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HomeMy WebLinkAbout35206-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34169 Date: 01/19/10 T~IS CERTIFIES that the building DECK ADDITION Location of Property: 225 WILLOW ST CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Ta~ Map No. 473889 Section 103 Block 7 Lot 8 subdivision Filed [~ap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 2009 pursuant to which Building Permit No. 35206-Z dated DECEMBER 10, 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 RUTH ZELLER of the aforesaid building. ( OWNER ) SUFFOLK COUI{I"/ DEPAII~T OF l{g~J~11{ APPROXr~_L R~.R~,-i-KIC3kL CERTIFICATE NO. PLUMBEi~ UmTIFICATION DA'K~D N/A N/A N/A Authorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTH( BUILDING DEPARTN TOWN HALL 765-1802 APPLICATION FOR CERTIFICATI This application must be filled in by typewriter or ink and subxnitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, 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. B. For existing 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 consent 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. 2. 3. 4. 5. ~ 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 Date. /dt cO/V (check one) New Construction: ~'~" Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ,~:~fl,O ~ 7-- Date of Permit. Old or Pre-existing Building: cO dx. vretP0 Street Hamlet Block ~ Lot Filed Map. Lot: Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~,~o<~, Final Certificate: (check one) t t nature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35206 Z Date DECEMBER 10, 2009 Permission is hereby granted to: RUTH ZELLER 225 WILLOW STREET CUTCHOGUE,NY 11935 for : CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 16978. at premises located at 225 WILLOW ST County Tax Map No. 473889 Section 103 pursuant to application dated DECEMBER Building Inspector to expire on JLrNE CUTCHOGUE Block 0007 Lot No. 008 10, 2009 and approved by the 10, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF $OUTHOLD BUILDING D£PARTMs"NT TOWN NALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne-1~ Z Permission is hereby granted to: ...... ...... ........... ..... ...-~..~..~..~. ......... ~ ................................. ..... ~...~.....¥.....~...,....,u.s...~...~ ............. , at premises located at ......~......-~:w~......~,t~.a~,.....~.l..' ............ .~.f,~l~'' ~ ........... County Tax Map No. 1000 Section ......... J.o..~. ....Block ....... .~..'~.. ...... Lot No ....... ..~i..~.. ......... pursuant to application dated ...... ~.,)e~........~.~ .......... ; ........ J9.~.~., and approved by the Building Insp~tor. Fee $..~...:..~... Building Inspector Rev. 6/30/80 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ ~ ~~---~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ~ [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE /~ -/( '~ ~ ~___ INSPECTOR ~ FIELD I~S~EC~ION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. ': TOWN HALL NOTIFY SOUTHOLD, N,Y. 11971 TEL.: 765-1803 CALL ................ MAIL TO: Examined .... '..~. ~].~.,19.~.g. ~ ~[~)~ · ~C0 ~c (~2,- Approved .... '.~. ~. ~ ~., 19{.~. Permit No. ~ .~. · ~ c~Lt~_.~ \ iC~(~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT , .~. ,~.?_..,.~. ~..~' Date ................... 19 INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of properW must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION .IS~ HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the Building Zone Ordinance of the~ Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspec~ns..~ (Sigffa)6re of appticant~ or nara~if a corporation) ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber oh~ilder. Name of owner of premises .................................................. '. ........... (as on the tax roll or latest deed If applicant is a corporation,fi?nature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's LicenseNo ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ ......... House Number Street H: County Tax Map No. 1000 Section . . .~.0.~ ........... Block ...0.'~ ............ Lot.. 1~.~. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy...~....(~...~ ............................................. b. Intended use and occupancy .................................................................... '¸8. 10. 11. 12. 13. 14. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No . ~ *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM 3. Nature of work (check which applicable): New Building ..... · ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .... .~, ......... Other Work ............... ,~ ~ ~ ~ (Descriplion) 4. Estimated Cost ........ ~...~. - - .'~'. · ..................... Fee. ~ ~-,~..~.'..~..~. ......................... · (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number o f dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions 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 ...................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ...................... Rear ...................... Depth ...................... Date of Purchase ............................. Name of Former Owner ............................. Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ............................ Will lot be regraded ...... ~, ..... .~ ....... , ...... Will excess fib be removed from premises: . Yes _ Name of Owner of premises ~ ./~....~./.~.~. .... Address ................... Phone $o.~,,~..~,~.~..~... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No ................ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. &PPROVED AS NOTED DATE: ~8.P, # FEE: NOTIFY BUILDING DEPARTMENT work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of ........ ~. ':]. ....... 19 .~..~ Notary Public ........... .~. ~ f/-~O }~ ?-~. _._~.~ County./.~~.~~ ..... .~..~..~I~ ~i~41~:~.~..~ ~ / (S~gnaturc of a / 765-1802 9 AM TO fl. PM FOR ..IE ~,.,,,,...r...~.._~ ~'OLLOVVlNG INS PE CT,O N S. ~. FOUNDATION - TWO REQUII iD 2. ROUGH . FRAMING & PLUMBI FG ~ ~N~Ula~ION 4 ~IN,~L o CONSTRUCTION ML ;T / STATE OF NE~YORK, fro K ...... s.s .... ~:' ~''' ~'~ ~l{ ~' ~ ....................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above n~ed. He is the ~.~ ~ 7 W (Contractor, agent, co.orate officer, etc.) of said owner or ownem, ~d is duly authored to perfom or have perfo~ed applica~on; that all statements cont~ned pplicant) INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 7, 1990 J.P. FERRIGAN CO. BOX 622 CUTCHOGUE, N.Y. 11935 Re: B.P.#16978Z Deck Addition dated May 13, 1988 Dear Mr. Ferrigan: I am writing to you regarding the above building permit. This permit has expired and you have never scheduled any in- spections. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures, alterations or new dwellings, and it is unlawful to occupy or use said structure until the Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Yours truly, Secretary SABA ~ooc[ WILLOW STREET Prepared ~ (zecoe~ with ~ I~nm standards for 'lille ~ as mtablbtmd by the L.I.A. LS, and approved and adopte~ for such use by The New York State Land Title Association. 'Y. $. LIC. 5 4655 MAi*R"'ROAD $OUTHOLD, N. Y. 11971 SURVEY OF PROPERTY AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - I05 07 - 08 NO. 496!8 ~ ENGINEER3; P.C. SCALE SEPT. MAR . 18 , 1988 CERTIFIED TO: CHICAGO TITLE INSURANCE COMPANY OF NEW YORK SOUTHOLD SAVINGS BANK PETER FERR tGAN VIRGINIA FERRIGAN TITLE NO. 8808 - 0945 73 85 -329 o 'o 0 N. 46 · 29' ~0" E. N. 46029'00"E. 144.5'/" Deed 144.7'1 ' Act ~66 ' 126. ?0' WILLOW STREET SURVEY OF PROPERTY AT CUTCHOGUE standards for t~ ~ m ~ b~ ~. y. ~e Ul. gLS. ond WP~ oM ~opt~ SUFFOLK COUNTY, ~~. SCALE I" = ~0~ SEPT. IT, 1985  MAR . 18 , 1988 CERTIFIED TO: /F CHICAGO TITLE INSURA~E . LIC. NO. 4961~ COMPANY OF NEW YORK ..... SOU~OLD SAVINGS BANK PECON~'~~/8 ENGINEERS, P.C. PETER ~RRIGAN (516) ?~~~/ ,VIRGINIA FERRIGAN SOUTHOLD~ N. Y. 119~1 85 - 329