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HomeMy WebLinkAbout33131-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32431 Date: 06/26/07 THIS CERTIFIES that the building ADDITION Location of Property: 585 (HOUSE NO.) County Tax Map No. 473889 Section 21 AQUAVIEW AVE (STREET) Block 2 EAST MARION (HAMLET) Lot 17.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 2007 pursuant to which Building Permit No. 33131-Z dated JUNE 14, 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 PORCH REPAIR & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BETSY M. & JAMES R. WILKINS, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 41 fii . tho~zed Signature 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 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 tram 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 nses, 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 .. Date. Ie - / 1- tJ 7 New Construction: __l_ Old or Pre-existing Building: (check one) * Locationofproperty5~,5 ~W 9r>J m~, jJ'J House No. Street /l93~ Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ;:L \ Block:J- Su~sion ~o~4 [,-1'1-61 Fil~ap Permit No. .:,J,.~'1'" L/ ~ Date OfPennit.~2..i. /'=rSAPPlicant: Health Depr.Approval: Underwrittrs Approval: Planning Bo1lrd Approval: Lot~ L,,{ TempOrary~'ertifi te . ~ ...-- Fee Submitted: $ Final Certificate: i- f ( check one) Request for: \ ~?!L9'rdtAlj) lie nt Signature ~-l,21 '1 Co ~.32~ J I 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. 33131 Z Date JUNE 14, 2007 permission is hereby granted to: JR & BM WILKINS TRUST 22 DECATOR AVE ANNAPOLIS MD, 21403 for : CONSTRUCT A PORCH REPAIR AND A DECK ADDITION TO AN EXISTING SEASONAL DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 22964. at premises located at 585 AQUAVIEW AVE EAST MARION County Tax Map No. 473889 Section 021 Block 0002 Lot No. 017.001 pursuant to application dated JUNE 14, 2007 and approved by the Building Inspector to expire on DECEMBER 14, 2008. Fee $ 75.00 ORIGINAL Rev. 5/8/02 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN IWI. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~~3~ JeuwcJ ..o~!}?ctm 19:U< N~ permISSlonISherebY/r?~~.~.J~f.;J~ .../!atr~....9..7............................................ ..........~..~~>My..I.t..f.:l7 to...~...~~t:1.t..~..~a<4:....~.~......... ..Ad..~~..4...~..~............... ...~.... . ... .........................A&..~.............. ~~~ atPremlseslocatedat..St?5....ft..9~.....~......................... ......................................................c~...m~............................,............. County Tax Map No. 1000 Section ...........elL.... Block .........,i/.,........... Lot No. ../.7"./.......... pursuant to application dated ..................~?..9................ 19....9....f..., and approved by the Building Inspector. Fee $....IS..~.. Rev. 6/30/80 m~~ ?J?J~?:>(~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUC'nON [ ] ROUGH PLBG. [ ] IN~ATION [~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ DATE o /ts/v? I { INSPECTOR . __ - __ ___._n_ _ __ _ _ - ~.~ '1:>L3 \ ,?~~ 765-1802 BUilDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] F [ ] FRAMING [ ] FIREPLACE & CHIMNEY =-MA~;~Ori: 63 - W ~ ,~ .Yx V~lt./'7 f7f1:J ~ ~~ ~~ ~ tJ~ dv.l.tlL ~ ~ C/ [ ] ROUGH PlBG. [ ] INSULATION [ ] FINAL .. ~-- ~ \y ~!~~~~!~~~~S!!2~=~~~2~!_=r=E~!~~~~"~~~~~=====~~-===~~~~=======~~S2~~!~~============~==== ~ t-----+---,---------------------- -------------- .----- ---- - f' ~. *--------------------------------::4 FOUNDATION (1ST) II II ________________ "" ---- --- ---- --- ---- - it-------{I-------------------.----- ------,. II II ~ , [-----11------------------------------------------ ~ ~'" J------1J---------------------------------------- ~ ~ ~ !:2~~~!!2~----m~L--~~-;e~~~?;.:::;::-~-: "~ r======l-. ~ ~ *-----!\--------- ~--------JI - II II II II ff------II t-. ~------II--------------- J 11---------11------------------------------------ * II ========~~==-======~=~===~=~~~=============~==~==================~~=~============~~~ ~ ~ ~-------l- ~"----------- f II II . 8---------11 - . II II. II-------ll--------~------- . FINAl. II II &-- ~------!I ~ =========================l========A======================================================= 0 ~- ~~ \. } I:.l ROUGIl FRAME & PI.UMBING INSlJI.ATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: ========================================================================================== ---_._------~~---~----------_._--_._----~------------'--------- ------ t;] :>> ~ ~ t'l \ ~~ - ----_..._.._-----~--_._--_._._--------_._-------_._---._-----_._------------._------~--~--_._--~-~--_.._..- TOWN / Ce;o -) / - 2. - ,17. I . --.- -. OWNER STREET 5'6' 5 :JOrne> R. Wtlki"nsJ(/{)nt) RI3..-UAVIEvJ Ani WRIyIER OWNER c/.:> 1TuStet'S N tl ;J,.(?j<u . /.d) "!-/I<i () S ;:;;r,~J7 )jd.( ( I H'<:- I " S r/I/2,(r- '-fjCJ...iJrdIEvJ !l yL.:" (~EA D d. ~ (; VL. FARM VILLAGE DIST. SUB. ...J 1'1-32- LOT I ~ \.J OF SOUTHOLD PROPERTY ~~~ l.P 4 <- RECORD CARD ;;',,1 )lltLLC&~ ErW.])Av/,zS W ./41, ~., o-..a J ' .;:l ..) DE~c... ACR. h... TYPE OF BUILDING /I:';j 1,'1 RES. COMM.' CB. MICS. Mkt, Value LAND IMP. TOTAL- DATE REMARKS J'loo c29rv /:s-(),) 0L.::[ 00' 4hT,h-,. I 7Iqe"~L("~~4~0-/Y7e"o",,, -10 W.fk,;'c-t,k:.. 'IE /7,-1 ~c? a ",,1/-3 //7'/fd ;,~I-. ~//lO-L!JZO/...OdY7 .wdklfJ<:' -h vJrlk-.,'I1<:' dt.Jf7oos'l-r~h, I ' I ( . AGE BUILDING CONDITION NEW FARM NORMAL BELOW ABOVE Acre Value Per Acre Value YS-- " <.:) >2 $f,.o 3S'e"~-:';;f'2 S'~o FRONTAGE ON WATER /3-0' ::.. .2375' ') ::) C, f -2, Y 7" .3 - / Tillable Woodland I FRONTAGE ON ROAD DEPTH BULKHEAD 1'0/ Meadowland 03"" ,) , Hause Plat Tatal-- -.. -- DOCK -- --- COLOR ~ TRIM J<-<--,(c_ .jJfl.:". - ....,,,... .,:.' . \,.,;-;,( '(~~:~~j." , ' '-'~"!; ,~.t , ,~<..,.-;. .'."'#,'1\'/';';"0' . . ,.; ,~~ ~. ...~ . .I! ",f. '7:':t .:," :; ~. ,I.,~ '.,;>.),;,:{ . ....rt:t'~!'jjof.i "' ..'.....', , -ff ...~~ ~ ~,.. c~rl;'_ - ,~-t_:~"_~ 'i. -..: 't., j~~~,'#_:~~ft .!-, " - ;~ . , - . 0 ..... - I~. - It" .. -, r/ 1/ I., M. Bldg. 0<- ,;z ~/dO ::- /-";;0 ,,<75- / J"f5~ II /1/ /. 14' . -. J I, Externoion I Extension , Extension I . Foundation ~ Bath Dinette ,8 ! -.-, Porch '-/ Basement , CR~ uJ L... Floors K. Sx , . /-Y ;' ..;)() ~ F/ e .. Porch Ext. Walls t-'/.JJ Sr"..;J/,.t'{" Interior Finish jJ 1,'" '-"-" u ,,,C-' LR. I - Breezeway Fire Place .J C 5 Heat A/o DR. Garage Type Roof Rooms 1st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway i Total / , I I 179 I ',-- '----' .../ I I' FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 a. ~ j'EL.: 765.1802 Examined .~.0I.(..., 195?~ . 3/3/~-/l Approved . .~t:?:f., 199. Permit Ncd?c?7C,.f!1: 1~:S:'~l~)fOVed~/~.::: :.:::::::::::::::: :r:.::::..:.... BOARD OF HEALTH ......... - J SETS OF PLANS. ........ -SURVEY.....--............ - CHECK ...... _ . . . . . . . . . . . .. SEPTIC fORti _............. l:[)~~~~ ; , . ~ 1.7 :-P){~. . . . . tlAIL TO: .................... . ..................... . . pp{rCATION FOR BUILDING PERMIT \,' Date.. .?'-:.: .~."!....., 191.~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Pennit to the applicant. Such 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 whatever.until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS IIEREBY 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 authorizcd inspectors on premises and in building for neCeS~~ryin~p~~~,:~~. . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) .~1.'-. .f.?1~.. :~:i:..I. (9.~ ."t...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, ~eneral contractor I'lectrician, plumber or builder. ~~,:,e'~; ~~~~~ ~~'p'r~':"i~e's' : :: : ~~ ~:~: :C;~: the tax roll or latest deed) : : : :: : : : : ::: : :: : : : : :: : : : If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. .. .I.~ ~ 5~.r..... H.I;~I~:-llih~ Plumber's License No. ...:.................... 8-9- Electrician's License No. ...................... Other Trade's License No. ..................... I. Location of land on which proposed work will be done. .. &-:r. .~~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... "'" ..........:.. ... ..~.V@..... .~..... ......f;<.~~.............. 1I0use Number Street. lIamlet County Tax Map No. 1000 Section.. .~.\........... BIOCk....~.......... Lot.... ~~~.I......... Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Filed Map No. .............. Lot......:........ (Name) 2, Slate existing Use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. . . ... . . '.: . . . . . . . . . . . ;/. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b.lntended use and occupancy .... p.~...~................. ......................... 3. Natu~e of work (check which applicable): New Buildin'g . :..::. .. . Addition...... ..... Alteratio~.~.. Repalf .............. Removal . . . . . . . . . . . . .. Demohllon ....;......... Other Work. . . . v.~. . . . , ' i' , .. .. , (Description) 4. Estimated Cost. . . . . . . , . . ".?~ ~~. . . . . . . . . . . . . . . . . . . .. Fee.. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (to be paid on filing this application) 5. If dwelling. number of dwelling units. . . . . . . . ( . . . . .. NUlnber of dwelling units on each Ooor . " . . . . . . . . . . . . . , If garage, number of cars ........ .l!cl'!fi. . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . .. . . . 6. If business, commercial or mi,xed occupancy, specify nature and extent oreach type of use. . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. . . . . . . . . . . . . . . Rear .............. Depth............... Height ............... Number of Stories. . . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear.................. Depth. . . . : .. . . . . . . . . . . . . . . . Height. . . . . . . : . . : . . . . . . . . , . . Number of Stories. . . . . . . . . .. : . '. . . . . . . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .; Rear............... Depth ......... .'. . . . . Height ............... Number of Stories. . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . 9. Size of lot: Front .. . . . . . . . . . . . . . . . . . : .. ~ar...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. II. Zone or use district in which premises are situated. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . 12. D?es proposed construction violate any zoning Jaw, ordin3l~ce or regulation: .....:........,............... ~ 13. Will lot be regraded ..... ~... ... ....... .,... .. WIll excess fill be removed from premIses: Yes <E:!9' 14. Name of Owner of premises. . '1.15. . . fJ. a ,Kn.;.5. Address 60'<. -i'!~ . .f?Ntl. . ~hone No./: ';l.IP.~ '!-H.-.r;:r:~ 7 Name of Architect .... r,; 'C . . . . . . . . . . . . . . . . . . Address. . . . . . . . . . .. . . . . . . . Phone No. .... . . . . . . .:. . . . Name of Contractor " .I.,.r.~............ Address . ~ <1.7..E:.. .fJH~ Phone No. Y.1/.-:~'f'!,t.... 15. Is this property within 300 feet of a tidal 'wetland? *Yes........ No. X...... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all 'buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ' , (, (f) lJ { 6 .> OCCUPANCY OR USE IS UNLAVJFUL V'ITHOUT CERTIFICATE OF OCr'upnNCY STATE OF NEW YORK, . s,s ' V . j U COUNTY OF . . , . . 'C?' . . , . . . . . , . , . . . . , . '. . . . . , . . . . :~ J ~ . . . . , . . . .. . . . , . . .. being duly sworn, depose,s and says that he is the applicant (Name of individLai'si;~i~~ contract) ;I:oi:et::n.l~~'..,.,.~.....,...,........................................,......... . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perfonn or have perfonned 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 perfonned in the manner set forth in the application filed therewith. ' Sworn to before me this " " , . , , . . .'1~. ... . .day of. ~.-4-.. ..,19 9.-S---- NotaryPUbliC~-:0-f.~.~. ~ty n C}'", ~ ' Notary ~~1~~,ES~~t~~~~~w York . . .. .. ~ .. .. .. ~~ .. .. .. .. .. : . .. . No. 4951364 ' , (SIgnature of apphcant) Qualified in Suffolk County ~ Commission E~cpir~'s :',,~ ",; '.'::- :" ~. { ~i~SNOTE~ DATE: - B.P. # FEE: zs- BY: NOTIFY BUllt1lNG DE 765-1802 9 AM TO 4 FOR FOLLOWING INSPECTIONS, 1mUNDATiON - 1\1"0 flEOl,' FOR POUPED C()~V(J .,:.JF 2. ROUC1H f'f~:::.,t"/;i,\,,':! ,~: l,n.q 3. II\!SUtlUIOl\l 4 FINAL CC.< . , BE COMPLETE FCF; C (I ALL CONSTRUCTION SHilL L fl/li:F! THE REQUIREMENTS OF THE NY STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTJON ERRORS ~-r<.A. I.' I ---. 'PE'-~ \ \J. It, , 7- -It r,': ;';; < - 1'( - Ir~Be~;", /SOC/Nz UfUll.....jltlacalnAI IlEQtl'8 - "'''''~It ...~."~i;L " ;.~ . . .;, 19ltc M - . --r j' I .'.-..-,.......fJ SCIl ~ i " . I' , , " " 1.1 '~ . , , €(33/3 ( , / I. j ___.___. DL,,7> _~~e~.~7Ays. I . --su.t~ 'tJ~ --1 - J I Cjf~ ((~;~T --,,-- - .... .~ .... - ... ....-.--.--- ../ - ..____:!'.II_(J..~~...... ~~-..--,.._.. -- v .. ~T I . ' ff-V), f)~-~A'jljcr-c;;-t"fl.6------- -- _.~.. 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