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HomeMy WebLinkAbout35111-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34667 I~te: 11/08/10 THIS c~TIFIES that the building DECK ADDITION I~3cation of Property: 95 RIGHWOOD RD (HOUSE NO.) (STREET) County Ta~Map No. 473889 Section 78 Block 9 S~bdivision Filed Map NO. __ Lot No. __ SOUTHOLD Lot 53 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 2009 pursuant to which Building Permit No. 35111-Z dated OCTOBER 28, 2009 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 MARY E CANTWELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR77~ENT OF ~AL774 APPROVAL ~.R~.-i-afCAL CERTIFICATE NO. PLIghtErS Cig(TIFICATION DA'£~d3 N/A N/A N/A Rev. 1/81 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. 35111 Z Date OCTOBER 28, 2009 Permission is hereby granted to: MERY E CANTWELL 345 E 93RD ST APT17G NEW YORK,NY 10128 for : CONSTRUCT DECK ADDITION TO EXISTING SFD PER APPROVED PLANS AS APPLIED FOR at premises located at County T~x Map No. 473889 Section 078 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 95 HIGHWOOD RD SOUTHOLD Block 0009 Lot No. 053 23, 2009 and approved by the 28, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 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 locatinn of all buildings, p?operty lines, streets, and unnsual 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% lead. 5. Commercial 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. Bo 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 unnsual 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. Co Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on 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 New Construction: Location of erope~3}: House No. D t X9 Owner or Ownem of Property.'~"q Suffolk County Tax Map No 1000, Section Subdivision ~'"~ermit No.3 2-- / [ / Health Dept. Approval: Planning Board Approval: Old or Pre-existing Building: Street '7I Bloc Date of Permit. (check one) H~tmlet Lot 5-_5 Filed Map. Lot: Applicant: Underwritem Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~, C} ~ Final Certificate: (check one) App ~!~ant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INk'ION [ ] FRAMING / STRAPPING ~ FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESAJ-..~'INSPECTION [ ] FIRE RESISTANT COflSTRUCTIOfl [ ] FIRE RESISTANT PEHETRATIOfl REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY INSPECTION [ ] ROU,~,,pLBG. [ ] IN/S1JLATION [//]~INAL [ ] FIRE SAFETY INSPECTION [ ]RRERESlST4NTCONSTRUCTION [ ]FIRERESlSTANTPBIETRA'I'ION REMARKS: DATE INSPECTOR FIELD INSPECT!ON REPORT [ DATE [ COMMENTS FO~A~ON (1S~ FO~ATION (2~) · ROUGH ~G & PL~G ~$~ATION PER N. Y. STATE E~RGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork. net/Southold/ Examined ^pproved /:' Disapproved aJc 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 Contact: Mail to: /4q~/~ ? ~'r'} Phone: ~/7-& ~1.5- Ilqt.t Building Inspector ~,--~--~{~ E~----E ~'~LLICATION FOR BUILDING PERMIT 1/ ,NS T,ONS a. T~._ ?~.,,[~,.,~nT be compl/ftely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets c plans, accutfitt~1 .according to schedule. "6TPlot 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. fi 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 ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applic.able 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 inspectio~?~. {~gnature of applicant or name, ifa corporation) £13: aOc l LD: W'/ i Iq 71 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll 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 1. Location of land on which proposed work will be done: ?6" H-~/t~.)aaD l{ot4O ~ouTHot..~ ~ toy House Number Street Hamlet County Tax Map No. 1000 Section 0-7 ~ Subdivision ff'Tfl ~q 7~' q-5~ (Name) Block · Lot Filed Map No. 5-5'q 7 Lot ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy -.~iO. 6t..~ Ft~tnlc/ I-~t'n~ ~.~/ 15~< b. Intended use and occupancy fiDDITDtO~ 7-0 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Sq, f'O 0 Fee Addition t// Other Work ~Oo (Description) (To be paid on filing this application) Number of dwelling units on each floor 5. If dwelling, number of dwelling units If garage, number of cars ~ufi4 Alteration If business, commercial or mixed occupancy, specify nature and extent of each type of use. /t9/,,4 Dimensions of existing structures, if any: Front /.~. 5" / Rear ]--~. ff /Depth /~. ~' ~ Height ,2 )~ · Number of Stories ! 4~ (~emlodeJ Ra,'t;,w t'le,'~*,,4 ~ %) Dimensions of same structure with alterations or additions: Front 9. 10. Date of Purchase Depth ,28.8 ' Height ;~ Dimensions of entire new construction: Front /5~, $' ' Height ,,2 Y~ / (+ Rea ~,~ Number of Stories / Sizeoflot: Front [Tq t Rear [ /&/ 15'. ~' ~ Rear /3. -,~ ~ Number of Stories / Rear ~', ~' / .Depth /~9 / .Depth Name of Former Owner 11. Zone or use district in which premises are situated ~/il / ,~'t~) ,.q OUTd-O~t~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO ~' 13. Will lot be re-graded? YES__ NO v/ Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises ~d~C~nTt~tTU~ q~-N/6#wao~ ~ b Address ~3 ~Y IlqT[ Phone No. /7-g 3 Name of~ ~0 H~ ~n~ Address/Tr~o~g°. Phone No ~-~3~- Name ~Contractor ~/~ Address ~/~ ~'*"°~hone No. 15 a. Is this prope~y within 100 feet of a tidal wetland or a freshwater wetl~d? *YES~NO / * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this propeay within 300 feet ora 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. STATE OF NEW YORK) SS: COUNTY 0 F/[)e~"l oCI('k' ~' O~ q'~l ~'~q'"~ \ 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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Iq #¼ dayof Oc.~c~zc 20 ~ c~ Notary Public ~ignature of Applicant DESIGN OR u~'~,.,,IRu~F~ON ERRORS. .-d¢'z::,,:,~ ,, ~'- ~ ....: ,. ,.,.' , -.-. I ~ __~ , ~-.~ ,, RETAIN STORM WATER RUNOFF : I ----;,~--~-z~.-- ~ b 12' ' ..... _~'.' ~'~-, = .¢ ,::o'r-/,,.'~., PURSUANT TO CHAPTER 236 ¥ b ' ~ ¢t¢ "' -"N OF THE TOWN CODE. %-- ................./t'"'+ °"' ~' ~' 127'¢ ¥~" ubR, J...,ATION OF NAILING & CONNECT - '~ TOWN OF SOUTHOLD Pi,!OPERTY RECORD CARD ,a~-- ?~- ?-o'-~ ~ /kC).~IE~R~I ,~--. ("~1) nJF ~ il STREET ¢.~' VILLAGE DIST. SUB. LOT 1 ,FORMER OWNER N E ACR. SO,~~ ~ S W TYpEi OF BUILDING ~ ES~ S~S. VL FA~ CO~M. CB. ~ICS. ~kt. ~ND I~P. TOTAL DATE REd,KS FA~ Acre Value Per Value Acre Tillable FRONTAGE ON WATER W~lond FRONTAGE ON ROAD Meadowlond DEPTH House Plot BULKH~D Total DOCK TRIM Bldg. Extension Extension Extension Porch Breezeway Garage Patio Total Bath Floors I~..terior Finish Heat Foundation Basement Ext. Walls Dormer Fire Place Type Eoof Recreation Room Rooms 1st Floor Rooms 2nd Floor Driveway Dinette ~,e~ jK.. LU~" C..- BP LR~ COLOR z,/, ,,q -t- U ~ ~:~ z-,- TRIM JOB No. 05-31 TAX I.D. No. 1000-78-09-53 ,1/ ~0~¢ SURVEY PURPOSE: CONVEYANCE OF PROPERTY FILE MAP No. 5547 NOV 30, 1970 CERTIFIED ONLY TO: MARY E. CANTWELL JPMORGAN CHASE BANK,N.A. COMMENWEALTH LAND TITLE INSURANCE COMPANY By DESTIN G, GRAF NY, S. LIC NO. 50067 SURVEY OF: LOT 2 MAP OF HIGHWOOD AT BAYVlEW BAYVlEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SURVEY DATE: 12/05/06 DESTIN G. GRAF LAND SURVEYOR P.O. SOX 704 Roe, ky Point, New Yo~, t 1778 631..821-3442 SCALE: =I "=30'