HomeMy WebLinkAbout33254-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/08/07
No: Z-32515
THIS CERTIFIES that the building DECK ADDITION
Location of Property: 2625 CEDAR
(HOUSE NO.)
County Tax Map No. 473889 Section 77
DR
(STREET)
Block 1
SOUTHOLD
(HAMLET)
Lot 1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 14, 2007 pursuant to which
Building Permit No. 33254-Z
dated
JULY 18, 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 PATRICIA COADY REILLY & DEBRA COADY
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
~ 9- 4i
~h~zed ignature
Rev. 1/81
Form No. 6
~, ig~gC'
" ~rnf
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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
inspector with the following: for new building or new use:
1. 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 2/10 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 requiremen~s.
A.
'..'
.,r
B.
For existing buildings (prior to April 9, 1957) non-conforming US2S, or buildings and
l!pre-existing" land uses:
1. Ac2urate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
'2..' A properly completed application and a 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.
Certificate of Occupancy on Pre-existing Building - $100.00
, Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
Updated Certificate of Occupancy -$50.00
Temporary Certificate of Occupancy- Residential $15.00, Commercial
2.
3.
4.
5.
$15.00
. Date.~.. ;;.1.'1.5.'3. .. .. .. .. .. ; .... . : .. ;
New' Construction... '~"" Old Or Pre-existing B.uilding..... ........ .... . .'
Location of Property............ ~f':t.?t1~...~. .~4K. .Op.~I'I?!.L;.<P.. .I,:! r:.... /(!.?~.....
House No. . Street '. Hamlet
Onwcr or Owners of
Proper ty 1f~.of~Z 1:.. <!":f /?~It 1J:Mt:! f. ;J' . #--F.'i?Il~/i:,f! .~/:1.1ff'.g;/.f!!!2. .(t!/!'fjl Y
1000, Section.. .7.7....... .Block... J........... .Lot..(..................
County Tax Map No
Subdivision .~qt;SF. BtJ-y. .'7.S1lt7.1?? ."$[f.7. fA. O;?:9.'Filed Map. /!.~~.. ..Lot?X~.~~~.;?7.~?;<f~~.i (:>.;:-/
Permit No.1.11if{.~.'l;.. .Date Of Permit.. ............. .Applicant..... ..q~1I?Y...... .......
Health Dept. ApprovaL........................ .Underwriters ApprovaL........................
Planning Jloard ApprovaL.......................
Request for:
~
Temporary Certificate........... Final Certicate...........
~)UC/)~ ~~\
LO~.?b251S"
$..~~...9.~................. '. ///rr;Q#'
,..../IjhV...':;T........ ... ....... ..... .,...
APPLICANT .. '
Fee Submit ted:
...ft..;
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.
33254 Z
Date JULY
18, 2007
permission is hereby granted to:
PATRICIA COADY REILLY
18 NAPLES LA
GREENLAWN,NY 11740
for :
CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP # 17829
at premises located at
2625 CEDAR DR
SOUTHOLD
County Tax Map No. 473889 Section 077
Block 0001
Lot No. 001
pursuant to application dated JULY 14, 2007 and approved by the
Building Inspector to expire on JANUARY 18, 2009.
Fee $
50.00
~~
( Authorized Signature
ORIGINAL
Rev. 5/8/02
3 5 2-i\y~_
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
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REMARKS:
[ ] ROUGH PLBG.
[ ] I~ATION
,
[ j.;f'FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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DATE
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CONSTRUCTION MANAGEMENT
CONSULTATION
Box 208
East Marion, New York 11939
(516) 323.2676
JOHN C. BORN, PRESIDENT
f(oli!.,-ter CO;q"y
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FEE ~~ - BY i!-fiJJ..",-__
NOTIF'{ BUIL.DING DEPJ.\"TI\I'ec AT
765.1 '')2 9 A"';V\ TO it f) \Ii Fi). fHE
FOLL01.!ljING 1\"'iSPEC1;l"f".;S
1. FOUNDATION ' TWO REQUIRED
FOR POURED CONCRETE
2. RO GH . FRAMING & PLUMBING
3. INSlllLATION
4, FINAL - CONSTRUCTION MUST
BE dOMPLETE FOR C.O.
ALL C~NST RUCTION SHAll MEET
THE R QUIREMENTS OF THE N.V.
STATE CONSTRUCTION & ENERGV
CODES NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
j
GVER
pOI< FLooR
PL~
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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FRANK A. KUJAWSKI, JR., President
ALBERT J. KRUPSKI, JR., Vice-President
JOHN M. BREDEMEYER, III
JOHN L. BEDNOSKI, JR.
HENRY P. SMITH
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
February 2, 1989
Mr. John C. Born
P.O. Box 208
East Marion, New York 11939
Re: John C. Born for Robert, Barbara, George & Madeline Coady to
construct a deck to waterside of an existing dwelling, property
located at Cedar and Oak Avenue, Southold, N. Y., Suffolk County
Tax Map Number 1000-77-1-1.
Dear Mr. Born,
The following action was taken by the Board of Town Trustees
during their regular meeting held on January 26, 1989 as follows:
WHEREAS the Town Trustees have conducted an on site inspection
of the subject property.
RESOLVED that the Town Trustees approve the request made by John
C. Born for Robert, Barbara, George and Madeline Coady for a waiver
to construct a 12 ft. by 30 ft. deck to the. waterside of an existing
dwelling on property located at Cedar and Oak Avenue, Southold,'N.Y.,
identified on Suffolk County Tax Map as 1000-77-1-1.
Please return to the Building Department for a determination on
the need for any other permits which may be required for this project.
Very truly yours,
~Cl~ ~-Q.
Frank A. KUjaWSk~r. 't/'(at)
President fl-
Board of Town Trustees
FAK: jrnr
cc: Bldg. Dept.
Board of Appeals
file
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 11971
TEL.: 765.1802
BOARD OF HEALTH 'vr.~.,.._..
3 SETS O~PLANS ......:.....
SURVEY ..",.............
,v ....
CHECK ......................
SEPTIC FORM................
Examin~d . ~~ d.., 19 ~~.
Approv~d d-~.I.~. .,19'?'. Permit No.!,? :8.~~.~..
Disapproved a/c ............................ .J2"., "
.. ........... .................. .~.~~~......... ,J
.,~~...... . .... ."...........
NOTIFY
CALL 3~3~~(4.1~...........
MAIL TO:
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
.~~? I ?9 "
Date. . . J. ./ : ~ . . . . . . . ., I' . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink imd submitted to the Building Inspector, with 2
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Piot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street~
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 Permit 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 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.
Th~ applicant agrees to comply with all applicable laws, ordinances, bUilding codZ0housing code, and regulations, and to
admit authorized inspectors On premises and in building for neces~a~ ~n.s~e71?~s:/~~ ~ 1.~ .~'. . . . .
(Sign~;;:i applicant, or name, if a corpora non)
.. .P... 9:. .f?0:~. ?:0~.. Gks.T..M-tF!~(I. NY, .I!1~1..
(Mailing address of applicant) ,
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................~"!-I.L-:1?~........................................................
Name of owner of premises . .~r: ~1fP:1 ~. ~Jt ~~~ ~I! .J. G. ~.o.~G i:: . ~. (I1(l/>'E; ~J Mt:;. . .Co; r: /1, !J.y. . .. .. " .. .. .. .. ..
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
......1l::..~....~....~............... ,
(Name and title of corporate officer) .
B 'ld ' L' N (0 2-2-" Kt
UI er s Icense o. ....... ./. . . . I . . . . . . . . . . . . .
Plumber's License No. ........................
Electrician's License No. ......................
Other Trade's License No. .....................
I. Location of land on which propos~d work will be dO'l,e. ..,...............................................
.S.~.o.. .O~.~.4:-...a &,1$. .C'e-k.~.,\............. .~.....................
House Number i Stree\',. )' Hamlet
County Tax Map No. 1000 S~ction ......7.7....... ..BJ?Ck ...... A..... .,.... Lot.... J...............
Subdivision.... .GI9P?R .$fr(.. .~l!17tT1",>.. "......... Ei!~d Map No. '" !(f.~".... Lot...............
(Name) \ ,
2. State ~xisting llse and occupancy of premises and intend~d llse and OCcupancy of proposed construction:
". EXl'Stl'no- use "nd occup"ncy ON Ii: F'A-wl/ '-Y ))wEJ..4-.loA>"R I'lW' ',l'~RL.,\,:'':'
~ ".... ................ .. ...... ...... .~_jSif"~... .'.",.1 ."..\......"_...\.-;....;;.,,).1S,......................
. \.1' ",jA40~("";j.w,,- t. ~'~-~'",
~"tl)1 ~..,.,~ ,~ " 'hi. {};;i~.Y;;: f iJ.lc . (,~,~
b $k>>1 E'" A-Pp \~1i1 :l.)f."!5c~n' ,,";lEal'"'"
. Intended use and occupancy ..................... .. '.._:'::,~' ,t.';'~n;...'" ;"'!."1 . . . . '. . . . . . . . . . . . . . . . . . . . . .
~".n","""~'''"" .
. 3., N,ature of work (check which applicable): New Building........... Addition.. L.... Alteration ..........
Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . .
.. (Description)
00
4. Estim'atcd Cost. . .. . . . .:l;f'...o. :-:-. . . . . . . . . . . . . .. . . . . . . . . Fee.. . . . . . . . . . . . . . .. . . . . . . . " . .. . . . .... . .
(to be paid on filing this application)
5. If dwelling, number of dwelling units.. . . . . . . .. . " .. Number of dwelling units on each Ooor. . . " . . .'. . . . " ..
If garage, number of cars ....................................... .'" . . . . . . . .. .,. .... . . , . . . . . . . . . . . . . . .
6. If business. commercial or mixed occupancy, specify nature and extent of e~ch type of u'se . . . . . . . " . . . . . . . . . . . . .
7. Dim~:. . '~~,"',lifany: Front..,..........,... Rear ..<........".'..; Depth...............
Helg!~rr. fper of Stones. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Di~e s' s of same structure'\l'ii~ alterations or additions: Front ................. Rear..........::::::::
g~Pt, ;q:,' .@fII;f.....:~t.,.....:;::~i. ''',''t/.,'', 'ItHeighFt . . . . . . . . . . . . . " . . . . 'R' . . Num1;;~ ~~ S;~,ries . 'D' . . h' . . . 'ia/ '0;/ . . . .
8. 1~\~Jj; s 0 en Ire new cons f'lIc IOn: ront............... ear. . . Po" . . . . . . . .. cpt ......:-........
HeIgh \ L... _!:"""'~'.1'l .NIimber of Stories. . . . . . .. . . . . . .: ... . . . . . . . . . . . . . . . . . . . .. . " " . ..... .. '"
9. Size of lotr!i;.lj9h1~:~,t.k':.'..,,<;. . . ;. . . . . .: . . RCar.. ..... :: . ..... . . . . . .. Depth ......................
D f .,.'..,~..~'''"......,~.._._,.........,..,.
10. ate 0 PtrrC'l1ase .............................. Name of Former Owner .............................
I!. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name of Owner of premises F..9~G;'5-r:. ~1p.v. . . .. . . Address J!fs.f.'tr!~Jt.~J.!}:r<:. . . Phone No. ':til.Ii.:.?/.7.~.. ... .
. . f '. #73~
Name of ArchItect .. ~ . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . ; . . . . . Phone No. . . . . . . . . . . . . . " .
Name of Contractor .J;"J'H .";'.4~~f;l. .7$ij'J..J}a. J;,J<;-. Address. 8.0; fS.Ot.~!i'.If:.r/I~,otl. Phone No. }.~.-: K~ 7;0. ..
15.Is this property located within300 feet of a tidal wetland? *YES....NO.... .
*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 comer lot.
See 4-TTlfc..tt&D
Slj([V7
/
STA TE OF NEW YORK, S S
COUNTY OF................. .
. . . . . . . . . . . ;:.) .D.I!:'J. . . ~ . : . Rc: ~~. . . . . . . . . . . . . . . . .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
11 e is the . . . . . . . . . . . . . . . . . . . . . . . . . . .
.................. ... ..... .... ... ." ................
ent, corporate officer, etc.)
o rm or have performed the said work and to make and file this
application; that all statements contained is applic~tion 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 before me this '
. ; . . . .d', of.. .. .Eefr"r?::t;;)~
Notary Public, ..... . . .. . . .. County .. . . . . ~: . . . . ~ . . . .~. . . . . . : .
-{t :v.,;-:- (Signature of applicant)
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