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HomeMy WebLinkAbout35571-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34370 ~te: 05/24/10 THIS CERTIFIES that the building DECK/SHOWER ADDITION Location of Property: 330 OAK DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 104 Block 5 subdivision Filed Map No. Lot No. __ CUTCHOGUE LOt 28 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 2010 pursuant to which Building Permit No. 35571-Z dated M3~Y 19, 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 AND OUTDOOR SHOWER ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICIA M BECK ( OWNER ) of the aforesaid building. SUFFOLK COUN~f DEPAR//~ENT OF HEALTH APPRO~-AL ELRt-rKICAL U~K'rIFICATH NO. pLU~ERS U~KTIFICATION DA'I'~D N/A Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD 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, prope~y lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fi'om plumber c~ifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial building, industrial building, multiple residences and Similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the 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. 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 Ocenpancyon Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~/i~//D New Coastmction: ~( Old or Pre-existing Building: (check one) Location ofProperty:House~C3No. C9~{~-~ ~?r- Street ~'-~Hamlet' % Owner or Ownem of Propeny: 7~r~© ~_ o_ % (~rC ~ · Suffolk County Tax Map No 1000, Section /~ ~ Block ~ Lot Subdivision .............. Filed Map. Lot: Date of Permit. Applicant: Permit No. ~'~. t Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature 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. 35571 Z Date MAY 19, 2010 Permission is hereby granted to: PATRICIA M BECK 31 OAKDALE ROAD ROCKVILLE CENTER,NY 11570 for : "AS BUILT" 12' X 12' DECK ON EXISTING PATIO AS APPLIED FOR at premises located at 330 OAK DR County Tax Map No. 473889 Section 104 Block pursuant to application dated MAY 19, 2010 Building Inspector to expire on NOVEMBER i9, CUTCHOGUE 0005 Lot No. 028 and approved by the 2011. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION \ REMAR~KS: ~'~'- ~-~ ~'~-~-~__~_~ ~~' DATE INSPECTOR ~"~ ~~' TOWN OF SOUTHOI,D BUILDING DEl TOWN HALL SOUTHOLD, N' TEL: (631) 765-1 FAX: (631) 765-9 SoutholdTown.N TOWN OF SOUTt~OLO Examined Approved Disapproved a/c Expiration 2o // 7/ Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C, Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 5/5? ,20/a a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~/r~ / of'~ it4' (As on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section /o¢ Block ~ Lot ~ ~ Subdivision Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ oo e_ { ('t e~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost - Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition ?C Alteration Other Work (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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height 7 ' Number of Stories 9. Size of lot: Front Rear Rear Rear / z' .Depth _Depth 22_ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO__ 13. Will lot be re-graded? YES NO - Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. ls 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 wetland? * YES__ NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) '/~'~'~4 c~ ,-- tM, c~e-c~ - being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 tree to the best of his knowledge and ~fll ~1~ .1~.. th, e~work will be performed in the manner set forth in the application filed therewith. Notav/public. Stat* 0~ N~t No. 018U6185050 Qua fled in Suffolk Coun~ Commission Expires April 14, 20_1 Sworn to before me this. ~'q-/frx dayof j~,(~A~I 20 l O Notary Public Signatur~nt CONTRAC · ~0. ~:, ,: ' ~ SU~BJECT A. C. Sullivan, lnc~ Page FOLLO~NG INSPECTIONS: FOUNDATION - T~ REQUII~D ..EQ~DUREQDON~RETE ROL,G~ ' "'LI<NG PLL 'BING S''"'.r -~.E~TRIC~t ~'CAULK ~ ' ", .:. L*-,'i :" -. .... RUC ', eLECTRICAL OFO¢CLI,°p , ~,, ,,.' 'F~* ~'i 'ALL MUSco,~ ,b"~"BE C~, , P,E,tr-- ,~' - 0., ,,~; "TION SHALL ' :T ...... ~E CERTIFICATION OF REQUIREMENTS OF Tk, OO,. -S-OF NA I NNE TI N YO~STATE ~TRESPDNSiBLEFOR .... [NG & CO C O S DESIGN OR CONS~CTION ERR~S ~:~ REQUIRED. ' - ROBERT H. STEVENS 590 Silver Colt Road Cutchogue, New York t1936 (631) 734-7043 July 2, 2001 VIA FAX- (212) 229-3426 Mr. & Mfs.Tom Beck 31 Oakdale Road Rockville Centre, N,Y 11570 Labor: 6/30 & 7/1/01 - Remove & Reinstall Appliances & Breakfast Bar 2.0 Hours {~ $30.00 Outdoor shower per verbal quote 8.0 Hours @ $30.00 Materials: 5/8 4 x 4 CCA; 418 5 4x6 Cedar, 3 40 lbs. Ace in the Hole; 12/10 lx6VJ #2 Cedar; 2 lbs. Deckfast Screws; 3/12 2x4 CCA; i pair h.d. hinges; I galvanized thumb latch; 1/16 lx4 STK Cedar; I lb. Fin. galvanized nails. Total Material - Tax ~ 8.5% - Total Amount Due - Please make check payable to Robert H. Stevens. $60.00 $240.00 $277.68 ~,49.10 $626.78 Thank you! Bob · TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VI LLAGE LOT FORMER OWNER N I . ,~ -~ ~ . W DISTRICT SUB. TYPE OF B IILDING LAND IMP. TOTAL DATE REMARKS AGE /,5-6 ) NEW NORMAL Farm Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House l~lot · Total BUILDING CONDITION BELOW ABOVE Vomue Per Acre Value M, Bldg. Extension ;xtension :xtension ~arage Foundation Basement Fire Place Porch ,. ; Porch Patio Driveway Bath Floors Interior Finish Heo~t ~l/ Attic Rooms ]st Floor Rooms 2nd Floor 14 /,&,, ii? ) ; ' v' - lllOIF & c~°~s