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