Loading...
HomeMy WebLinkAbout34901-ZFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~INCY No: Z-34049 Date: 11/02/09 THIS CERTIFIES that the building DECK ADDITION Location of Pr~erty: 435 THE GREENWAY EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 30 Block 2 Lot 46 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 2009 pursuant to which Building Pel~nit No. 34901-Z dated AUGUST 3, 2009 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. · ~ne certificate is issued to ROBERT & SHEILA ABBOTT (OWNER) of the aforesaid building. SUFPOLK COUI~I"f DEPART~4ENT OF HEALTH APPRO%5%L RF,RCTRICAL c~KTIFICATH NO. PLI~4BERS U~KTIFICATION DAmmu N/A N/A N/A 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 witk A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unu 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. 5. tet .lowing: Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple ~esidences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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: t. 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 o£Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. ~?c r* o~r~. .~ ~ goo7 Old or Pre-existing Building: ~ (check one) House No. Street Owner or Owners of Property: /'~' z~ ~er .~ -.~'/~t ~,n S ~' q738'~"~ u~rolk County T~ Map No ~ Section O 3 o Subdivision ~c~e ~c~ ~ ~m3 Permit No. 3 t/~o/-~Z Health Dept. Approval: Date of Permit. Hamlet Block ,9 o ~' .2~ Lot Filed Map. Lot: Applicant: )~-'~'~'~ (£~,,~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Al~plicant Signature FORM NO. 3 TOWI~ 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. 34901 Z Date AUGUST 3, 2009 Permission is hereby granted to: ROBERT & SHEILA ABBOTT 5127 POST RD RIVERDALE,NY 10471 for : DECK ADDITION TO AiN EXISTING SINGLE DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 31495 at premises located at County Tax Map No. 473889 Section 030 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY 435 THE GREENWAY EAST MJkRION Block 0002 Lot No. 046 3, 2009 and approved by the 3, 2011. Fee $ 200.00 A~or~i zle~at~ur e ORIGINAL Rev. 5/8/02 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. 31495 Z Date OCTOBER 4, 2005 Permission is hereby granted to: ROBERT & SHEILA ABBOTT 5127 POST RD RIVERDALE,NY 10471 for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 435 THE GREEN-WAY EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 046 pursuant to application dated SEPTEMBER 28, 2005 and approved by the Building Inspector to expire on APRIL 4, 2007. Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUC'nON [ ] ROUGH PLBG. [ ] INSULATION ~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY ] RRE RESISTANT CONSTRUCTION REMARKS: ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION DATE INSPECTOR~,~ " I I COMMENTS FIELD INSPECTION REPORT DATE FOUNDATION (1ST) ~' ¢' '~ FO~DATION (2ND) ROUGH ~G & ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration PERMIT NO. ,'~ / (~ ~--~7-~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning ,B~d approval Survey ./ Check _lA !l ~g ,tf Septic Form N.Y.S.D.E.C. Trustees Contact: ~ng In~p~r Mail to: Phone: Or'/~' ~20 7 ~.~.~ ~__~ APPLICATION FOR BUILDING PERMIT ?_8 ; ! Date [l,,t.~I'''d''~ ,20 i L- "' J I INSTRUCTIONS ~ ----~. 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 adjdining 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 issue~ a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within ! 2 months after the date of issu. ance 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. ~__c~ ~_/~/~?~ (Signatffre of applicant or name, if a corporation) ~,,~zz , Ivy (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '~J~_~z ,,ZJ [~[~o~/" A,,,,> ..~,,v-~-.~ d~,boT~-7~ (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 No. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section ~ o Subdivision Pe~8~' ~e'~ ~-~ (Name) Block 02 ~a .* ,~..~ E~t ~ Fil~ Map No. d~ d ~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy /:7,~/,~r~ ~.,.,~- ~.a~,2 ;r ~?eZ',,)~o~'ce~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Addition Repair Removal Demolition Other Work Estimated Cost ~/o/oo o Fee If dwelling, number of dwelling units If garage, number of cars Alteration (Description) (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 ~ ~cr Rear Height / b I:ez-r Number of Stories 0 ~,c" Depth Dimensions of same structure with alterations or additions: Front Depth qg & ,cecT- Height. /~ ~- Number of Stories Rear .¢o ,~-:~,-- 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front 77 ~c~-- Rear 77 ;~-'- .Depth 0270 10. Date of Purchase ,.7-~,~c o~ao~ 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 ?C 13. Will lot be re-graded? YES__ NO X Will excess fill be removed from premises? YES__ 14. NamesofOwnerofpremises S//c~ ~0~o/~/- Address d727 Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. NO X 7/£ ~- 3~'? ,' 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO rX * 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: COUNTY OF ) go~.r / /~ ~, 7~ ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) ot said owner or owners, and is duly author/zed to perfbrm or have performed the said work and to make and file this application; that all statements contained in this application are tree 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. S w ° mq b e f° ~tea~noe ;hi~___~la~,~j ~.., (/) -/ Notary Pdb[~fl~ M ~ SignatUre of Applicant B25o22'~O"E NOTED ~RTMENT AT APPROVED A~ D^TE: FEE://5'~ BY: NOTIFY BUILDING DEF 765-1802 8AM TO 4PiM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWOiREQUIRED FOR POURED CONCI~ETE 2. ROUGH - FRAMING 8, 3. INSULATION 4. FINAL - BE COMPLETE FOR ALL CON REQUIREMENTS YORK STATE. NOT RE,~ DESIGN OR -/ I ,.~1~' I=EAME C~, ,~, v ~nTH ALL CODES OF 77.00' NE ,' · L ', ~OWN CODES 50 -' Z-D "OWN ZBA SO %OG TOWN PLANNING BOARD SC~ ,'HOLD TOWN TRUSTEES N.Y.S, DEC DADED ON 5UE.VEY OF LOT NO. ~G MAP OF PEDDLE DEACH FARM~ EAST MAP-JON, TOWN OF E:~)UTHOLD SUFFOLK COUNTY, NEW YOE.I(, FOE.: E.ODEE.T ADDOTI' ~ 5HELIA ADDOTT 5UR, VEY DATE O2/I 4/O2 I=1~ MAP NO. G2GG G/I 1/75 TAX I.D. NO. IOOO-30-O2-4G ALL CON~'RUCT,O~q iliaL(~) ~EET THe ~mJul~eN~S OF T~ CODES OF NEW~O~K~TATE- OCCUPANCY O~~°~'~°~ USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SEP i ~ SITE IT IS A VIOLATION OF THE LAW FOR ANY PERSON, DE~TIN G. C. RAI= UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAN D ~UE.VEYOE. ARCHITECT, TO ALTER ANY P, OCK,Y ?OINT, N.Y. ITEM ON THIS DRAWING IN ANY WAY. ANY l rHORIZED ALTERATION MUST BE OTED, SEALED, AND ESCRIBED IN ACCORDANCE ITH THE LAW. 77.00' THE GP~ENWAY (GO') [ PLIDUC WATER } LOT 107 LOT I OG PLAN /4o 'c,'/W\ 5CALE: l": 40'-0" ABBOTT 06Il 1/05 FAI P-..WE AT H E P-.- E, P-..OWN DESIGN A55OCIATES,INC. 205 DAY AVENUE GREENPOP-.T, N.Y. II 944 G31-477-9752 (Fax) G3 J-477-0973 BEAM LAYOUT CUSTOMER -- DATE 07/26/05 ABBOT REF Deck05207 STORE NAME 123 STREET RD. CITY, ST (800) 555 1212 BEAM BEAM POST LABEL LENGTH COUNT A 39' 10 I/2" 5 Post spacing is measured center-to-center. Depth of post-in-concrete footers --- 36 inches. , b~,.-~, ~ ~ ~/~;~ I"Ja~Y/t~/~°A~' SEP 14 ~ IS A VIO~TION OF ~E ~W FOR ANY PERSON, UNLESS ACTING UNDER ~E DIRECTION OF A LICENSED ARCHITECT, TO ALTER ANY ITEM ON THIS DRAWING IN ANYWA~ ANY ~ THORI~D ALTERATION MUST BE NOTED, S~LED, AND DESCRIBED IN ACCORD~CE WITH THE ~W. 0O5