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HomeMy WebLinkAbout33183-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32469 Date: 07/16/07 THIS CERTIFIES that the building AS BUILT ACCESSORY Location of Property: 7325 BRIDGE (HOUSE NO.) County Tax Map No. 473889 Section 84 LA (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 6.4 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 2007 pursuant to which Building Permit No. 33183-Z dated JUNE 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 "AS BUILT" ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JOHN E & JEANNE ZURAWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 I-~----~- ...----1 Im.~~:~I]Wi Bi....D\_.i. DEPT. T .w~"-Qf ~"!dJHOI:J I ------' 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 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 2/1 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: 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 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 New Construction: ~ /l<Jl~"~d or Pre-existing Building: Date. 7~{ r~G 7 ( check one) c...uID-'D/"'';.r Location of Property: e,.Z.,Obe LA Street Hamlet House No. Owner or Owners of Property: .T c.?H ~ '.2-0~Si<!.1 Suffolk County Tax Map No 1000, Section ~~ Block 01 Lot b. 't Subdivision Permit No. 73[33 Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Health Dept. Approval: :J; Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ZS" _..J Final Certificate: / (check one) &...<<--.1') \ 1 '1 co't. 3;1. 'iH 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. 33183 Z Date JUNE 28, 2007 Permission is hereby granted to: JOHN E & WF ZURAWSKI 7325 BRIDGE LANE CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN "AS BUILT" ACCESSORY SHED IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 7325 BRIDGE LA CUTCHOGUE County Tax Map No. 473889 Section 084 Block 0001 Lot No. 006.004 pursuant to application dated JUNE 28, 2007 and approved by the Building Inspector to expire on DECEMBER 28, 2008. Fee $ 200.00 '- ORIGINAL Rev. 5/8/02 -"., Date: July 9, 2007 To: Town of South old Re: Inspections John Zurawski Bridge Lane Cutchogue, NY Permit# 33183z To Whom It May Concern: JAMES]. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-71 16 This letter certifies that a foundation, and framing inspection was preformed on the above mentioned Shed and was all done as per plan, and meet all slate and local building codes. Any questions please feel free to call. '< \~ , , 33/-g31-- 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 CQNS11lUCTlON ( ) RRE RESISTANT PENmATlON REMARKS. /,/;4 f)t.-..~ ~ . J- fY. t= ( --I:i- - "\. ()l--- , ~ DATE 1.--- f .---/) 7 INSPECTOR ~#- FIELD INSPECTION REPORT DATE I . COMMENTS ~~ FOUNDATION (1ST) ~~ "" ------------------------------------ ~\ c: j: FOUNDATION (2ND) 7: [:i ~ ~ ;. z 1*-" ...1P If! V V\~ ~ ROUGH FRAMING & l'l .., PLUMBING (j0. ..., ~- --- f-- \~ r -...-----...-.--- ~"--"----- f~ ------- l'l INSULATION PER N_ Y. -- .., STATE ENERGY CODE 'l-'t~ 7 AI ; - ~ ~ F l: 't:#- C ''\}'J\ ~ ~ tJ. L.-i':~- ~ JI >J-~ ,~ ;/~ (/-'V. 0' f FINAL ~ I:' J.. ADDITIONAL COMMENTS \~ ~ " , '7--/ f-()7 t'--r MA 11 N-cw CJj( ~/ ti ';0 L--\ ., - Q.)i"l . ~ ~~ . .., o - C('~ Z~ -~ .., :t>; l'l 'd ~ . e e TOWN OF SOUTHOLD PROPERTY-RlCORD CARD e fl'"fi' VILLAGE DIST. SUB. LOT 4 J FORMER OWNER (... STREET 7Jf?/DC)2. L ANi: N ;1 -, H'o" I" \~, j I ~ ) " :, l:' -'" (.: S' 'IJ.()/fE T Es I J, E ACR. , 9.s1 TYPE OF BUILDING ~,^tN> ~ ~ )A a.4J, S W LoRRAINE Oe-HNAI! 4. fiNo tES. J! D SEAS. VL. :J FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS &0 CJ & t!6 2/'il/!;' z../ZI JPA ~0 17 oco. I-h- 1-1 rrJAW 7c:--- l2iCl\..Al Y'lvl .:r~( L-'l S"-IG \)-141 t.4o 0 1400 z../...., ) g.,t. ,,),. br _ Lq9,3C:;""Z42..- D~."....,_ J,..., Z'~""''''I\A{''' k' .';r.".~ "-0 /6,-e; v 1/IV/8 7 bt!~) diU(/! ,j( :;., .~l,,;.-:) 3 (. (.>.0 ,/ -!:I" ~ ,,/ J ') (iP /::'/3/ (i ~~sJ, /~ '/() (J,A,~ .........- I L.;'. '" 7o-.t>-o ~~...o v' ~//.;~E ; / . .. iI/able FRONTAGE ON WATER loodland FRONTAGE ON ROAD ) ISO \eadowlond ) DEPTH flv ~?g ouse Plot BULKHEAD Dtal e II:> e 7 M. Bld6,5t'~)(/:3-::: ;:'"(.. ) Nid ExtenSto@ 9 'I II '" 9 q \ ?,' , "''' / Ci ExtenS~ / $7)( ~ 2. ':: .s 7' Extension Porch q I ,..1' JL.z. Porch Breezeway Garage Patio ,Z; )I ,). ~::- 'f t. 1- O. B. Total ---_.__._._-----~,--- -_._..-"-,--- t :~-,..,J :f 'o,:".-v::~:'f~:~- ' / ;\ e e COLOR -;/1 /" J.; ( w J, ,f" TRIM k I." Cl I "Ii I . , -, Ii 11 ( 1..'( . . i rr-' , ,. 1.11-0,. >.'t [<J,') .)" 'Y , I. ,1- ... , f?'t r\~ Ij I I ~ ~ 3;.! " IY r'< ~.5B 't.,!v!I'mi J 1"1.' ~ , 3 ~ /72' , So ['I I ~ S7f t9 ?~ Foundation /' Bath ) Dinette ,,' Basement -, Floors gw, K. I i ..,J f) , I, Ext. Walls /A/ " interior Finish '" ~.. , .', LR. I . Fi re Place - Heat 6 "i;J DR. . / ,-',,:/; I Type Roof Rooms 1st Floor BR. :] Recreation Room Rooms 2nd Fioor FIN. B Dormer Driveway TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southoldl BUILDING PERMIT APPLICATION CHECKLIST ----.- Do you have or need the following, before applying? Board of Health 4 sets of Building Plans /' Planning ~ approval Survey Check -#>- Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. .:s <:S I%') C- Examined Approved Disapproved a! c '20~ Mail to: Phone: 7~5 - I~ 10 Expiration .. i'~ ' i.! r ,'. 'J \'u APPLICATION FOR BUILDING PERMIT Date ~~?r ,20 <J7 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, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~w c.... L~ I \:TN c.. . (Signature of applicant or name, if a corporation) ('C. f31.1 lS'd (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder c..zN~ Name of owner of premises ~OJ-I J ~ 1=:. 2-~A-v...) StZ , (As on the tax roll or latest deed) authorized officer cant is a~oration (Name and title corporate officer) uilders License No. ;2.e>; 7/o2e 11 lumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: fS 1-.1 0 C..;- '-A- House Number Street C,....J jC.....{ a t,;;,...,';- Hamlet County Tax Map No. 1000 Section Subdivision 'if'f Block 0 I Filed Map No. Lot b. 'f Lot (Name) 2. State existing use and occupancy of prejpises and intended use and occupancy of pro a. Existing use and occupancy Ii CL ~'5 S"fL'1 13,-, 1'-':> ,~ ' sed construction: '3 H-G'..D b. Intended use and occupancy 5~ , ) 3, Nature of work (check which applicable): ew Buildi Repair Removal *,~J~Y- Addition Other Work Alteration (Description) 4. Estimated Cost 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. 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 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO_ Phone No. Phone No Phone No. Address Address Address 14. Names of Owner of premises Name of Architect Name of Contractor IS 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 MAYBE 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, 18. Are there any covenants and restrictions with respect to this property? * YES_NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) L7" V_ ~S: COUNTY OF~~ :.. ~"- c.r:", \..e.bV\o.r-C- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ ~ractor ~Itl, Cen'l'6fat8 gf;;~pr 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 b~ me this, . day of Notary Public BARBARA ANN RUDDER Notary Publio. State of New York No. 4855605 Qualified if I Suftolk County "'''I 0 \ Commission expires IIpr1l14, ~ ~ AS N01ED DATE!- B.P. # cE~~ c r y NT AT NOTIF BUILDING ,,~PA F R THE 765-1802 8 AM TO 4 PM FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQ IRED . FOR POURED CONCRETE 2. ROUGH _ FRAMING & PL MBING 3 INSULATION UST 4' FINAL - CONSTRUCTION . BE COMPLETE oOR C.O. MEET THE ALL CONSTRUCTIONT~~~L DES OF NEW REQUIREMENTS OF . YORK S1 . ER DESIGN OR CONSTRUCTION LEFT ELEVATION ~ O? SCALE: 1/4" = 1'-0" C'\:P ~~C; ~r\J\.. oC ~ \5 \J~\..~ "nf-\C~\t \JSt:. \ ~ Ct.? \ \ \N\\\\O\J C'{ GrOC o~ S\-\~LL tAE~;~~~~~~i~~~:~~~~~E cooES Or ~e .. FRONT ELEVATION SCALE: 1/4" = 1'-0" REAR ELEVATION SCALE: 1/4" = 1'-0" RIGHT ELEVATION SCALE: 1/4" = 1'-0" ( BUILT PRIOR 2003) pc;, I AS BUILT BRIDGE LANE, CUTCl-lOGUE, NY J I 2 eCALE une 8, 001 1/4" = 1'0" JD i. b , ;". - , 20'-0" <G--mh-: 1 ~~~~-~-----------~------ --- F 4X4 P; ~~ - -: - - B - ':':':'---':':':'---':':':'---':':':'---':':':'--(3 , ' .x. PT GIRDER ' " ' " ' " ' " ' " ' " ' " ' " ' " ' " ' " ' " ' " ' " ' b___~TGIRDER : : p ----- 8 ' , :-- .. [---------8 : : g" PC PIER .X. PT GIRDER : , ,3' BELOW ' : : GRADE (TYP.) : " ' " ' " ' " ' " ' " ' " ' " ' " ' " ' " ' D_ .X. PT GIRDER ' ' =_":":":"_-_-::-:---- _.. __ tt .X. PTGIRDER ' __ _ _ _ _ _ _ _ _ _ _~ _ _ _ _ _ _ _ _-_ ":':"':" _-_ '":":":' _-_ '":"':"":"_-_- - --8 <G~~~~~~~~i ~~~~~~~~~ . \, 1 1 20'-0" 1 2'-0" x 3'-0" 20'-0" b , i- b , ;". - b , i- 10'-0" 10'-0" FOUNDATION PLAN SCALE: 1/4" = 1'-0' FLOOR PLAN SCALE: 1/4" = 1'-0' b , ;". - \~ ( BUILT FRIOR 2003) PG. AS BUILT BRIDGE LANE, CUTCI-lOGUE, NY June 18, 2001 &CALE 1/4" . 1'0" 2 JD ASPHALT ROOF 1/2" SHEATHING 2X4 RR @24"OC 2X4 CJ @24"OC o I be> 2X4 STUD WALL @24"OC T1-11 SDG. N " ..... o ..... I ..... ..... 3/4" PT SUBFLOOR OVER 2X4 FJ @24"OC '.;,.4t; '.;,."t:. 4X4 PT GIRDER '.;,..fJ. " ., 17 . . q'::. 'Q , ' 'p 17 . .qr::.."::) " 'p 17 . '<JI::.."q o I (1'l ~ , ~ . , 'J \;r't?,. g" PC PIER />"'<1 , ,~ ,," " tj,'",' ~ . " 'J \;I'p. p.' . ~'7 ,," " ~', ' ~ . , 'J ,. 17, p.' . ~'7 ,," " , , . A5 BUILT BRIDGE LANE, CUTCI-lOGUE, NY June 18, 2001 5CALE 1/2" = 1'0" JD