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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