HomeMy WebLinkAbout37497-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/1/2012
CERTIFICATE OF OCCUPANCY
No: 35936
Date:
10/1/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
OTHER
53245 MAIN RD SOUTHOLD,
Sec/Block/Lot: 61.-1-8.1
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/10/2006 pursuant to which Building Permit No. 37497 dated 9/6/2012
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:
fence for existing swimming pool per code as applied for.
The certificate is issued to
Bums, Margery D
(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 #: 37497 Date: 9/6/2012
Permission is hereby granted to:
MARGERY D BURNS
PO BOX 566
SOUTHOL, NY 11971
mo~
REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING POOL
FOR A ONE FAMILY DWELLING AS APPLIED FOR. (REPLACES EXPIRED B.P. # 32288
At premises located at:
53245 MAIN RD SOUTHOLD
SCTM # 473889
Sec/Block/Lot # 61.-1-8.1
Pursuant to application dated
To expire on 3/6/2014.
Fees:
8/1012006 and approved bythe Building Inspector.
PERMIT RENEWAL
CO - ADDITION TO DWELLING
Total:
$17.50
$50.00
$67.50
Building Inspector
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. 32288 Z Date AUGUST 15, 2006
Permission is hereby granted to:
MARGERY D BURNS
PO BOX 566
SOUTHOLD,NY 11971
for :
REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING
POOL FOR A ONE FAMILY DWELLING AS APPLIED FOR. (REPLACES BP #24960-Z)
at premises located at 53245 MAIN RD
County Tax Map No. 473889 Section 061 Block
pursuant to application dated AUGUST 10, 2006
SOUTHOLD
0001 Lot NO. 008.001
and approved bythe
Building Inspector to expire on FEBRUARY~_~u~,~00.~/~
Fee S 35.00! '~~/~[,, f \~
Authorfzed' ~d gnatu~e
ORIGINAL
Rev. 5/8/02
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. _3-~ Z Date JUNE 16~ 1998
Permission is hereby granted to:
MARGERY D BURNS
PO BOX 566
SOUTHOLD~NY 11971
for :
REPLACE AN EXISTING FENCE ENCLOSURE FOR AN INGROUND SWIMMING POOL
FOR A ONE FAMILY DWELLING AS APPLIED FOR. INSPECTION REQUIRED.
at premises located at 53245
County Tax Map No. 473889 Section
pursuant to application dated MAY
Building Inspector.
Fee $ 35.00
MAIN RD
SOUTHOLD
061
Block 0001 Lot No. 008.001
11 1998 and approved by the
/~" Buil~in~ Inspe~t~
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAIJ.
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAN(
BIOG. DEP].
IOV~N OF SOUINOLD
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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% 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 Plarming Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buiMings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and nnnsual 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.
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 m accessory building $25.00, Businesses $50.00.
2. Certificate of Oecupancy 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:
Location of Property: ;.~ (J ~
House No.
Owner or Owners of Property: ~I~-T~
Suffolk County Tax Map No 1000, Section _
Old or Pre-existing Building: (check one)
Street Hamlet
Blook__
Filed Map. Lot:
Date of Permit. g/t ea Applicant:
Underwriters Approval:
Subdivision
Permit No. ~&o~¢~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~
Final Certificate: ')~
(check one)
/Applicaxif,,~a/t~
Form No. 6
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF occUPANCy
sis application must be filled in by typewriter or ink and submitted to the Building Department with the following:
For new building or new use:
1. Final survey of pmpexty with accUrate'location of all buildings, property lines, streets, and unusual natural or
topographic featur6s.
2. Final Approval from Health Dgpt. of water supply and sewerage-disposal (S-9 form).
3. Approval ofeleetriea! installation from Board 0fFire Underwriters.
4. aw. om statement from plumber certifying 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 ComplianceTrom architect or engineer responsible for the building=
6. Submit planning Board Approval of completed site plan requi~ments.
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 eg, mpleted 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. Certifica[e 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: Old or Pre-existing Building: (cheek one)
Location of Property: ~3~qff ~flz3a ~
House No. Street Hamlet
' OwrlerorOwnersofPr~perty: /~_. f-~.L/
Suffolk County Tax Map No 1000, Section "J (x~ / Block / Lot
Subdivision
Filed Map. Lot:
p , itNo. '5 7qc/.7 r, ateofP,rmit. -C ~/.,~- Applicant:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ._~"D c"O/'..~.~...,,
Undenm~ters Approval:
Final' Certificate: J
(check one)
XpplTca', t/ at ute -
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING~FINAL
[ ] FIREPLACE & CHIMNEY~[ ] FIRE SAFETY INSPECTION
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ F~AL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:[ ] ELECTRICAL (ROUGH).7,~ ~ [ ] ELECTRICAL (FINAL)
DATE
INSPECTOR U~
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
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
I~LA.TION
[~"I~NAL/,~_,(,/c~__ ~ ~
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR
(1S~
PL~G
CODE
~/., ~
~ .. AmD~ION~ CoUNTs
Complete items 1, 2, and 3. ~ ~mp~e
so that wo can ~urn th~ ~ffi ~o ~ou.
~ R~ ~ R~um R~ ~ M~
2. A~icle Number
PS Form 3811, Febma~ 20~ ~mestic R~urn R~e~pt 102~2~-1~
FORH NO. I
TOWN OF $OUTIIOLD
IlO] LDING DE t'AR'I~4ENT
'tO, ti IIALL
SOUTIIOI.D~ N.Y. 1197 I
TEl..' 765-1802
BOARD OF HEALTil ...............
3 SETS OF PLANS ...............
SURVEY ........................
CI[ECK .........................
SEPTIC FORN ...................
NOTIFY:
CALL ................
a. 'Ibis apglication mint be conpletely filled in by LT~ri[er or in
3 ~ts of pl~, ~rate plot plan to ~ale. ~ ~co~i~ to ~fle.
b. Plot pl~ ~i~ l~tt~ of lot ~ o[ ~lidi~s ~ ~i~s, ~lati~dp to ~jotnl~ pr~t~, or ~fl)lic
struts or areas, a~ givt~ a ~tall~ &~rlptlo~ o[ la~t of pro~rty mint I~ dr~ ~ tl~ dian, d~lch l. ~rt of
this a~fl icati~.
c. 'Hm ~ ~r~ I~ fids a~licati~ ~y ~t be ~ ~fore is~ o[ ~ildi~ ~mit.
d. U~ a~al of fids a~lication, tl~ l~lldi~ l~ctor wil~ tn~ a ~lldl~ ~mlt to tim a~lic~t. ~h
~it gmll ~.~pt ~ ~m p.o,fl~s ~ail~le ~r ins~tt~ th~mt t~ ~rk.
e. ~ ~ildi~ droll ~ ~t~ or ~ in ~le or tn ~rt ~r ~ ~ ~mt~r ~til a ~rti~icate of
~.1~'~ 18 IE~ ~ to tbe Ihdldi~ ~rt~nt for tim is~ og a ~lldi~ ~mlt ~r~t to tl~
I~ildi~ ~ ~i~ o[ ~ ~ o~ ~tl~ld, ~gfolk ~, ~ Yo~, ~ otlmr a~ll~le l~s, ~i~es or
~laci~s, for tim ~st~tt~ of ~dldt~, ~iti~ or alteraCi~, or for ~,~al or ~lltl~, ~ ~in
~cril~. ~m applt~c ~s to ~ly wi~ all a~licable
re.ilati.s,,.~ to ~ic .~ri. t~tor, on ~.i.s a~ in .ildi. for ----~~.
.....
(Stature of ~ll~t~ or ~, t[ a co.ratio)
(~ili~
(as on the tax roll or lateat deed)
If applicant is a corporation, signature of duly autlx)riv:4 officer.
(l~ne and title of corporate officer)
PltJ~bers Lice~ ~ ..........................
3. t'hmre ot ~n~rk (dleck diidl eFgLicable): ~ ~iidi ' ~ / ; .....
~ .......... ~l~ .......... Alteration ..........
I~l~ir ...... ..,... ~ai ............. I~litl~ .... . . .. .... Otizer ~ ..................................
~ripti~)
6. Est i.~t~l ~st ............ L ............ ~ ..............................................
(Lo ~ ~ld (~l filing tilts fll~licfl~i~)
5. If ~lli~, tt~t~r o[ ~llh~ trolls ............ t[~d~r o[ (~lltflg tmlr8 ~l ead~ ~r ................
1[ garage,
6. If lami~ea, ~rclal or ml~'~oqm~, s~cl~ ~t:ure a~ ~tent o[ ead~ ty~ o~ u~ ......................
7. I}t,~nai~m el ~lstl~ a~nm~s, il any: ~mt ................ ~ar ............... ~pfl~ .................
I~i~tt ......................... ~td~r of Stories ......................
I}i,enai~m el ~ stmm~re ~lth alterathma or ~Miti~a~ Fret ............... ~ar ...............
IMpth ................. ¢. I~l~tL .................... ~tdmr of Stories ...............
S. I)i,~n~i~ of entire ~ ~st~tl~: l~t ................ l~ar ............... ~l)th ..............
I~i~ ......................... Ral~r oE 8torlee .....................
9. 8i~ o~ Iota
· -.?~ ...................... ~prh ....................
10. Ihle of ~rdm~ ..................... ~ o~ Itonmr ~r ........................................
II. ~e or u~ district In dddl p~l~a a~ atat~ ..............................................................
12. ~a propel mmt~tlm violate a~ ~ln8 I~, ordi~me or regulatl~a ........................
13. 9111 lot I~
16. ~ma o[ ~er of pr~al~a ........................... ~lreee .............................. I~e ~ ...............
~m of Arddt~t. ............ -- - ....... .,.........,. ~reaa ..... ...................... ... ~m ~ ...............
· ~m of C~tr~tor .............. ~Mreea ................ H~ ~ ..... ....
15. Ia this p~rty ~ithln ~ [~t. ofa till ~!~? * W3 .......... ~ ..........
PI.OT DIAGRAH-
l~cate clearly ~nd distinctly all Ixalldlngn, Ohefl~er exlettng or proposed, and indicate al! set-back dimensions
frou prolrarty linen. 6iv~ attract and block ra~er or description accordln§ Co deed, and ~ho~ street ru~nee ar~l tn~licate
tdmtlmr interior or corner lot:.
(~e of i~livi(bmL sJg, i,g c~ltr~t)
I~ i~ the ........... ~,~ ...............................................................................
ff~;tractor~ent~cor~}rate officer, etc.)
fll4fl tcfltt~m; thflt ail statemnts m~tal~ in this nl~)ticati~ are tnb'to the I~st of his kt~l~e and Iml~ef,
that the turk ~iti I~ ~rgo~l In tl~ nnn~r ~t forth in the n~licatiin~' fil~
s~)rn, delX)Ses etxl says that lie is Lbe eppl JtmnL
Town Halk 53095 Main Road
P.O~ Box 1179
Southold. Nexv York 11971-0959
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 8th, 2006
Margery D. Bums
P.O. Box 566
Southold, N.Y. 11971
RE: 53245 Main Rd.
SCTM# 061 0001 008.001
Dear Ms. Bums,
Please be advised that your Building Permit #24960 issued June 16th, 1998 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $35.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
~//_/--~/TOWN OF SOUTHOLD PROPERTY RECORD CARD
)WNER STREET VILLAGE DIST, SUB. LOT
:o~,ER O~,NER - N,4. ~e,,,,¥~.~. E 7. 4~e,,..¥,,~, ACR.
S W ~PE OF BUILDING
~ND IMP. TOTAL DATE REMARKS
~ ~ " ' · o ~c '
AGE BUILDING CONDITION
q~ NORMAL BELOW ABOVE
:A~ Acre Volue Per Volue
Acre
illoble 1
illoble
Iloble 3
'oodlond
~ompland FRONTAGE ON WATER
/
'ushlond FRONTAGE ON ROAD ~ ~ C~ / ~ : / o ~.
ouse Plot DEPTH ~ / ~
BULKH~D
COLOR
M. Bldg.
Extension
Extension
Extension
Porch
Breezewa
Patio
Total
Foundation
Basement
Ext. Walls
Fire Place
Type Roof
.Recreation Roan
Dormer
Driveway
Heat
~.~ ,,~'~, '/ Rooms Ist Floor
Rooms 2nd Floo~
'fL
· ~ REQUIRE~;
0 r
~I~llJUCTION ~;
~J~ RESPONC .
JJJ~"ONSTRuC~.,,