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Home My WebLink About35425-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34257 Date: 04/05/10 THIS ~KTIFIES t~at the building PORCH ADDITION I~cation of Property: 4430 NASSAU POINT RD (HOUSE NO.) County Tax Map No. 473889 Section 111 Subdivision CUTCHOGUE (STREET) (HAMLET) Block 8 Lot 6.2 Filed Map No. __ Lot No. __ conforms substantially to the Application for Buildin9 Permit heretofore filed in this office dated MARCH 31, 2010 pursuant to which Building Permit No. 35425-Z dated MARCH 31, 2010 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 PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & KAREN BLAKE ( OWNER ) of the aforesaid buildin9. SUFFOLK COUNTYDEPARTMENTOFHEALTHAPPROVAL RY~-rKICAL c~KTIFICATH NO. pLD~ERS c~KTIFICATION DAT~U N/A e/Signature Rev. 1/81 This application m~ A. For new buildin 1. 3. 4. 5. o , Form No. 6 ~ ~[~A'~R C~RTIFICATE OF OCC~CY be fi~~ or i~ ~ submitted to me Building Dep~ent with the following: F~al s~ey of prope~y with accurate IDeation of all buil~gs, prope~ lines, s~ts, ~d unus~l na~al or to~phic features. F~al ~proval from Health Dept. of wmer supply and sewerage~sposal (S-9 fora). Approval of el~cal installmion from Bo~d of Fire Hnde~hmm. Sworn s~tm~t from plumber ce~if~ng ~at ~e solder us~ in systm contains less ~ 2/10 of 1% ~d. Co~ercial build,g, indusffial building, mukiple residences ~d simil~ buildings ~d installations, a ce~ificate of Code Compli~ce from amhitect or engineer ~sponsible for the building. Submit Pl~g Bo~d Approval of completed site pl~ 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. 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 Oecupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existing Building: (check one) House No. Owner or Owners of Propertyi ~-"~ ~ Suffolk County Tax Map No 1000, Section Subdivision PermitNo. '~q %'~ DateofPermit. Health Dept. Approval: Planning Board Approval: Street Hamlet Block <~ Lot Filed Map. Lot: Applicant: Undenvriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) 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. 35425 Z Date MARCH 31, 2010 Permission is hereby granted to: JAMES & KAREN BLAKE 81-27 UTOPIA PARKWAY JAMAICA ESTATES,NY 11432 for : BUILD PORCH ADDITION ON EXISTING DWELLING. THIS PERMIT REPLACES BP 6714. at premises located at 4430 NASSAU POINT RD County Tax Map No. 473889 Section 111 Block 0008 pursuant to application dated MARCH 31, 2010 and approved by the Building Inspector to expire on SEPTEMBER 31, 2011. Fees 200.00 ~// ~ ........ h zed Signature ~ CUTCHOGUE Lot No. 006.002 ORIGINAL Rev. 5/8/02 lei)BM NO. ~ TOWN OF $OUTHOLD BUILDIN~ I~I~AR'rMENT 'rOaN CLERK'S OFFICE SOUTHOLD, H. Y. BUILDIHG PERMIT ~C'~C~ ~ ~ J~L/ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permissia~ is l~ereby granted to: ...... .C./~..t~..~I=.~. ............................... ........ ~. ./~.,~...~..z....£~ ......................... ................... t.~.~.~ ....................................... to...~,~..~.~...:,..A-.~,..T:..~..~.~.....O...t,./. ....... gX..L_c...T..ztUf~/....~..C4.~.~....~:.~ ............ : ................ d..~.~.~...~...). ......... ,~......C....~.~- .............................. , ................... ,~./~..~.~..~. ....... ~.....~....~.,..~..o ................................. at premises ................ ~~~.....~....£.~.. .............. ~.~...;..~~ ............ : ............ Bull/ting Inq:~ctor. Building I ns~'~ FOUNDATION (lS~ PL~G ,, ~ FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE .~ ~ ? SOUTHOLD, N. Y. Examined ...... ~- ........... 19.?...~ Application No. ~....~...~/.J.~ Approved .......[~'.i ....... i ............ J. ...... , 19..~.~. Permit No../~...~....L.c..l...,7,, ...... Disapproved a/c ........ ',~4u~-.~ ...................................................................... ~ APPLICATION FOR BUILDINC~ PERMIT f Date ........ 47'.~./..c./..J. ........................... , 1 .~......~...,. INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 end of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 pursuant 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: buildings for necessary i.,9~ections. (S'gnaturei~--~--of ap~plicarff, or na~e, if a corporatio~i ........ (Address at appdcont) / / State whether applicant is owner, lessee, agent, architect, engineer, genera! contractor, electrician, plumber or builder. Name of owner of premises ..... ~x.2:.~..~b~,.~..:~.,~.7`~~- '~--~'"-"; r'~~'""'"'"------------- ..~,.~,,~...'..~.~;.,: ....~.~ .~/......................~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. O her Trade s L~cense No ............................................... Locat on of and on wh ch proposed work w be done Map No' ~ ~.~ Lot klan..4'? Street and Number ..... .~.~..~.....~__ ........................................... ~ ...¢,¢:~, ............ fv~unicipality State existing use and occupancy of premises and in.~anded use and occupancy of proposed construction: a. Exisiting use and occupancy ..... v ~c-~~ ...................../',"~'"f/-~.~'~'"~'/J'" ...... ?~;'"ZZ ........... ~ ............ b. Intended use and occupancy ...~ ........ .- ................ 7-.... ...................... ..~. ...................... / 3. Nature of work (check which applicable): New Building .................. Addition .................. Alterations.. .... ~' /J(Description) 4. Estimated Cost .... .~'.~.~'./..~.~.. .................................. Fee ........... m~.~ ..................................................................... (to be paid on filing this application) §. If dwelling, number of dwelling units ............................ Number of 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 ...... .,.~.),L. .............. Rear ......... ..,~..d ................. Depth .....~. ............ Height ........................ Number of Stories ...... ./../.'.~...~'2~ .......................................... Dimensions of same structure with alterations or additions: Front ....... . .~..~ ...................... Rear ..../4~.....~... ............. Depth ..... ~¢~...~... ................. Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories .................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exi:ting 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. ht ou-q£ / STATE OF NEW YOR,K. t S S COUNTY OF ....'~...'~...~x~ .......... )' ' ................ .~.~......~.gh~,,...~ ............... ~ .................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application file.~ therewith. Sworn to ~_~fore me this // Notary Public, .~...~~... County ..:..~..~~~/~.-~..~ ................ -- (S~gnaYure of 8pplicar~t') TE~RI LEE ELAK C~)m~n~Lon Ex~ires March 30, 19 l~t