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HomeMy WebLinkAbout35428-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34256 ~te: 04/05/10 THIS cFR{TIFIES that the building DECK ADDITION ]~Dcation of Property: 905 CAPT KIDD DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 106 Block 5 Sut~ivision Filed Map NO. __ Lot NO. __ MATTITUCK Lot 10 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 2010 pursuant to which Building Permit NO. 35428-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 "AS BUILT" DECK ADDITION TO Ai~ EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID K & CAROL G KIRBY ( OWNER ) of the aforesaid building. SUFFOLK COUI~I~fDEPART}~N~FOF}{EALTHAPPROVAL ELEt-rKICJ%L CERTIFICATE NO. PLI}{BERS CERTIFICATION DA'£~ N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted 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% Icad. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for thc 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. ~l,) Certificate of Occupancy - New dwelling $25.00, Additions to dwelling 255~, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 4¢,?ertificate of OccUpancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 · Updated Certi~ficate of OccUpancy - $51~.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. q ' ~' z~ct ~' Old or Pre-existing Building: (check one)' House No. Street Hamlet Owner or Owners of Property: ~'~ ':~/ Suffolk County Tax Map No 1000, Section Subdivision Permit No.-t" Health Dept. Approval: Planning Board Approval: Date of Permit. Block ~ 5'. aD Lot Filed Map. Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) /1~ Applicant Signatu~~'- FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~]ING PERMIT (TMIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTMORIZED) PERMIT NO. 35428 Z Date MARCH 31, 2010 Permission is hereby granted to: DAVID & CAROL KIRBY PO BOX 1077 MATTITUCK,NY 11952 for : "AS BUILT" DECK ADDITION TO AN EXISTING DWELLING AS APPLIED FOR at premises located at 905 CAPT KIDD DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0005 Lot No. 010 pursuant to application dated MARCH 29, 2010 and approved by the Building Inspector to expire on SEPTEMBER 31, 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~.~.~.~S/,~CT!O~ ~ORrI D~.~[ ,, COM~TS ~, " ~ FOUNDATION (IST) ~ , ~ . ROUGH ~G & ~ q PL~G ~ ~S~A~ON PER N.Y. ~ STA~ R~ CODE ~ ~-I~ F~ ~ , -~ ~D~ION~ COUNTS ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (6:31) 76~-1~2 FAX: (631) 7(~-9~2 SoutholdTown. NorthFork.net - PERMIT NO. uilding Inspector APPLICATION FOR BUILDING PERMIT D~ INSTRUCTIONS ,20 [0 a. This application MUST be completely filled in by typewriter or in ink and submitled to the Building Inspector with 4 sets of plms, aceurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on p'eanses, relationship to adjoining Inem~ses or public sm~ets or areas, and waterways. ¢. The work covered by this application may not be commenced before issuance of Bedding permit. d. Upon approval of this application, the Building Imperator will ~ a Building Permit to the applicant. Such a permit shall be kept co the !incomes available for inspeedco throughout the work. e. No building shall be neeapied or used in whelp or in part for any purpose what so ever wtil the Building Inspector issues a Certificate o f Occupancy. f. Every building penmt shall expin: if the work authorized Ires not eemmeneed within 12 months after the date of issuance or hm not been anmplcted within 1 $ months from such date. If no zoning ame~dmanls or other n:guinlions affecting the property have been enacted in the interim, the Building Inspector may authorize, in vnifing, tile extension of the penmt for an addition six months. Thereafter, a new pemnt shall be required. APPLICATION IS HEREBY MADE to thc Building De-pm'anent for the issuance of a Building Permit pursuant to the Building Zone Ordimmee oftbe Town of Southold, Suffolk County, New Yoflc. and other applicable Laws, Ordinances or Regui~ions, for the consffuclion oflmildings, adthtiom, or alterations or for removal or demolition as be~in deseribed_ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to adanit authorized inspectors on premises anil in building for neeessm~ inspechons. (Signatu~ o"t ~plic~,a or nm,e, i~:a corporation., (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contn~or, electrician, plumber or builder (As on the tax roll or lates~ deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corgnrate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of lan.d, on which proposed work will bc done: ?os' 0,,: House Number Street ' Hamlet County TaxMapNo. 1000 Section [~b a~ Block c>~OO Lot O / O , a~O Subdivision Filed Map No. Lot 2. Stale existing use and occupancy ofp~mises and intended use and occupancy of proposed cons~'uction: a. Existing use and occupancy (J!3.~,nn. z~.'f a(,~t ~ ./~/e. b. Intended use and occupancy ~.~- e,.-.:/~*,~ Z,~,,_~ 3. Nature o f work (check which applicable): New Building Addition Alteration Repair ~/' Removal Demolition Other Work 4. Estimated Cost t~ ~, eve,. C~ Ece 5. If dwelling, number of dwelling units If garage, number of ears (Description) (To be paid on filing this application) Number of dwelling units on each floor 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 ' 1~ .Depth Height l :~" Number of Stories Dimensions of same structure with alterations or additions: Front , t ' Rear Depth I Z ' Height. t- ' g,' Number of Stofie~ 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stofles 9. Sizeoflot:Fmnt. ~e.3, to' Rear t~.~~ Depth i~..O, ~' 10. DateofPurohase.3'~0c- t ~ q 2- NemeofFormerOwner /~ , c [xa,- d 6. K, v [~.,( 't: 1 I. Zone or use district in which premises are situated 12. Does proposed constmctioo violate any zoning law, ordinance or regulation? YES__ NO ~/ 13. Will lot be m-gradad? YES NO t/Will excess till be removed fnsm promises? YES __ NO 14. Names of Owner of premises Address i"~ ~, {,. c 6. ~Y~ Phone No. ~;gt - 2- Name of Architect Address Phone No Name of Cootractor Address. Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wefiand? * YES NO * IF YES, D.E.C. PERM1TS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any poim on property is at I 0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrlctions with respect to this property? * YES NO t/' · IF YES, PROVIDE A COPY· STATE OF NEW YORK) SS: COUNTYOF%,r,~ ) ~r'~4,t. J;, :'" (:L~x being duly swom. depnsesaadsaysthat(s)heisthea~ticaat (N~e o f indfividual s~Enin~ conlract) above nm~cd, (S)He is the (ConUactor, Agent, Corporate Officer, etc.) of said own~ ar owns~s, and is daly antflorizcd te perform or have performed ihe said work ~md te make and file this application; that all sta~mems o~,malned ia this al~ication am U.u~ te the best of his knowledge md ~ie~ ~ thru ~ w~ ~1 ~ performed in the manner set forth in th~ application filed therewith. Sworn to before me this Nctm3' Public MARION E. STARK c'" ~· Sig.~ure ~'f^l~ic~nt No~,y..Publlo, State of New Yo~k No. 01-8T4679503 Qualified I~ Suffolk County Term Explre~ Novm'nber 30, Tram lla]l \nncx 5 11173 Main Road 1'.O. Box 11751 Soulhold, NY 1 1517 14}9,59 'I'clcl)hone (631 ) 76,5-1802 Fxx (631 ) 76,5-93112 BI TII])ING I)lqPAI/TMENT TOWN OF SOUTHOLD April 5, 2010 David & Carol Kirby PO Box 1077 Mattituck, NY 11952 RE: 905 Capt Kidd Drive, Mattituck TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) Trustees Certificate of Compliance. Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35428-Z deck CAPTAIN t IDD ,.-.... ._. Di IVN S 86'O0'$O" E 503.25' S 86°00'30" O E 1 STORY FRAME HOUSE HOUSE No. 905 LOT CONC. & STONE AREA CESSPOOL O~ COVER 0 0 0 N 86°00'$0,, N/O/x HANA UJKIC W O 100.00' N/O/X DIM'ZTR! PAPADoPOULo~ & AL~XANDRA PAPADOPOULo$ THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. UNAUTHORIZED ALTERA~]ON OR ADDmON TO THIS SURVEY IS A VIOLATION OF SEC~ON 7209 OF THE NEW YORK STAT EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CER~FICATIONS INDICATED HEREON SHAJJ_ RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE ]Trl. E COMPANY, GOVERNMENTAL AGENCY AND LENDING INST~Lr~ON USTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSPERABLE. SURVEY OF LOT 186 MAP OF CAPTAIN KIDD ESTATES BLOCK ! 5 FILE No. 1672 FILED JANUARY 19, 194-9 SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-106-05-10 SCALE 1"=20' JANUARY 24, 2008 AREA = 12,000 sq. ff. 0.275 ac. CERTIFIED TO: TEACHERS FEDERAL CREDIT UNION DAVID KIRBY CAROL KIRBY PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR 3WLE SURVEYS AS ESTARUSHED BY THE LI.A.LS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND "~;'"",. '-"-"7 /,0' / N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor ~tle Su~eys -- Subdivis~ns -- ~te ~ans -- Construct~n Layout PHONE (651)727-2090 Fox (651)727-1727 OFFICES LOCATED AT MAIUNG ADDRESS 322 R0onoke Avenue P.O. Box 1931 Riverheod, New York 11901 Riverheed, New York 11901-0965 ~U-O0~ LEFT ELEVATION SCALE: 1/4": 1'-0" EXISTING EQ. EQ. EQ. "--(2) 2xg GIRDER--' ,{2)..2,X8' FL. GIRD, E~[, (21 2Xg FL. GIRDER ' - *' 8'- 6" '-~' 3'- 6" 12'-0" FOUNDATION PI_~N SCALE: 1/4" = 1'-0' REAR ELEVATION SCALE: 1/4" = 1'-0" '~ EXISTIN6 U;U L,L r-'/~.i DATE: I. ~ F 2, 3. IR BE ALL 12'-0" FLOOR PLAN SCALE: 1/4"= 1'-0' RIGHT ELEVATION SCALE: 1/4" = 1'-0" EXISTING 5/4X6 DECKING 2Xg D,T @16"06 2Xg D3* @16"0C fED "" ,,t {2) 2X8' GIRDER AT SIRL..,~;:',~ S;~ALL MEET THE E CODES OF NEW 4'"F *.~OT nESPONSfBLE FOR POST l'X1'Xl' £ONC. FTG. SCALE: 1/~" = KIRE,¥ CAPTAIN ~ID DRI'v'E, I~, :2010 NY I/4" = I'0" JD