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Home My WebLink About33945-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33207 Date: OS/OS/OS THIS CERTIFIES that the building HANDICAP RAMP Location of Property: 675 (HOUSE NO.) County Tax Map No. 473SS9 Section 7S HIAWATHAS PATH (STREET) Block L- SOUTHOLD (HAMLET) Lot 51.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 200S pursuant to which Building Permit No. 33945-Z dated JUNE 2, 200S 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 ADDITION OF A HANDICAPP RAMP ON AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SUSAN MACKENZIE (OWNER) of the aforesaid building. SUFl'OLK COUIlTY DBPAR~ OF IlBALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMIIBRS CERTIFICATIOlII DATED N/A ~ /J:U4- Authorized Signature Rev. l/Sl . e' i', r' \ 1(1, i-- Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f(; 8 , , , , L~", l 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: ]. 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 fonn). 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 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: ]. 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. ]f 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, Commercial $]5.00 'I ;j~/,pl / ' Date. New Construction: V' Location of Property: ~ 75 J!MW,,71IAf PAm House No. Street Owner or Owners of Property: .It/fAir H.lI.4tfE/lJ:./E Suffolk County Tax Map No ] 000, Section 7 tf Block 3 Old or Pre-existing Building: (check one) J'duTJ/(J t../) Hamlet Lot 5/. / Subdivision PennitNo. 1''5 if 1/.5 Z. Date of Penn it. Health Dept. Approval: JY ~ Planning Board Approval: AI' A- Request for: Temporary Certificate t7z' ~ Fee Submitted: $ ~;J Filed Map. Lot: ~/2.IOI Applicant: J't(f~,y ,..r. If"C~.I'Z/F , Underwriters Approval: ---LV A-- (;0. leG- z JJqJo 7 /'Y''?V? 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. 33945 Z Date JUNE 2, 2008 Permission is hereby granted to: SUSAN MACKENZIE PO BOX 1940 SOUTHOLD,NY 11971 for : CONSTRUCTION OF A HNADICAP RAMP ON AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 675 HIAWATHAS PATH SOUTHOLD County Tax Map No. 473889 Section 078 Block 0003 Lot No. 051.001 pursuant to application dated MAY 16, 2008 and approved by the Building Inspector to expire on DECEMBER 2, 2009. 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 SoutholdTown.NorthFork.net Examined b/~ ,20 Y BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey PERMIT NO. 30'1'-15 'b Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form_ Contact: Mail to: Approved Disapproved ale ,20 Expiration ,20_ QIL Build(ng Inspector Phone: ~::::\ - ~''''1 \~ \ r- \\ . -, .' '.\ '\ p,.~ \ 6 . .j I. Date, 20_ VI; . \ INSTRUCTIONS , li: This appr~~:m M~e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets '\)fplalis,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 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 ofa Building Permit pursuant to the Building Zone Ordinance of the Town of South old, 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. ~ ~_--i'C r-, 1';', "~' '. ,\ .\,..\ \ \ APPLICATION FOR BUILDING PERMIT '--.,> , roo .Box let ~o SOUiHuLl) NY W17/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ow rJ r;'(<... Name of owner of premises SvSctI'\ (Y\, l'Y\<<'C.lC.t'Y\C-I-€ (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, ....r..D Plumbers License No. Electricians License No. Other Trade's License No, I. Location of land on which proposed work will be done: <01 S \-\ I A-1I0A- n-\f\;\s Pll T1-I House Number Street $ov'Ir\OJ.-D f'J y Hamlet ll'~ll County Tax Map No. 1000 Section Subdivision 7'ir Block 3 Filed Map No. Lot S-/, I Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy t<.eSlbRIlCe - S'{Ntjle- .r;ul1,11j ""ddt716Yj b. Intended use and occupancy hand / CC,(P€o {Zqrry:> qdd, -rl or) 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition )( Other Work Alteration (Description) 4. Estimated Cost T60 Fee 5. If dwelling, number of dwelling units If garage, number of cars tv 0 '" e. 1-. (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. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 3 Height Number of Stories Rear \ 5 Depth 9. Size ofIot: Front Rear Depth 10. Date of Purchase sep'l, ~ct'iSc, Name of Former Owner IJ (,.. 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 L Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises ~ f\1.IlIa.<-~ve. Addressb15 \-IlAW...wAs qqn\- Phone Nc(511o)~(-9'l<{~ Name of Architect NC"J(' Address Phone No Name of Contractor --rB(\ Address Phone 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. 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_NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) SVSC\.(\ '{Y\. '0\CA,-k..N\c(-€. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the OWNer (Contractor, Agent, Corporate Officer, etc.) CONNIE D. BUNCH NoIary PublIc..~ of New York 112' Olau61850~ ~at h.d I.. Suffolk n~ CommISSion ElIplres April 14. 0 D 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 I OJ +h dayof n^ ~ 20R ~~ > -PuC\ d Notary Public \ 'j[4~~f~~~ ? '3 7 'f S-.z... TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REM~ 't~~"r-~ DATE 7-/S-~O f INSPECTOR ~~ 331tfs 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND ~MI~RAPPI~ [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRucnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE ,- .~{v () K INSPECTOR ~~ FIELD INSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN. y, STATE ENERGY CODE FINAL "'5" 8' . COMMENTS ( (\) ." ."\l '" ~~ ~~ ov\..t 0 C/O ..., g; '" ..., '\' " K c , ADDITIONAL COMMENTS l" ~ ~ o z ;1 ~ { ; ~ ";2, WlM 0 " 0 : . ~ 0 . . 0 : PLOT 2 . 0 . . " , : II ~;;;;.r I,. . __ fHD. g ~ 298.00' N / ( CEMETERY) N IO/F ST PATRie lCS CHURCH IN THE TOWN OF SOUTHOlO SUFF CO N/O/F TOW", OF SOUTHOlD 8,6041'OO"E I IIHI-IIT I . ooi "' . '" !! PLOT .'" 8 OJ .' 0 !~ ~ . .. 0' co 9 .. z ~ t 0 . o. . . .... . ", N.SO 45'OO"W. .." I" o. I 1 ;:1 '1 I I ;'1 \. ~I~ '"I 297.9S' N/O/F THEOOORE SHtMllCK AND BRIOIET SHIMLICK WIlL&. 4' c.,. . /5o-i" AREA~ 40,503 SO.FT. or 0.9298 acr' ~, /.-'.;..... i.ME......'-'r,':.\ '.:;' ~. '<fJ:\..f" :1/',' Q ;'t ~ \-" .. ~ "; \.C. ;\,)1. -,l s,,'~ . """.'."~ J'" 1.-""'<':'9 1 f'",,'~~ "j . .'/. N.Y.S. EYOftS, P .c. o !S020 P. O. BOX 909 NAI< RO.oo SOUTHOlD, N.Y. 11971 NJO/F HEl E N V lERI TV "1 ~, CP '.J 10W.lLL'.. I IWELL 0111" 150' I CERTFED TO. PECOlIC .....TRACT 1NCOIlPOR...1Ell NORTH FORK _. 11lUST CHlCAQO TITlE ___...NCE COIIPANY -~ BANK OF NEW YORK "'RCS MORTG...GE IHCORPOR... TEO NEW YORK MORTGAGE AGENCY NAI<OMIS ROAD o ,; . x l- et Cl. '" '" co '" CI) w . 0 et . ;0 X '0 '0 ... . .0 et N ~ 0 .. et co i . .; . X If: 0 . . . . . '0 . ~ . , N . . . . Lie. NO. 491 r8 ,........~---............. ...... for .. -.... . ......... tz,~~-/::~""''i!'::;d.,.. - aEYAT1DN6 ARE ,..,.~ TO AN A.-...m twrtlil. ~~~~~~~ DEVELClP'M:NTA8EJrfCY-. !- ~ . . , o ~ . , . : 3 ~ SUfFOlJ( COUNTY O!:PAR1MENr or HfJ,i.~H SI-.R'l'ictS SINGLE FAr.1D r:}fHUNG G1ii"( MY..l..~18l!!L " '.,,,. N(' ,90 Go ~~ 1:,-, :' '-'.'~.; ";'--:.1:.:\' .- ;.:! i:d'. ~"',';": '".,.. .~'r ,';:; . . . . . ..... . ,. ._i ~iT ' . :'f';.:,"'. _ ".__'-:';'~J , " ~r-""Ik: iX"~ t ;" --,...T=....:..--~_'L..___ . - , ' :: ~"~.~:..i :.-, ,.;(-. H.5. " 89-50.33 SURVEY OF PROPERTY AT SOUTH OLD TOWN OF SOUTHOLD SUFFOLK COUNTY,N.'t 1000 - 078 0 03 - P/O 51 SCALE I" III 40' SEPT. 20, /988 s.pt. ~ _t_ k>c.J Fe. 1lI, _ (fiM/) ... j ,I' ;- , ....,... -; ~~rn:- 'j.:',\-;r :;~1."'r 88-1428(1) APPROVED AS NOTED DATE:~ BP.# "'\'S""l4S""c ~EE: "" B~ '~OTI Y BU:LD:~Yj "cPARTMENT AT i65- 802 8 AM TO 4 PM FOR THE FOL OWING INSPECTiONS: I. F UNDATiON - TING REQUIRED F R POURED CONCRETE 2. R UGH - FRAMiNG & PLUMBING 3. I SULATION 4. F AL. COi,STRUCTION MUST B COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQ IREMENTS OF THE CODES OF NEW YO STATE. NOT RESPONSIBLE FOR DES GN OR CONSTRUCTION ERRORS. XISll~G S' x a' nn All nF 'A' - 'A' 'PERe'lENGTH ""'- EXISTlNGS'Xll'DECKT 9EExTENnEDlO12'XS' 4' (XTENSID'J1 PRlP[ISEDJ'X20'RA fA? ~ ~ USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY r---------T---------, I I I I I I I I I " I I I C::::J I I I .1-_'---1 I I I I I ~~I~/rHG DEClC I ~ - - , I I I I I _~ I I I 1-__-' I I I I I I I I : I I : L_________~_________J L ~, MEET THE REQU!RE:I,ib!1 S OF THE CODES OF NeW yor:,i, STATE. ,"I, - ,'I, .:ILl U'I,L:IU. r---------,---------, I I I I I I I I I I I I I I I I I I I I I r--~ I ~____ I I I I I ~ I I I I I I I : -":ft'".: I L__~ I I I I : f---,-...,. : I I C::J I I L..J ~ I I I I I I I I I I L_________~_________J ~ cJ 'L.~~ ,s, - ,IL.:AJ 1l"f'J..JU, ~~~7 ~ \' \ ~\..' .:;0~ \ 0 -- ".-:_'- ):,"'.....;J'-' , )'-',-_;-':1~ , "':'-'" ~!.:--'-- \/~'~ )?:l1i~ \ - . -- - ... ~ llooo - 78 - 3- 5/.( \ I OWNER , TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET VILLAGE ---- .. DIST. SUB LOT \ iwe 10....."'\ cf S<(l,n ~ OL',::;. IMP. PROP. CLASS ,e 10 TOTAL DATE \ 0(') ') v' \looo ( Za::::> 32-00 3:2.0 ;?, '500 ~ .3 '2-00 54'50 -<\ "'-LX) 4 \00 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD \ 3~ DEPTH 2 '1'3 BULKHEAD WOODLAND MEADOWLAND HOUSE/LOT TOTAL \ -~ -. . -~ C' h, (11-tv Q cJI/Zf~' TOWN OF SOUTHOLD PROPERTY RECORD CARD ....,.' . ...~ /no-. Jrf- 3- Sf OWNER /1- 2- 2-- STREET VILLAGE DIST. SUB. LOT. forM FOrkl-lt2U5i~1/liJnfIL~ fI,,, IJ/ 19 r/,t9J ~7If. FORMER OWNER N E._<;'AJI=lgeIYJ I SEAS. VL.-9 Jj I ~ I)IIJ!I, 11.1" ~'J'i FARM COMM. V€1i'77 + (J1f'..f. CB. MICS. .) ACR. -2./0 TYPE OF BUILDING Q.o 1::1 L:- ~~fl S J'o-(F( d. d / cI E ST; f/q 7f (;,/11 e7;;i. v W I kWI1 flf 5()tlfAold tES. Mkt. Value -~.Q_.- .sD'Zl LAND IMP. TOTAL dfl((" Nfl ~. illable FRONTAGE ON WATER loodland FRONTAGE ON ROAD DEPTH BULKHEAD leadowland ouse Plot Jtal f '. ...... - -- ,.....'~~ ..... .... COLOR TRIM " -- -.--- ---- - .- M c20791 /~tVtwifrL hi 1m -. - M. Bldg. Extension - Extension ! . Extension Foundation Both Dinette Porch . Basem~nt Floors K. Porch Ext. Walls Interior Finish LR. Breezeway Fire Place Heat DR. Garage Type Roof Rooms 1 st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway Total , PC Bath Dinette CRAWL Floors 6 ~K '" vJ Kit. SLAB C.Jia< C'O ^ Interior Finish L.R. '" a,loA.. Heat o~\ I:\w~~ D.R. Wood stove BR. Fin. B. Attic Rooms 1st Floor 1-..(2 t<.<\ Q,~ Rooms 2nd Floor 2 \?:,Q'~ ~a'-\0--. . . , ~ v--- (/0 C2-j- 1/ ) I~ ,,,- '6 Z -~ l ;:::; ~ , -- Lf {Cf. 0 ~i'2..~ -\ M. Bldg. Basement 30 )( 2..'0 ~ -''is 0 Foundation Extension Ext. Walls Fire Place Dormer :2-'0" \10 .- 00 ~. ~ __\.. t~ . ' .~ COLOR t-.\c."'-'{ a\ TRIM ~I,..\~