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HomeMy WebLinkAbout33092-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32591 Date: 09/10/07 THIS CERTIFIES that the building ADDITIONS Location of Property: 1280 LANDS (HOUSE NO.) County Tax Map No. 473889 Section 15 END RD (STREET) Block 9 ORIENT (HAMLET) Lot 1. 29 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2007 pursuant to which Building Permit No. 33092-Z dated MAY 30, 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 SCREEN PORCH & DECKING ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAPA J A & M. REV. TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 118230C 08/16/07 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ) 4d-C) 'f S 1 \) ~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLlCA TION 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 Hew 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 2/1 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 bnildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 ofCertificale of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Date. ffLDLo 1 Location of Property: IJ g-c.> House No. Old or Pre-existing Building: La"J} "1 j ~ A Street 3u5rt~ v (1-eCk one) ()(I fl\ New Construction: Hamlet .} m"Jt/'.." li~ Suffolk County Tax Map No 100?, SectIOn S- Block ----Ef . Lot ~_ :2 1 SubdlVlsron 'l JJ (~J 1/11 or'-I'/I Filed Map. Lq" Jf f.. dLot: _ air Permit No. .--110clcJ.. Date of Permit. S 1]6/ 01 ._. Applicant: Z WPJ& Owner or Owners of Property: _ Health Dept. Approval: ~'~_"m Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ )5'00 ~JL<" - ") ,?oJ 3 CO~ 325?1 --- Applicant Signature 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. 33092 Z Date MAY 30, 2007 Permission is hereby granted to: JOSEPH A & MADELINE PAPA PO BOX 385 ORIENT,NY 11957 for : SCREEN PORCH & DECKING ADDITION AS APPLIED FOR at premises located at 1280 LANDS END RD ORIENT County Tax Map No. 473889 Section 015 Block 0009 Lot No. 001. 029 pursuant to application dated MAY 8, 2007 and approved by the Building Inspector to expire on NOVEMBER 30, 2008. Fee $ 200.00 !J~uu eft JL , Authorized Signature ORIGINAL Rev. 5/8/02 3 )a1 }-1: TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRIJCnON REMARKS: ~~ [ ] ROUGH PLBG. [ ] INSULATION [~NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION . DATE INSPECTOR 33011-2;- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION REMARKS: [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~TION [ ] FRAMING I STRAPPING [ ~NAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION ,;J D ~C1: _5' f -P ~$(: 4{( ~ ~ -J S,oUY! ~-:J DATE INSPECTOR 3309l-c TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] F~DATION 2ND [ ] INSULATION [~RAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENE'lUTlON fJ~ REMARKS: (yt. ~ DATE 'f/:/d? INSPECTOR " 33092-?;- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 [ ~N~A~~S~E~]~~~~. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT NSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR . FIELD INSPECTION REPORT DATE I COMMENTS W 1..17/0 ' P' / A-..) ( AI k Go./l R,; (;. tC...,...,-. r-: .L ',. W"d Oi"l FOUNDATION (1ST) 7( d '-" ?1.-_"-/ ~~ 7i.~ 7 ~:;; ------------------------------------- I~'~ FOUNDATION (2ND) -. t~ ~fl - /'" 1717: -I--a AI. 'A "4 / f0Z 'n'f J' A (J~ IA /2J ~p I I 1'M;rt7 \, VY..~- ~ '- ,j' /v.rr A L,... ..H I ..... n '/~I '~J. /j* . L /"':r.~L ROUGH FRAMING & I ! / // / PLUMBING ~ ~ ~ ( ~ --- --. -...------.- -.-- _.. -_._~-----------_. . -- t~ -----.-._---- --------..- INSULATION PER N. Y. ---- --- .. - STATE ENERGY CODE a ctl" L, Ll. jr! .0 'V.-2' . I / ./ J 1(1# If) 7 (. 7 nC() "'f // ,,0/ ~ A , .# Y Y;;:L 'h. c.eJ. FINAL // / / ( //f " IV . / {/ ADDITIONAL COMMENTS J '1IJ~/r,7 ' , Rn ROA 'ei . crt.? (j:.e.,. Q.c. e-- - II e-. ~ . -- . .-. . --- . --- .. ::: l'" >< -"" lf~ ---- ~g Z \~ 1= '=' - i"l "d ... :-l TOWN OF SOUTHOLD PROPERTY RECORD CARD t~(JtJ-~}~-I1t1 r- /.,2..9 OWNER S I!?O VILLAGE DIST.. SUB. , I ~- I , ~~ )1-/J? END X't; ..2/ ACR. 9;-0 TYPE OF BUILDING LOT .:< E S W RES. ~ 10 LAND FARM COMM. CB. MICS. Mkt. Value IMP. TOTAL /YtJtJ o t' <qj "iIIable louse Plat ,'?L bo:~ 72- (! 1?co' FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD , 200 Voadland ~Iand otal COlOR 1 r~1 w~IM -. ~~- I~ '" t:>t< ~ ~ ",. 't-'i / .It kI,. ~ r- A '>- "f '^' 2 fsi' ? , '1C;. r. ..J ~ /' , e '" "l- " , , -<2- _L I , l'(." 0 '8 > ZCo 26'0 qo - M. Bldg. 2,<\4- ~ ?6 . IZ:~- ~on \\ "'- \2.. \3/_ ~7~ 4 q:S- ~./ . . Ion 311 '< "'h < \0 2> 0 S~ SQ10 2~ . ExteNion 19';\ ~ Foundation .c. Bath Dinette Poich ~"^t, B'l.I2-' qeo .7'0 72- Basement ,";:;,,\ FIQOrs K. ./ IIorch g'(y[~~;g ~ ? ...,.~ ,50 11<f) Ext. Walls '.,}'""I(" a~o I nterior Finish LR. V' . S~~~t'2b ( ,Ob Irf5'" Fire Place '{ee, \ Heat DR. /" ./ \:0 106 Garage '?'I',(.R,~ r ~2, \ 26' (.,04 Type Roof Rooms 1st FIQOr SR. 4 Patio Recreation RQOm RQOmS 2nd Floor l-nt J.l5 ./ / ~ k ~ 40,,", Dormer Driveway W1 ( ..; :Twol 77-'(l. ~!w..r,<t ') ~. t I .' . ..- .1 . P' .... PERMIT NO. 3309,;) z::: BUILDING PERMIT APPLICA nON CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Chock Septic Fonn N.Y.S.D.E.C. T...._ Contact: ." . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSoutboldl , Ex"";nod~20.27- Appmvod~~20ilL Disapproved ale '1./~ Z 1'1 ,20 0 Mail to: Phone: Expiration \,iiAY - 8 APPLiCATiON FOR BUILDING PERMiT Date ~~f I 2001 ,~ 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 plaRshowin~location oftot 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 of1his 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 pennit 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. APPLICA nON IS HEREBY MADE to the Building Deparbnent 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. Z6JM.. {o 1r"J,1I (Signature of applicant or name, if a ration) r., 0>,-",.Jbi w~d;::v f{.'~ (Mailing address of applicant I I/V) 1j/1~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber Of builder ~l>' \ ~<r --) 0 jff~ t ,tl(;f J.f L",~ f Cl/,,, (As on the tax roll or latest deed) rporaljl>n, signature of duly authorized officer C:4 r~ (Name a d title of corporate officer) Name of owner of premises Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. o ('If/l Hamlet County Tax Map No, 1000 Secti Subdivision L" (OJ cl (Name) 4.11 Block q Filed Map No.l4...6J ~ot \. .) 4 {:,j Lot J q . , . 2. State exis~n~ use and occupancy of premises and intended use ~nd occ1Jlancy ~f proposed constwction: a. EXlstmguseandoccup8ncy~__ jt~ loA... ~tVt.~l Ow-clJJ~ b. Intended use and occupancy "' 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition )( Other Work Alteration 4. Estimated Cost~__'l 101 (J ce- 4..... (Descriptinn) Fee 5. Ifdwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor ___ 6. If business, commercial or mixed occupancy. specify nature and extent of each type of use. LJ~ 7. Dimensions of existing structures, ifany: Front Height ) ( Number of Stories f~ ,.J Rear Depth ::> f Dimensions of same structure with alterations or additions: Front f o'l Depth ]> <; Height ;) ( Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear 9. Size oflot: Front .{ bo Rear Joo Depth ,)00 10. Date of Purchase Name of Fonner Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES _ N~ 13. Will lot be re-graded? YES ~ NO ~ Will excess fill be removed from premises? YES_ NO Y 14. Names of Owner of premises D< JlII.J1 <f'~~dress H'O ("IJ, t J Phone No. 67. ~ 811.j.- r7/7 Name of Architect -( Vii Address,.f] 4..., 1'--t<4.,)PhoneNo 'lli~ () Y Do Name of Contractor ......" Address;9.e>. f,...lCI Phone No. '1J"~Yr71 lr' ,J'~J Il' 011- \.-- 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? "YES_NO 1....... " IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAYBE REQillRED. b. Is this property within 300 feet of a tidal wetland? " YES_NO L " IF YES, D.E.C. PERMITS MAYBE REQillRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS, COUNTY OF~~) U / (,.. h C 'Ai 7iJJ /11 A. J being duly sworn, deposcsand says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ CO'1fr';j)"~ (Contractor, gent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfoon 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. Sw _foremethi'l1~ f11A Dl i -'I daYOf~-=t--.20~_, ^ I I ~ -~ . otaryPublic ~ sgn~b'k."_ ANNIE e. eSGRO Notary Public. State of New York No. 01 ES5078083 Qualified In Slifolk County Commission Expires Mav 19. 2007 2m mIlL & ~ ; Q II CII ! 9 . lOT ARE:A- ~,OOO eq. ft. 5 88'57'40"E ~ 89' ~ 1:( o Q:; ~ l:z:l 00 .~ Z :s 8 d ~ 138' .0 l" Q .. ~ Q Z ---- ..- .... ~ ---- N 88'57' 4O"W ~ :::! .., lANDS EWD RfMD lHEGfIIIE1I {al1Iil1 ~.-. ~ "'1IE~181ME ,...,...-,. ... A .... ~ AND .. AND 11___ _ ... -----,,--......-- ...... ~ ..... lD ..... .. "" ... ........ ~ ..,.... ~ _ 1'0 n.- ..... . A WXAnDN tIf ~ 18 "... _ ~ ... __ 1M. - r .......- IHML _ ..,. 1D 1)1: .- PeR ... ... ... . ....-. _ CIII . ...,. . ... 1IILI ...... . ...m... ____....-..111__.",. ..- ~ 11 Jl _..... 11 1..1 111 ....... ....,.... eII- --. ~.tJIF 1111 .... _ till" _ .,.. .. aIIWIWII'I -.D .... . __....._. 'Ill ......__. CERllFlEO ONLY TO: ;/4...L/ F r;~J.- ~ROLD F. TRANCHON JR. ,~ ~~~. No. 048992 PENN. LIC. No. 211!FE LOT _ JO .J{ + 200.00' ~ 8 lt ~ ! 9 200.00' LOT _ 21 NOTE: CESSPOOL. SEPTIC TANK .. WELL LOCAllONS En' OTHERS. 12-5-2003 FINAL SUIM.'Y 9-15- 2003 FOUNOAlION LOCAllON 7-17-03 PROP. DWElUNG JOB No. 01-230 FILE No. LANDS END SURVEYED FOR LOT NUNIlER 29 loW' OF LANDS END AT ORIENT POINT SITUATED AT ORIENT POINT TOWN OF SOUTIiOlD - SUFFOLK COUNTY N.Y. SCALE 1. - ~' DATE 9-4-2001 FILED loW' No. 5909 DATE 5-3-1973 . TAX loW' No. (REF ONLY) 1000-15-9-1.29 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR ti66 WADING RIVER-MANOR RD. WADING RIVER. NEW YORK, 1U92 6J1-929-4695 . 'LOT AAEA- 40,000 801. ft. S 8857'<40"[ ~ 89' ~ ~ o ~ ~ Z ~ 00 ~ z :s "8 ~ 138' .0 I" o !" '" P ;; z - - ----- """'" - """'- ---- N 8857'<40"W ... .. ~ .., I.ANDS DID RCW) 1tE CJII'IWII (1M ~ .....- ... THE ~ 18 tHE .......,. LItD _ ... A ...., ,.... ". .. ,. 'HMPIIE ". .." _1ll_1IC_"'___..............._ fII.MfIII...._Ta__DII,."em8~ t.MSM:IIIZID AL1'IIWlOlI OR MII1IDJriI 11) lMI -...v . A \4OlA1DI tJI ..".. .. " lIE .. .,.. I'nft EDUI:A'II* tM. till ~ ___ __ aw.L. ... -., 1D .,.. ~ ... .... lIE ....... . ........ MIl ell .. ..., 10 1tC mu ~. ... In II 'bo.. _______1ll1lC_"... ~ ........... IU IR _ _ ... 1Il ...1.. TO .......... .41.. ... alii- ...~ COPU OF lIIa ...,. ., ... .... 1Nl UIMJ ~ .... .... .. ___IHJlU...._UJ .,b.1D."wt..Il,....,.. CERTlF1ED ONLY TO: / ' /. rl --- " r "".. v J F I .,-",,-< ~~. H~ROLD F. TRANCHON JR. , '\ J".~r;. No. 048982 PENN. LIe. No. 21fi-E Lar NUlIIE1l JO J{ + 200.00' pfE "8 ~ ~ ! 9 .3. ~ j;: ~ o In I ! 9 200.00' Lar_2lI NOTE: CESSPOOL. SEPTIC TANK '" WElL LOCATIONS BY <mtERS. 12-5-2003 FINAL SURVEY 9-15-2003 FOUNDAllON LOCATION 7-17-03 PROP. DWELUNG JOB No. 01-230 FILE No. LANDS ENO SURVEYED FOR LOT NUMBER 29 MAP OF LANDS END AT ORIENT POINT SITUATED AT ORIENT POINT TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y. SCALE 1. - 40' DATE 9-4-2001 FILED MAP No. 5909 DATE 5-3-1973 TAX MAP No. (REF ONLY) 1000-15-9-1.29 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR , 1166 WADING RIVER-MANOR RD. WADING RII/ER, NEW YORK, 1T792 631-929-4695