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HomeMy WebLinkAbout36360-ZTown of Southold Annex 5/18/2011 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 34951 Date: 5/18/2011 THIS CERTIFIES that the building DECK Location of Property: 1170 LESLIE ROAD, CUTCHOGUE, NY 11935, SCTM #: 473889 Sec/Block/Lot: 97.-9-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/20/2011 pursuant to which Building Permit No. 36360 dated 5/5/20l 1 was issued, and conforms to all of the requireinents of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built" deck addition to an existing dwelling as applied for. The certificate is issued to Mcilvain, Honore (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36360 Date: 5/5/2011 Permission is hereby granted to: Mcllvain, Honore 1170 Leslie Rd Cutchogue, NY 11935 To: "as built" deck addition to an existing dwelling as applied for At premises located at: 1170 Leslie Rd, Cutchogue, NY 11935 SCTM # 473889 Sec/Block/Lot # 97.-9-1 Pursuant to application dated To expire on 111312012. Fees: 4/20/2011 and approved by the Building Inspector. SiNGLE FAMILY DWELLiNG - ADDITION OR ALTERATION CO - ADD1TION TO DWELLING Total: $652.00 $50.00 $702.00 Building Inspector 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 sewernge-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 Plarming 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the masons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelting $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 Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: v/ (check one) LocationofProperty: ~l-'/r> D~.sL~ ~Loa~, £~'1'C~6¢% /x~'0 House No. Owner or Owners of Property: ~t~ ,aK Suffolk County Tax Map No 1000, Section Subdivision ~c) Permit No. Date of Permit. Street Hamlet Block ©~ · Lot 00 I · Filed Map. g ? ~'3 Lot: ~ Applicant: ~otqoe~' }'~ c ~L~ ~'~ ,~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [2 FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FiRE .EmTA. T C0.STR~ [ ] FiRE RES~A.T ~F. NETRA'n0N REMARKS: ~~ ~ ~rr~h DATE ~--I o- II INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration PERMIT NO. 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 i~ ~t~c~ N.Y.S.D.E.C. Contact: Building Inspector APPLICATION FOR BUILDING PERMIT Date M-~ ,20 t~ INSTRUCTIONS a. This al~lication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans accu_}ate plot plan to scale. Fee according to schedule. b. Plot plah showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. Th9 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 ins )ectors on premises and in buildin~ APR 1 9 BLDG. DEPT. · lqWN OF SOUIHOLD State whethe },pli,~,mt x~ owner, lessee, ag6r for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ro~ ~' ~x~ ~ ~[ L~j~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Bui!der. q License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1t"]o L~sL(c. g.~,~rc~ coq-'c~,~C~u~, lq',-) House Number Street Hamlet County Tax Map No. 1000 Section~0~ ~,00 Block Oq.~ Ldt ~}l,Or:~ Subdivision l:~Pr~ I4~M ~ ~ Filed Map No. ~ ~/'Z3 . Lot ~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy P~t4^~t~f ~.\~c~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cam Addition Other Work Fee Alteration (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 stru~ure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 1 I. 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. Is this propert-y vAthin 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. STATE OF NEW YORK) COUNTY OF 0>,~ :P.v~l~~: (Name of individual signing contract) above named, being duly sworn, deposes and says that (s)he is the applicant (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. Swo_r~ t,9 before me this [(~FI_, dayof ~)~'tl 20[I, Notary Pubh"~' 'q Signature of Applicant BONNIE W. MAZZAFERRO Nota~ Pubhc. State of New York No 01MA,~66761~ Qualified m Suffolk County ,, Commission Lxp,res August 31, 20 NOTE; · ~ MONUM~'N?' $08011115101tl IlIIP FIL£O IN ~'lf£ OFI~1c£ dUN~ ~ 197t AS F/I. ENO. REVISIONS YOUNG & YOUNG i 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W. YOUr SURVEY FOR: , PHIL'P GEHRING ~ HONORE GEH. RING ' LOT ND.e, "BAY HOMES" -~'r PECONt C GUARANTEED TO: cHt~ T/~LE /Nsu~ ~ TOWN OF ~ ~L SAVI~S ~ LOA~ SOU THOL D ~ss~/~r/~ _ SCALE: I "= WO', NO~ 12, 19~ - 6 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ;TREET // 7~-'~ VILLAGE DIST.' SUB. LOT .,~ ~' '- ~ '~ FORMER OWNER ~ ~ ~ ~ N E -~ ACR. / _ ~..-~.~ ~ ,l ~'~ RES. ;FAS. ~AND ~Mp. VL. Tillable Woodlond Meadowland House Plot Total TOTAL '~,¢d ,/' FARM DATE CO/V~A. CB. MICS. Mkt. Value REMARKS FRONTAGE ON WATER FRONTAGE ON ROAD BULKHEAD COLOR /~,q ~'u ~'/~ ~_ TRIM Bldg. 'Extension Extension Extension Porch Porch Breezeway Garage To~al Foundation Ext. Walls Fire Place Type Roof Recreation Room Dormer Both Floors Interior Finish Heat Roams 1st Floor Patio Rooms 2nd Floor Driveway Dinette LR. DR. BR. FIN. B CONSENT TO INSPECTION Owner(s) Name(s) , the undersigned, do(es) hereby state: That the undersigned (is) (are) the owner(s) of the promises in the Town of Southold, located at '11'~/~9 D~.% l~tq~ which is shown and designated on the Suffolk County Tax Map as District 1000, Section Oc~'~. ,Block ~0 ,Lot That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: q- Iff-~-o~ (Signature) (Print Name) (Signature) (Print Name) LEFT ELB'VAT'fON RIGHT BL~ATIOM ~ BLEVATIO~ EXmSTmN6 I EXISTING ~ m ---- ~ TION SHALL MEET THE