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HomeMy WebLinkAbout34776-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34083 Date: 11/18/09 THIS CERTIFIES that the building WINDOWS Location of Property: 2775 BRAY AVE LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 9 Lot 13.4 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Buiiding Permit heretofore filed in this office dated JUNE 3, 2009 purs,,a-t to which Building Permit NO. 34776-Z dated JUNE 15, 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 FIRST FLOOR WINDOW REPLACEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHRISTOPHER P WRIGHT (OWNER) of the aforesaid building. S~P~)I~( C~3I~%~YDEPAR~1~T OF }~aJ~THAPPRO~-~J~ ET~t"rKIC~%L C]~RTIFIC~%TE NO. PL~ C~TIFIC3~TION Dkr~u3 N/A N/A N/A Rev. 1/81 TOWN OF $OUTItOLD ~-~'~ / TOWN HALL .~ ~ :~: ~.~, - 765-1802 1. F . survey of property wflh aCCurate location Of all buildings, property lines, streets, and unusu · topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S.9 form). 3. Approval o f electrical installation from Board o f F'~re Underwriters. 4. Swgm statement from plumber certifying that the Solder used in system contains less than 2/10 of 1% lead. 5. Commemial 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. F~r eais~ng bui~di?ags (pri~r t~ Apri~ 9~ ~957) n~n-c~nf~rming uses~ ~r bt~Ymgs and "pre-e~Asting~ ~and uses: t. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic · 2. A properly completed application and consent to inspect signed by the applicant, ff 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 of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Tempotar3, Certificate of Occupancy - Residential $15.00, Commercial $15.00 'LOCation ofpr°perty: ~7~"'~-~/2~ ~__~4(X¢~ ff~'~Jr/~/ · . . Ho'use'l~o. ~'~ / ~ Street ~- - -- ' SuffolkCountyTaxMapN°iooo, section I~ .' Block ~. tgi) ' Lot (~t~ '667 Subdivision PcrmitNo. 3~ ~'~ ~DateofPermit. · Health Dept. Approval: Planning Board Approval: .Request for: Temporary Certificate 'Filed Map. Applicant: Underwriters Approval: Final Certifi, 'te: (checkone) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUIDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34776 Z Date JUNE 15, 2009 Permission is hereby granted to: CHRISTOPHER P WRIGHT 33 ROPE LANE HEMPSTEAD,NY 11756 for : REPLACE WINDOWS ON FRIST FLOOR OF EXISTING SFD PER APPROVED PLANS AS APPLIED FOR. at premises located at 2775 BRAY AVE County Tax Map No. 473889 Section 126 pursuant to application dated JUNE Building Inspector to expire on DECEMBER LAUREL Block 0009 Lot No. 013.004 3, 2009 and approved by the 15, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~)~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE F]F, LD INSPECTION REPORT [ DATE [ ' COM1V~NTS ~.) FOUNDATION (1ST) FOUNDATION (2ND) ~-~ ROUGH FRANHNG & PLUMBING '.~ INSULATION PER N. Y. STATE ENERGY CODE FINAL / / ADDITIONAL COMMENTS TOWN OF'SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined / Q ,20 Approved ~ ~//,/ ~"7 20_ (~''/ Disapproved a/c Expiration PERMIT NO. 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. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form C°ntact:Mailto: /~.]~/ F'~.~ ;~ Phone: 7 ~q{- 4/dO_}''-' JUN 3 2OO9 Building Inspector APPLICATION FOR BUILDING PERMIT Date ,20 I~LDG. DEPT. INSTRUCTIONS TOWN OF SOUTHO[O a. ~pplication 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 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 ! 8 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 constmction 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 r~egulations, and to admit authorized inspectors on premises and in building for necessary inspections. /7~ ~//. a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent~ engl~n, general contractor, electrician, plumber or builder Name of owner of premises Q, ~-/~ [ ,f '~/~/~7)~-/~- I/[f~ [ ~ /'4 .r / (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: 7.775 A. /¢rff House Ndn~ber [ Streei ~ Hamlet County Tax Map No. 1000 Section /oQ(4~ Block ? Lot /'--~, c7/ Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -J-'/4J ~'(.~" Jc-/q/'~'/[C ~ /~ ~/~-.f b. Intended use and occupancy &4/O'q ~.. 3. Nature of work (check which applicable): New Building Additioj.La_-4~ Alterati. o_n Repair Removal Demolition r~q25{~C6~rkr~r F-~-,~-~rztM)~,~.~t V~//tdz3o'~' _C ~ (' I~/l~'.r7 fi-t. ~v,q- ~n,, c V (Description) .) 4. Estimated Cost Fee ~ & (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commer..qial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Dimensions of entire new construction: Front Rear Height Number of Stories Size of lot: Front -~'~ ix. ear / Depth Real: 10. Date of Purchase Name of Former Owner 1 1. Zone or use district in which premises are situated /r~ 4 0 1 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NOZ 1 3. Will lot be re-graded? YES NO /~Will excess fill be removed from premises? YES__ NO ~' 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. ~'/~ ~ $'- ? fl '- 3' 7fv Phone No 7~7 tf, ~-/,/ Phone No. 9* 5(/ 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~B/DREQUIRED. 9* 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. 18. Are there any covenants and restrictions with respect to this property? * YES __ NO X · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: C O~/~Y~/t/ ._~(~/~ V~-- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (Contractor, Xgdnt, Corporate i2)ffic~r, etd.) 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 ail 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. Swom to before me this r'r'-, ~ ~ '~ / / ,.'~ dayof ~.~J_~ 2009 ./5 ,,//.~ ~//7/ ~ -. 'rIG T H Nota~ Public 0,~,m~g~a,i~h,t, Si~ature of Applicant ~_TOWN OF SOUTHOLD PROPERTY RECORD CARD ~WNER ~ STREET ~._'~ '~..~)-" VILLAGE DIST, SUB. LOT ~ ~ ACR. '  S~S. VL. FARM CO~. CB. MICS. Mkt. Value ~N D · IMP. TOTAL- gATE RE~RKS AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE ~FARM Acre Value Per Value Ac re [q. Tillable FRO~TAG[ O~'~ ,'ER Wo~land FRONTAGE ON ROAD Meadowlond DEPTH House Plot BULKH~D ~ ~ ~ ~ DOCK Total M. Bldg. Exteneion Extension Extension Porch Porch Breezeway' Garage patio O* Total COLOR Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room D~Tr Bath Floors Interior Finish Heat (~ t ~,~ Rooms 1st Floor Rooms 2nd Floor Driveway Dinette I EDR. !BR. FIN. B TRIM EXISTING 1ST. FLOOR PLAN SCALE: 1/8" = 1'-0' FEE:Cr'.,~--~--- '~ '- :': .... " ' ..... NOTIFY BJiLOlt: -r ~..~_,'~T AT c7,':',N STOBM WATER BUNOFF'65q$o2 8;,,,,! ~'~ ,,~ r.,r, TXE ,,, ,~,~, T TO CHAPTE~ 236 FOULOWiN~ .~ ..... i. FOUNDATIO;~ - T,hO ~EQUI~ED FO~ POUGED - Fr~,,~,~ & PLUMB',NG 2. ROUGH " 3. iNSULATION 4. FINAL - MUST BE COMPLE1 ALL CO ,, S~,~ L_ET THE REQUIREMENTS 3F THE CODES OF NEW )T RuSwOdS~BLE FOR ~UCTION ERRORS. :F THE TOWN CODE. PROPOSED 1ST. FLOOR REVISIONS: f TYPICAL ~NDOW OPENING TYPICAL DOOR OPENING I/'...... i/ I[]/' Ir/ ~ I/, i !l ~i'l,: 'Il (/ ,,~ ,!/ l, WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS ' mm WIND-BORNE DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL A~ PER TABLE 1609.1.4, N.Y.S. RES. CODE: ALTERNATIVE FOR OPENING PROTECTION (IF NOT USING IMPACT GLAZING) AND MAX]MUM PANEL SPAN 0~8 FEET ,~'IALL BE F~RM~ FOR O~[N],G PROTECT[CN IN ONE- AND TWO-b-I-ORY I~I,LD[NGS. PANELS SH eALLm cB~m~~ ~ PAN~L~ MUST' CUT TO S'Z' AN~ READY TO USE ~N ANY NEW '~ ,DOV~l~~~'~[N~/~R~ REVISIONS: A-2