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.
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(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
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fED "" ,,t
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SIRL..,~;:',~ S;~ALL MEET THE
E CODES OF NEW
4'"F *.~OT nESPONSfBLE FOR
POST
l'X1'Xl'
£ONC. FTG.
SCALE: 1/~" =
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CAPTAIN ~ID DRI'v'E,
I~, :2010
NY
I/4" = I'0" JD