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Home My WebLink About32944-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32464 Date: 07/13/07 THIS CERTIFIES that the building DECK ADDITION Location of Property: 90 KIMBERLY LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 70 Block 13 Lot SOUTHOLD (HAMLET) 20.20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 2007 pursuant to which Building Permit No. 32944-Z dated APRIL 25, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & GALE WALSH (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 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 7p5 -s 7? '- 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 Dep!. 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/l 0 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: I. Accurate survey of property showing all property lines, streets, building and ljnus.\!al natural or topographic features. .. _ 2. A properly completed applicatIOn and consent to inspect sIgned by the app~~a l~mcsoupancy is demed, the Buildmg Inspector shall state the reasons thel efO! 111 Willing to 7~ lleant f--'CJF 'f} _ C. Fees t:;1 "'O!h,y I. Certificate of Occupancy - New dwelling $2500, AdditIOns to dwellmg 50, allOns tcfffWelli .00, SWlmmmg pool $25 00, Accessory bUlldmg $25 00, AddItIOns to access W#<$Z p~. sme sesio.oo. 2. Certificate of Occupancy on Pre.exlstmg Buildmg - $100.00 ~'~UrH 3. Copy ofCel1ificate of Occupancy . $.25 ~_.QI~ 4. Updated Certificate of Occupancy. $50.00 5. Temporary Certificate of Occupancy. Residential $] 5.00. CommerCial $15.00 Dale. ~JJJJo 7 \,./ (check one) New Construction: Old or Pre.existing Building: LocationofProperty C/o 6;mbe.t/ij Ltm(.---__--6::JU::IiYJ/d House No. Street Hamlet Owner or Owners of Property: ~L4-...... ~ a..l e. (LXL/sfJ Suffolk County Tax Map No 1000, Section .'-i13.g'?_cr D7QBlnck {)QJ.2n___. Lol D/JD. ()~_ SubdiviSion Filed Map Lot: Date of permit:j};)'5'.JO_7' APPlicant~.l1tt:.. W) Pennit No..2.~ qLJ.j Health Dept. Approval .______ Underwriters Approval ----- -~----_.__._- Plauning Board Approval .___.____ _,,___ Request for Temporary Cerlificate __. FlIlal CeI1iticail'. ./ _ (check one) Fee Submitted: $ __d5-oeJ_ ~-<<:. 7;;'/ ~~ Co of. 3~Lf~ t.( 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. 32944 Z Date APRIL 25, 2007 permission is hereby granted to: ROBERT & GALE WALSH 90 KIMBERLY LA SOUTHOLD,NY 11971 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 90 KIMBERLY LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0013 Lot No. 020.020 pursuant to application dated APRIL 19, 2007 and approved by the Building Inspector to expire on OCTOBER 25, 2008. Fee $ 200.00 <~ ~<I ~ I~~ 4J1/.. I Authorized Signature ORIGINAL Rev. 5/8/02 J >>1~ 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 [t-rfiNAL ~ ~ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAll0N DATE tf (fl Z . INSPECTOR 3 ~1{c~c5-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] ~UNDATION 2ND [ ] INSULATION [ KFRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: I~ c(c fo G~, ~ .. e-' - DATE 1; ~{)7 INSPECTOR . . FIELD INSPECTION REPORT DATE I COMMENTS \)J 9..J... - --s;:.tol -...t:-~ FOUNDATION (1ST) ~.., - NJ'" ------------------------------------- -- FOUNDATION (2ND) ~ ~/l/; .,? .. ,.d /c; ( ~ h~,./ --.QZ 17 -, ~ ~~ .. 'I { I ~':7 ./ ._~-,. ~ ~ 1:l' ROUGH FRAMING & ~ PLUMBING --- >- ~ ~ 1-- - 1-- r 1------- .- ----..----------- - -------- -- ------- 0- ____ _..._.______.._.._______ ._'-------,--- .~ -------- . .-- --------- .-- ---- _.--_.._~---._--- ------------. >-\e INSULATION PER N. Y. ------ -------------. _.'_._- -- ~ STATE ENERGY CODE -.- ~ ---. /'''''- ~ '7/1{/0 ~A".... Co I ( // Ak P/n .A '1--.~./ 't/ #' ./ ~ FINAL ADDITIONAL COMMENTS ~ .. -.- , .. , _._------ ~ 1--. ------. .. . - ~ .. - ---- - ( _tol Q,>< ... -- ..- ~ ~Z _. .. . ~ ~ tol ... ~ -- . e e tJ () o~ 76- .3'20'2, TOWN OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET D VILLAGE DIST. SUB. ~~( /'1~/1' LOT d? Q ~rtt>tGale~, W",/~h :ORMER OW.blER, I . . 0 , I . N n,- ff (~ l tt1.e ("Inn; .I1LlI1Ste' v\t;>hr'"}"3 :... !' [~, (..(' t-cL S"U 77: IcL S ACR. /' . /) ~, ~"", d ;..../-'- .1::i<'1 ",.;... .: ~.:,,' ,,,,:.,,. ( E /, .:;)"'"'" I S W TYPE OF BUILDING 'n.__ . '-k,' ES'c9-1 (J LAND SEAS. VL. FARM COMM. CB. MICS. . Mkt. Value IMP. TOTAL DATE REMARKS 'Z f II n /' - ': //.A }', 7:' ! '/ ..' .. _ ~ l ~. ...... r -"{" ,...,; /. / ' "'-" ~., . ,,',-", ..... .." ,- ,., -..' -~ / <) 1006 I 11000 "'eadow land ,0 4- I 500 l/oC) .L/ FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD (D iillable ~oodland -louse Plot I~oo fatal J(.rr7 .~ .... - - ~,../- .. '.: ---' '. COLOR NAi. TRIM \"4 1,-\ , ~:>-=' _n_ - . ?- X "1:<.:: .: U"~ I . I 10 ; : ... ,JlI , :2 z.. ~ '- I " , 14 K.-fj \ $- z~ ~ IA- .. - ,i Z'" T" I ~ 4/% ~. . , f - , I I' .,. - l2. X. ~.. It.> X ~ -:, '-'-) , ~~ \ - ~ M,Bldg. . I () )( 14 :=. 1-40 10'10 5.50 Eq '1 ~ ~, Extension 14j..~9 ".--'lei:, ..L ~_ CT" 2 "- .., -, '" z.::> _ .... '" -3.50 \1..4~ E~ ~X~;;60~q[ 2.S'o ;)..4.-, I" \ \ -= \ \ Extension . Foundation 'PC'-.. Both :;2. t/.;a.. Dinette Porch 5"'\o(I-'\- -::. 70 /' Basement +'-',-L- Floors K. I~O 3~ OAI'::::: -::i"'-'~ \~~;:~ :~~; (..<;'0 . )..S \7"2- Ext. Walls .Lorz.. <::..t'i./"'><I.W Interior Finish C""7':' LR. :::;:. ~~;- BrE;.e~ll~ay 11o'\(20=- 32.0 '.7-~ 400 Fire Place I Heat lJ \~f ibG. DR. Garage "2. ~ ><: ~;;z. == ~/ I"> ..I (.).. < ("..,0'::; Type Roof G?-~L-rs.. Rooms 1 st Floor -4 BR. Patio Recreation Room Rooms 2nd Floor 4- FIN. B O. B. IAIQ.C,,<I-J() '2- AI ) Dormer Driveway Total "^~~\(2. C-oWO Q?,2.84{'lo PERMIT NO. 3;2 9 'i '/--c: 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 Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ SOUTHOLD, NY 1197{ TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SoutholdJ Examined Approved Disapproved ale 'f/(). '5 , 20 ()J rf-'> ,20 01 Mail to: jDb \,202L , Phone: 1 Ie, <:;" '5 Ti J- Expiration /Wk- : Building Inspector APPLICATION FOR BUILDING PERMIT Date Y)JL ,20!!z APR I 9 7 ......-.----- INSTRUCTIONS \ I _.. ,.,..~ a. TlilS 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 wilI 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 .way 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. '1 'I '" '''0 ~ (Sign r applicant or name, if a corporation) f1J,ky 7.tt 5't#~lIerUJ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder mrz.trm~ %06 C/ucJ2d (As on the tax roll or latest deed) of duly authorized officer Name of owner of premises Builders License No. 0 77 z- H.r Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which proposed work will be done: Q OJ"" I n fit Jc:-I ~ ~ t-~ c)') rVlo "4 House umber Street Hamlet County Tax M~ No. 1000 Section '10 Block ,.~ Lot ;)0, ~ 0 " Subdivision ,'&:t1AdJ$e' By..f/hp 8~ Filed Map No. Lot (Name)) 2. State existing use and occupancy or-premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ \ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work I-<e... fSw.kR. ~ (Description) 4. Estimated Cost IS, (jVV ~ 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 I 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 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 L Will excess fill be removed from premises? YES_NO k 14. NamesofOwnerofy.rcmises ~A-t; h Address 90 kr~b:~ ~~o. Name of Architect D~ Fe} felL, Address e Phone No ~ - 5"#-53 Name of Contractor 0Yl 'vJOj(../~ Address f,{).6o)i 78/1 Phone No. '5-;-7,;;2.. 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 )C * IF YES, D.E.C. PERMITS MAY BE REQUIRED. -r- 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 . I .. ~t7'; J1) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the CtfYJ ~ .kne (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 know ledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. 20~ pplicant MELANIE DOROSKI NOTARY PUBLIC. State of New York No. 01 004634B70 Qualified In Suffolk County '2.--{)' l) CommISsion Ellplres September 30._' l ~ a .- -< :> ~~ , J; {l ~ f>IN~ Nec~ ~o~o 2'1~ .~ ',,"6.~.~ ~J.~"""'I.'~ ~ -:. 11 I (J a I -' .0 . ~ Q I .' 0 I - I -0 - . -+- IN - - j ~~" " _1;. ~~ . It"d:' P,". PI~ (~]'h '''''8 of. I .2:+11' I~ '1' - iU -,'.(," .I"'..~h ~ FR.t~ N I NGt PLb. N Y,4." t .oSC--K.- '514 ~ Go ~c~....e:. .. ~ ~I .. I , . . - .~\&. t,'- ~" DE-C-K P'-b.N '4" ;! ;, 41 z j , :r. ~ ~ ~~o ,- ~ 1'.5.2. ~ -: I ~ " 'i .;1-, ~ ~ ,ij., CCUPANCY ~ ,r se/SUNLA . L IT .' ...... ,.'CArEtt ~~~)~"~cf O~~~CUPANCV .~ . PURSUANT TO SECTIC> . \. QF THE TOWN CODE. .- " .-: , - - APPROVED AS NOTED I cf, :l q.pf7: DATE: /.fJd-'y 7 E.n ~ FEE' ~. BY: f~ . -- ~- M'O TMENT AT NaTIFY BUIL[,i~il}t:d' I 8 I" . ,. ;'l.A Faa THE 765.1502 ",.J Fal'.OI"iNG INSP[~'iii'RS':QUIRED FO' '!,,,ATlaN . . 1::. 1. FO~ POURED C~EETE 2. RaUGH . FRN}\',G &. PLUMBING 3 INSULATION 4~ FINAL . CaN_S}~~CTI?N MUST , OMPlE I E be, v.a. ':;.1 All CaNSTRUC1IUN Si'lId.L MEIil Ul W i ~~~~I~~~i~.rsNg~ ~HE~~I~~: ~gR ." DESIGN OR CONSTRUCTION ERRORS. PLOT PL6-Nl"..GC>' ~c T M 1S:-. 10:::0 - -'0. I~ - 2.0.2.0 l" 4 0 '%.ON'" I!l~' ~a.~ "/4')1.(;. " O~...... 2. )I, e TJIIr. JOI'iif.' 1Io 'ft. -l .e>~ $TlIOMa'~', I.l1 7tM ~.. , .4:/ :g:,; ~ ." 1t6.~~ !t. - loJ, ~ ......t>> 5-kUI "" ~ _~ . (~) ~')<.IO ~"" .eoWM~ .1Il"e. CllNNE~ (:1) 'Ill" q> il\W...,... lU,jL ~\loD Of'E+ll~ ~tff~ CO"",, "'tift. ALL CONSTRUCTION SHALL MI!!Ei THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. ......... ~~ ) r:- Z j 'V .. ~ 1;:' "-" ~ f.~~ . ,.,' -~,;' . ,', ,~:~;~,; : '1,.:;.".' M. '~>:." "'f:~;'~ -""'."J;: ;:i"')', ";""'::"'.- . ":':'~~'/''': :,.., ;..." ..... '." J..' .'\ .. ~ -:i ;~. : ~ };- Z .. ~ --r: . . .J) ~ '~;rsl ~ ....~ ~ , r3' :'j .~ .~ ,.j.., ;..:;. -'~