HomeMy WebLinkAbout33791-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 06/19/08
No: Z-33112
THIS CERTIFIES that the building CHIMNEY REPAIR
Location of Property: 975 WATER
(HOUSE NO.)
County Tax Map No. 473889 Section 88
TERRACE
(STREET)
Block: L-
SOUTHOLD
(HAMLET)
Lot 13.9
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 28, 2008 pursuant to which
Building Permit No. 33791-Z
dated
APRIL 4, 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 CHIMNEY REPAIR AS APPLIED FOR.
The certificate is issued to PATRICK & MICHEALEEN ST JOHN
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
~or~
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 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. 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 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 Plarming 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,
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, Commercial $15.00
Date. '" - d 5 - -:l DOg
Location of Property:
975
Old or Pre-existing Building: ./
0A r.e fl. -r j: R. t<!4c~
Street
(check one)
~W~/c;f
Hamlet
New Construction:
House No.
Owner or Owners of Property: I?A T/< , (/1::...
1LAJJ:.
H ,dv.lJr'L'::eN
Suffolk County Tax Map No 1000, Section
Subdivision A-n 6' ~ ..5h12 &_5
Permit No. 33']q,
IJ 8 t. tJo
Block
SI..::TonAI
t)6.00 Lot tJ /?
7
oo?
Date of Permit. '-I - /.-J
Filed Map. q 7 ~ "1
-OtJ Applicant:I'A-rA/~
Lot:
57 Jdh""
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
(/02. '3:' \ \ d-.
\2.e C-- '1 ~ S ':) ')..
'hk~~
-Y Applicant Signatur
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.
33791 Z
Date APRIL
4, 2008
permission is hereby granted to:
P & M ST JOHN
975 WATER TERRACE
SOUTHOLD,NY 11971
for :
CHIMNEY REPAIR AS APPLIED FOR
at premises located at
975 WATER TERRACE
SOUTHOLD
County Tax Map No. 473889 Section 088
Block 0006
Lot No. 013.009
pursuant to application dated MARCH 28, 2008 and approved by the
Building Inspector to expire on OCTOBER 4, 2009.
Fee $
200.00
U.A'U~ CJL
( Authorized Signature
ORIGINAL
Rev. 5/8/02
337c;/ ~
TOWN OF SOUTHOLD 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 PENETRATION
REMARKS. . ~ ~d~
~~~~ ~/' ~
DATE
5-13 - (:) 'K
INSPECTOR ffir.~
FIELD INSPECTION REPORT DATE I
FOUNDATION (1ST)
------------------------------------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
L'lSULATlON PER N. Y.
STA TE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS
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JOHN KINSELLA MASONRY
38 EDGEWOOD AVE
FARMINGVILLE, NY 11738
631..736..5741
Lie. # 26065h
, .
toWfi of Southold Building Department
.'
"
March 26, 2008
PROPOSAL
c
\ lob Description fot building masonry boiler chimney-
StartIng at bWliltient flootl fur fitting in alrove to support masottry chimftey
using g" x 8" X 16" block, grouted solid with NUlt1ber 4 rebat in cells,
NUlt1ber 4 rebat doweled in foundation wall every 12" on center and 3"
bearing.
Brick chimney with flue pipe, 8"x8" 2' high to run continuous from thimble
to 2' above ridge. Brick chimney to be solid inside around flue pipe using
. cement block llnd wall ties 16" on center with cement wash top.
Whete brick meets siding, 1 channel will be provided to seal and make
weather tight. nrick chimney to be waterproofed upon completion.
-.
I hope this sketch is sufficient fot you; if you have any questions
pleWle feel free to call10hn at 1 (516)319-5674.
,,;
Thanks,
lohn
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WATER TERRACE
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. lTIie llxislente of rignt of ways and or easement~
of record, if any, not shown are not guaranteed.
1-28-02 FINAL SURVEY
.10.1f.:200I,FOUNDATION LOCATION
.", bdI '0'"-"',,--,,,,, ,,' ,
-T'Zl.U~-...... ,SJOV<.>E.. _
'J.,.${;aoo/fn,VJSED PRof' /)WH.!..
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INDltATIO .......
_ RUN ONlY 10 lItI _
FOR WHOM THE SU1MY IS PRIo
PARED. AND ON HIS BEHAlf TO
'nolI TI1lI, OONI'A.W, GOWR~
TAL AOrNCY AND IfNOlOO lN~n
TUTION . lI$TliO HEREON, AND Tt
nil ASSIGNttS Or THE l!;NDlr;G
INSTlTU110N. Gu}\~AmEE5 Af:l
NOt l~E TO 1\D11f10n",l
INSTITutiONS O!! C:;UDSEQUENl
OWNIlIS.
'M > '10/11
,.tlUC;TUhs tilE PlO'11
,INU:AM lOll. IPIClI'IC PUO.
~,LNO'lltI ANO THIIIIooE
,,.. ...." 1_ TO OUICI THE
.:.t~..loH',llt'1 "NeES. IllTAINING
. ""b " POol. I MTIC', PlANTING
'_111M. ADOITIOH TO aUIlDINClS
.....__UCTION.
It!a 1011110 MTlIATlON 01
,_ 10 TNt, SUlMV ". A
~ 0._ not Of'
.' ... "".--
coms Of THIS eURVEY WI' '~jl
Ia!ARtNS lHf LAND SU1.\1;YCP,:'S
tHQO stM OR fMDOSSfD SUoI
~l NDf !t cm.."SUI.m 1{J ..
6"~""~'''''r,..,t'V
GUARANTEED ONLY TO
PETER T. McGUCKIAN 8 JEANNE D. SMITH
FLEEt BANK
SUNRISE ABSTRACt TITLE 622-5-1618
" (~/>-.d F" f'/"",-,L ).,
HM()LJ) f: tltAAcHbN JR N.Y. LlC. No. 048992
" ,.._,."~.... "J'E;NN. Lie. NO. 2111S-E
SITUATED AT BAYVIEW
TOWN OF SOUTHOLD. SUFFOLK COUNTY. NEW YORK
SCALE I" 50' DATE 12-16-2000'
FILED MAP NO. 9729 DATE 8-23-199!l
TAX MAP NO. 1000-88-6-13.9 (REF. ONLY) t:lISKI9!
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
CESSPOOL, SEPTIC TANK and WATER
SERVICE LOCATIONS ARE BY OTHERS,
J08 NO. 00-520 FILE NO. ANGEL sHOI1E&~'
<.~;.f ... -
. SURVE'(ED FOR PETER T. McGUCKIAN 8 JEANNE'D. sMITH
LOT NUMBER'7 . . .
MAP OF ANGEL SHORES
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1866 WADING RIVER-MANOR RD. WAtliNG RIVl::ll,
NEW YORK, 11792
631 - 929- 4695
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OWNER
'?o.~K ~ 1"(\\l'd)Q~1 un
_'>oh(\ .
tOWN OF SOUTHOLD PROPERTY RECORD CARD
H'
STREET G1 l5 VILLAGE
\AI 0 +e ( " \ {' (((1 CA' Sc,c:tYn () I d
ACR. .~er REMARKS
DIST.
. u
. SUB .... LOT 7
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J jln0e. ~Q,es,Afcf)~\2612
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TYPE OF BLD.
R-e
7 :5 00
0-0
30-0
CD '~E31 C,
6 ~ -to hlJdG6/l $dl.
ott.J3f.# 3Cbl1S"fC'a,r deGt- CD 30 I ~D
7p!185'- m~U::.I'c.fI (wi' 10 st. Joh/\ ~W[".oI'11"":"
LAND
2C:=>O
/ ~~'V
~'>-"v
FRONTAGE ON WATER
TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
~
BULKHEAD
HOUSEILOT
TOTAL
, .
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" ry ::- '- J
'L-~ I.. .",;: .~ ~ei >.5'
.> (\
, 4'
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88.-6-13.9
-
Basement
~!Jx -3 -, 107
Foundation
Extension
Ext. Walls
Extension
Patio
Porch
Dormer
Deck
/
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Breezeway
/..!;;7.J
75
2 '1.-'/..1-3 =50k,
Driveway
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71 '-J5 z- .
--'ll>_ ~ ~ __
Bath -3 Dinette
Floors Kit.
Interior Finish LA. I
Heat D.R. I
Woodstove BA. I
Fin. B.
Attic
Rooms 1st Floor
Rooms 2nd Floor
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PERMIT NO. 7) '3111 "l-
BUILDING PERMIT APPLICA nON 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
Flood Permit
Storm-Water Assessment Form~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdT own.NorthFork.net
Approved
Disapproved a! c
tf'f ,201
t( ( <}, 20L
,
Examined
Expiration
~
/ O./'(, 202J-
Contact:
Mail to: PfrtR i~k ST -Ta ~N
'1 '1 <;Wa.:fm "Tef>R11C" ~u-tJ,()IJ 1177/
Phone:. /1' ff'7lb5" -/ t7 5
,/ :-i? /
/l /....... .
~ /./L;/ A1A~ .. .
! Building Inspector i ~'*'II( <8
APPLICATI::::::::NGPE:~, ~~(}o'I..
.
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 ifthe 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.
OCCUPANCY OR
USE IS UNLAWFUL _'
'1\IITHOlIT CERTI~ 'i{3-[;lA.JQ.[.~n /e(~RllceS;U:{'dj.,(/fY //97/
. - . . . , (Mallmg address of appltcant)
.. ,'..i= OC,,:' 'PANCY APP~OVEDt.SNOTED
State whether applicant IS owner, lessee, agent, architect, engmeer, general 'BRtgctfrrc8ljJ1';~:r~P,7 ~Ider
FEE: ;1<.'-0. . .,Y: I !-/::'L
t~JTIFY BUI~Di1~3 DEF:ARTM;-\r:-- AT
Name of owner of premises PkrlZlU(. ...5;- ..::J':>hrJ ,A..-,.,,,) ~p~li}jlE.-N" r~7""~Joi)~
(As on the tax roll or la~est deed) , ,"'D
If applicant is a corporation, signature ~fe't!ottgflfuricfl~NfE::t . '. . ,J, ,
~ ~ + .L=lr;; se 2 n-.J'-' , . ,.J (, FLUi~'18JUG
(Name and title of corporate ~fficer) , "'r' . -. ''''co ~?\u~ ,.1,
ciljG> C>~ lJ0J'fOf;.j1 'STIrn:: ' ",". '" .' f.:UST
Builders License No. GE (/ 'k"_l ' .0.
Plumbers License No, ALL CO:iSTi<.' :; SH/'LL MEET THE
Electricians License No. REQUlhEi:Ern 3 0F THe: CODES OF NEW
Other Trade's License No. ~ :1../0 0 fa 5'- H (("taso('o{ \ YORI( STATE, [JOT R"S?ONSIBLE FOR
.) DESIGN OR CONSTRUCTION ERRORS,
I, Locatiq ofland on which proposed work will be done:
75 "'-.JAr-e,- rerr,q",€.
House Number Street
~ u '7--1,014
Hamlet
1/0.., I
County Tax M~ _~on
Subdivision (k(..s
(; Ytw ~.()()
. o. '17 a. 9
:. 1 ul1Qt ncliUiIIWMO
Lot
Lot
o /j Ou i
7
.
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy _l>...,J ZLJ.H' "t
b. Intended use and occupancy 1'<'/,4-,_.E. "5,:;r,n
Ch,........-vc;
4. Estimated Cost {S-o,' - t 7" 0
Fee
~ ~ f40I-<<E
Addition .F 8" ~v.sry . Wv~4_
Ot erWor{I(""..ve."v...i41<. C.J-,/,."NF/ "1:L
r'~n<-,u4.r.,~/ ip') -
-rill^, / escn tlOnWp ~/Rt"W.
.("s-r~e..-e. r
I"QI"'" L3...,t-C.. ~
3. Nature oy,vork (check which applicable): New Building
Repair.l Removal Demolition
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; r
7. Dimensions of existing structures, if any: Front~ _
Height Number of Stories
'7/. '7 Rear
'2..
'7/.1 Depth 02'-1. '7 ~
Dimensions of same structure with alterations or additions: Front ? j . .,
Depth 24. '7 Height Number of Stories
Rear 7/. '7
.
~
8. Dimensions of entire new construction: Front
Height I1fF"'Ol< :lift' Number of Stories
Rear
Depth
9. Size oflot: Front
10. Date of Purchase 3-11..] _t'};
Rear Depth
Name of Former Owner Per~R.... /Ylc 6-/wtA<...o4rJ ,- .Je,,,,,,.Jv';t,
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 1 Will excess fill be removed from premises? YES_NO-----2L
Phone No. (, '1.1-1,,5" - il7~
Phone No
Phone No.
Address '1')\; Wed,,/> "Te1>.~E'
Address
Address
14. Names of Owner of premises Sr:S-o \+r-\
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, SOUTH OLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE,REQUlRED.
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 y( NO
--
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
P ll-tR < c:.k ST 30 "" 1'/ being duly sworn, deposes and says that (s )he is the applicant
(Name of individual signing contract) above named,
(S)He is the
Ow\'\e.-rr
(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
Q'8' day of (Ylc:u--ch 20 O~
~J). !df~
'. Notary Public,--