HomeMy WebLinkAbout32942-Z
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FORM NO. 4
Office
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32576 Date: 09/05/07
THIS CERTIFIES that the building DECK ADDITIONS
Location of Property: 345
(HOUSE NO.)
County Tax Map No. 473889 Section 71
NORTHFIELD LA
(STREET)
Block L-
SOUTHOLD
(HAMLET)
Lot 23
SUbdivision
Filed Map No.
Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 20, 2007 pursuant to which
Building Permit No. 32942-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 ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to BERNARD W & MARY KIERNAN
(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
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATIO,N 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 2/10 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-conformiug uses, 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
I. 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.
g,-~1-tJ7
New Construction:
'3 '+~ OldN~e;:;HgBFcn~_~(~CkOne~O~( b
Location of Property:
House No. Street
Owner or Owners of Property: ----KJ (!... (2.. AJ f\.-1.J
Suffolk County Tax Map No 1000, Section 07 /
Hamlet
75ef2-~ ~
000 I Lot O-z-.~
.
Block
-
Subdivision Filed Map.
Permit No. "3 7-1i I.,.... "2:: Date of Permit. L(- J.. <: 07 Applicant:
Health Dept. Approval: /" Underwriters Approval:
---
Lot:
-
.---
Planning Board Approval:
Request for: Tem;rary Certificate
Fee Submitted: $ 2-- 5' CJ CJ
~~./ )002-
CO C 325 70
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.
32942 Z
Date APRIL
25, 2007
Permission is hereby granted to:
BERNARD W JR KIERNAN
75 OXFORD RD
ROCKVILLE CENTRE,NY 11570
for :
DECK ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR
at premises located at
345 NORTHFIELD LA
SOUTHOLD
County Tax Map No. 473889 Section 071
Block 0001
Lot No. 023
pursuant to application dated APRIL 20, 2007 and approved by the
Building Inspector to expire on OCTOBER 25, 2008.
Fee $
200.00
"
ORIGINAL
Rev. 5/8/02
JYlr:PC
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~LATION
[ ] FRAMING I STRAPPING [vf'FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: (9-(Q.~ 00
DATE 1ifJ
INSPECTOR
3v'1 \fv~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I~LATION
[ ] FRAMING I STRAPPING [~INAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARK~'-~f' oJ r7:Jj (uJn Att .f41.-.9I..~
~.J-~ ./-L1<-Ll~ ~ tl.-H'& (A.I~o/
IU tt A;?1BA S- .@ tJ;..J ~\ ~~t7~"'A5 ,
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DATE
INSPECTOR
32.--'1 If i;--C
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[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
~----,
REMARKS: ~/S J:.M2 5< ,~ , ;7-1 /c..-Vr) ,ilL i#!.J iJr
IV'-
to ';/;J h-f'-4/;~;'!#~ k (s v..//171
tf(t (~~../( .(~ M,,~ GJ4i\ ~.JI7A.vt.5
t-J":tI~" .:"1';- )",\ y 1vJ/ fc-\ ("t1L>~J.-
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[ ] ROUGH PLBG.
,/
[ ] JNSULATION
[/] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
I
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INSPECTOR
, DATE ~/I.i,7
, {
(}j);t
LAWRENCE M. TUTHILL
PROFESSIONAL ENGINEER
P.O. BOX 162
GREENPORT, N.Y. 11944
(631) 477-1652
August 7, 2007
Mr. Michael J. Verity, Department Head
Southold Town Building Department
Main Road
Southold, NY 11971
Re:
Deck
Mr. Bernard Kiernan
345 North Field Lane
Southold, NY 11971
Permit # 32942 g
TO WHOM IT MAY CONCERN:
I have reviewed the plans by Penny Lumber
and inspected the site during construction and
upon completion for the new deck on the right
rear side of the above mentioned residence and
found that all work has been done in accordance
with the New York State Building Code and the
Southold Town Codes.
'<~='/h4/ 1'[
--~
L:// Lawrence M. Tuthill, P.E.
.
FIELD INSPECTION REPORT I DATE I COMMENTS lJ..:l
R..)...
- ~~
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FOUNDATION (1ST) -
----- -- - rlJ~
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FOUNDATION (2ND) f-- --- -- --~-------
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ROUGH FRAMING & ---- -.-----.....- -- ---- ~eJ
PLUMBING ------- -------,-- --
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_'__0'_____- -- - ---- ----- -------...-- -- ----.....---, ----- ------.------ --------,-
INSULATION PERN. Y. - - ----- ----.-------.---.------------ ----- -----
STATE ENERGY CODE ---- - ----- ---- -- -- - ----- ~
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER STREET (~L( ~ VI LLAGE DIST. SUB. LOT
~(J(Vd W J:iefi1(JJl5r ,Mfffit T '%~7k {;p!i ;j.o/~e /! /
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F9~MER oWN'f5:/t:;r~f!~~r'F N h'W-'H~" E B""l-IlII""++ ACR.
i .If 1'1.' ')Or q I 'e-t ' ()..)t .4L;'
N f>\ r/o!,/o'!1c.~e:;!.~.f' S W TYPE OF BUILDING
If, ( .. IQ.-,. 17. /'1 trtr f';S'
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RES. ).! C) SEAS. VL. FARM COMM. CB. MICS. Mkt, Value
LAND IMP. TOTAL DATE REMARKS
~o 0 </100 ,!; (, " ,) ../ 1/.//71 ..-J-,,,":t~t ?/3:>,/?!J :"-0<:>"0 ,/ .r-.
tf tJ <J ~9oo S-7<rt ,/ JJ;'?/I>o'/ iJ. h ' , wq :.1 11(' 5/ ;.-, E.,:.-;- ':'\ V v'\.},J ,,,\ ,,'-' /
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I%&d ,811~ :&;..:7";#/ot: '7~7 cil.....~..T; ~ 2-oC[;c ll~6'S
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE ,
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FARM Acre Value Per Value
Acre ,
Tillable FRONTAGE ON WATER
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Woodland FRONTAGE ON ROAD I '10 ,
Meadowland DEPTH -1ft,'" I
Hou~lot ' -. BULKHEAD
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Extension a....'It.. c.E 1M"::>."'.
.J~.J 2.3 : ~7$' 03.0 J 0 17.-
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Extension
Foundation <:..R . Both :l Dinette
Porch, . ?(, Basement Floors K.
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Garage Type Roof Rooms 1 st Floor BR.
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Total 4979 /
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,'NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold!
~ .;10D.(fO
Expiration
,20_
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the followin before applying?
Board of Health N ft
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: 1\t)t: C l!vl ~;J I!1M ~
Mail to:~ (I ~ 49
s,~--tj\)L\ IJ~/I
Phone: ~~ 1-7CtS-~I~
PERMIT NO. ~ Q.- q '-f;) Z-
Examined
~)
Approved
,20----:-~
,20~
Disapproved ale
Building Insp
r" ~, I ~\APPLICATION FOR BUILDING PERMIT l
I "" L 0" i INSTRUCTIONS D'" ~ 11 , 20Q"'L
l. This appl~atio!Lr-.H )<::1' 1;>~ sdmpletely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets ofplbn;s, 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 South old, 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, bUl!ding code, sing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspeCtions
or name, if a corporation)
i 65";;0 C R <{ SoJi-hD I d NY Jlq'7 )
(Mailing address of applicant
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
A~~n+
Nameofo erofpremises berVlo.(d
lNipppcant is a corp
ThOh1
(Name and tit!
~ar~ t,E'VVlrYYj
(As On the ta roll or latest deed)
hthorized officer
l
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. L03y~and
House Number
(Name)
6;:
Lot
Lot
cJ3
County Tax Map No. 1000 Section
Subdivision
1/
Block I
Filed Map No.
.>tV"/'
.
2. State existing use and occupancy 0
a. Existing use and occupan
b. Intended use and occupancy
ises and intended use and occupancy of proposed cd'nstruction:
e
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Cidjtif
bt'CJ~ I l~
(Description)
4. Estimated Cost
Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. {IJ I A
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Depth
Rear
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Depth
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size oflot: Front <( '1 . '? ~ Rear I~D Depth J f9L/. 'I r
10 D'" "fPmoh~, N'm"f~ Owo~ ~o~tl/..j,nm., C"d
11. Zone or use district in which premises are situated ~"'-.) der::L '_
Rear
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
-. - n...- A t\..J 'vd/~ Tf.;ja, (IJ~ Lls170
14. Names of Owner 04Jremises ,nM Address'D U Oft K(J ne'No. ~
NameofArchitect-re(")n Address one No 77 O~
Name of Contractor IY\ ro ddress Phone No. }- ' IS
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRJ:fl.
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)
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COUNTYOF~
fVl
eing duly sworn, deposes and says that (s)he is the applicant
(S)He is the
of said owner or owners, and is 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.
SwoIU-to-before me thi
1 "-- day of
20 D f)
Notary Public
Ruth love
Notary Public Slale of New York
No. 01 L06054063 1L
Qualified i~ Suffolk County
Commission expires March 6. 20
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