HomeMy WebLinkAbout35032-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34077
~te: 11/17/09
T~IS c~TIFIES that the building WINDOW REPLACEMENT
Location of Property: 40 THE SHORT LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 30 Block 2
Subdivision
Filed Map No. Lot No.
EAST MARION
Lot 12
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 28, 2009 pursuant to which
Building Per,it No. 35032-Z dated SEPTEMBER 29, 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 WINDOW REPLACEMENT IN KIND AS APPLIED FOR.
The certificate is issued to JOHN S & MA=RIA V DOOLEY
( OWNER )
of the aforesaid building.
SUFMOLK COUN~"f DEPARTMENT OF HEALTH APPRO~L~L
ELECTRICAL CE£TIFICATH NO.
PLU~ERS c~KTIFICATION DA'r~u
N/A
N/A
N/A
e ure
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 with the following:
· A. For new building or new use: 1. Final survey of property with accurate location 0f atl buildiags, 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% 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.
For e~isting buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2 A properly completed application and c0nsem 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.
3.
4.
5.
New ConstrUction:
Location of Property:
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.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/
Old or Pre-existing Building: v' (check one)
House No. i I Street
Hamlet
Block
Lot t '2.
Filed Map. Lot:
Applicant:
Health Dept. Approval:
Planning Board Approval:
· Request for: Temporary Certificate
Fee Submitted: $ ~"~,0~
Final Certificate:
Undenvriters Approval:
/
(check one)
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. 35032 Z
Date SEPTEMBER 29, 2009
Permission is hereby granted to:
JOHN DOOLEY
40 THE SHORT LA
EAST MARION,NY 11939
for :
WINDOW REPLACEMENT IN KIND AS APPLIED FOR
at premises located at 40 THE SHORT LA
County Tax Map NO. 473889 Section 030 Block
pursuant to application dated SEPTEMBER 28, 2009
Building Inspector to expire on MARCH
EAST M3kRION
0002 Lot No. 012
and approved by the
29, 2011.
Fee $ 200.00
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [
REMARKS: ~
[ ] ROUGH PLBG.
[ ] INfO,libATION.
[,~FINAL ~/~J
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE
INSPECTOR~~~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (~1) 76.~1802
FAX: (~1) 76~-950~
SouthoMTown.NorthFork.n~t
SEP 7_ g 5009
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need th~ following, before applying?
Board of H~alth
4 ~1s of Braiding Phma
?27-
F Building inspector
APPLICATION FOR BUILDING PERMIT
O=e q' J' 20
INSTRUCTION'S
BtDG. ~F~sis_ ~pli~ation ML ~T be ~omplct~ly filial in by typomit~r or in ink and submitted to the Building Inspector with 4
b. Plot plato showln~ lo, ration of lot md of buildings on premises, relationship to adjoining premises or public stre~ or
c. ThC work covered by this application may not b¢ ~ommon~d b~for~ issuaec¢ of Building
d. Upon approval of this applioation, the Building lnspegtor will issue a Building Pmmait to th~ applicant. Such a pormit
shall b¢ kept on tl~ prCm~s~ available for thspo~tion throughout tl~ work.
e. No building shall b¢ oeampied or used in whole or in part for any purpo~ wlmt so ¢vm' until thc Building Inspo,~tor
izau~ a Cefdfi~ate of O~mq~m%'.
l~ Every building l:~mit shall expire if the work ~thoriz~l has not common~l within 12 months ~ the ~ of
issuanc¢ or has not ~ ~ompl~¢~l wiill/n 18 months from sucll date. If no zoning am~ndmonts or other re, gulatiotts affegting thc
property have boca eaac~d ia tl~ interim, ilg Building Inspoctor may authorize, in writing, the ¢xt~nsion of thc ponmt for an
addition six months. Thcmatk~r, a n~w pormit shall I~ mquir~
APPLICATION IS HEREBY MADE to th~ Building D~artmeat for the/ssuan~ of a Building Permit pmsuam to the
Building Zon~ Ordinance of the Town of Southold, Suffolk County, New Yolk, and other appli~ble Laws, Ordthan~s or
Regulations, for tl~ constmCdon of buildthgs, additions, or altm'at/ons or for removal or demolition as bm-gm described. The
applicant agr~s to ~omply with all applicable laws, ordinaa~, building ~od~, housing ~de, and rcgulations, ~md to admit
authorized ~rs on prcm/s~s ~d th building for ncc~smy inspo~ons.
OCCUPANCY OR
- (si~m~ of ~l~l~ut or name, if ~ corporation)
USE IS UNLAWFUL
WITHOUT CERTIFICATE (IViailing Im~'dresa °f appliclmt }
Nam¢ofownerofpmmis~s 3[}h]) -'~OOI~V = ,~_-- ~ ...
~ -ti (As o~ the tax roll or latest di&l)
Ifapplican~slonrpor~}~'t~ ~o~utyauthorizcdomcer [,5~ ,F'~ E. i i;7,4; ' ,,~v :,:'t AT
(N~mo and title ofe~q~ office) FO'..[ :S, '(,,d ~.. ,,,.,:,.,. FO:; THE
'~ ;.; ,,!'Z:;J tic J!F ED
Builders License No.
.....
Plumbers Licens~ No.
Electricians License No.
Other Tmde's Licens~ No.
1. Location of land oo whic,,h pmposod work will b~ done:
House Number Slrffdt
County Tax Map No. 1000 Section ~{')
Subdivision
3.
..- .
-" ~QUI~Ek~ENT3 OF T~-::~ C.3DES OF NEW
Bilk ~ YORK ~6TE. NOt ~ONSIBLE FOR
File~ M~No, DESIGN ~t CONSTRUCU~N ERROR~
ALL CON.I, .. '
2, State existing use and oceupaney of premi~ ~d intended use and occupancy of proposed construction: ~ Existing use and oceupancy ~0
b. Intended use and occupancy ~.~ 0 ~
3. Nature of work (cheek which applieable): New Building Addition Alterati~ 'X
Repair. Removal
5. If dwelling number of dwelling units
If garage, number of cars
Demolition
(Deserip,xion) /
(To be paid on filing this application)
Number of dwelling units on each floor
6. if business, commercial or mixed occupancy, specify nature and ext£'nt of each type of use.
7. Dimensious of existing structures, if any: Front Rear Depth_
Height Number of Stories.
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories,
8, Dimensious of entire new construction: Fron~ Rear Depth
Height Number of Stodes
9. Size oflot: Front. Rear Depth
10. Date of Purchase.
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
13. Will lot be re-graded? YES
14. blames of Owner of premises
Name of Architect
Name of Contracto~
NO /
NO / Will excess fill be removed from premises? YES
Address Phone No.
Address Phone No.
Address Phone No.
15 a. is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~,~
* 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.
NO/
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
NO /
18. Are there any covenants and restrictions with respect to this property? * YES.__
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
c°u~°F--4~r)
~Nm~e of ~ sing
(S)He is ~ ~
(Con--r, Agent, Corporat~ Officer, etc.)
of said owner or owaem, aad is duly authorized to perform or have performed the said work aad to make and file this application;
thai all steteanents contained in this application are tree to the best of his knowledge and belief; aad that the work will be
performed in the mananr set fo~h m the application filed therew/th,
pubhC~[?.~holk
.~. · sNo~ --
~11~1~1551Ofl
(vOCOnt)
LOt II
.4reO=24,418 $(/ff:
TITLE NO. 77-S-01~49
,I NO O~~5~
NOTE' · = MONUMENT
SUBDIVISION ,MAP FILED IN THE OFFICE
OF THE CLERK OF SUFFOLK COUNTY ON
YOUNG & yOUNG
R. W. MULLIGAN CO., INC.
Tel: (631) 727-7555 246 W. Main St. · Riverhead, NY 11901 Fax: (631) 727-7997
PERFORMANCE
GRADE (PG) UPGRADE
A blah Jatld0 sill dod
Medar/~tldef I~ on
avaLle~ t~ pmdde eddllloqnl
*ttmct~mt aap~M far Mdmdfl'
(ilt,wa:~h unlt~ nllmlng the
wlediiwa th or. leave Pq
Ratio(ts apiece g~ldfl Pm',,sen
II~lni~ for mu((SOPhS b~d~t
oednmiico. Soo pop 24S,
of mia pockqo will subtract
(tGI Imm clwopop~
K ~0 up~r'~ fl'* flvaloble
for 72' mid 76' he~dht~.
'filL.wash POUMa.hUa8
vdndm~ are mille
wllh $iamlwatch*
pmtedlm~ For n c~y e~ the
~s~,Pailomad lkS~ afl E'~,
~oe pa~e 4.t4 gl'vii(It
A eries
blain Jonb~
Stando~'d Ii(mb depth
4 qJ' (114], Jnoh depth
be 4 'l~ (105] q
fbagl Is ~r~d.
~eedefl bmb~
~ ~u~lon J~bs am
~lllbto for ~ fg~to~
wall
· ~ee ~r ~flfllshed white
(ch~ ~1~ palmed
vto~-wrap~d ~dlDopileo],
CAn baa pplled th ~tlmr
Pine Sled
A de,ar pine atom Iii available and
rm-ldy f~ flnlaltlflr.. TIHr IIIt..w~'-h
atool ~ available lo d ,Iw' Il
tar USO to ymg depths lip la & ti,'
ltj3j u~ 6 v,,' (167l I~r
hl waTI dap(ha uo tn 7 ,h' (
V~mk~ with 2 ¥~' end 2
wide caliliil~.
200/200 d
EILL L~L LE9(XU~)
GLASS
Andeflall' All Gbm
Ay~llabto I~ tUt.wash tm?,m
and platen unl~ And ~"pnl att
lion plmo~conmlneh~
original pi(Iii(ms, Includlel Im~r
IlMll~'. ~(~ M~O t23 for ~etoll$
011 A~dm-,~n ad KIAU ef vldt
andedmMilMiWt~.tm/flfl lIB:
fM pmttm I,tomau~n.
INSECT .SCREENS
TreSclno' IMICI Semen
'TnJSCofle ~SQCt Knefl: in
nede ~(h e micro.flee iitolflM~
~ted mr..h tbll't ou-thkd
the diameter el autdumlnum
' ~u wlrB. They provide r.~r
5Q~G men elofl~ titan a',.~
coMflthmol lll'.~.0~l ~e,'m.
'they al~o let mm ',*'aNl§ht
lille In(ih air idle(ho home,
Conventional (Ileal Se'eeo
Car. vedlonal IMKI iicneM
be~e dm~oal ge~n,~iilqd
aluminum ac(eeo Llelh.
Insect Scs'oeo Frames
Choose i~ Init'''''j acmoJ~
latz ~ 13hOWll ebOVQ),
IWlf Ifl-.,ect 3cl~n coflileumtloM
allow ¥o~lilolbfl wlllmUt
alk~lnl the dew thfm~b
lin upper s,leh, Ffpi#os ore
ovaltobta to tr,~4to, SondnM,
TolT'atono"lld Fm'e~l
col~ fo iMIclt pfoded
GRILLF. S
Hew diamond Idlll~ ovollabl&
S~ Woodwrlphl' wlqdw .. -
~eclleo Reftlnl ~1 pole 50
faf divided ~ pllttom~,
Reen ~o, dfl.~oh
with tdah-lu~b atniQr
Ifllk~ h~Jod, a uphtue
mtodm'gl,,lfll I~ad to
ar~Onmedate Idllii deplh.
63
O~:Ol (NON)6002-82-d)S
FRAME
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co~fed Milt
d~difl~
n~ ~and fl ~bl~B
~lte m~oflgl ~ri~.
~ ~ slap& a~ mode
~ded ~ ttlat ~n b~ flnhhed
1o match tho ~or~r.
whO, prulb~d Ifltodar
Exterior
Interior
'Hardware
Finishes
bt~at
(~) A factofy*~ppllod ritld vl~
anc~let iluflp an Ill~ Ired, sill
,fid ride ut tim eute~'lmm Imlps
o,~cem II~ unit ta the atmol,m,
(~ Ail Mtladod rigid pOhelJed
dilyllomb liP. Dr and Ih~ p~lh a
pmlecliv~ ~1 adolf~k the e~te~
If afire nmmbefT..~clu~t~ -.Jlde
tile ,~1~ It~lo w~ah mode ~oolUon,
0 For ~'-- v~th ~lla ~derior
color, mmlarJumb Iherls whlto.
F~ ~11 giber unit~ the
lamb liner Jo Bnsy,
(~ Wealhmtrlpidnllthfou~hout
the tildl mvldK a Imlgdadlng;'
ml~l~q bk;b~t, wa~t he~,~l~t ant
~al. ~ the tm and boltom
h t~Jed, 11~ head lamb IIne~ pnd
sift hove a rigid vhlyl db that
tho vdolfibol~ldppleE mtldul
prupr~, uO~d, At the
tall, cmpmnlble md adb
molorlal h ullri. SIdelmb Ilnn~
D,.a hal lypD wemthmlrippl~
th'at mQui~ tm idiustn~lt.
GJe~fuhdmcad ny'M
pu~u pflMdn sm~h, fellublfl
~ah Dpemtton, To INdb pm~ilt
mude, Ilmy oulmallcally ~oCk Julll
SAS~
coat vddta
w~lfll~am IJJo~llJbi,
GLASS
mdde super matlm~gbtr, e=
and dmblllty.
Hardwflm
Lock & Keeper
Double-Hung Lifts
CLASSIC SERIFS'
F~TATE'
TRADITIONAL
,"--b &
O,rUII ~l~JJlt FII~'UIt
mm~e pvllMM bfa~had ulln dL'~d~Akd' all'JIMil' uphill
~O0/lO0'd EJLL L~Z iEg(XUJ) l~$~Ind E60I 6E:Ol (NOH)600~-B3-d]S