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_ _ __ _ _ -
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,?~~
765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] F
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
=-MA~;~Ori: 63 -
W ~ ,~ .Yx V~lt./'7
f7f1:J ~ ~~ ~~ ~
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C/
[ ] ROUGH PlBG.
[ ] INSULATION
[ ] FINAL
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ROUGIl FRAME &
PI.UMBING
INSlJI.ATION PER N. Y.
STATE ENERGY
CODE
ADDITIONAL COMMENTS:
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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
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~. ...~ . .I! ",f. '7:':t
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....rt:t'~!'jjof.i "' ..'.....', , -ff
...~~ ~ ~,.. c~rl;'_ -
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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
',--
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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
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