HomeMy WebLinkAbout34041-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/01/08
Bo: Z-33169
THIS CERTIFIES tbat the building ADDITION
Location of Property: 1155 MCCANN
(HOUSE NO.)
County Tax Map Bo. 473889 Section 33
LA
(STREET)
Block ~
GREENPORT
(HAMLET)
Lot 27
Subdivision
Filed Map Bo.
Lot Bo.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 26, 2008 pursuant to which
Building Permit Bo. 34041-Z
dated
JULY 7, 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to MARIANNE BIGGS
(OWNER)
of the aforesaid building.
SUFI'OLK comITY DBPAR'DIBRT OF HEALTH APPROVAL
N/A
BLBCTRICAL CERTIFICATE RO.
N/A
N/A
PLUMBERS CERTIFICATION DATED
~~-
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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D'\OO
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:
I. 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 I % 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:
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.
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 Certificate of Occupancy - Residential $15.00, Conunercial $15.00
Date.
7/?-J /()~
I /
New Construction:
Old or Pre-existing Building:
(check one)
Gw:-~t:l~l~
Location of Property:
/1.55"
House No.
Owner or Owners of Property:
Suffolk County Tax Map No I 000, Section
"3
Lot ;)7
Block
Subdivision
Permit No. . ~ Y..Q!-j }
Date ofpermit. / I ~ / !
Filed Map.
Applicant:
Lot:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
,;;)5 00
Final Certificate:
~
(check one)
Fee Submitted: $
~
/fJ (jr"/ 1fr1q2...
Applicant Signatur
CD 6 3~, Iii
P J fR c. 1'16/0
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.
34041 Z
Date JULY
7, 2008
Permission is hereby granted to:
MARIANNE BIGGS
1155 MC CANN LANE
GREENPORT,NY 11944
for
"AS BUILT" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
1155 MCCANN LA
GREENPORT
County Tax Map No. 473889 Section 033
Block 0003
Lot No. 027
pursuant to application dated JUNE 26, 2008 and approved by the
Building Inspector to expire on JANUARY 7, 2010.
Fee $
400.00
~ CJ(~
( Authorized Signature
ORIGINAL
Rev. 5/8/02
631-477-0184
David S. Corwin, PE
639 Main Street
Greenport, NY 11944-1431
corwin@optonline.net
Subject: 1155 McCann Lane, Greenport, NY
SCfM No. 1000-33-03-27
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'1'",-r"id" SC,',~THULD
June 26, 2008
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To Whom It May Concern:
I have inspected the deck at the above referenced location. To the best of my knowledge,
belief and professional judgment the deck is in compliance with the Residential Code of
New York State.
(
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.N orthFork.net
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
:;;.;I sets of Building Plan/P A"eJC~
Planning Board approval $
'Y-survey ___ ~
3'fD iff C: """Check ~
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form_
Contact:
Mail to:
Approved
Disapproved ale
7h ,20~
7/7 ,20-.IJL
I
Examined
Expiration
I i 7 ,20-!2-
, --'."-'--"\
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!r;,JA
Building Inspector
Phone: ('''':.<./ -';)..4<;' ~07ct::J
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2.6
) iPPLICATION FOR BUILDING PERMIT
i I>ate
"'~-'
INSTRUCTIONS
,20_
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 MAI>E to the Building I>epartment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance ofthe 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.
(~ature of aP.Jj>lieant or n me, if oration)
110'5 '1I'JC- ~
~~4(t{.u~ I n ~':t..119tff
( iling address of app(fant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~
Name of owner of premises '-JJ1~~./ ~'.J
(As 0 t 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 No.
I. Location of land on whti:h proposed
ISS - c,
House Number Street
County Tax Map No. 1000 Section '3 ?
...::..........
Block 3
Filed Map No.
)I ..~. c... ",.
Lot ~7
Lot
---
..
2. State existing use and occupancy of pntiuises and intended use and occupancy of proposed conStmction:
a. Existing use and occup~cy .
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
(Description)
4. Estimated Cost
Fee
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.
I f
7. Dimensions of existjng ;tructures, if any: Front I ( (J Rear / 10 Depth
Height I (p Number of Stories /
f
!&CJ
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
/
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size oflot: Front---1J 0/ Rear--1l0 I
Rear
Depth
Depth
i lP{/
.
10. Date of Purchase
/q~
Name of Former Owner N A
13. Will lot be re-graded? YES NO v Will excess fill be removed from premises? YES NO V-
- ------.. < 1165 '1Y11! t'rr: ~ -
14. Names of Owner ofpremise~~A'~ ~ddress ~ f1if.Phone No. '1-77- 11::L.3
Name of Architect Address Phone No
Name of Contractor Address Phone No.
IS 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 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.wfovide survey, to scale, with accurate foundation plan and distances to property lines.
17. Ifelevation 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 L NO_
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF S" f f ~ \k)
(\'\ A~ '" N _ < ~ ] :rld 5" being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing co ct) above named,
(S)He is the
OuJ,.Jl! '"
(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
t" -
I 8 dayof.J,J 1"-(, 20~
~pu~ ~~ X
John .J ge
NOTARY PUBLIC. Stele of New York
No.D1JU6D594DD
Qualified In Suffolk County .LL
Qpmmission Expires May 29. 20
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Signature of Al'Pfica "f'
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [~AL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS, -b..;''':/' &j!;';;'~1 10
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DATE 11f.-~f of
INSPECTOR
-
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FIELD INS~ECTION REPORT DATE I
COMJ.VI.ENTS
,
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FOUNJ)ATION (1ST)
,
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,
FOUNJl>ATION (2ND)
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ROUGIII FRAMING &
pI! TJII1BIN G
:
.
.
.
----
INSULATION PER N Y -----
STATE ENERGY CODE
JlINAL
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ADDITIONAL COMMENTS
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LAND
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AGE
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FARM
Ti liable 1
Tillable 2
nllable 3
Noodland
lwamplond
lrushland
~ouse Plot
.otal
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SEAS.
IMP.
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Acre
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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VILLAGE
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COMM. CB. MISe. Mkt. Value
TOTAL
DATE
REMARKS
BUILDING CONDITION
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BELOW
ABOVE
Value Per
Acre
Value
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
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BULKHEAD
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'A. Bldg. I S-2 27 /<;0<1 j.~() W/t! Foundotion j ? Bath 1/': Dinette I
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:xtension Basement Tu!1 Floors II, W K.
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:xtension Fire Place /\ Heat Ii'. /!- It:, ,J};,1 DR.
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Type Roof r::: A. / .;:,~ Rooms 1 st Floor BR.
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'arch o/le" '2 () X Y - I;;: !) ; <-(J / Recreation Room Roams 2nd Floor FIN. B.
60
'orch Dormer
Breezeway Driveway
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SURVEY OF PROPERTY
AT GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. 1':
1000-33-03-27
SCALE: 1--30'
JUNE 10, 2008
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AREA=17,600 sa. Fr.
. =MONUMEN T
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ANY AL TERA nON OR ADDlnON TO THIS SURVEY IS A VIOLA nON
OF !XcnON 72090F THE NEW YORK STATE: EDUCAnON LAW,
EXCEPT AS PER !XcnON 7209-SUBD/VISlON 2. ALL CERTlACA nONS
HEREON ARE .VALlD mR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
CONIC S
(631) 765-502
P. O. BOX 909
1230 TRAVELER STREET
SOUTHOLD, N. Y. 11971
08-151
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ALL CON~, ~L ION SH;LL MEET THE
, REQUIREMENTS 0, THE eo::JES OF NEW
, YORK STATE. NOT RESPONSIBLE FOR
@SIGN OR CONSTRUCT!?~RORS"
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Qt OCCUPANCY -;
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1. CERTIFICATION OF
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