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HomeMy WebLinkAbout33416-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 11/01/07 No: Z-32710 THIS CERTIFIES tbat the building WINDOW REPLACEMENT (STREET) Block 2 CUTCHOGUE (HAMLET) Location of Property: 33900 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 97 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in tbis office dated SEPTEMBER 10, 2007 pursuant to which Building Permit No. 33416-Z dated SEPTEMBER 24, 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 REPLACEMENT OF FRONT PORCH WINDOWS IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT W RICHMOND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEIIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ze~ 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 i~ and submitted to the Building Department with the following A. For new building or new use: I. Final survey ofpropeliy 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-conforming uses, or buildiugs 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. Ifa Certificate of Occupancy is denied; the Building !J1spector shall state the reasons tlierefor 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 Celiificate of Occupancy - $50.00 5. Temporary CCliificate of Occupancy - Residential $15.00, Commercial $15.00 Date. If) I J ') I 07 y Old or Pre-existing Building: (check one) New Construction: Location of Property: '33 qoo ~ tl-c1- House No. Street ~~t Owner or Owners of Property: 6?-JN'- - G<, ~U>--l-L Suffolk County Tax Map No 1000, Section ~ 7 Block ;?. Lot II Snbdivision Filed Map. Date ofPerm.it.~ Applicant. . Underwriters Approval: Lot. Permit No. n Y I Co .z:. Health Dep!. Approval: Planning Board Approval: Request for: Temporary Celiificate Final CertifIcate: ____ (check one) Fee Submitted $ _ --2 5, crtJ Iii;- tJ e:~f~~ Applicant Signature k. /J; lfr C.o-b3J/IO 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. 33416 Z Date SEPTEMBER 24, 2007 permission is hereby granted to: ROBERT W RICHMOND 33900 ROUTE 25 CUTCHOGUE,NY 11935 for : WINDOW REPLACEMENT AS APPLIED FOR at premises located at 33900 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0002 Lot No. 011 pursuant to application dated SEPTEMBER 10, 2007 and approved by the Building Inspector to expire on MARCH 24, 2009. Fee $ 200.00 ORIGINAL Rev. 5/8/02 3 3 +1 t, 2- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING P1 FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: F~ ~ ~ ok, vJ~~ ~~~, DATE /O-~6_61 INSPECTOR ~~ . FIELD INSPECTION REPORT DATE I COMMENTS IJJ ".JJ .... !oj r ~ ~ - FOUNDATION (1ST) ~ ..., rt. "" -----------------------------------.- r: " G '" ,.- !oj FOUNDATION (2ND) <;- ( , , " 2: 9 --~ J,' l::~! '" ..., ~ ~ ROUGH FRAMING & !oj ..., PLUMBING I? .' ( - ~ ~-- f--- -. J~ ---_._,-- - ::= -.--- ~ INSULATION PERN. Y. ,- !oj ..., STATE ENERGY CODE C., - r r -+ /\ ( /7 ~, " I lU-~ 07 :P:. ~.!) 1-1 ",~ ~> @K ~ //",,(/-/ I ( , , , '- , / (1 ( FINAL , ~ 1', ADDITIONAL COMMENTS - - '" ;- 7 r- (;1 ./ 0 ,/ ::E ,;" r'-' Z m ;l:l 7', -, v'. !oj '~ ~ .L ~ - ..., C - 0 ~I 2: k ~ ~l E=; ~Y-l +, ::= ....,. I:l !oj .... :"l . . TOWN OF SOUTHOLD IOPERTY RECORD CARD , f J _.;) _ / OWNER STREET:3 39.~; c ",tu; kocJ.rl IN ,I.. '. . /VI cJ. / ~I f,:' (j -- Go S' : WI-cke. VL. I FARM TOTAL DATE f<l RES. die LAND Ii SEAS. I IMP. 26 (J NU ~ 6 d .2 C( crU ;Zrpc>o 4000 . 0/117:1 / S"DD <,,0 .5~ , J AGE NEW NORMAL Farm Acre Tillable J Tillable 2 Tillable. 3 Woodland Swampland Brushland- House Plot Total 2.(,00 ::2 Jlo<J "IS,,!) <f t (ie" F , ;y-/~' 5/30 5 ? VILLAGE DISTRICT SUB. LOT BUILDING CONDITION BELOW ABOVE Uf.- r y' Value Per Acre - ,E . ACREAGE 023.7 TYPE OF BUILDING iw COMM. I CB. I Pe ,,( 407'7 ~,c, !/.rco c,P// V J. REMARKS LAJEDGl /,2~"h) 0' c; .. ~~J . (,;1..) ~ 't g 7 Yalue -l. r Sliders Window Options 7100 Whne s Colors Beige 0 Earthbrown 0 Clear S Low-E 0 Glass Low-EJArgon 0 Obscure 0 Tempered 0 Double Strength 0 Colonial Flat 0 Grids Colonial Profile 0 Diamond 0 Prairie 0 Foam Filled Frame 0 Other Full Screen 0 3-lite 0 5 = Standard 0 = Optional NA;; N9t Available . - 7100 Horizontal Slider For maximum penormance and ultimate energy efficiency, the 7100 Slider is designed with: Frame . Miter cut fusion-welded corners for superior structural integrity and prevention of air and water infiltration. . 70 mil thick vinyl profile extrusions. . Beveled exterior frame. . Optional foam filled frame. . Optional glass packages. . Available in standard white and optional beige or earth brown. . 3-llte slider availaqle in 1/4,1/2,1/4 or 1/3, 1/3, 1/3 Sash . Miter cut fusion-welded comers offer the ultimate in strength and weatherability. . Sash removes for easy cleaning. . Integral pull rail provides fingertip perfonnance. Meeting Rail [IJJ .1/4, 112, 1/4 . Meeting rail interlock mates the sashes when the window is closed reducing the threat of air/water infiltration. . Weathersealed interlock for Improved thermal performance. ITIJ 1/3, 1/3, 1/3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HJ\LL . SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ Approved Disapproved ale ,207 ,20 -- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board ofRealth 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. :3'3 Lf I~ Examined Mail to: Expiration ,20 Phone: \ , \ (j AJLICATION FOR BUILDING PERMIT - Date 4f. 7 INSTRUCTIONS ,20~ 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 oflot 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection~ .{;/.' L !< (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ()~ builder ,7i1C/-fmo/"lP (As on the tax roll or latest e ~. DATE: '.... .5'5'://60 FEE' ~--:..~ NOT . B:jF_;~ "d'!;ENT j." 765-18')2 8,,' ,'l "FOR THE FOLLOWiNG ':3: ,":TIOI,S: 1. FOl''Ji>J,v'' ': :/0 REQUIRED FOR Pj.':C.=; CONCRETE 2. ROUGH . Fii.~rvLNG & PLUMBING 3. INSULA liON 4. FINAL. CC'STRUCTION MUST c-- BE COMPIFl'E);Oa,c.Q. - ).() ~1iTHO,trfO't-l ~~T TIIC ~Iet -"TS OF THE CODES OF NEW YC 'JOT F c,TONSIBLE f Y! Block DE:"lul~ i.Jh CG~lr'luC flON ERfiOI1S. Filed Map No. Lot ,'1.'.-'''' "'....,- Name of owner of premises If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. +IJ 7 ~tf - f/ Plumbers License No. Electricians License No. Other Trade's License No. 7 I. Location of land on which proposed work will be done: 33900 Rr...:2..5 C~/LflN;:'/.I/ House Number Street ~ County Tax Map No. 1000 Section 71-;' -1/ Subdivision (Name) 2. State existing use and occupancy of premises and intended u and occupanc of proposed construction: a. Existing use and occupancy QoNT V-SS b. Intended use and occupancy Ke?U\( .C=:- 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work i(ot9LffC-r-- Wr'flfd.or.J9 (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 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_ /) --;::;))p J 3~'1bll R.7. ;Z..5"-II'I35 -14. Names ofOwnerofpremises~~( ~ddress eA.JTUfl!(j.t./';:,IY.'t Phone No. 63/-1J<j..-tA'OS Name of Architect Address ' Phone No _ 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.e. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF 5\11'171,/4- Ro bur vv. fS.LvhvY\t? ncf being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~, (Contractor, Agent, 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 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 Sef. \ 1_. / 1 day of Umj(.I(Y'2oJ!:L ~ ~ \f)~ y~ MElANlEV.~ JJ 1 Notary Public NMJ ~ =~ IA.. \ Signature of Applicant QuaIled In Moll CauIty Colnmllllon &pAs Od. 19..;Lev 00 . . J;; It 172: .,0 v/I7'; 7 2 .. I'll{ 1\ It' 1 '" t I" ... I ~I" U ,3.- ~ t:. , I Tl :{I r; I {Q '1 I / / / / ~ Extension .,z, /.:. .3 II ;(1<,1, X 1)...-- Yj{I/J~,f(; K. 5" ~ ';"S Foundation Cc,"',/'",:::" Both 1 Basement ? A ~.:r Floors P'I/V ,E ';l.1 ;{ 1.t-;1.I/ Ext. Walls fA)O~ SF/ Interior Finish 1ft/.. Bb. ,-- S"o 333/ Fire Place Hem /- A' C S1'fl,4. /~o .50'1/ Porch Attic -J. 7...~ ~. Porch Rooms 1 st Floor " tf.J 0" / Patio Rooms 2nd Floor 3- Driveway M. Bldg. Extension a qt'(..,; Ex .)aSlO~ ~ "J'- . h<," ae O. B. o o .