HomeMy WebLinkAbout32881-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34221 I~ate: 03/09/10
T~IS U~aTIFIB$ that the building DECK ADDITION
Location of Property: 1945 GLENN RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~4ap NO. 473889 Section 78 Block 1 Lot 27
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 4, 2007 purss~%nt to wb/ch
Building Perm~it NO. 32881-Z dated APRIL 4, 2007
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 LLOYD & PHYLLIS SIMON
( OWNER )
of the aforesaid building.
SuF~OI~K COUIqTY DEP/4RTD~T OF D~ALTH AP~OV~Ju
~T.RC~rKICAL u~KTIFICATE NO.
PLIERS ~KTIFICATION DA'r~o3
N/A
Rev. 1/81
Form No. 6
TOWN OF $0 UTHOLD
BUILD[NG DEPARTMENT
TOWN IfALL
765-1802
APPLICATION FOR CERTIFICATE OF OeC~
This application must be filled in by typewriter or ink and submitted to the Building
.4. For new building or new use:
,y
t~ ~ ?'?~0
xneiit with the followin ~
BLOG. DEPT.
1. Final survey of property with accurate location o£all buildings, property- line~, stre~, o~.~0~F SOUTHOLD
topographic features.
.... ",~ual naturalor
9. Final Approval from Health Dept. of water supply and sewerage-d/spusal ($-9 t~orm).
-3. Approval · - ·
4. of electrical installation from Board ofF/re Underwriters.
Sworn stateraent from plumber cer0fying that the solder used ' ' '
· m system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residence~ and similar buildings and installations, a c.e~ficate
of Code Compliance from architect or engineer respo~mibl¢ for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior tn April 9, 1957) nou-couformlng uses, or b uildings aud "pre_existing,,. land uses:
l. Accurate survey of property showing all property lineS, streets, building and unusual natural or topographic
features.
2. A properly Completed application and cous~t to iuspeet signed by the applicant.
denied, the Building Inspector shall state the reasons therefor iu writing to the applicant.
C. Fees I. 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, Additiotts to accessory building $25.00, Businesses $50.00.
2. Cectificate o£Occupancy on Pre-existing Build ng- $100.00
3. Copy o£Certificate of Occupancy _ $.25
4. UpdatedCertificateofOccupancy_ $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00
Iqew Construction: __ Old or Pre-existing Building: _
House No. Street ~ --
~wner or Owners of Property: Z'/o~t/c~ c/- pt, .,~ t/'S 5, ,Jr/"L..- Har'~l¢, --
~ffolk C6unty Tax Map No 1000, Section "~ ~'~ (]-- Block
lUMivision Lot
Applicant:
[{"a]th De4~L Approval:
lanning Board Approval:
equest for: Temporary Certificate
Submitted: $
Underwriters Approval:
Final Cel~.ificate:
(check one)
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. 32881 Z Date APRIL 4, 2007
Permission is hereby granted to:
LLOYD & PHYLLIS SIMON
PO BOX 1341
SOUTHOLD,NY 11971
for :
CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FRO. THIS PERMIT REPLACES BP # 23506
at premises located at 1945
County Tax Map No. 473889 Section 078
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
GLENN RD
SOUTHOLD
Fee $ 150.00
Block 0001 Lot No. 027
4, 2007 and approved by the
4, 2008.
Rev.
5/8/02
ORIGINAL
I0~ NO. J
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)
N.° 23506 Z
Permission is hereby granted to:
...... .........
/..~:..,.-~---~..~.~.../.......~ .......................
...~..~.~......,,...~/......../L~.~ .......
:~/-/~ ~ /~ /
,o..~ ........... ~ ............ ~.. ........... ~.~ ....... ~'_~..~.~ .......... ~ ........ ~ .........
~..~/.,.'..~.~ ........... :3 ............. ~.>..~.../.~.,.....~.,.~ ............................................
at p remise'se'~ss located al~tt .....~.~..~.......~ ..'~...~..... ~ .............................................................
pursuant to application doted ....... ...~..~....~../i~..' ............., 19..~..~, and approved by the
Building Inspector.
Rev. 6~30/80
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
[~FINAL
[ ] FIREPLACE & CHIMNEY [
[ ] RRE RESISTANT CONSTRUCTION [
REMARKS:
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE
INSPECTOR .~,~
· ' II '
FORN NO. I
TO~/N OF SOUTHOLD
BUILDING DEPARTNENT
TOgN HALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
Dis~v~cl a/c ..................................
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK'. ........................
SEPTIC FORN ...................
NOTIFY:
C~LL
NAIl, TO: ....................
APPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
a. This .application mst be ctmpletety filled in by ~iter or in ink and sehndtted to the Building Inspector ~ith
3 sets of plato, accurate plot plan to scale. Fee according to sdaeOule.
b. Plot plan sho~ing location of lot and of buildinga on pre,rises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of laIa~t of property mast be drawn on the diagrma ~ahieh is part of
this application.
c. lhe ~ covered by this application ~ay not be oa~,,~seed before issuance of Building Pennlt.
d. Upon ~pp.o~al of this application, the l~ilding Inspector will issue a Building Peri.it to the applicant. Such
pamit shall be kept on the p.~.isas available for inspection throughout the ~rk.
e. No building shall be occupied or used in ~Jaole or in part for any parpose ~dmtever u~til a Certificate of
Occupancy shall hav~ been granted by the Building Inspector.
APPLICATI(~I I5 ~t~lff ~ to the Building Depat~.t for the isanance of a Building Petmlt pursuant to the
Building Zo~ Ordinance of the To~ of Southold. S~ffolk Cannty, 1~ Yonk, and otber applicable L~s. Ordlr~ces or
l~lations, for the ctmstruction of buildings, additions or alterations, or for t~/al or da~olition, as herein
described. ~ applicant agr~s to ca~ply ~ith all applicable la~s, ordimn-,=es, building code, housing code, and
regulations, and to admit authorized inspectors on pr6nlses and in building for necessary inspections.
(Signature of applicant, or nam, if a corporation)
(l~ailing address of applicast)
State ~/sether applicant is mr, lessee, agent, architect, engineer, general contractor, electrician, plttaber or builder.
r : 5 ..........
Nme of o~er of praises ~.~...~.O~t~.d .......... ~..~.d~ ....... , .............................
(as on the tax roll or latest deed)
If applicant is a cx,~poration, sigDattwe of duly authorized officer.
(N~ne and title of corporate officer)
Builders License No. ~(~./.~.. .............
Pl~rs License go. ,~/..~...' ' .~. ..............
TOI "~THOLD
Electricians License No..../~./.~. ..........
Lid.se a,..C_.,/ .zq. ..........
Ix~cotlon of 1~ ~ ~i~ ~ ~ ~11 ~ ~./~.~.~..~.d~...~ .............................
Bouse Number Street l~mlet
2. State existing use and occupancy of prmises and intended use and occol~mcy of proposed construction:
a. Exist use ~ c~_copascy .....................................................................
3. l~z~tL,,e of ~otk (dmck ~d~idt applicable): Ne~ Ikdldi[q; .......... ~liti~ .......... Al~eratiqn
~o ~~ ........
6. ~st i,,~t~l C~st ......~. .............. f~ ..............................................
(to ~ ~id on filing this a~licati~)
5. If t~lli~, ta~fi~r of ~lling onits ............ ~ ta~dmr of ~k~lling ~mits on ead~ flonr . ...............
1~ ~r~e, ~*~imr of cars ..~ .............................
6. If Inminess, ~rcial or mi~ ~oq~, s~ci~ ~t:ure and ~tent of ead~
q'-D/' .~.~... ~ '~ ,,
~. Din~nsi~m of ~is~i~ ~nm~ures, i~ ~y: ~[ ................ ~ar . ~p~h .................
~i~,~ ..3~. 5 ............... ~,~ or s~o~i~ ..~.~?.d~.
Dinensi~8 o~ ~m ~nm[~re ~i[h ~l~er~i~8 or m~i~ions: Fron~ ............... ~r ...............
~pth .................... I~i~t .................... ~d~r o~ S~orles ...............
............ ~r ~p~l~ ........
............ ~.. ...... ~...
~.s~ ~ ~: ~ .I~.C.~ ....... ~ .5~ff ......... ~p,, ..~.~0.,0 .......
~. ~ o~ ~ ai~t~i~t i, ~,ie, v~i~ ~ ~i~t~ . .~.~.,~..~. ~ ~ ......................................
12. ~s propel ~t~ti~ violate ~ny ~i~ ~, o~i~e or regula~i~: .~ .................
II. ~ill lot tm r~r~ ~.~ ............. ~ill ~e~s ~ill Im rm~
l~
~e of Arddt~t ,~ ~ ..................... ~lreas .............................. ~ ~ ...............
15. la this pm~ty ~ithin ~ f~t of a ti(hi ~tl~ * ~ .......... ~ ..........
PI.OT DIAGRAH
Icc. ate clearly a~xl distinctly all buildings, d~ether existing or proposed, md indicate all set-back dimensions
fTOm proport'y lines. Give street and block nmi)er or description according to deed, and slm~ street nmms and indicate
~tl~r i.Le~io~ or co~ lo~. OCE<
(~ of indlvid~l si~h~ contract)
a~e ~,
..............................................................
(C~ractor, agent, corporate officer, etc.)
said ~mr or ~mrs, and is duly mfll,ori~ to ~rfonn or h{me lerh~ lira ~id ~rk and tn ~ke and file this
al~flication; OmC afl stato~nts contai~l in this al~)lication are tn~ to the Imst of his kl~l~ge a~ Imlief; and
lhat the ~rk ~ill Im ~rfon~l in the ~mo~mr ~t forth in the a[~licatitm fil~
~rn to Imfore n~_ this
...... .....
'
..........
JOYCE M. ~INS
Not,W Public. State of N~ Y~
Nc. ~952246. Su~
Tarm. Expir~ Ju~ 1~ 1~/
!
DFC. L
p¼hXL. LI'S
S! ICE)N
APPRO~D AS RI)TEl)
NOTIFY BUILDING DEPARTMENT AT
76§-1802 9 AM TO 4 PM FOR THE
FOLLOW, NG "~SPEC~ONS:
~O~ "OUTED CONCR~E
3, IN~U~TION
~ F;NAL - CONSTRUCTION MUST
~E CO;.~PLETE FOR C.O.
ALL CONSTRUCTION SHALL ME~
T~;~ 25GU~R~ME~TS OF THE N.Y.
~.T~ CONSTRUCTION & ENERGY
~' '~:S NOT RESPONSIBLE FOR
~SG;~ OR _~NSTRUCTION ERRORS
RIVERHEAD BUILDING SUPPLY
ROUTE 25
GREENRORT, NEW YORK
RIVERHEAD BUILDING SUPPLY
ROUTE 25
(~REENPORT, NEW YORK
1/4"
1' I/4"
BEAM BEAM POST POST
LABEL LENGTH COUNT SPACING
A 8' 8 1/16" 2 T' 3 9/16"
B 8' 3 I/8" 2 6' I0 518"
C 37' 9" 5 9' 4 3/8"
D 37' 9" 6 T' 5 718"
E 24'1112" 4 7' II 5116"
Post spacing is measured center-to-center.
Depth of concrete footers --- 36 inches.
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