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HomeMy WebLinkAbout32946-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33029 THIS CERTIFIES that the building ADDITION Location of Property: 1580 CEDAR DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 78 Block 8 Lot 17.4 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 2007 pursuant to vPhich Building Permit No. 32946-Z dated APRIL 25, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JASON & SHERRY PICKERELL (OWNER) of the aforesaid building. SIIFFOLR CODNTY DEPARTMENT OF HSAI,TH APPROVAL N/A HLECTRICAL CERTIFICATE NO. N/A PLOMBSRS CERTIFICATION DATBD N/A f horip d Sign ture Date: 05/14/08 Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TowN HAIL 765-1802 3rG~t~.C ~(.o iSgp~~ c~ti$ ~ y ~iq~l APPLICATION FOR CERTIFICATE OF OCCUPANCY Tlus application must he filled in by typewriter or ink and submitted to the Building Department with the following: A. For uetr building ur new use: I Pinel surve~S' oC property with accurate location of all buildings, property lines, streets, and unusual natural or toprigraphte features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3 Approval 01 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 1% lead. 5 Cotrunercial 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 1 Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25 00, Alterations to dwelling $25.00, Switmning pool $25 OQ, Accessory building $25 00, Additions to accessory building $25 OQ Businesses $50 00 2. Certificate of Occupancy on Pre-existing Building - $ I00 00 3 CopVoCCeetificateuft)ccupancy-$.25 4 1_IpdatedCertificatenft)ccupaney- $50.00 ~ 'f~~ntp~ ~ra~ ~~ Certificate oCOccupancy - RTe's'id^e1ut/iaf $' l5 00, Commercial $IS 00 N~ Decd. Date !) 1 ~~~ - -- - New C nnshuctuin. _JJ Uld or Pre-existing Building: ~ (check one) LocalionoCPrnpcrtv I Vj~~ tr'..,.P~(~' "Tl~llh° ~~,1 .-~,. _t House No Street Owner ur Uwner, of Pn,pei~ty~ __~a~ ~'~L°((~ ~l~°~/~ Suffolk ~_.ouni} Tax h~lap N~~ IODU Section / (~ _Blook~ Suhdr, i a m Permit N~~ ~~ Health D~~pl 4pproval Platvuu~ B~~aid Approval. Hamlet _ Filed MaP __ Lot. _ PnicolPennil.~`/y-~(~ / ApplicauL ~~C.~`~~ _~ i tndenvriters Approval. Request fir T~:mpntai, r etiifieate _ - Fee Submitted $' ~-~ , r~o~ 3~©aq-- Final e'ertificate. ,t , ,' ~ 3 _ ` u t_ j -, V (eheckone~ Applic t Signature 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. 32946 Z Permission is hereby granted to: Date APRIL 25, 2 JASON & SHERRY PICKERELL 1580 CEDAR DRIVE SOUTHOLD,NY 11971 for DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1580 CEDAR DR County Tax Map No. 473889 Section 078 SOUTHOLD Block 0008 Lot No. 017.004 pursuant to application dated APRIL 18, 2007 and approved by the Building Inspector to expire on OCTOBER 25, 2008. Fee $ 200.00 ~° Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY~11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~ 20~ Approved ~S, 20~ Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans_ Planning Board approval PERMIT NO. .3a `~7 6-~ Check Septic N.Y.S. Contact: Mail to: i~>~ Building Inspector Expiration j, 2p dg ,R 1 8 APPLICATION FOR BUILDING PERMIT Date Qpi~' ~ ~ ~~ , 20 0~' INSTRUCTIONS 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 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 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. (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 or builder Name of owner of premises ~l ck~et,~ell ~ (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 N land on House Number Street Hamlet County Tax Map No. 1000 Section ~ $ Block ~ Lot 1- Subdivision Filed Map No. Lot (Name) work will be done: 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4 Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee (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 Rear Height Number of Stories Dimensions of same structure with alterations or additions: Front ~ Rear Depth Height Number of Stories _~L c ~ i ~ 4 8. Dimensions of entire new construction: Front °J~ ear 3~ Depth Height Number of Stories I 9 Size of lot: 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 14 Names of Owner of premises Address Phone No. 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 'V * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R UIRED 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 1~ ` ~ being duly sworn, deposes and says that (s)he is the applicant (Name of ind' idual signing contract) above named, (S)H 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~tQ~~e~fore met s 25~" ` day of 20~ Notary Public BARD bRc, SNata of New York Notary tio, 4855805 Qualifiod 1n Suffolk County Commisalon Ezplrea April t4,~0 gn tore of Applicant Depth 3ti5~C~~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ INAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION DATE ~ ®~ Q6 INSPECTOR ,~titss;' :~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] F DATION 2ND FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE RESISTANT CONSTRUCT [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR I_ y TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [~] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CFIIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION .i L. i - REMARKS: ~ .cam<,~ DATE ~~ ~ INSPECTOR FIELD INSPECTION REPORT DATE ~ COMMENTS `~ ro FOUNDATION (1ST) ^ y ~ ~ FOUNDATION (2ND) C t~=f z ~ ~. o J~ ~, 0 R 1 r OUGH FRAMING & PLUMBING l~1 1 y T NSULATION PER N. Y STATE ENERGY CODE - - -- - - - - -- - - -- -_- _ __. _ i`J x ~ ~ y \~ !' - - r _ _ ~- ^ W :~ ~- FINAL `" U ADDITIONAL COMMENTS ~,, ?~ - - -- _ ~, ~ O z -- - m _ _ -- --- z v - -- - c ti r ~ t~ ~ z i~ _x +~ b H • t7 4 /aoa- ~~'- 8'=~~ WN '~ ,.. OF SOUTHOLD PROPERTY RECORD CARD ~~ .OWNER ff I~ e11 STREET 'jam ,• VILLAGE DIST. SUB. LOT T Iva~~e. ~ ~ol~~o ~-~ ~.~-~~,~~. So~~~o L~ ~ ,FORMER OW ERMQYiti ~FMQ+1tG~i + , ~/1C~Plo BPD F rt W{ ATf//r~/A$ LHM~/f / b f- f S r RO'T i -DY' W ~%~~~~' ~V~ TYPE OF BUILDING 2ES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP TOTAL DATE REMARKS /Lvr~ /,LoO~ ~o/'~~~ q E ~L3 ~.s~ //bb-z3 L P3 P~~.Z i ` c o ~'- v - 1 -CF~~ I'~{~F ~o ~,sa~~~ rr ~o ~~~ i.o= / ~'7 j~ M ~ } tr -L 3 - z~• Y~ t~ryl~no ~z~7~ec ~~U~ - ~ t Z~14 ~, I ~ -~~i~ 4~p ~ x3s? c'± ftek,rpr~k~ ~ i~~k~,~rl pass , ~ ` 'illabie FRONTAGE ON WATER Voodland FRONTAGE ON ROAD Z ' ~`„ ~ Aeadowland DEPTH ~ louse Plot BULKHEAD ' __~ ~l'' otal . ~1~'~C X 1~Ov'f) = l ~!a ca 7FJ fl ~ • • .OR ~'. Q ,~..~,'-.. TRIM ~/1 t{ri'7 ~ rs _ 2 _ ~ IZ~ 1 ' p y 7$-8-17.2 1100 Fxt ion l( ~'~ (/ X /~ s 05 3 ` R IE~te /2X/5=~~D Zj0 ` ~ ~50 Extension Foundation PC Both Z (~ Dinette Porch Basement ~l) Ll. Floors 0 K. ~ orch ~ _. /Z PJ , ~ D Ext. Walls ~ ' Interior Finish LR. Breezeway Fire Place Heat ~!j DR. Garage 22 x 2Z = ~ ~ ~ Type Roof Rooms lst Floor BR. Patio Recreation Room Rooms 2nd Floor O. B. Dormer Driveway Total Z.U'O/ ~__, N N g° !~ 5 t b ~~~ g ~o U m ~°~ ~Elevationi are "n assu]ned datumare ~n assumed daNm W ~1 ~d = oCc Est m l =lionm 7 =lion by b ~ild~ _. _ L.IICIi00l~ ~~~• Q r ~ fl a-~e. ao -a=' E az.~.xc. .. ~ Pqe e ARP •s\e VG = ~a `'L. ~ G.>. c 3.T~ 7 „a, ABC ~ + S,na so~~. Pb v ~, ag ^` ~ ~~ _ h .~ ~ r ~. ~~ ~ ~ 7®' ag 5o v/ SUiPotI tUeNry UFPAala9nCPIffAL}ayBVIlFB Ap: RU\'A[ OPfmSTALLTYUwOB~taFm1 Aryage!IGLC 4'An1iL)' [CnV 0.i[L !. p IkyOCT ~ t NW HSRd.NU "~~ / / ~~ IT, y~JLtTI%i]veai q.My A`I~n RQ,efyy's.Lm.%p. Map ofDesaibed Prope]ty ~.:` v \C ~ ~ fr yi_yess Silualed at Southold I 1 =! L FFFjjjNNN THONY ABRUTZO R.L.S. Town of Southold Suffolk Comty, New Yolk .. ,~._,. s..,.:v GiSTERED LAND SURVEYOR DisUic[ 1000 Settion 78 Block 8 Lot 17.2 ~--------- - ~_~~- ~ _- 1 W Hortona Laoe Southold, New Yorl[ 11971 (631}765fi242 ~ N' SURVEYED: February l0-2000 v Ae ~ Foundation Location: April 7- 2000 Final Survry: Sw[ember 1.2000 Scale: l"= 0'-' 1'S1S. 2 9