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HomeMy WebLinkAbout33435-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32707 Date: 10/31/07 THIS C~KTIFIES that the buil~ug SCREEN PORCH ADDITION Location of Property: 4695 SOUTH HARBOR RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 1 ~ot 8 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 25, 2007 purs,,ant to which Build{--g Permit NO. 33435-Z dated OCTOBER 2, 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 "AS BUILT" SCREEN PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KAREN LYNNE GRANT & ORS. ( OWNER ) of the aforesaid building. COUNTY DEPARTMenT OF }~ALTH APPROVAL CERTIFICATE NO. ~TIFICATION DA'£~U N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD -, 7 -~ - --i ~ BUILDING DEPARTMENT '] ~ [~ [:~ ~ ~ ?., ' This application must be filled n by typewriter or i~ ~d submitted to the Building Depamnent with th~id~ing: A. For new building or new use: 1. Final su~ey ofprope~y with accurate location of all buildings, prope~y lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerag~disposal (S-9 fora). 3. Approval ofelecthcal installation from Board ofFke Unde~fiters. 4. Sworn statement from plumber ce~ifying that the solder used in system contains less than 2/10 of 1% lead. 5. Co~evcial building, industfi'al building, multiple residences and si~lar buildings and installations, a ce~ificate of Code Compli~ce from ardhitect or engineer r~po~ible for the building. 6. Submit Pla~ing Board Approval of completed site plan requirements. For existing buildings (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 haspector shall state the reasons ttterefor 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 Cel~ificate of Occupancy - Residential $15.00, Commercial $15.00 Date._ New Construction: Location of Property: Old or Pre-existing Building: House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000~ Section Subdivision Permit No. '~ ~ ~ ~ Health Dept Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ -.t~ ~ '""" Date of Perm/t. (check one) Hamlet Block Filed Map. Applicant: Lot Lot: Undelxvriters Approval: Final Certificate: (check one) - ~pplict/ant ~'ignature 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. 33435 Z Date OCTOBER 2, 2007 Permission is hereby granted to: KEVIN HORNE 4695 SOUTH HARBOR LA SOUTHOLD,NY 11971 for : "AS BUILT" SCREEN PORCH AS APPLIED FOR at premises located at 4695 SOUTH HARBOR RD SOUTHOLD County Tax Map No. 473889 Section 087 Block 0001 Lot No. 008 pursuant to application dated SEPTEMBER 25, 2007 and approved by the Building Inspector to expire on APRIL 2, 2009. Fee $ 400.00 Autho~iked Signature ORIGINAL Rev. 5/8/02 0ct, 18. 2007 12:15PM No, 2429 P, 1 Boulevard Planning PC. Cutchogue, N.Y. 11935 www.blvdplan, com Phone:631.734.2011 Fax: 631.734.2276 Building Depazl~cnt Town of Southold October 17, 2007 R~: Home Residence, Permit # 33435 Z To Whom It May Concern, I hereby certify to the Department of Buildings of the Town of Southold that I have inspected the above locations; I have supervised the preparation of the building pl~n~ as per State Education Laws; and I have determined to the best of my professional knowledge and belief that the structural elements are safe and that the fotmdation support, was installed in coaformity, with the filed building pl~us, the New York Residential Building Code, and generally approved consmaction practices. please feel f~ec to call mc at any time. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ].~U~ATION [/-"]"FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE~INSPECTO~ FO~A~ON (1S~ ro~o~ ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE E~RGY CODE ..',:~,>_ ~,?_./_ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ff/.~:'::-~ VILLAGE DIST SUB. LOT LES.~/~ S~S. VL FA~ COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re -illable 1 'illoble 2 'illable 3 t~dland wampl~nd FRONTAGE ON WATER rus~land FRONTAGE ON ROAD !~ i ~ ~ ~ * ~ 2 ~ louse Plot DEPTH ~ ~ 4( ~m. ~ ~ ~ ~ ~ BULKH~D oral DOCK Foundation ' o. ~ . Bath AA. Bldg. Extension Extension Extension ~XEL~z ~ Basement Ext. Walls Fire P ace 7L/~' . Floors Interior Finish Heat Type Roof Rooms 1st Floor Porch Recreation Roon Rooms 2nd Floo~ Porch Dormer Breezeway Driveway Garage Patio O.B. Tota I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c /o/), 20 07 / 20 o7 Expi] PERMIT NO. BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans ~ Planning Board approval Survey ~ Checlc:~ It/ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: uilding Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ,20 ~7 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 hav6 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 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 authorized inspectors on premises and in building for necessary inspections.~ ~/~,,~,,~'/ ~/'*'~Signature of~li~a~t'~r name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~¥~VtrI (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Lot Lot 2. State existing use and occupancy ofpremise~s and in,tended use and occupancy of proposed construction: a. Existing use and occupancy [~ta[,~o b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration OtherWork L?;,~/I~ /rar~ (Description) (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. 7. Dimensions of existing structures, if any: Front ~ tP, f Height ~//- //5"- Number of Stories ,Z- Rear Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear Dimensions of entire new construction: Front Height Number of Stories Rear Size oflot: Front [~0 Rear 1~-3 Depth ~3 ff' Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~O_ 4 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ,)~ 13. Will lot be re-graded? YES __ NO X Will excess fill be removed from premises? YES NO X 14. Names of Owner of premises ~l~rO~ Address Phone No. NameofArchitect ~[va( ,lgj~nn/~ ,~ Address /14al/n Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO X * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 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) cOUnTY oF /x/ks)S: ]~0 /~r'¢ /~/,e/~'r- ~ beingduly sworn, deposes and says that (s)heis the applicant (Name of individual signing contract) above named, (S)He is the d~'~"q' ~- (Contractor, Agen~t, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree 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 ~ Notary Public ,.__/ 20 o? N // N/O/C' ~llx£ ~ /WA~/c °°~°oN SURVEY OF PROPERTY A T SOUTHOLD TO,tN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-87-01-08 ~ SCALE' 1'=30' · ~ AUGUST 8, 2007 AUG. 13, 2007 (CERTIFICATION) CERTIFIED TO ~ KAREN L. GRANT ALAN I¢. HORNE KRISTIN E. HORNE MICHAEL J. HORNE KEVIN J. HORNE AREA-20,206 80. FT. · =MONUMENT · =PIPE ANY ALTERATION (~ ADDITION TO THIS SURVEY IS A [40LATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECt?ON 7209-SUBDIt4SION 2. ALL CERTIFICATIONS HEREON ARE VAUD F'OR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE JWPRE,~D SEAL OF THE SURVEYOR IltfHOSE SIGNATURE APPEARS HEREON. 07-172 FLOOR PLAN SCALE:I/4" = I'-0" PHOTO OF REAR ELEVATION S ~3o20,00,,5 ~5,4. 5' /5,9. FRAME GAI~,GE ~> 2 STORY FRAME HOUSE ~XIDTrNG PRE-MANUFACTURED SCREEN PORCH TO DE LEGALIZED $IT,.E PLAN SCALE:/ =20' 5 45° 25' 30" W 7. 05' SITE AND ZONING DATA ZONING REQUIREMENTS P--,-40 ~D<JISTING CONDITION5 PRLOPOSED CONBTRUCTION AB PER 100-244 LOT AREA 20. 20G S,P. 20. 20G 5.ff. FRONT YARD SETBACK 40.0 PT 47. I PT. 47. I FT. REAR YARD SETBACK 50.0 PT 84. 5 ~ &5. 0 PT sroE YARD SETBACK I 5.0 PT 22. 5 PT 22. 5 PT TOTAL ~ BOTH SIDES 35.0 PT 57. 0 PT 57. 0 PT MAX. GROSS FLOOR AREA 20% } 7~5. 0 B.P. &.~5% 195G. G 5.P. 9.7% MAXIMUM [1EIGHT 35.0' PT 23 h-i- 23 PT THERE ARE NO GRADE CHANGES, EXCAVATION, FILLING, AND/OR CLEARING DOiNE TO THIS PROPERTY OEH~ IFtCATION OF NAILING & cONNECTION8 REQUIRE~. APPROVED AS NOTED ~C?ANCY 0R ~SE IS UN~WFUL WImOUT CERTIFICATE OCCUPANCY ~I~ERWBTER$ ¢£RT F OAh REGUIRED PHOTO OF NORTH ELEVATION MA1NTA1N ADDITIONS & ALTERATIONS AT THE HORNE RESIDENCE SOUTH HARBOR ROAD SOUTHOLD, NY S.C.T.M. # 1000-87-1-08 REVISIONS: DATE: PLANNING P.C. ARCHITECTS ENGINEERS 32645 MAiN ROAD CUTCHOGUE, N.Y. 11935 Telephone Fax 631-734-2011 631-734-2276 Intemet: www.blvdplan.com TI[ESE PLANS AND SPECIFCATIONS ARE INSTRUMENTS OF SERVICE AND ARE THE PROPERTY OF BOULEVARD PLANNING P.C. INFRINGEMENTS WILL BE PROSECUTED. DATE: 9-21-07 DR. BY: JJC, R W L SCALE: AS NOTED CHKD: J.S. 0702 A-1