b Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ Examined . 2001 ,~ , 20o.L. Approved Disapproved ale ~) ,200~ Phone: Expiration peti ~ Building Inspector L 0 APPLICATION FOR BUILDING PERMIT Date 3-20 ,20Q..L 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 ofthis 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. CERTIFICAr ICJi ':.1 NAILING & CONNECTIONS AjfJ11 Be REQUIRED. ALL CONSTRUCTION SHALL {! fht (f r c( :5 d"Wrt....M (\/1 11'i' 7 I MEET THE REQUIREMENTS OF TH (Mailing address of applicant! CODES OF NEW YORK STATE. . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ Name of owner of premises )IV[ C: I V I ~ f H,q F F If,; ~TEf2I/, A- (As on the tax roll or lafistAll8'P .~.. . . If applicant is a corporation, signature of duly authorized officer N.' '. Y .... 7;~,~, ~ ,-,'-", ;.: / - ,. '!'F AT ,:i THE 1. Location ofland on which proposed work will be done: 511.(3 > 1l1r1-/N tf]). SoUl/laID House Number Street (Name and title of corporate offi~1''':C?7~:r\!f'';Y OR FCL_G,~:.: ") pC.OGI,iED USE IS UNLAWFUL '. ~~.~' ":~!j':;~;j I:'~ .:;"dc . .... 2. R;~;~~::;'H - FRAt.;.i;',::) & PLUi'J13ING IFICA TE 3. INSULATICOONN~T'_"~ -'~'I "'JST 4. FINAL - '.' ,. , ,., BE COMPl rTl ,ll. ALL CONS,', . .." \.,0' 1 Mc.ET THE F,r".''-'lll;:'I.Tt-',,~--: ''7''~'''' T -- (',,-,,)~~. OF NEW .'t'.,.."" .1." ,,'-".....' .' YORK 57.A1E. NOT ;;';IC.?Oi\:,lbLE FOR OeSIG~1 Of< r.r1NSTRUCTION ERRORS. Hamlet Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. County Tax Map No. 1000 Section Subdivision 70 Block I Filed Map No.. Lot, . .~ / L _.Lot ,.,, ~-.. 'te'\" ;;~!:,:i"; :;"(:-;-,i{l"C:) (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: \ a. Existing use and occupancy Htrlo"l1 E (j) vk 1/ f ;.; fi J , b. Intended use and occupancy <;AvViC=- 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost$" Cj I &&tI , Addition Other Work IlcfPL/Jcr Alteration IJ//l/Dd~$ (Description) t/2J-c (To be paid on filing this application) Number of dwelling units on each floor Fee 5. If dwelling, number of dwelling units If garage, number of cars / 6. If business, 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 Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth Name of Former Owner If '" 5 5 (.:11 )1/9 NIV 10. Date of Purchase II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X 13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_NO_ ;1<f3S- Mt!/;";{<.1>. os <HI THnt..jJ PhoneNo.76~-}Y~ 'f Phone No Phone No. fHflfF Address Address Address 14. Names of Owner of premises Name of Architect Name of Contractor 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. ., '~;\.jJ.'t 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 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have peiformea ~he, said work and to make and 'file this application; that all statements contained in this application aretf!1e to the best()f.hi~.kno~l~~fand belief; and that the work will be performed in the manner set forth in the application m~therewitlrt, 'Uey-,.!, Sworn to before me this .., ~~y~~ otary Public " M"t1l/41/lfC/ UNDAS. TD.rt--W NoIaIJ PiIIlIic. State of New Yorll No. 4948506 QuaIiI\td i!I Suffolk Cau!llY , 0 c...,~ EJlPiIlS MarcIl2D.~ II \ i'-'.' ~ ,- ,-..,,.. ,. l '~, ~ f-~. ~ .:) \..} '.~:: '....: '_ L.~ Signature of A Andersen. ~ .,.".""", Andersen Windows - Abbreviated Quote Report Project Name: ROSSIIPHAFF iQ Version: iq7.0 Page 1 Of 2 ~ 1\1 Quote Date: 03/19/2007 Customer: Billing Address: phone: Contact Item Qty Item Size (Operation) Location 0001 1 CX245 (LR) RO Size = 5' 31/4" W x 4' 53/8" H Unit Size = 5' 2 3/4" W x 4' 413/16" H Unit, White/White _ Factory Painted, LR Handing, (All Sash) High Performance Low-E4 Glass Grille, Interior, Removable, White/Maple, Colonial, 3W4H, 3/4", Roman Ogee Insect Screen, White Hardware Pack, PSC, Estate Style - Bright Brass 03/19/2007 Quote #: 002356 Print Date: Dealer: PENNY LUMBER /MARJAM SUPPLY MAIN RD ,GREEN PORT 477-0400 SOUND AVE, MATTITUCK 298-8559 Fax: Sales Rep: Unit Price Ext. Price $ 848,04 $ 848.04 $ 1503.61 $ 1503.61 0002 1 C245-2 (LL-RR) RO Size = 8' 0 5/8" W x 4' 53/8" H Unit Size = 8' 0 1/8" W x 4' 4 13/16" H Composite Unit, White/White _ Factory Painted, High Performance Low-E4 Left-Right'High Performance Low-E4 Left-Right Glass, Removable Interior Grille Left_Right'Removable Interior Grille Left-Right, Mulling Location: Dealer, Mull Type: Narrow Mull, Mull Priority: Vertical Grille, Interior, Removable, White/Maple, Colonial, 2W4H, 3/4", Roman Ogee Insect Screen, White Hardware Pack, PSC, Estate Style - Bright Brass g......:..'......... .. '.' i " .. "~Ii , sr; J?IC.5 (00 c..._~ll J~ 6lf6 Total Load Factor I 0.951 Subtotal \$ Tax (0.000%) ~ Grand Total \$ 2,351.6~ 0.00\ 2,351.6~ Dealer Signature .. All graphics viewed from the exterior _ , _..._~4 nlosS will be available as a running change on Andersen Architectural Specialty WindoWs. See order acknowledgement to verify glass type. .