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HomeMy WebLinkAbout33452-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32904 Date: 02/27/08 THIS CERTIFIES that the bui1ding STAIRS ADDITION Location of Property: 31025 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 102 (STREET) B10ck 2 CUTCHOGUE (HAMLET) Lot 23.5 Subdivision Fi1ed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fi1ed in this office dated SEPTEMBER 26, 2007 pursuant to which BuHding Permit No. 33452-Z dated OCTOBER 5, 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 2ND FLOOR EXTERIOR STAIRS ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SANDRA MEYER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEI!lT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~iZ~--- Rev. 1/81 .-.---.c-:, ) ;;1 C' _ f ~ j I Form No.6 ~U' , FEB 26 ' . ! !J i: BJ~~g~~~~~~i~T I U . . [1'-/ TOWN HALL I L, --____.J 765-1802 I b. -- f 11""\'" ''..) " ('I':) ~---- ...- ---- PLICATION FOR CERTIFICATE OF OCCUPANCY 'JYVevJ/. '00 [bt'( ""'6 ~ 'OJ!} f11s~ This application must be filled in by typewriter or ink and submitted to the Building Department with the following A. For uew building or new use: I. Final survey of property with accurate location of all buildings, properiy lines, streets, and unus1l81 natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn). 3. Approval ofeketrical 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 % 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 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, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Ceriificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate ofOccnpancy - $.25 4. Updated Certificate of Occupancy -- $50.00 5. Temporary Cerlificate oC Occupancy - Residential $15.00, Conunerclal $15.00 New Constl1lction: J Date. Old or Pre-existing Building: (check one) Location ofPropeliy. j /& J-f t!(,1!j/(/ M I House No. Street Owner or Owners oCPropelty: ~_. __j1jf/tf,(j jf:.j"b-- _0___~~_ Suffolk County Tax Map No 1000. ScctrOlI .It) f..~ 1).,;)-1, (Block_____ HamIel Lot Subdivision Filed ]\'Lip_ Penn!t No _i J_tF)---, Date of pcrmiL-I;7~~~ L Applicant__ Health Depl. Approval: _______ Underwriters Approval' L(l1 Planning Board Approval: Request for' Temporary Celiiflcate _ Fi1l3! Certificate (check onel Fcc SubmlHed: $ ---..dJ. ----cu-J2___ ~.'Y7~ll co~J;J~O~ 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. 33452 Z Date OCTOBER 5, 2007 permission is hereby granted to: SANDRA MEYER PO BOX 1168 CUTCHOGUE,NY 11935 for : SECOND FLOOR EXTERIOR STAIRS FOR AN EXISTING SINGLE FAMILY DWELLING at premises located at 31025 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0002 Lot No. 023.005 pursuant to application dated SEPTEMBER 26, 2007 and approved by the Building Inspector to expire on APRIL Fee $ 200.00 " Signature ORIGINAL Rev. 5/8/02 ~- -- --- }3i{-SrL TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON J,{J...,,-.... _ _ _ A REMARKS: ~~ ~ f) C1;-- DATE /~!i---b'6 INSPECTOR ~ ~~ , FIELD INSPECTION REPORT DATE I COMMENTS . ~~ FOUNDATION (1ST) ..L~ VV-l CU'" ------------------------------------ 1\\ I FOUNDATION (2ND) . ~.~ f J> 2: 9 \J-l rn ..., o '" ROUGH FRAMING & _' I"l Y I"l PLUMBING ,1\ ..., --- I-- f - - J -------- -- ----~-~- :I: 1------ f'~ :;>r. INSULATION PERN. Y. . I"l - ..., STATE ENERGY CODE . I l//If;- /-1 A f ,y ~~<.IJ ~_0k ~T U FINAL [- -c ~1 . -. ~ ADDITIONAL COMMENTS [\; ,r ~ . f'~ 0 ~\~ C. ::0 ..-' ?- ( :;:' . 1-... ". . I"l \ ~ U\~ C' ..., - -5'>0 2: - ~ Iy E:; ~..~ ) I;j . I"l "d ~ 00(; -it OWNER ~C-J23.~ ~4 TOWN -2-~ .r OF SOUTHOLD PROPERTY RECORD CARD Noodland STREET. j ,: ,,' ,,' \...._,' ( t.._ ..... VILLAGE DIST. SUB. LOT , . j.~ .; 11 ".f. 'j e r'I'.:',J" '3 (vi FORMER OWNER~Yw<. Sc:ctl) k\o\. 'd' ~','r!tc\ J MN/~ Pl'lwLjJ{!.-;Z '. ~ES. SEAS. VL. I I '/ 1-0 d. rI E jr ~i).(/ - /Y,P 1>1.'" , FARM COMM. CB. MISe. r;> +< ~ ~ "hfl c ~'i Mkt. Value LAND IMP. TOTAL DATE /0 J 06 / 6,0 /'z-J() 0 / t..f ""; C cJ iD J'.P'i<u!~<::z:yk .iN"" $'c'!-;r,B,w/,,<z;.--c _ . _, _ c' ".,,,, L 74"17 )0<:; _ J, AW uc. Z " J<: /co ,I'.i-.I! ..' ;:'C,' 7' T ,iv'" ~ lOr. "/)0 ~V 3/!/03. (t-J;T2u)1t1;Oo !' '1 'StV'f J /I! Ol( j I 5" OCI) -"" ,. --"'Iv, " Z(,c>o " ? I, 0 G 1/ -;1 '3 (I /(1""7 fI 701) ~{);.i'- ;wamplond 3 "() ..:;0 lrushland . ~"'f(~ I - f " (<",[. " ~\{),tJ DEPTH ~ (" -'3 ,~) BULKHEAD - T c.,t ~~ol..J - _ -Surf! $d. /D rn~tr -I1K./~~f:J~/{/ xe. ,0'# .A"- " e> c-'.~ _ .~ T .' 't~G ~ - \ / ':if" ,i' G.O.a-' klD..u'" \:J,c ~. :('fOM.:<: ;ouse Plot \10 . ,rik"I. --- rota I OCK , " 1"1..,..s'"\ l--~---- 102.-2-23.6 main house 9/06 M. Bldg. J( ;,,: (00 --,' Extension Lir:; (j ,. 00 ~ i "' ie. Extension /0 if LI Extension I c j..' .//'. ;/ " ,~. -' Porch yarCii ::8 Bree , -' 7 , ~ d--.0502. ! - rLOR '€Jlow k4 (/' . ..... ..1. ,1M , I( I Ii" VI.,v: .. I ty /S' Ole 1$1 01:; / QI or; )- vl ~\ " . ..p/ V . n 'V l. ']...1- - "I..., "" I. I..., .., ~ ,.,.1- Foundotion Both \~ 3 ~</1C Dinette Basement .- Floors K. J.~ /1 LR. Interi r Heat DR. BR. FIN. B. /1- Rooms 1 st Floor Rooms 2nd Floo r- -' Dormer --;-i",+:r- Driveway 1500 I 0 ~ -(0 G- ;~:.::r;" / ']r>J.f Cf.' Ie .,(1/.. Ii . /, /1. t-i--tr'1r~:",L-"-'" , . u Total /). ' i../'" .- 1wvr) lrl ~." '"'" '.'L.jJ": I~ J ---::-"'0 ~. {~ ,--> 303 5006 '"I '7;;1.97 . .. I /8' -- '. _ _ ~ 1.. -. - - 4~ 1 .'''C,__'_:,::=__l 102.-2-23.6 two story.... 9/06 G"i ~t. st.",!' M. Bldg. I Foundation I -~ i !. I__~:f. I Both ?~13~ y~~ -- :.--' - - -- 7 .'.- " 4 =------ c. ,~ '" - ~.~ , - LOR 61/oW (;1 , '""" , - .-( I' '/ - ~ /. ..,( .' I~ iIY /8 -- -,--L-. '::"7~,~"t'(.".;;:';-':':~ , I"" 1.<1 ::ll1 ClG - - - - ~ '/ vt V- I " .' p/ V . /8 .. ",-: (" 'L ~ - ~ 102.-2-23.6 l,'- . 'p 9/06 OB ) Barn ...., :s ... ~. -1" , " I -, I Fo~ndation l 5/:'; . ~~ .---1-"'" M, Bldg. 1 . 1 -I Bath ) 0' k I 0 . I:~,..."......:.......... I I I . .~.- I r- ~ ~ " I Rn,ement Floors i , , }<". ., , "-':--....;. ; fiB. , ~ .;,:>~\~:~ - ' 1: ,<l< :t. ~,: , <;C'~1'l , .'- '. ',"y. . .,.....:- ~<,.1~,,"t[ .<V ~';;,,>-~? '6.1!oW ;. ~, , :;;'to:~_.),~\t I' " > ":,, - ;.4 iVr ;-""" " .~ ... 10 4, ~ . "'" . . r( 1/ 'l , <: '. .. ' , " i "", i ~ ~:~ Ii it> IS' ;;" Il~ Ii 1.,,,1 -' as :;,'.i " .. cg " T /' 1/8' , .' .. ''''<~~ '"",~-,"'';'~''C~ ''''''', "l" " b "- i..... " . - ~ 102.-2-23.6 two story house 9/06 , -:: J... ,- rrl' ..~ , I I \ ~J-:"'-- M, Bldg. Foundation , Bath '~ 3~ .- I o , I '?6 : >-' - Extension , ) Basement -' Floors -1 i c) ~ .. );;:('d-' , 0' i tYt, /Va (..'r..;:r, rV<il -- Extension , L/ + J.k-'1' -;. Walls j, "';% Interior i,injsh. ~ . ,', ' /, ''f" , / , I . Extension , , Fire Place , Heat : . / Type Roof Rooms 1 st Floor / i 7 ~,~ II .., I , , J Porch J )..{1J ~ ~creation Roan Rooms 2nd Floo -' , -.:.,( .- I 1<:'-"" r", ~~:z:(~ > . , I 8erCh / ' , "'1' iDormer '<::>\-1<:" 6 "7 ~- ~ '/ ");0 -~ '- t... ~iJr , ~,= ,:. >\\~~. ':,.., ~ ., . " -- -' ~- ~ ~~:~~:~C~~~~~~~~ ! M. Bldg. i Extension i i Extension Extension Porch .J .:' ~; L/ / ! / I<~..... J,,', ;', _".. "" '- ! "} "'. ,~ -+ -; -"'I,'"' ", ?fI,!i ~)L' ./ I i I <70LOR ~//O~I / // ! , I TJ<IM i ,- ~. ..\< ,>,,'. I Foundotion 5":::l. d..'~ Basement ~r-:-I~t. Walls Fire Place /13/ ,Type Roof ~ ~creotion Rooll I;;" 11$1 T \ , tUo c\, l?n " .~ ~ ), C>l I~( .-, 1\ ~ ,I-" - Floors I . r( /"/ , IllY /8 o.s "- 1/8 b ~ l":Jh h .-r Bath 66'; 3~ i --'~ Interior~i~}Sh // Heat Rooms 1 st Floor . Rooms 2nd Floo . r- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. :3 3 <./').2 Z-- 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: Examined Approved Disapproved alc ,207 ,20_ Expiration ,20_ Mail to: Phone: 6 ~ ( 1:J 'I 6)!? &3 I LJ7~ le:J1 I~;]! We:: ~~ APPLICATION FOR BU~DmG PERMIT ; L..c. yJ I Date k" . I.,.. L_fr:~'O!'A;.IIJ(j~'L...l INSTRUCTIONS ~~ ,20.122 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 ~ompleted 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. A'~ Ilh? tff!//.u /&1" &(thlowe- (Mailing address of applicant) / /~ tv.' / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bt'~ r #P'lutU';el7 /.f t)I/'u67<. , Name of owner of premises J',4it/IfJ/'n 0. /lITVe-/'f (As on the tax foil or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Elumbers License No. Electricians License No. Other Trade's License No. j..() 11 c( I L t1 eJ"( H(AelJ fer J/i~ //t(,]J Lot 0 d--J o-O/J -...-()O-"~~ """'10 IIIIIll .;)IJIUCI \OM TOIII OllllDtllAf.1 to oM , ___If A' ;1 /./J-. L ~ .-.off", "1'".lllouO ......v'" {{;;,:, - r V'v( V-'" OS'liu~""" I"; """..",moO I. Location of land on which proposed work will be done: :? / tJ 7rr- JlI1/d t?-/" titil RtJiJe(B I , House Number Street Hamlet County Tax Map No. 1000 Section J lJ7rO, ( (J liiock 0 cJ r;-D Subdivision / Filed Map No. (Name) / Jd /l-J ~~. r cJ 07J - r"" 2. State existing use and occupancy of premises and intende4 use and occupancy of proposed construction: a. Existinguseandoccupancy .J'(p(Le M/lib(~ tJt/p'e~ ~?7//,.or;:4 ' b. Intended use and occupancy J 111(0- 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration OtherWork ~cc/< I1U4 -.JMrJeT (Description) )cHJ .C/O (To be paId on filmg thIs appltcatlOn) Number of dwelling units on each floor 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ( c Fee 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 11. 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_ Phone No. Phone No Phone No. Address Address Address 14. Names of Owner of premises Name of Architect Name of Contractor 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 -- * IF YES, PROVIDE A COPY. STATE OF NEW YORK) (J SS' COUNTY OF JJ(ftf~) . ~ ~€ V being duly sworn, deposes and says that (s)he is the applicant (Name of individual sIgning contract) above named, (S)He is the Ow rJ CfL (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 t OJ (p~dayof Notary Public LlNIM '.IW'DCUIt NDrIilN.wuc. ......._ ND.01RM1_ "" "".flnlllllllllleou.., Co.....L 11m ElcIIINe Ny IIO.LO . ~-.,' . I . I . I . I ~ , ! ~ I I\) . I\i I 'l ...: ~ I I . I . . \ /"""l: ~;:;.J..t. - , (;0'1 Jt _ - -, 1,-.__. ~ ~ SHED .--==.=-:=:J ~ \.. FR. BAliN ; >J {. _ ~i{T_ ~ ~......... c;\l , , , i , , , , . , L.--...o-...II_Il_: r4RM STAND tl ./>. .... S! JLuN. Rom;. (SA. 26) AM : He< e. ~ .., A i ,', '- ..., ~... ~~ \Dc 0..0 HsE. 0 ~ e.~'v ... "G :t> Pl' . Om -ll:::l l;v r- ..... ~', ""0_... ----~~- :, , ",'-'., "" ~ II' :z !' r ' ; 'd~ 'II', ' "-,' ~ . U ell l~'k .) '\ -, f . i )~ ~ '~'. '~ i . , . )}" l';, '1' f '~" .1' \.j,' 't J ;! J "?' l' };~1 ;";'~"",-~ r " " ",