HomeMy WebLinkAbout35071-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34157
Rte: 01/08/10
THIS c~KTIFIES that the building DECK ADDITION
I&)cation of PropeI~cy: 1450 MILL RD
(HOUSE NO.)
County Tax Map No. 473889 Section 107
subdivision Filed Map No.
MATTITUCK
(STREET) (HkMLET)
Block 1 Lot 2.4
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 14, 2009 purs%uant to which
Building Permit No. 35071-z dated OCTOBER 14, 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.
The certificate is issued to JOHN G & IRENE BP~ADLEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTmeNT OF fD~ALTH APPROVAL
EI~crKICAL C~TIFICATE NO.
P~ERS C~K'rIFICATION DA'r~u
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 submitl~d to the Building Department with the following:
For new building or new use:
1. Final survey of property with aocurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Apprnval 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 Compliancefrom architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. F~r existing bui~ngs (pri~r t~ April 9~` ~957) n~n-~nf~rming uses~ ~r buildings and "pre-existing~ ~and uses:
1. Accurate survey of preperty 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 Oocupancy 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 ofOocupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction: Old or Pre-existing Building:
Location of Property: H[ou~s e~oNo
· Street
OwnerorOwnersofProperty: \(.~ ~ ! .10~Sp ~)VTtcl I
Suffolk County'Tax Map No 1000, Section [ D'q ~ - '3 ' ~
Subdivision
Permit No. ~ k~) q I
Health Dept. Approval:
Planning Board Approval:
Date ofPermit.
Date. I'~- / '7. a~/0I
(check one)
Hamlet
Block Lot
Fried Map. Lot:
Applicant: \ ~ 7 ret ~9 wt 0 I~,
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~L~' J
Final Certificate: t.// (check one)
Applicant Signature
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. 35071 Z Date OCTOBER 14, 2009
Permission is hereby granted to:
IRENE TSONTAKIS-BRADLEY
PO BOX 1588
M3tTTITUCK, NY 11952
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 24940
at premises located at
County Tax Map No. 473889 Section 107
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
1450 MILL RD MATTITUCK
Block 0001 Lot No. 002.004
14, 2009 and approved by the
14, 2011.
Fee $ 200.00
Authorized Signature
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. 24940 Z Date JUNE 5 98
Permission is hereby granted to:
JOHN G BRADLEY
PO BOX 1588
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
at premises located at 1450
County Tax Map No. 473889 Section 107
pursuant to application dated APRIL
Building Inspector.
MILL RD MATTITUCK
Block 0001 Lot No. 002.004
27 98 and approved by the
Fee $ 75.00
Bu~7 Inspector
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
REMARKS:
DATE
INSPECTOR._._~~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
INSPECTOR~~
FOUNDATION (1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
~?. /~//~L
FORH HO. I
TOWN OF SOUTIIOI,D
BU]IoDING Og PARTN~-I~T
TOWN IIALL
SOUTIIOLI), N.Y. I 197 I
TEl.: 765- lB02
~,sLBOARD OF EIEALI'tl ...........
-~:3 SET8 OF PLANS ..'' ' ..' ·
URVE¥...................
........ :.: ' · ' '.
SEPTIC FORH .............. . .-. ·
,^,,. TO.- .~..~c.. >..-~.. .......
...~.F.:..~. :.~.t..¢. d ...........
THSTRUCTIONS
a. 'llds application us. mt be eonpletely filled in by typc~rlter or in ink ns~l mdnitted to tim Iluilding Inspector wi
~ sets o[ plans, accurate plot plan to scale. Fee according to $cl~kde.
b. Plot plan d~alng locatton of lot and of bulldlng~ on prod.a, relatlotmhtp to adjoining premises or
s~reeta or areas, and giving a detailed deacrlptlon of laycx~t of property Imlat be drann on tim diagrm al, ich la part of
th'is application.
c. 'llm ~ork covered b~ thia application ~y cot be eoumneed befor~ iaananca of Butldl~ P~mit.
d. Upon approval of ride application, tim Building Inspector will[ l$~t~ n Building l~mlt to tim $1~lic~nt. ,~h
pemit almll be kept on tim i,c~,Msea ~vail~ble for Inspection thta~uglmut tbe ~rk,
e. NO buiiding ~imll be oocupied or ~ in sd~ole or in I~rt for any
Occupancy shell Imv~ been granted I~ tim I~dld|ng ]ngpeetor.
fiPPLICATICI~ IS }l~a~Y HAI~ to the Building Belmrtment for tim lammnca of e Building P~mit purmumt to tim
Iluilding Zo~ Ordimmc~ of the To~n of ~tlmld, ~uffolk County, N~ York, ~d oti~r applicable l~aa, Ordi~msee8 or
Regulations, for tim eoo-$truetion of Ndldin~, ~zlitiona or alteration, or for ,~,,~ml or d~olitlon, m; ber~|n
described. '1t~ applicant ~s to ~ly vi~ all a~licabl~
regulati~s,,m~ to ~it m~rl~ t~tor9 on pc~i~s a~ in ~{ldl~,~r ~ i~tt~
.~& ......... I..h t .' ............................
State ~O~r a~llc~t is ~r, le~, ~ent, nrddt~t, engt~r~Ae~rnl
........... .................. ,'v'
~ o[ ~r o[ ~1~ ...~...%. · .~ ......... '~. ....... t. t .................. 0" ~' '* ................................
(um tim tax mil or
If applicant i8 a co.ratio, si~e of ~ly mtll)ri~l oilier.
(I,~ne and title of corporate officer)
l~ildera l,icenae Ho. -
Pl~mbera License No ..........................
lilectri¢ian~ Iicanse No .....
................... .t ,-~ ~- .^^ ,~ a.J
It.x:at~on of 1~'i on ~,in~ propo~ mr~ ~t m m ............................. · ...............
Ilouse ~k~ber Street ii.let
c~ty T=~p No. ,~o ~tion ...10~............ m.~ .... ~. ........... x,:,t:%:~ ............
~ ~te~ - ......... ', ..... ,~t ..~ ...........
2. State existing use ~d occupancy of premises ~cl inter, led u~ and oceulmney of p~opt~l constn~etion:
a. ~,i,tlng ,., ,~ oo=~ .o..c~.~.~.~.~.~.....~..:..o~....~.. ..........................................
~cLo~ oL~ .................................... : .........
b. Intended (m mxl occtq~ ...............................
I0.
II,
12.
13.
16.
15.
I, kaut-e of ~otk (d~.k dtleh applicable):
.................... .....
I~l~ir ~i ..... I~1 itlm ........ Otl~r
~ J ~,iptim) ,
tto~ ." ".~q~i~':.. ............
I~ ii~lli~, ~ml~r al ~llh~ imlta. ..........g tild~r nE ~lltng t~l~a ~ eadl fl~r ................
I~ I~mlneaa, ~r~ial or ~l~'~a~, ~1~ ~l:ura ~ ~t~t ~ ~a~t tr~ of u~. ~.~ .................
~li,~,M~, ol ~l,tl~ ,t~, I~ a~: ~m~.~g.' ........... ~,r .~9.' .......... ~h .~ ...........
I~i~t ....................... ~mt~r oE 8torlee O~
Illn~nM~m at ~a etn~a ~lth altaratla or ~ltl~a: ~rmt ....... ~0 G~ ~ar ...............
Igpth .............· ...... l~t~lt. ........... .-. .. ... ~l~r ol Jtorl~a ...............
· ~ar
............................ oth
I
I~i~lt . ~ ..................... ~mt~r oE atorlee ..~ .............
~a oro~l ~t~tlm vlolata ~ ~lng I~, o~11~ nr ragul~dmj ..g.~ ...................
~111 lot I~ ~r~
...................
~le~ of ~r of i,c~=l~ .......... ~. ~ ...... ~lre$~ ....................... l ..... 1~ ..............
............. '.. .
~ of A~dt~t. . · --- · · . ....... ~reee ......... ..................... H~ ~ ..............
1~ Ihta p~rty ~[thln ~ f~t. ofa till ~tl~ t ~ .......... ~) ..........
PI.eT D][A~RAH ~
I~cate clearly and distinctly all L~Jldlnga, M~etlmr existing or proposed, and indicate all act-back die~naions
frae prol~arty linen, give atreet and black mai)er or description according to deed, and td~ street rwtes ami in~llcate
~,4mtber interior or corner lo£.
............. : ....................................... I~inl~l duly ~rn~ del~}~,q a~l m~y, LImt he [8 the ~ppl. ituml:
(~ of imxlivithml, aigning e~tract)
I[ i$ Lite ~
~_~actor, nsent~cor~rate officer, etc.)
~~ t.~ ts ~ly ~tl~rl~ to i~rfom or h;~e I~rforn~ tl~ ~id ~rk m~l to ~ke a~l file this
alq)l icati(m; [h8~i 8cat~i~a ~tat~ in this alvlicnti~ are ~ to ~e Imat of I~i$ km~l~e and I~lief~ nm~l
that the ~rk ~ill I~ ~rfon~l In tim nenner ~C forth in O~e n~ttcaCi~a~ fil~ tl~tfl~.
TOWN OF SOUTHOLD PROPERTY RECORD CARD
I
OWNER
LAND IMP.
l OOc~
I 0o0
STREET
ACR. · ~9
TYPE OF BLD.
PROP.
TOTAL
DATE
VILLAGE
REMARKS
TILLABLE
WOODLAND
MEADOWLAND
HOUSE/LOT
FRONTAGE ON WATER:
FRONTAGE ON ROAD
DEPTH
BULKHEAD
M. Bldg.
Extension
Extension
Extension
Patio
Porch
Deck
Breezeway
Garage
Pool
COLOR
TRIM
Foundation
Basement
Ext. Walls
Fire Place
Dormer
Driveway
PC
FULL
c.^WL F~I /
SLAB
Bath
Floors
Interior Finish
Heat
Woodstove
Attic
Rooms 1st Floor
Rooms 2nd Floor
o;/
Dinette
Kit.
BR.
Fin. B.
· -Fop ~e . Deck '
/he ~,D818 Is//q ; I'
15' 6"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICA
OF OCCUPANCY
NOII~ lUlJIlill
7ei.lJ]~ e AM TO 4 I~
I ~ - ~WO IllOUI~ED
CONSTRUCTION MUST
BE I~QMFI.ETE FOR C.O.
AU. I~ON~'ll~I~TION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & r~cl. is 3' hiqh
CODES. NOT RESPONSIBLE, FOR ,,'.~
DESIGN OR CONSTRUCTION EJ~I~CK L '~<"a ~_,lgnecl"Tor a ,~i0 F'%F hve 1,3~d
Side Vie~ o: ~ ~r De
The Scale is 1t4" :
l'o~r teck ~s 4' high
Tile dec}; ts designed fr,~ % 60 PSF Jive load.
Top ~e~,~f,~,r~ D e ck
11' 2'
28' 6'
" 3D View of Your Deck
· . ' .... 3D View of Your Deck
/o~. ~,~.oc.~'/..~o~' z.~- ON THE LAND AND TAX
/~'~.;' ~ ~ ~ ' .~U X ~ i ~
d~ ~..
DONALD G. DEKENIPP
LAND SURVEYOR
:554 GARDEN STREET
W. ISLIP, N.Y. 11795
516- :521-1653