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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. /'9// :Z /c . //