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Home My WebLink About33821-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33010 THIS CERTIFIES that the building DECK ADDITION Location of Property: 220 FIDDLER LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 36 Block 2 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 2008 pursuant to which Building Permit No. 33821-Z dated APRIL 14, 2008 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued t0 JOHN S & ROSEMARY T KELLY of the aforesaid building. SDFFOLR COUNTY DEPARTFIIQi'P OF HEALTH APPROVAL SLSCTRICAL NO. PLDMIDERS CERTIFICATION DATBD (OWNER) N/A N/A _ , utho zed Signature Date: 04/30/08 Rev. 1/81 Fonn No. 6 ~'~ ~ ~ ~~ +~~ ^- TOWN OF SOUTHOLD r ~ ~ --' BUILDING DEPARTMENT ,_ ~ `~ ~~ ~Z.~ - ~il,c!'rt,r.~~- TOWN HALL , ~ ~' ~~ t'n. . 765-1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Tlus application must be filled in by typewriter or ink and submitted to the Building Department with the following A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. 6'inal Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of I+ire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead. S. Coimnercial 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 Apri19, 1957) non-conforming uses, or buildings 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. e. reel 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations Yo dwelling $25.00, Swi~mning 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 oC Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate oCOccupancy -Residential $15.00, Commercial $15.00 Date. ~~~ ~_~_ ~__- New Consuuc[iom Old orPre-existing Building: / - (check one) Location of Property: ~(y ~/ !~ ]~ LL= ~. ~ ff-~~ House No. Street Hamlet O~~mei or O~iaiers of Property: ~ S e~ /9 f~ /~L Suftoll: County Tax ~Qap No 1000, Section ~~ Block. ~--_ l,ot Subdivision --- _ I sled Map_ - _ -- Lot: - - -- 33 ~ a ~ ~ ----- Permit No. Date of Permit ~~/`f 0 ~ Api~li~anL /~. f -- - _ -- - - ----- Health Dept App:ovaL _ _ _ Underwrites Approval...- Plam~ing Board Approval: Requcstfor. TemporaryCertifiealc_ Fee Submitted: $' ~~~ Pinal Certificate- _~ (checkane) -~SI lure/ F~P.C•~'-~~0 L co~33o~0 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. 33821 Z Date APRIL 14, 2008 Permission is hereby granted to: JOHN S & ROSEMARY T KELLY 101 DARTMOUTH DR HICKSVILLE,NY 11801 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.REPLACES EXPIRED BP # 29544 at premises located at 220 FIDDLER LA County Tax Map No. 473889 Section 036 pursuant to application dated APRIL Building Inspector to expire on OCTOB Fee $ 150.00 Block 0002 GREENPORT Lot No. 009 14, 2008 and approved by the ORIGINAL Rev. 5/8/02 33~~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSUlAT1ON [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTR~UC~TI,O~N [ ]FIRE RESISTANT PENETRATION REMARKS: ~~~~7~ " ; ~~ C DATE ~~ D ~ INSPECTOR '`'`'` G DEPT. SI~ECTION [ 1 ] ~OUND/~ION 1ST [ ]ROUGH PLBG. 2ND [ ]INSULATION [ ]FINAL f 1 C~~C~~ AAC D. /~V~VYCV ~~s~~:~ 765-1802 BUILDING DEPT. 1 NS~ECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE ~J~111 REMARKS: [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL r '~1u~ -3~ -~ - 9 TOWN OF SOUTHOLD P~tOPERTY RECORD CARD /~-,~s° OWNER STREET 2~o VILLAGE DISTRICT SUB. LOT ,/ loh~ .51{6-s~m~i~ ~l~e>/f ~ ,~ ', '~~s FORMER OWNER N - E ACREAGE L [-rC1 ~.~ I ?~ >tiJ % t 'r~'C~C~j r~ Lt ~' S ~, I 'S a K aS W ~~ TYPE OF BUILDING p `~ 1 ~~ ~`L'r L.~..- RES. a ~~ i SEAS. VL. FARM COMM. IND. CB. ~ MISC. ~ LAND IMP. TOTAL DATE REMARKS '~ ~ , _ ~ i r , ~ ~f t Z .~ t~ , ~ ~a , r q ~ i ,~ / '~ 1~ c ~` l ~' ~ ~ ~ ~ '?~' '`~ O(~ e~~ ~~ ~ ~~ 5 I ~~ 44 /~~' ~ /~'~ ~ 2,r i s ~`3~ Sg- u, och / ~/off, Scao y- ~ , ~ ~ ~ ~ 3 D o r6 . :_. z' ~ GE ~ ,C~ o O B L I G NDI I NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value - ~ ~ / ~ ~ ' /'~ ! t- 7 00 - ~ ~ 0 Tillable 7 Tillable 2 Tillable 3 Waodlond Swampland Brushland '~ v House Plot Total ~ , I ~ ,~ ~ ~ 2~ bD ' " 2 ,~ ~ ~ ~ M. Bldg Extension rr ;~ ',~\;k - ~ ~ , ~ ~\ , ~ 3 ~ 3 ° ~ ~~ O~- ' /Foundation -- Basement ~ - `~i ~^-~i' ~~ /'-u . ~ '~' Bath Floors ~ .~ I °~ ~r: 2, Extension ! .` ~ _ ~ E .,~ ~ Ext. Walls . p ~ ~ ~Y Interior Finish ~~~~ Extension ~ ` ~ Fire Place Porch l;, Heart Attic ~ ~ " ` Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway O. B. ~ c7 06/30/2003 22:59 2611352 WTNORTHPORT PAGE 02/02 v W v N~~ J~'H/lam/C,CiD~j O ~ O'E QD~ ~ J V O ~Ne~o «yQa O o ~ a .`7r ~3CiB6 CTS / .?\.~ \ ~s N.. ~v v ::~,i~ Y//ic. /~.9,HU6L LL"f'Yid6 QVTNO.~i~/~'IYLEW~NIXJ/'~'3.t'% .Sugv~Y~ot;Os/NS,~~~Et~A~___' --- - ~,9,t/o~/J~vElfy-C ~o'~ao~N LoL.b • G,cecx%~ac-rTosr%voo.~luxo~t/?' /i ~~.~. Gv~7~~o To ~/6.yN.J. ~~D Lr' .9 ~ .1%.'~:~ /NL d~ .f/1..R6G /yam /~1J.~9ic~Elo~1~iY.j~ - OAr~-.9~t X97 6cris>+~/eGl~- 36 Gz-ate o = arc fo ~~.ppo /ti `9ti~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: 631 765-9502 q ~/ www. no hfork.net/Southold/ PERMIT NO. ~ 1 ~ ~ r ~j Examined '/ ~' , 20 Approved Z ,20 Disapproved a/c Expiration I 2 , 20 ,. -' ~~.~ __~~ -/ Board of Health-~~ 3 sets of Building Plans ~/ Planning B ~d approval Check_yhp~l p5~7~'~?7/Spy Septic Form N.Y.S.D.E.C. Contact: Mail APPLICATION FOR BUILDING PERMIT Date ) y ~ y ~ , 20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the~ttilding Inspector with 3 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 Pemut 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 pernut shall expire if the work authorized has not commenced within 12 months afrer 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 Departrnent 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 to admit authorized inspectors on premises and in building for necessary inspections. nruU ~~l vr~~ -, ~ (Signature of applicant or na , if a corporation) 15 ~enelbpe ~„ . ~-un~t:.aa-ot~ ,~1y 11 ~y3 (Mailing address o applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises tHS 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. a9~,;Z~ - µ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on House Number Street ed work will be done: Lcthe County Tax Map No. 1000 Section -5 Subdivision (Name) Block ~ Lot_ ~' y _ Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and a. Existing use and occupancy SUrtn+~e,r hou,S2 ' rCQ of proposed construction: b. Intended use and occupancy SOMMP,r ~°N3t Y'C ~~~~~~~'~ Nature of work (check which applicable): New Building Addition ~ Alteration Repair Removal Demolition Other Work 4. Estimated Cost ~ ~ 0 oaJ Fee (Description) ~ (To be paid on filing this application) 5. If dwelling, number of dwelling units r°c:., Number of dwelling units on each floor 3 °~ !~ ~(„z, If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~ r Dimensions of existing structures, if any: Front 5~ Rear S ~ Depth a5 Height (4 Number of Stories ~ ~8 Dimensions of sane structure with alteration'sPpr additions: Front `1g Rear Deoth a.S Height ~'t Number of Stories 8. Dimensions of en~ire new construction: Front f0 Rear ~0 Depth 2.S Height ~N Number of Stories 1 9. Size of lot: Front Rear Depth i 10. Date of Purchase q$ Name of Former Owner 7 11. Zone or use district in which premises are situated l~~~~n~7 ~~~ / 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO V 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES / NO lol o~.~il. o% I~,~n~N~,a'I (5761 14. Names of Owner of premises ~ofC/h0.M keKy Address,~1Q~Phone Nos~l 93x1•` ~~ Name of Architect Pemnh L,un~ei Address R!, 2S Gr~~ prb N Phone No 6 31 y7~ ' Dyd7 Name of Contractor n lli~ ~~.r~a~q Addressi ~,°,.~u ~ uvn'IVtPhoneNo. bpi 36fS-871? 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 MAYBE 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. STATE OF NEW YORK) SS: COUNTY OF ) Con ra~ ~~erki hq being duly sworn, deposes and says that (s)he is the applicant (Name of individual si ing 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 ~_ day of 20~_ Notary Publ' LINDA J. COOPER Notary Public. State of New York No.422o2s56~3.c m~k ountY T~arr~ ~ ~- Signature of App cant