HomeMy WebLinkAbout33293-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32843
Date: 01/24/08
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property: 405
(HOUSE NO.)
County Tax Map No. 473889 Section 137
FLEETWOOD RD
(STREET)
Block 4
CUTCHOGUE
(HAMLET)
Lot 15
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 25, 2007 pursuant to which
Building Permit No. 33293-Z
dated
AUGUST 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 ALTERATIONS & DECK ADDITION TO AN EXISTING SINGLE FAMIY DWELLING
AS APPLIED FOR.
The certificate is issued to DAVID J & DAVID W. CORCORAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATIOliI DATED
~ed
~
Signature
Rev. 1/81
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
duck ~ /qt!7-
Mrru~
,
APPLICATION FOR CERTIFICATE OF OCCUPANCY \
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This application must be filled in by typewriter or ink and submitted to the Building Department with the f~llowing:~
~
A. For new building or new use: !'.:l
I. Final slITVey of property with accurate location of all buildings, property lines, streets, and unusual natural or r'"
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 1 % lpd,
5, Commercial building, industrial building, multiple residences and similar buildings and installations, a bert:fficate
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 buildings and "pre-existing" land nses:
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.
New Construction:
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, Conunercial $15.00
Date_ i /18 /08
I I
X (check one)
RoI'l.1>
Location of Property:
Owner or Owners of Property:
nM,d
TkJO
Street
hJ,.l!t'all1 (I"rCNa,rI__
/ .5 7- BlOCk~.
IS-
Suffolk County Tax Map No 1000, Section
Lot
Subdivision ._ Filed Map. __"_ Lot:
Permit No,.3~ J. 9 3::..~ . Date of pennic....3.!-IJ::j .__ Applicant:_.--22-Clt!{'o:t~._..
Health Dcpt. Approval: _..._______. .... .__ Underwriters Approval: ____
Planning Board Approval: _____
(check one)
Request for:
Temporary Certificate__
Fee Submitted: $
,;(5......
1tf.VL^ J tv ((l7 OCr---
Applicant Signature
&v:.. ]')0 7rf
co C 8J.~L{3
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.
33293 Z
Date AUGUST
2, 2007
permission is hereby granted to:
DAVID J & DAVID CORCORAN
17 LONG RIDGE ROAD
MANHASSET,NY 11030
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
405 FLEETWOOD RD
CUTCHOGUE
County Tax Map No. 473889 Section 137
Block 0004
Lot No. 015
pursuant to application dated JULY
25, 2007 and approved by the
Building Inspector to expire on FEBRUARY
Fee $
200.00
....
---
ORIGINAL
Rev. 5/8/02
APPROX. HIGH WATER LINE
EUGENE CREEK
84'53'30"[ 50.02'
~ 6.BTIE LINE WOOD PILINGS
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WOOD
fLOATING DOCK
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GUARANTEES INDICA TED HERE ON SHALL RUN
ONL Y TO THE PERSON FOR KHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANy' GO~RNM(NTAL AGENCy'
LENDING INSnnmON. IF LISTED HEREON. AND
TO /HE ASSIGNEES OF TNE LENDING INsnruTION.
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTtn.JTIONS OR SUBSEWENT OWNERS.
PIPE
FD.
PIPE
FD.
LOT 4
LOT 3
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
Nor BE CONSIDERED TO BE A VALID TRUE
COPY.
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UNAUmORIZED AL TrRAnON OR ADDITION TO THIS
SURVEY IS A VIOLA nON OF SECTION 7209 OF
THE NEW YORK STATE EDUCATION LAW
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100.00
FLEETWOOD
ROAD
FM#1263
DATE FILED JULY 1. 1938
SURVEYED: 7 JUNE 2004
TM# 1000-137-04-015
SURVEY OF
LOTS -3 AND 4
IN
MAP OF FLEETWOOD COVE
SCALE 1"~ 40'
30.585.93 SF
OR
0.702 ACRES
AREA ~
SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR:
DAVID J. CORCORAN
DAVID CORCORAN
SURVEYED BY
STANLEY J. ISAKSEN,
PO. BOX 294
NEW SU FOLK. N. Y.
631 -73 -5835
JR.
11956
GUARANTEED TO:
DAVID J. CORCORAN
DAVID CORCORAN
FIRST NATIONAL BANK OF
BRIDGE ABSTRACT LLC
LONG ISLAND
18 AUG 04 ADD HWL, FLOATING DOCK. RAMP, THIS DATE.
-- -- --
33OL'l3 2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ;xi FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION
REMARKS:
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DATE / ---- 3 -- I) Y
INSPECTOR ~ ~
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FIELD INSPECTION REPORT DATE I , COMMENTS l).)
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INSULATION PER N. Y. ~-- - ~~
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FORMER OWNER
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LAND IMP. TOTAL DATE REMARKS
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AGE
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Farm
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Value
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
.
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SoutholdJ
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
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT No.~9 5 c-
Examined
Approved
Disapproved ale
, 20---Q.--
,20~
Expiration
,20
Mail to:
(651/
Ph ne: 6g0 57$" /
\
\JLICATI:S:::[::~G PE::
\ ' /
a. ~ication 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 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 inspections.
0('r':-', II
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(Signature of applicant or name, if a corporation)
5 SOl> ~ Dr; ve.
P'I , (Mailing ap<!ress of applicant)
lal1aOnt e. I IV Y JI 03 D
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
hvicl 1rJ. Corcoran . /)(AIII'd X CDrCoral1
(As on the tax ron 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.
House Number
County Tax Map No. 1000 Section
Subdivision
/37
Block 4
Filed Map No.
(Name)
Lot
Lot
I~
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S U III rn e.r r e. S I' Jen.ce
b. Intended use and occupancy
SUF)1IY1H r~sl'd~n.Ce.
'.
3. Nature of~'f)rk (check which applicable): New Building
Repair A- Removal Demolition
/
4. Estimated Cost i "1-0. OOD
.
Addition
Other Work
Alteration
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars I
/
(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
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
Rear
9. Size oflol: Front
10. Date ofpurchase 7- /0' J
I +-
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO V
13. Will lot be re-graded? YES_NO 1 Will excess fill be removed from-l'reJ?ises? YES_NO ~
])..vid 1M Coreor/HI S" SOlJ~ .Dr/V('.
14. Names of Owner of premises '1:JAV,'a ;T. CorCDromtdress P!.nJo""~ .NY IID30Phone No(SI,,) (,1..1 -3812
Name of Architect Address Phone No
Name of Contractor Address Phone No.
Rear
Depth
lJoro -Mea
Fa. J Cone.,
Name of Former Owner
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_
* 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 V
* IF YES, PROVIDE ACOPY. -r-
STATE OF NEW YORK)
SS:
COUNTY OF Kr'?7' )
j} J ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
OWfle.y
(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
;J- '7 day of
RI
20 b 7
oj ~
Signature of Applicant
Erosion. Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM
Yes No
EXEMPTIONS:
A. Does this project meet the minimum standards for classification as an Agricultural Project.
Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan Is not required.
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ACTIONS REOUlRING THE SUBMISSION OF. A STORM-WATER. GRADING. DRAINAGE & EROSION
CONTROL. PL.AN CERTIFIED BY A DESIGN PROF.ESSIONAL. IN THE STATE OF. NEW YORK.
8.
Item Number: (A Check Mark (J) for each question is required for complete application)
1.
Will this project retain all Storm-Water Run-off generated on Site?
(This will include all run-off created by site clearing and/or coristruction activities as well as all
Site Improvements and the permanent creation of impervious surfaces.)
Will this. project require any land filling, grading or excavation where there is a change to the
natural existing grade involving more than 200 cubic yards of material within any parcel?
Yes
No
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Note: If any answer to. questions one through eight Is answered with a check mark In the Box, a Storm-water, Grading,
Drainage & Erosion Control Plan is required and must be submitted for review prior to Issuance of any building permit.
2.
3.
Will this application require land disturbing activities encompassing an area
of five thousand (5,000) square feet of ground surface or more?
-------------------------------------------------------------------
4.
Is there a Natural Water course running through the site or is this project within
One hundred (100) feet 'ofwetlands or a beach?
5.
Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to
One hundred (100) feet of horizontal distance?
6.
Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off
into and/or in the direction of a Town Right-of-Way?
7.
Will this application require the placement of material, removal of vegetation and/or the
.construction of any item within the Town Right-of-Way orroad shoulder area?
(This item does not include the Installation of driveway aprons.)
Will there be site preparation within the one hundred (100) year floodplain of any watercourse?
STATE OF ~~~F HHHbJ'fj,1);
That I'HP.~H'H~HHHHH
.... 'H'H'HHHH SS
H'H'HHHHH being duly sworn, deposes and says that helshe is the applicant for Pennit,
(Name of individual signing Document)
And that He/~ is the HHf!.W.0~
................................ ........................................
(Owner, Contractor, Agent, Corporate Officer, etc.)
Owner and/or representative of the Owner or Owner's, 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 belier; and that the
work sill be performed in the manner set forth in the application filed herewith.
Sworn to before me this;
":;';~~i>4 ...................'"Q~
. Qualified in Kings County
Commission Expires Jan. 31, 2Cl V
..1~~
(Signature of Applicant)
473889 137.-4-15 OWNER: FALCONER, FREDERICK & WF
NUMBER# DATE TYPE CO # USE/DESCRIPTION
1870 8/30/62 PERMIT 1439 ADDITION
30252 6/23/04 PRE CO DWELLING
16290 7/30/87 PERMIT 17103 PERMIT #16290 CONSTR DECK ADD
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
F1=More F7=Permit Detail F8=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit
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