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HomeMy WebLinkAbout32055-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33151 THIS CERTIFIES that the building ADDITION Location of Property: 805 AUGUST LA (HOUSE NO.) (STREET) Connty Tax Map No. 473889 Section 53 Block 4 Subdivision GREENPORT (HAMLET) Lot 44.18 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13, 2006 pursuant to which Building Permit No. 32055-Z dated MAY 25, 2006 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 COVERED DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JULIETTE BEAUSOLEIL (OWNER) of the aforesaid building. SIIFFOLR COONTY DEPARTM@7'P OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLDMIDHRS DATED t oriz Signature Date: 07/14/08 Rev. 1/81 ~~~/ ~J ~'o,~' l'~!r.i,,, ~.~ ~~,~; Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I r ~ ~~~ ',' ~ `~ ~ ~~~~. ~~ _ - . JUL 14 ~~ ~T~ -~_-___~ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the followine: 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 % lend. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a ce~tificale 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" laud uses: 1. Accurate survey of property showing all property lines, streets, building and wmsual 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 Lrspedor 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, 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 Ceitifica[e of Occupancy -Residential $15.00, Commercial $15.00 Da/te. ~~ New Construction: Old or Pre-existing Building: _ / (check one) Location of Property: ~D~___~ ~Gt.~..5'~ f~yy`Q Gr~(~/-~ House No. I _ Street Hamlet Owner or Owners of Property: __~~ 1i Q~{f' ~~~_ Suffolk County Tax Map No 1000, Section (~ ~~~~'~~ Block ~ ~Q _ Lot ~~_~ . Q~ Subdivision _ __ _ Filed Map. __ Lot: PermitNo.~~~~f,f~ Date ofPeinnit~~~~-(J~Applieant:_ _ Health Dept. Approval. _ _ _ Underwriters Approval', Planning Board Approval Request far: Temporary Certificate Final Certificate: (check one) Fee Submitted. $ c~y'~ (~(~ ~ ~ 331 5 ~ 0.,i-~ob~p Applicant S ature 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. 32055 Z Permission is hereby granted to: for JULIETTE BEAUSOLEIL Date MAY 25, 2006 48 BUTLER ST WESTBURY,NY 11590 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 805 AUGUST LA GREENPORT County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044.018 pursuant to application dated APRIL 13, 2006 and approved by the Building Inspector to expire on NOVEMBER 25, 2007. Fee $ 150.00 I Authorized Signature ORIGINAL Rev. 5/8/02 _. _., -~ n U ~L 3 R=aS.D ~ : zcr. s3 ~o'r 1~ SUFFOLK COUNTYDSPARTMEN~t11~i ?1,8~t~ r~.G9 APPROVALOPt'yONATRUt:I'FIt tVUNK i A SIM.r,C$ FA>tii°t,v pt;S1f1ENir8 End-11-5 ~ t+.:;. k~c,v~,. I~I ~.' q~~©~ c. ~r.:wgr. <tlry1o: ni nmf wa1-r Surpty i'LiG!fc:: st ilra r c; ttua hi+'+~ been txc[.:A aad~nrxrtiticd 6V!his Rep~,in~ t or ~?L`sr a,rcPCl-.e cnd CDYnA to s2tlsfctoryPUR AX!htU7.iCli~ ~ t:'+•TJRt)U~I!S. //~+TMffyy~~ St hen A. Coz:d,~R[., Chicf Ollix of Watetond WeSlcwata Man.~gl;ment ~. , 0 \~ ct~ ~ Isr ^j c(~ ~' ~ + , 3L, L waJ ~ ~° ~ 25r- a ~1 r 1 2`)f nt ~~~ yyr ~ ~ ~ ~ Srrn~ ~13'. 2s tom' ~. ( 2 l' ~ ~ 1 ~~ r 3J. 33 L,p L(y 4jo'- 37 L.p \, °~ ~ ~,,~.p Y +6s , ', ,, N 43.0. . 9_4'Ow ' , w,.r /~5T O~Op '1 '%,~e,~ ww~~ ~?- LS THE LOCATION OF WELt3, WATER SERVICE S OWNSHERIEONAAkE F ELD OBSER~A- TIONS AND OR DATA OBTAINED FROM OTHERS: don a Secllon 7204 I SURVEY OF: vAlonl II N PreWred 4~1`, ead~d~eed ucluree b Ne PropeM Mna ere mr2as;: reumeq wea,pome, peas, ganluq area, adddon to buddNpe or any aM COneInldlOn. The exlslenp of ripnl of ways enNOr eesemenle d record, it any, nol shown era rql OWrenl6ed. T0: of ey DESTIN G. GRAF N.Y.S. LIC No. 500 TAX LD. No. I ~.,, _ C 2. _ ., ~ _ ~_ ~ ,. ~~;':, a -' a- T~sx- G~, - ~ l7~ ~~V1G, c7WrJ OF -+~nNrt, t~w Yorck N . EY DATE: I L 2 3 q8 SCALE: ~ " } ~ c~.p o.'op _ DESTIN G. GRAF i ~ LAND SURVEYOR ~ ~ 73 WOODLAWN ROAD O ROCKY POINT, NEW YORK 11778 PHONE (518) 821-3442 , 3 ~~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION i ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] 1 CATION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE lO ~ O INSPECTOR ~~~~~ ~O~~,Of SObTyo6 ,j~ ®,~ ~~~.~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN TION [ ]FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CFIIMNEY [ ]FIRE SAFETY INSPECTION DATE ~ ~ INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS \ ~ ro `y.~ ~ t i v OUNDATION (IST) F ~ y J~ ~ FOUNDATION 2ND C ~ ~ ( ) z D ~_, O ~~ I~ y ;~ ~7 ~ ROUGH FRAMING & PLUMBING y S , ~ i ~~ y INSULATION PER N. Y. STATE ENERGY CODE n J ~~ ~1 h FINAL d.... d r ADDTTIONAL COMMENTS ` ~f © ~ r` ( P7r ('~~'~ O 2 ~7. ~~ a ~ .b. 4 G '~ O z x _~ < y m b .~ TOWN OF SOU,THOLD BUILDING DEPARTMENT BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. '~,~ O ~S ~ Check Septic Form N.Y.S.D.E.C. Examined .5~$O , 20 +~ Approved- .~3J , 20 Ob Disapproved a/c Expiration / LJ 2 O , 20Q~ Contact: --tt-- Mailto:.l..~~~+.~t ~..a~\e.\ ~g 8.,~1..r s2t ~ Wes~b...y sN4o Phone: ~ ~ b 3 ~ 5403 ~' Y`~ Building Inspector 'APPLICATION FOR BUILDING PERMIT 0~ ~~~ ~'~~~ 't Date 4 Y ~ ~ > 20Q~ 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. Thereafrer, 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 ap licant or name, if a corporation) H~ 6~~~.~slc-.fit ~~s11~~ N`I (Mailing address of applicant) I~ O State whether applicant is owner, lessee, agent, architect, engineer, genera] contractor, electrician, plumber or builder b t... cam! Name of owner of premises ~~~~~~ ~~-v.\o~~.~~ (As on the tax roll or latest deed) If applicant is a corporation, si~'.ature of duly authoized effacer (Name and title of corporate officer) Builders License No. Plumbers License No. _ Electricians License No. Other Trade's License N 1. Location of land on which proposed work will be done: House Number ~ Street Hamlet 53- `~-4-4.1 County Tax Map No. 1000 Section 1 Block Lot Subdivision „ ~.'~ f~-tc~s Filed Map No. Lot ame) 2. State existing use and occupancy of premises and in end use and occupancy of proposed construction: a. Existing use and occupancy Resae~n~~ ~ar.E b. Intended use and occupancy :~ ~..~ Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Ot~ 4. Estimated Cost ~/0'2 00 Fee ~/SO (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front S g Rear 5~ Depth Height Number of Stories ~ 3Y Dimensions of same structure with alterations or additions: Front S~ Rear Sg Depth SZ Height a9'- NumberolStories 8. Dimensions'of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ~~O Rear / Flo Depth X53 ~~~~ 10. Date of Purchase ~/ / o ~ Name of Former Owner !~ Crw l~ r ~o ~ t'~'-. \ ~ co Z z ~ 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 X two 14. Names of Owner of remises~'~'e~ ~ti~l.. ~ Address~~8•'~°r~, W~~yPhone No:SC6 333 SYo3 Name of Architect~~M '~~<<. ~'<nn•y (..,~..~rAddresslrkh ~,Gr-<r~r'd-' Phone No 63/ 5z77 6y~0 Name of Contractor Address No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X_ * 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. STATE OF NEW YORK) SS: COUNTYOF ~ ~,-.\ ~-e ~~ ptti.~.s e~-~.\ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Number of dwelling units on each floor (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 \ o day of~ ~ \ 20 9~ ~ ~~ ~t~ed~Vo~ Ho1n ~~~15,~~~ G 0 Signature f Applicant ~. P- lboo -S'~'y-~},1~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER S TREET ~~5 VILLAGE DIST. SUB. LOT ~ ~n 1.11 U~ CI (: US ~a ~ / T ~'1(.l lc S~ ~ l„u ~r t U r ~•~'C. ,/~ / I /Y ~ /ID~U ~KJ/Pl~lf(~•//~ ~~ p ACR. lZZ REMARKS /~ ~=a-~l <r ~ 03~~0~~~' o e-~~;a-~ r. ,A r. Sc~i~vh~~~i ~GVriQS ~/1 TYPE OF BLD. / ~ ~~f7 . . ~ /'~' `' z ~ ~r~ - ~ il9~s 5d5•~s~i.l~~~ fd Sc p ~~~ ti e_ ~ ~ ~~s i 1 ~~ Go ~ t -.~r~C. PROP. CLAS ~ ~2 I o f/QYtS //PoI / ~(ff' ~2 ~ ~~ ~zSa z -~ i 'ro • LAND 3~0 IMP. - TOTAL ~ o DATE ~ z~ ~ ~ h ~ ~ _` 3 r~ZZ/ ~C,Q~s~~r°(~~L~y~~ ~~ - tSoc~~rJ ~oa~ ~SSod z/2i / - ~ 5 00 -4 00 ~~ G~© ~ ~ ~z X19 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND /6po BULKHEAD HOUSE/LOT ,~i~aC~,1 O O _ TOTAL ~ ~,/~ _~U Ip - ,. COLOR 2149 V f TRIM i W G ~ ~ 9 E.,..~,~ ~~M. Bldg. 32 x 3fo ~ 152 ', I (g2 ~ 53 ~ Foundation ce Bath 2 '~Z Dinette Extension / ~X i o 30 / Basement ULL Sae Floors ~ ~. w'v.~ Kit. Extension Ext. Walls V~w~ C~FP Interior Finish ~.,(~ L.R. Extension Fire Place ~~ Heat t}~,,t 1-~ ~ D.R. Patio Woodstove BR. Porch o~J~ (~ X H 2 = Z 5 Z ° , sp I .~ ~ Dormer Fin. B. Deck ~' K ~ '~ Attic Breezeway Rooms tst Floor ~~ ~ ~\ M ~ `~~~ G ;age ,C 2 2 X2 I = ~CoZ 3Z'' I ~ OZ Driveway Rooms 2nd Floor Z 8~ ~A { O.B._ ~ 2 2 4~ Pool 'tSS 2 i ou vskp 5ozae ~ a,,. 99~ o S~c.dJpc~a~ Selo 1 ~ a ~ 2 II UI