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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. 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