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